bluuebunny/crossref_metadata_2025 huggingface dataset:
Floor Maze Test as a predictor of cognitive decline in older adults living in nursing homes
Authors: Almeida Creso Alberto Bem de , Figueiredo Luiz Felipe da Silva , Plácido Jéssica , Silva Felipe de Oliveira , Maciel-Pinheiro Paulo de Tarso , Monteiro-Junior Renato Sobral , Deslandes Andrea Camaz , Laks Jerson
Published: June 2020

ABSTRACT Objective Long-term care facilities (LTCF) are associated with an increased risk of cognitive decline and impairment in spatial navigation abilities. Recent studies have demonstrated that spatial navigation as a complex skill, involving cognitive and motor functions, emerging as a new marker for the progression of dementia. The present study aims to compare spatial navigation in healthy, institutionalized, and AD elderly subjects. Methods In a cross-sectional study, we evaluated 78 elderly individuals (healthy = 37, AD = 22, institutionalized = 19) using the Mini-Mental State Examination (MMSE), Floor Maze Test (FMT) and 8-foot-up-and-gotest (8UG) to assess global cognitive function, spatial navigation and motor function, respectively. Results In the FMT, the immediate maze time (IMT) and delay maze time (DMT) were significantly shorter in the healthy group than those of the institutionalized and AD groups ( X 2 = 31.23; p < 0.01) and ( X 2 = 41.21; p < 0.01), while there were no significant differences between the AD and institutionalized groups in terms of the DMT and MMSE results. However, the institutionalized group showed worse results in terms of IMT (p < 0.01) and 8UG (p < 0.01) than those in the dementia group. Conclusion Our results indicate that both institutionalized older people and patients with Dementia have a deficit in the spatial navigation ability, cognitive functions and motor skills. We should consider that there might be a possibility of underdiagnosis in institutionalized older people.
Thoracoscopic instruments do not interfere in the outcome of uncomplicated, experimental, video-assisted pulmonary lobectomy
Authors: OLIVEIRA LEONARDO CESAR SILVA , CASTRO JOSUE VIANA
Published: May 2020

ABSTRACT Objective: Since its first report, video-assisted thoracic surgery (VATS) lung lobectomy was carried out with the use of conventional surgical instruments, used in laparoscopy and open thoracotomy. These instruments are expensive, not standardized and there are a variety of models and manufacturers. The aim of this study was to determine the impact of the use of these instruments on the experimental pulmonary lobectomy. Methods: We used a modified surgical simulator that uses a porcine heart-lung block filled with tomato sauce, and tested specific (Group 1) and regular (Group 2) instruments. Each group includes 15 experiments. Results: The median total time, excluding the time spent to correct the lesions, was 45.08 and 45.81 minutes, respectively in Group 1 and Group 2. There was no statistical difference between the total times (p=0.58). The only statistically different was seen for partial times regarding the elapsed time to cut and suture of lung fissures (p=0.03 and 0.04, respectively). There were more direct lesions and indirect leaks in Group 2, but without statistical significance (p=1.000 and p=0.203, respectively). The mean time spent for the diagnosis and correction of these events was 1.77 minutes with a standard deviation of 1.18 for Group 1 and 2.72 ± 1.11 minutes for Group 2 (p=0.044). Conclusion: The use of minimally invasive instruments is not associated with time improvement spent with experimental video-assisted lung lobectomy and does not lead to a faster or safer surgery. The use of VATS instruments makes correction of adverse events faster when they occur.
Ressecção anterior do reto vs prostatectomia radical. Existem diferenças na reabilitação sexual?
Authors: Ramos Nuno , Ramos Rodrigo , Silva Eduardo
Published: May 2020

RESUMO Objetivo: O objetivo deste estudo foi avaliar o impacto da reabilitação peniana na recuperação da função erétil em pacientes submetidos a ressecção anterior do reto (RAR) ou a prostatectomia radical (PR), comparando os resultados entre esses dois grupos. Materiais e Métodos: Foi realizado estudo de coorte retrospetivo unicêntrico, em pacientes avaliados na nossa consulta multidisciplinar de oncosexologia, entre janeiro de 2015 e janeiro de 2018, submetidos a PR ou RAR (homens) com disfunção sexual. Avaliamos as características oncológicas dos pacientes, idade, estado civil, tipo de disfunção sexual, Índice Internacional de Função Erétil (IIEF-5) na primeira e última consulta e terapêutica utilizada. Foi realizada análise estatística. Resultados: Foram incluídos 55 pacientes, 60% (33) realizaram RAR e 40% (22) PR. Em relação à disfunção sexual após a cirurgia, a disfunção erétil (DE) foi encontrada na maioria dos pacientes (> 95%). Na pontuação inicial do IIEF-5, os pacientes com RAR e PR apresentaram, com maior frequência, DE moderada ou grave (escore 5-11), em 78,8% e 59,1% dos casos, respetivamente. Ao reavaliar a pontuação do IIEF-5 de cada paciente durante o acompanhamento, verificou-se melhoria em 69,7% dos pacientes com RAR e 72,7% dos pacientes com PR (p = 0,81). Quanto à abordagem terapêutica, 84,8% dos pacientes com RAR foram medicados com inibidores da fosfodiesterase-5 (PDE5I) exclusivamente e 3% com injeção de Alprostadil. Os pacientes com PR foram medicados com PDE5I em 63,6% e com injeção de Alprostadil em 31,8% (p <0,05). Conclusões: Apesar das diferenças técnicas destas cirurgias, do ponto de vista sexual, os pacientes se beneficiaram com a reabilitação peniana.
Drones, imagem-tempo e o fim do poder soberano
Authors: Pinheiro Ulysses , Almeida Leonardo Monteiro Crespo de , Lima Deyvison Rodrigues
Published: June 2020

Resumo: O artigo trata da especificidade de um dos produtos tecnológicos de vigilância e de ataque aéreos mais importantes em uso atualmente, os drones, mostrando em que sentido essa nova tecnologia traça um marco decisivo na evolução do domínio dos ares e, portanto, como sugere Carl Schmitt, na transformação do campo teológico-político das sociedades contemporâneas. A imanência radical do campo político proposta pelo liberalismo, diagnosticada por Schmitt, terá nos drones um de seus instrumentos mais exemplares. Para caracterizar a especificidade dos drones frente a outros aparelhos visuais e aéreos de guerra, será proposta uma aproximação com o conceito de imagem-tempo de Gilles Deleuze, de tal modo a determinar essa sua singularidade a partir das propriedades intrínsecas da imagem gerada. A principal característica da imagem-tempo deleuziana a ser integrada à análise dos drones será seu aspecto tátil. Nesse momento, a aproximação dos livros de Deleuze sobre o cinema com sua obra escrita com Félix Guattari (especialmente O anti-Édipo) será essencial para determinar a dimensão política da imagem-drone.
A amplificação nos processos de informação
Authors: Ferreira Pedro Peixoto , Smarieri Evandro
Published: June 2020

Resumo: Esta é a tradução do texto “L’amplification dans les processus d’information”, conferência ministrada por Gilbert Simondon em 1962, no Colloque de Royaumont sobre “o conceito de informação na ciência contemporânea (Le concept d’information dans la science contemporaine). Aqui Simondon apresenta, e correlaciona, três “níveis do processo informacional de amplificação”: a amplificação transdutiva “por recrutamento positivo”; a amplificação moduladora “por limitação”; e a amplificação organizadora “por descoberta de um sistema de compatibilidade”. Para cada um dos três níveis, Simondon apresenta exemplos dos mundos físico, vivo, técnico e psicossocial.
Desafios e oportunidades para telessaúde em tempos da pandemia pela COVID-19: uma reflexão sobre os espaços e iniciativas no contexto brasileiro
Authors: Caetano Rosângela , Silva Angélica Baptista , Guedes Ana Cristina Carneiro Menezes , Paiva Carla Cardi Nepomuceno de , Ribeiro Gizele da Rocha , Santos Daniela Lacerda , Silva Rondineli Mendes da
Published: June 2020

Resumo: A COVID-19 tem representado um desafio global aos sistemas de saúde, expandindo em velocidade crescente de óbitos, de pacientes críticos com pneumonia e necessidade de suporte respiratório. Métodos alternativos para controlar a propagação da doença, como o isolamento social, medidas extremas de quarentena e o rastreio dos contactantes dos casos têm sido utilizados no mundo. Contudo, essas medidas podem não ser totalmente eficazes para combater a escalada da COVID-19 em compasso às preparações nacionais necessárias às novas demandas de cuidado. Ampla gama de tecnologias digitais pode ser usada para aprimorar essas estratégias de saúde pública, e a pandemia gerou um frenesi relacionado à telessaúde. No Brasil, esse campo tem crescido acentuadamente nos últimos anos. Todavia, a despeito da intensa proliferação de normativas, ainda inexistia, até a epidemia, um marco regulatório plenamente consolidado no país. O surgimento da COVID-19 marca um momento profícuo de expansão das aplicações e usos da telessaúde, como forma de melhorar a resposta do sistema de saúde à crise em curso. O artigo discute a contribuição da telessaúde para o enfrentamento da COVID-19 e as iniciativas recentes desencadeadas no país, como oportunidades para a consolidação da telemedicina e de aperfeiçoamento do Sistema Único de Saúde. Concluiu-se que a telessaúde oferece capacidades para triagem, cuidado e tratamento remotos, auxilia o monitoramento, vigilância, detecção e prevenção, e para a mitigação dos impactos aos cuidados de saúde indiretamente relacionados a COVID-19. As iniciativas desencadeadas nesse processo podem reconfigurar o espaço futuro da telemedicina na prática dos serviços no território.
EVALUATION OF THE ORAL HEALTH CONDITIONS OF VOLLEYBALL ATHLETES
Authors: Souza Jullian Josnei de , Grande Rodrigo Stanislawczuk , Bahls Ricardo , Santos Fabio André
Published: June 2020

ABSTRACT Introduction Dental care can improve athletes’ performance, promoting oral health and preventing changes that could disrupt their sports routine. Objective To evaluate the dental conditions, habits, and oral health care of volleyball athletes, and their knowledge of the importance of oral health in sports performance. Methods Sixty-four male athletes participated in the study: 40 from the basic categories (16 ± 3 years) and 24 professionals (25 ± 5 years). For the assessment of oral conditions, changes in the temporomandibular joint, history of facial and dental trauma, and the presence of malocclusions and orthodontic treatment were verified. Hygiene was measured by the visible plaque index. To determine the athletes’ oral hygiene, they were asked how many times per day they brushed their teeth, flossed their teeth, or used oral mouthwash. Finally, we evaluated the athletes’ opinions concerning the importance of oral health and sports performance. Data analysis was performed using the Mann-Whitney and Fisher’s Exact tests, with a significance level of 5%. Results For most of the parameters evaluated, similar results were found between professional and baseline athletes (p> 0.05). However, for the parameters “flossing” (p = 0.0027) and “facial/dental trauma” (p = 0.0444), significant differences were observed (p <0.05) between the categories of athletes. Conclusion We conclude that professional athletes are more prone to facial/dental trauma, and that the presence of a dental surgeon to assist the team improves athletes’ overall oral health. Level of evidence II; Retrospective study.
Nurse Navigator: development of a program for Brazil
Authors: Pautasso Fernanda Felipe , Lobo Thafarel Camargo , Flores Cecília Dias , Caregnato Rita Catalina Aquino
Published: June 2020

Objective: to develop a Navigation Program for cancer patients, based on the model proposed by The GW Cancer Institute at George Washington University, adapted to the reality of a Brazilian High Complexity Center in Oncology. Method: a convergent care research applied in the development of a patient navigation care process, based on the model proposed by George Washington University, adapted for a High Complexity Center in Oncology in Brazil. Phases of the Convergent Assistance Research: conception, instrumentation, scrutiny, analysis and interpretation. These were correlated with the stages of the Program Development Cycle. Scale designed to categorize patients into navigation levels, validated by the Delphi Technique, with 12 specialists. Results: in the diagnosis, patients with head and neck cancer were defined for inclusion in the Navigation Program. Planning and implementation took place simultaneously, allowing the basic formatting of the program and its processes to be designed. Navigation Needs Assessment Scale designed to select the patient to join the Program and determine the recommended support. The scale validation had a consensus index of 96.42%. Evaluation of the stages of the cycle occurred through the adapted Plan/Do/Check/Act cycle. Conclusion: a Navigation Program was developed adapted to the Brazilian reality, and attributions of the navigators were created.
A New Maximum Size Record of the Shi Drum (Umbrina cirrosa Linnaeus, 1758) for Aegean Sea
Authors: Cengiz Ö. , Paruğ Ş. Ş.
Published: May 2020

Abstract The present study has been conducted to find out new findings on maximum length and weight values of Umbrina cirrosa in the Bay of Saros (Northern Aegean Sea, Turkey). On September, 11, 2016, a single specimen of Umbrina cirrosa with 68.8 cm total length and 2600.00 g total weight was caught by handline at a depth of 20 m. The provable size is the second largest length ever reported in the all seas of the world
Flora of Paraíba, Brazil: Bombacoideae Burnett (Malvaceae)
Authors: Figueiredo Sabrina Soares , Monteiro Fernanda Kalina da Silva , Melo José Iranildo Miranda de
Published: May 2020

Abstract: This work presents the taxonomic study of the native species of Bombacoideae Burnett (Malvaceae) in the state of Paraíba, Northeastern Brazil. The taxonomic treatment included keys for identifying genera and species, morphological descriptions, diagnostic illustrations, comments on taxonomic affinities, and additional information on geographical distribution, habitat, and flowering and fruiting of the species. Three genera and six species were recorded: Ceiba Mill., represented by C. glaziovii (Kuntze) K. Schum., is a new record for the Atlantic Forest; Eriotheca Schott & Endl., represented by E. gracilipes (K. Schum.) A. Robyns and E. macrophylla (K. Schum.) A. Robyns, is a new record for Paraíba; and Pseudobombax Dugand, which is represented by P. marginatum (A.St.-Hil., Juss. & Cambess.) A. Robyns, P. parvifolium Carv.-Sobr. & L.P. Queiroz and P. simplicifolium A. Robyns Robyns - the last one registered for the first time in Paraíba in this study.
Temperature gradients in domestic cats over seven-years-old: descriptive analysis
Authors: Rabelo Rodrigo C. , Pereira Neto Gláucia B. , Carvalho Vinícius J. , Carvalho Gustavo J.
Published: May 2020

ABSTRACT: The temperature gradients are dynamic and noninvasive monitoring techniques that provide information on peripheral blood flow and have been related to the prognosis of patients with circulatory shock. This study evaluated 47 elderly domestic cats’ temperature gradients, and we measured central (rectal) and peripheral (palmar, plantar and medial region of the radio) temperatures. Values found in this study are compatible with studies in young felines and differ from dogs and humans. The mean gradients found were 7.5°C for the central-peripheral; 5.6°C for the peripheral-environmental; 2.7°C for the skin-diff; and 0°C for the member-diff and the variables age and gender do not seem to influence these measurements. To the authors’ knowledge, there is no description of temperature gradients in elderly domestic cats, so this study pretends to clarify the vasoconstriction response in this group of animals.
Evaluation of left atrial function in asymptomatic dogs with chronic myxomatous mitral valve disease: two-dimensional feature-tracking echocardiography and Simpson’s monoplanar methods
Authors: Coelho Mariana R. , Muzzi Ruthnea A.L. , Dorneles Elaine M.S. , Pereira Guilherme G. , Cabral Rosa M. , Muzzi Leonardo A.L. , Abreu Claudine B. , Oliveira Luiz E.D.
Published: May 2020

ABSTRACT: The present study evaluated the volume and function of the left atrium by two-dimensional echocardiographic feature-tracking imaging (2D-FTI) and Simpson’s monoplanar modeling in dogs with asymptomatic degenerative mitral valve disease (DMVD). The study consisted of 80 dogs that were divided into the following three groups: Group 1, 21 dogs (A); Group 2, 30 dogs (B1) and Group 3, 29 dogs (B2). The variable strain (contraction phase) was significantly lower in Group 3 than in Group 1 (12.92±4.54 x 16.69±5.74, p=0.014), and significant differences in the contraction strain index (CSI) were observed between all of the groups that were evaluated (1 = 46.82±8.10, 2 = 39.88±8.03, 3 = 35.25±5.64, p<0.0001). The atrial diastolic volume index (AdVi) that was measured by 2D-FTI was significantly higher in Group 3 than in Group 1 (1.31±0.95 x 0.96±0.31, p=0.038), and the atrial cardiac index (ACI) was also higher in Group 3 than in Group 1 (102.38±80.18 x 78.19±33.38, p=0.030). Atrial function was assessed by Simpson’s monoplanar method, which demonstrated an increase in the left atrial systolic volume, while the contractile function decreased with an increasing disease severity (Group 1 0.21±0.06; Group 2 0.25±0.06; Group 3 0.32±0.08, p<0.0001). The intraobserver and interobserver assessments showed low to moderate variability; most of the values for the coefficient of variation for the variables that were analysed with each method were below 25%. Thus, DMVD was determined to cause an alteration in atrial function, especially in the contraction phase, and even in asymptomatic animals, and the methods of 2D-FTI echocardiography and Simpson’s monoplanar evaluation are sensitive and early methods for the detection of left atrial dysfunction.
PRODUZINDO EDUCAÇÃO ÉTICA COM DELEUZE EM ESCOLA MUNICIPAL DE EJA
Authors: Yonezawa Fernando , Silva Fabio Hebert
Published: June 2020

Resumo Neste texto, amparados pelos conceitos de Deleuze e utilizando-nos do método cartográfico, que consiste no acompanhamento de processos de uma realidade, objetivamos compartilhar um momento de nossa pesquisa-intervenção centrada na produção estética dos corpos em escolas, realizada em escola municipal de EJA. Focar-nos-emos no acompanhamento do caso de uma estudante, a qual angustiava aos educadores por ser entendida como sujeito de educação especial e vítima de abuso sexual. Lançando mão da noção deleuzeana de ética para acompanhar esse caso, discutiremos como se dá a construção de uma educação ética, a qual pretende aumentar a potência de conhecer baseada na produção de encontros alegres. Veremos que a estudante pôde aprender sobre suas potências à medida que a escola, sem vitimizá-la, agenciou encontros baseados naquilo que seu corpo podia.
COENGENDRAMENTO ENTRE COGNIÇÃO E EMOÇÃO EM UM JOGO MÓVEL LOCATIVO
Authors: Kroeff Renata Fischer da Silveira , Maraschin Cleci
Published: June 2020

Resumo O estudo aborda processos cognitivos e emocionais em espaços híbridos físicos-digitais. Descreve como a experiência emocional, os processos cognitivos e o acoplamento à tecnologia exercem uma função importante para a produção de narrativas relativas às práticas de jogo. Como base empírica, realizaram-se oficinas nas quais os participantes exploraram um jogo digital baseado em localização. Como indicadores de análise, observou-se a emergência de dois níveis de produção de sentido nas narrativas: um relacionado às descrições da programação e outro relacionado à performance do jogador - sua forma de estar presente e de agir no contexto. Argumenta-se que as performances de jogo constituem narrativas que nos permitem observar formas singulares de experimentação do espaço. Tais formas são tributárias do emocionar e do tensionamento, reconfiguração e manutenção do acoplamento estrutural que um sujeito-jogador estabelece com seu mundo-contexto de jogo.
[TRANS] EXISTÊNCIA: CORPOS ERRÁTICOS, GESTICULAÇÕES POLÍTICAS DE RESISTÊNCIA
Authors: Silva Flavia Ferreira , Alvim Mônica Botelho
Published: June 2020

Resumo Neste artigo trazemos a noção de errância proposta no campo da arte e da arquitetura, para fazer uma analogia do transitar no espaço urbano com o trânsito de gênero. Considerando que a errância embute uma concepção de circular pelo espaço da cidade apenas orientado pela experiência de afetação no espaço-tempo presente, discutimos a possibilidade de transitar entre masculinidades/feminilidades como um percurso corporal. Tomamos a noção de abjeção aqui para pensarmos a maneira desumanizada como essa errância é marcada, perdendo assim sua condição de alteridade. Consideramos que há um potencial transformador do trânsito corporal e, nesse sentido, o artigo propõe discutir alguns trabalhos artísticos que têm como emblema a quebra com a norma binária. Conclui que corpos errantes fazem com suas errâncias uma ruptura criativa com o instituído. Para além do gênero ancorado em padrões de azul ou rosa, uma infinita palheta de cores se abre para [trans]existências.
Effect of excess soil water on the development of Bermuda grass (Cynodon spp.)
Authors: Nascimento Filho Antônio A. do , Costa Raimundo N. T. , Sousa Carlos H. C. de , Mateus Caroline de M. D. , Nunes Kenya G.
Published: June 2020

ABSTRACT Soil drainage is an important technique in the construction of a sports lawn and information about the sensitivity of the crop to excess water influences the design of the project. Assuming that excess water affects the development of the grass and that the indices SEW30 (Sum of Excess Water above 0.30 m depth) and SDI (Stress-Day Index) are sensitive to the variables of development of the crop, the objective was to identify the sensitivity of Bermuda grass to the excess of water. The experimental design was completely randomized with five treatments and four repetitions. The treatments consisted of groundwater elevations: 0 cm d (at the level of the drains - control); 180 cm d (at 0.20 m from the soil surface); 270 cm d (at 0.15 m from the soil surface); 360 cm d (at 0.10 m from the soil surface); and 450 cm d (at 0.05 m from the soil surface), carried out fortnightly, lasting three days. The variables used to test the treatment were root length, photosynthesis rate, dry mass of roots, stolons, rhizomes, culms and leaves and dry mass of grass clippings. Stress caused by excess water near the soil surface reduced root length, dry mass of culms and leaves, and photosynthesis rate; Bermuda grass was more sensitive to excess water in its initial vegetative stage, which occurs until 42 days after planting; and the photosynthesis rate in the treatment with highest stress level decreased by approximately by 2/3 when compared to the condition of no water table.
Water potential, biochemical indicators and yield of sugarcane irrigated with brackish water and leaching
Authors: Godoi Neto Anízio H. , Silva Ênio F. de F. e , Morais José E. F. de , Andrade Larissa G. L. de , Cutrim Weliston de O. , Lacerda Claudivan F. de
Published: June 2020

ABSTRACT Knowledge on the water relations and biochemical responses of plants has been pointed out as important for selecting genotypes that are tolerant to abiotic stresses, such as drought and salinity. Thus, the objective of this study was to evaluate the leaf water potential, enzymatic activity and yield of sugarcane (RB 92579) irrigated with brackish waters and leaching fractions. The study was conducted from November 2016 to November 2017 in Recife, PE, Brazil. The experimental design was completely randomized, in a 5 x 2 factorial scheme, with four repetitions. Treatments consisted of five irrigation water salinity (0.5; 2.0; 4.0; 6.0 and 8.0 dS m-1) and two leaching fractions (0 and 0.17), corresponding to 100 and 120% of crop evapotranspiration. The values of irrigation water salinity were obtained by adding NaCl and CaCl2 at molar proportion of 1:1 (Ca:Na) to water from the local supply (ECw = 0.5 dS m-1). Readings of leaf water potential (Ψw) were taken at predawn, and +3 leaves were collected for the determination of catalase and ascorbate peroxidase activity at 90, 150, 210 and 270 days after planting. Yield was determined at 365 days after planting. Increase in water salinity reduced leaf water potential and yield, and increased the activity of catalase and ascorbate peroxidase, and the leaching fraction of 0.17 was able to reduce the deleterious effects of salts on plants.
FAMILY HEALTH STRATEGY PROFESSIONAL SATISFACTION IN BRAZIL: A QUALITATIVE STUDY
Authors: Soratto Jacks , Pires Denise Elvira Pires de , Scherer Magda Duarte dos Anjos , Witt Regina Rigatto , Ceretta Luciane Bisognin , Farias Joni Marcio
Published: June 2020

ABSTRACT Objective: To identify work aspects that generate satisfaction for the professionals who work in the Family Health Strategy. Method: This was a qualitative, descriptive study that involved five geographical regions of Brazil, and 27 Family Health Teams from six municipalities. The data were collected from 76 health professionals using semi-structured interviews, and were analyzed articulating the three phases of content analysis using Atlas.ti software resources. Results: The findings showed 129 statement excerpts, with 14 codes, grouped into three categories related to satisfaction. The category, Job Identification and Family Health Strategy Principles, represented 40.3%, with the codes: team work, job affinity, health model, completeness of care, and longitudinality of care. The category, Relationship with Family Health Strategy patients, represented 32.6%, with the following codes: bonding with patient, resoluteness of care, patient satisfaction, and patient care. Finally, the category, Professional and Working Aspects related to the Family Health Strategy, represented 27.1%, with the following codes: relationship with professionals, work recognition, enjoying the profession, team organization, and employment relationship. Conclusion: Professional satisfaction is associated with the work principles of the Family Health Strategy, and with the relationships that are established between patients, professionals and health management. It also has a subjective dimension, with a strong relationship with characteristics of the work process, how it is organized, and under what conditions and relationships this work occurs.
DEVELOPMENT OF AN INSTRUCTIONAL PROTOTYPE FOR TECHNICAL PROCEDURES PERFORMED IN A MATERIAL AND STERILIZATION CENTER
Authors: Pezzi Maria da Conceição Samu , Stipp Marluci Andrade Conceição , Silva Italo Rodolfo da , Chagas Marlea Crescêncio
Published: June 2020

ABSTRACT Objective: to present the development of interactive media to compose an organizational platform addressing technical procedures performed in Material and Sterilization Centers. Method: lapplied research regarding technological production conducted in the Instituto Nacional de Referências em Atendimento Clínico-Cirúrgico a Crianças, Adolescentes e Mulheres, Rio de Janeiro, RJ, Brazil. Procedures were organized into five stages carried out between March and August 2017: bibliographical review; selection of technical procedures and routines; establishing outlets to produce media with resources for photography and filming production,including animation; MSC collaborators reviewed and assessed the material; and the support device by which media (audio and video) would be freely accessed by collaborators was selected. Results: 60 interactive videos were developed using the procedures adopted in routine practices, based on Collegiate and Normative Resolutions and the institution’s quality parameters. Conclusion: establishing interactive outlets was an innovative solution to a lack of financial resources, optimizing resources used in training, procedures and routine activities linked to the context of Material and Sterilization Centers.
EDUCATIVE PROCESS WITH RELATIVES OF CHILDREN WITH SPECIAL HEALTH NEEDS IN THE HOSPITAL-HOME TRANSITION
Authors: Precce Meirilane Lima , Moraes Juliana Rezende Montenegro Medeiros de
Published: June 2020

ABSTRACT Objective: to analyze the dialogical educative process as a strategy to prepare the relatives of children with special health needs in the transition from hospital to home. Method: qualitative study developed from the Creative Sensitive Method, carried out between February and June 2018 at the Inpatient Unit of a public hospital located in the city of Rio de Janeiro. Family caregivers of nine children with special health needs in transition from hospital to home were included in the study, totaling nine participants. The empirical material was evaluated through the analysis of the French discourse. Results: the educative process allowed the relatives to unveil demands for technological and medicative care, modified habitual elements, clinically complex care and social demands to be worked on by the nurse in the transition from hospital to home. From the analysis, the following category emerged: The educative process as a strategy to prepare the relatives of children with special health needs in the transition from hospital to home. The dialogue was produced, however, without exhausting the I-You relationship, maintaining the dialogicity in the group and encouraging the exchange between the different realities of the relatives. Conclusion: the educative dialogic process is an adequate strategy to prepare the relatives of children with special health needs in the hospital-home transition, where the nurses act as coordinators, suggesting a minimum program-related content.
THE MORAL VALUES OF NURSING UNDERGRADUATION: PERCEPTION OF TEACHERS AND STUDENTS
Authors: Marques Lumaira Maria Nascimento Silva da Rocha , Ribeiro Carlos Dimas
Published: June 2020

ABSTRACT Objective: to compare the moral values that nursing teachers and students consider important for vocational training with those they believe are promoted throughout undergraduate study. Method: a qualitative research; an ethnographic study conducted at a public nursing school in the state of Rio de Janeiro, in 2018, involving 40 interviews with teachers and students and a participant observation phase. Results: the moral values that teachers and students consider important for vocational training, as well as those that are promoted, converge on prudence, respect, responsibility, and empathy. It is noteworthy that the knowledge was much cited by the respondents and this article interpreted it as prudence. However, in relation to the values promoted during undergraduation, students warn that these are stimulated when referring to the binomial student-user of health, because they do not feel to the same intensity the presence of these moral values in the teacher-student relationship. Conclusion: a powerful strategy for teaching about moral values is to promote the care of their own students, teachers and staff. In this way, mismatches are avoided between what is said and what is done by experiencing values such as prudence, respect, responsibility and empathy within interpersonal relationships and in the daily life of the school.
Decrease in blood donation rates in Japan: a time series analysis
Authors: Owari Yutaka , Miyatake Nobuyuki , Suzuki Hiromi
Published: June 2020

ABSTRACT: Objective: To clarify that one of the causes for the decrease in blood donation (BD) rates was the introduction of the 400 ml BD program in 1986. Method: BP rates were monitored over 48 years (1965-2012) and were divided into pre- and post-intervention periods prior to analysis. An interrupted time series analysis was performed using annual data on BD rates, and the impact of the 400 ml BD program was investigated. Results: In a raw series, autoregressive integrated moving average analysis revealed a significant change in slope between the pre- and post-intervention periods in which the intervention factor was the 400 ml BD program. The parameters were as follows: intercept (initial value) = 0.315, confidence interval (CI) = (0.029, 0.601); slope (pre-intervention) = 0.316, CI = (0.293, 0.340); slope difference = -0.435, CI = (-0.462, -0.408); slope (post-intervention) = -0.119, CI = (-0.135, -0.103); all, p = 0.000; goodness-of-fit, R2 = 0.963. After adjusting for stationarity and autocorrelation, the parameters were as follows: intercept (initial value) = -0.699, CI = (-0.838, -0.560); slope (pre-intervention) = 0.136, CI = (0.085, 0.187); slope difference = -0.165, CI = (-0.247, -0.083); slope (post-intervention) = -0.029, CI = (-0.070, 0.012); all, p = 0.000 (except for slope (post-intervention), p = 0.170); goodness-of-fit, R2 = 0.930. Conclusion: One of the causes for decrease in BD rates may be due to the introduction of the 400 ml BD program in Japan.
Family dynamics and social network of families of children with special needs for complex/continuous cares
Authors: Dias Beatriz Caroline , Marcon Sonia Silva , Reis Pamela dos , Lino Iven Giovanna Trindade , Okido Aline Cristiane Cavicchioli , Ichisato Sueli Mutsumi Tsukuda , Neves Eliane Tatsch
Published: June 2020

ABSTRACT: Objective: To describe the family dynamics and the social support network for families of children with special needs of multiple, complex and continuous care. Methods: A descriptive study of a qualitative approach, carried out in Maringá - PR, having as theoretical and methodological reference the Calgary Model of Family Assessment (CMFA). Data was collected through semi-structured audio-video interviews, carried out in the homes, together with 11 family caregivers of 13 children. Results: Data is presented in the following categories: structural, developmental and functional evaluation, which show the changes in the family routine and the needs for the adjustment of the roles of its members, in order to better implement the care at home. Conclusions: Using the CMFA made it possible to identify and understand the composition, fragilities and potentialities of the family, as well as the relationships among its members and rearrangements to better enable care at home. This information favors interventions congruent with the needs of these families.
Pharmacotherapy assessment in chronic kidney disease: validation of the PAIR instrument for use in Brazil
Authors: Marquito Alessandra Batista , Pinheiro Hélady Sanders , Fernandes Natália Maria da Silva , Paula Rogério Baumgratz de
Published: June 2020

Abstract Individuals with chronic kidney disease (CKD) use polypharmacy, which, in combination with renal impairment, exposes them to the risk of drug-related problems (DRPs). There are no available tools in Brazil to systematically assess the pharmacotherapy and management of DRPs in this population. Therefore, the objective of this work was to validate the PAIR instrument (Pharmacotherapy Assessment in Chronic Renal Disease) for use in Brazilian Portuguese. This is a retrospective longitudinal observational study. Medical records from 100 CKD patients under conservative treatment, between 2016 and 2017, in a nephrology clinic, were analyzed. PAIR was applied by pharmacists in two consultations of the same patient, with an interval of 6 months. Reliability, conceptual validity, responsiveness of the instrument and prevalence of DRPs in the studied sample were assessed. A mean of 1.26 ± 0.96 DRPs/patient was identified. Inter-rater reliability coefficients (k) ranged from 0.58 to 0.94 and from 0.79 to 1.00 for test-retest, revealing moderate to perfect level of agreement. In conceptual validity, a mean of 1.60 ± 1.24 DRPs/patient was identified by the nephrologist through clinical judgment, compared to 1.33±0.76 DRPs/patient identified by the pharmacist using PAIR (p = 0.07). Therefore PAIR allowed the identification of clinically significant DRPs. In responsiveness, a mean of 1.26 ± 0.96 DRPs/patient was identified at the first consultation and 1.11 ± 1.02 DRPs/patient at the subsequent consultation (p = 0.17) by the pharmacist using PAIR. The number of DRPs between the periods did not change. As a conclusion, the PAIR allowed the identification of clinically significant DRPs in CKD, constituting a new validated instrument to be used in Brazil.
Early and Late Recurrence of Hepatitis B Virus-Associated Hepatocellular Carcinoma
Authors: Wang Ming-Da , Li Chao , Liang Lei , Xing Hao , Sun Li-Yang , Quan Bing , Wu Han , Xu Xin-Fei , Wu Meng-Chao , Pawlik Timothy M. , Lau Wan Yee , Shen Feng , Yang Tian
Published: May 2020

Background

Survival after liver resection of hepatocellular carcinoma (HCC) remains poor because of a high incidence of recurrence. We sought to investigate risk factors, patterns, and long-term prognosis among patients with early and late recurrence after liver resection for hepatitis B virus (HBV)–associated HCC.

Methods

Data of consecutive patients undergoing curative resection for HBV-associated HCC were analyzed. According to the time to recurrence after surgery, recurrence was divided into early (≤2 years) and late recurrence (>2 years). Characteristics, patterns of initial recurrence, and postrecurrence survival (PRS) were compared between patients with early and late recurrence. Risk factors of early and late recurrence and predictors of PRS were identified by univariable and multivariable Cox regression analyses.

Results

Among 894 patients, 322 (36.0%) and 282 (31.5%) developed early and late recurrence, respectively. On multivariable analyses, preoperative HBV-DNA >104 copies/mL was associated with both early and late recurrence, whereas postoperative no/irregular antiviral therapy was associated with late recurrence. Compared with patients with late recurrence, patients with early recurrence had a lower proportion of intrahepatic-only recurrence (72.0% vs. 91.1%, p < .001), as well as a lower chance of receiving potentially curative treatments for recurrence (33.9% vs. 50.7%, p < .001) and a worse median PRS (19.1 vs. 37.5 months, p < .001). Multivariable analysis demonstrated that early recurrence was independently associated with worse PRS (hazard ratio, 1.361; 95% confidence interval, 1.094–1.692; p = .006).

Conclusion

Although risk factors associated with early recurrence and late recurrence were different, a high preoperative HBV-DNA load was an independent hepatitis-related risk for both early and late recurrence. Early recurrence was associated with worse postrecurrence survival among patients with recurrence.
The effect of stage of regrowth on the physical composition and nutritive value of the various vertical strata of kikuyu (Cenchrus clandestinus) pastures
Authors: Benvenutti Marcelo A. , Findsen Craig , Savian Jean V. , Mayer David G. , Barber David G.
Published: June 2020

A plot study was conducted at the Gatton Research Dairy, Queensland, Australia, to quantify the effects of 5 regrowth periods (9, 11, 14, 16 and 18 days) and 4 vertical strata on the composition and nutritive value of kikuyu (Cenchrus clandestinus) pastures using a block factorial design with 4 replicates. Pasture samples were analyzed for crude protein (CP), ethanol-soluble carbohydrates (ESC), acid detergent fiber (ADF), neutral detergent fiber (aNDFom), in vitro indigestible neutral detergent fibre (iNDF240) and minerals. Metabolizable energy (ME) was then calculated from the concentrations of other nutrients. Regardless of the stage of regrowth, stems were located mainly in the bottom 1 or 2 strata, while leaves were present mainly in the top 2 or 3 strata. CP, ESC and ME declined, but aNDFom, ADF and iNDF240 increased with stage of regrowth and from top to bottom of the swards (P<0.05). While herbage quality variables were affected by both factors, vertical stratum had a much larger impact on quality than stage of regrowth. These results indicate that grazing management of kikuyu pastures should be based not only on stage of regrowth but also on level of defoliation, as both have strong impacts on the nutritive value of the consumed forage.
Evaluation of Asystasia gangetica as a potential forage in terms of growth, yield and nutrient concentration at different harvest ages
Authors: Kumalasari N.R. , Abdullah L. , Khotijah L. , Wahyuni L. , Indriyani Indriyani , Ilman N. , Janato F.
Published: June 2020

The objective of this experiment was to analyze growth dynamics, yield and nutrient concentration of Asystasia gangetica (L.) T. Anderson at different harvest ages. A pot experiment was conducted at Green House Laboratory of Agrostology, Faculty of Animal Science, Bogor Agricultural University, Indonesia, during the growing season of 2018. Seedlings were transplanted into 115 polybags arranged in a completely randomized design with 23 replications. Plant height, number of leaves, number of branches, dry matter (DM) yields and nutrient concentrations at 30, 40, 50, 70 and 90 days after transplanting (DAT) were determined. Whereas plant height, number of leaves, number of branches and DM yields increased with age, nutrient concentrations followed different patterns. Crude protein % in leaf peaked at 24.2% at 40 DAT then decreased progressively to 8.4% at 90 DAT, while corresponding figures for stem were 10.6 and 2.8%, respectively. Crude fiber concentrations in leaf increased from 10.6% at 30 days to 17.3% at 90 days; corresponding figures for stem were 23.2 and 39.2%. From this pot study, cutting between 40 and 50 days after planting seemed to represent a suitable compromise between DM yield and protein percentage. Studies are needed to determine the repeatability of these results under field conditions and the regrowth potential of plants following harvesting.
14CO2-based assay for measuring Rubisco activity & activation state v1
Authors: Rodrigues Gabriel Sales Cristina , Silva Anabela , Carmo-Silva Elizabete
Published: May 2020

The Rubisco activity 14CO2-based assay measures the incorporation of 14CO2 into the acid-stable product 3-phosphoglycerate (3-PGA). This protocol is based on Parry et al. (1997).
NADH-linked microtiter plate-based assay for measuring Rubisco activity & activation state – PK-LDH v1
Authors: Rodrigues Gabriel Sales Cristina , Silva Anabela , Carmo-Silva Elizabete
Published: May 2020

This protocol uses five reactions to couple RuBP carboxylation and 3-PGA formation to NADH oxidation to measure Rubisco activity, based on Scales et al. (2014).
Motivasi Siswa Sekolah Dasar dalam Mengikuti Program Pembelajaran Luar Kelas dengan Menggunakan Aplikasi Pokemon Go
Authors: Fauzi Rizal Ahmad
Published: June 2020

In the era of the industrial revolution 4.0, technology has developed very rapidly. This is felt by every element of society, from parents, adults to children. A positive impact will be felt if its use is in accordance with needs. But, it is different from children who play gadgets based on fun or just play games all the time. It will have an impact on the growth of children and their social and social life which will be hampered. The purpose of this study is to find out how Pokemon GO can increase children's motivation in outdoor education activities in physical education programs. The experiment was conducted in one treatment for 50 elementary school students. They are grade 3 elementary school students from one of the schools in West Java-Indonesia. All respondents were given permission by their parents and school teachers to take part in this study. The results obtained, 86% of students liked and motivated to do outdoor activities using Pokemon GO and 14% did not like for various reasons, including: (1) 2 students felt tired to do physical activities, (2) 5 students did not allowed to play games on smartphones so they don't like to play games. AbstrakDi era revolusi industri 4.0, teknologi telah berkembang sangat pesat. Hal ini dirasakan oleh setiap elemen masyarakat, baik dari orang tua, dewasa hingga anak-anak. Dampak positif akan terasa jika penggunaannya sesuai dengan kebutuhan. Tapi, berbeda dengan anak-anak yang bermain gadget berdasarkan kesenangan atau hanya bermain game setiap saat. Hal itu akan berdampak pada pertumbuhan anak-anak dan kehidupan sosial-sosial mereka yang akan terhambat. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana Pokemon GO dapat meningkatkan motivasi anak-anak pada aktivitas outdoor education pada program pendidikan jasmani. Percobaan dilakukan dalam satu perlakuan untuk 50 siswa sekolah dasar. Mereka adalah siswa sekolah dasar kelas 3 dari salah satu sekolah di Jawa Barat-Indonesia. Semua responden telah diberikan izin oleh orang tua dan guru sekolah mereka untuk mengambil bagian dalam penelitian ini. Hasil yang diperoleh, 86% siswa menyukai dan termotivasi untuk melakukan kegiatan di luar ruangan dengan menggunakan Pokemon GO dan 14% tidak seperti karena berbagai alasan, di antaranya: (1) 2 siswa merasa lelah untuk melakukan aktivitas fisik, (2) 5 siswa tidak diizinkan untuk bermain game di smartphone sehingga mereka tidak suka bermain game.
Host Society and Migrants / Searching for the Languages of Mutual Description
Authors: Grigorichev Konstantin V. , Koptseva Natalia P.
Published: June 2020

The article provides a selection of studies on the problem of developing languages for the mutual description of migrants and the host society. The authors consider the problem, on the one hand, through the prism of heterogeneity of the language for describing migrants in the host society, and on the other, through the absence of legitimate representatives of migrants representing them in the dialogue with the Russian society. It offers a point of view on the reasons for the dominance of ethnic discourse in the description of migrants and the migration situation, and wide pluralism in the use of ethnic categories in describing migration. It is shown that migrants do not participate in the development of rhetoric of organisations recognised by the authorities as their legitimate representatives. The article raises the question about the formation of new representatives of migrant groups, whose legitimacy is based not on powers delegated by the authorities, but on recognition by horizontal communities. It is assumed that, on the basis of the network representations, a mechanism is being formed for the humanisation of the image of migrants through the return of subjectivity in communication with the host society
Methodology for the Study of Complex Identity
Authors: Shpak Anna A. , Pchelkina Daria S.
Published: June 2020

The article is devoted to the study of methods for the formation of complex social identities in the semiotic context of culture. On the basis of empirical and theoretical material, the article describes modern provisions regarding social identities. The interconnection of personal and group identities and the features of their interaction with each other are noted. Based on an analytical review of theories of complex social identities, methods for constructing them are proposed. The concept of culture presented in this article as a landmark system is based on the classical and modern research. Cultural memory is presented as a factor constructing self-awareness. The main factors of constructing a complex ethnocultural identity, the authors include cultural mechanisms. The article is based on studies of the subjective and objective languages of the literary text of culture
Imaging Human Breast Tumours in Different Species: How Human Are They?
Authors: Siegers Gabrielle M. , Schüler Julia , Leong Hon , Postovit Lynne-Marie
Published: May 2020

In a gedankenexperiment, we pose the philosophical question as to whether human breast cancer cells or tissues can still be considered human after transplantation into another species. Alongside medical research images illustrating xenotransplantation, we provide descriptions of how tissues were prepared for imaging. In addition, we discuss how such models enable further understanding of cancer and provide invaluable tools for testing new therapies.