bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise da qualidade de vida em mulheres com incontinência urinária de esforço antes e após a cirurgia de sling com tela em Macapá
Authors: Medeiros Francisco de Assis Franca de , Rego Aljerry Dias do , Coutinho Laís Rolim Barbosa , Silva Claudia Guerra Xavier da
Published: September 2020

A incontinência urinaria por esforço (IUE) é a perda de urina durante um esforço físico, como pular, correr, espirrar ou tossir. Objetivo: Fazer uma comparação da qualidade de vida (QV) em mulheres com IUE antes e após procedimento cirúrgico utilizando a técnica de Sling sintético transobturador, em mulheres que residem na cidade de Macapá, na Amazônia brasileira. Método: Avaliou-se 20 pacientes com IUE. Todas foram entrevistadas e responderam ao King’s Health Questionnaire (KHQ) que é um questionário de QV que foi traduzido e validado para o português e aplicado antes e após 6 meses da cirurgia. Os valores obtidos após os somatórios dos pontos referente a cada questão do KHQ foram comparados entres os dois momentos distintos pelo teste de Wilcoxon e testeT para dados pareados. Utilizando o nível de significância para os testes foi 5%, (0,05). Resultados: A maior parte das pacientes entrevistadas tinham entre 40-59anos, cor parda, alfabetizadas, com dois ou mais partos. Houve uma melhora significativa na avaliação da QV depois da cirurgia em todos os domínios. No domínio Impacto da IU, 100% referiram algum grau de comprometimento antes da cirurgia e após a cirurgia 80% responderam que não havia mais essa queixa. Conclusão: A QV destas pacientes que foram submetidas a cirurgia de sling sintético, melhorou de forma significativa em vários aspectos, diminuindo ou até mesmo desaparecendo. Revelando a importância do procedimento cirúrgico da IUE para vida das mulheres.
Mortalidade de adultos jovens por causas externas no Município de Imperatriz – MA, no biênio (2017 – 2018)
Authors: Nogueira Carlos Alberto de Sousa , Brandão Fernando Barbosa
Published: September 2020

A mortalidade por causas externas têm-se destacado nos dias atuais devido ao número de casos registrados e suas consequências na sociedade. No caso do Brasil, os adultos jovens de 20 a 39 anos, do sexo masculino, são o grupo mais atingido por essas causas. Estudos locais que procurem abordar as consequências das causas externas de óbitos na população juvenil masculina, podem contribuir sobremaneira para ações no sentido de reduzir os elevados números atuais. O objetivo do presente estudo foi identificar os diferenciais da mortalidade de adultos jovens, por causas externas, no município de Imperatriz – MA, no biênio (2017 e 2018). O trabalho consistiu de um estudo documental retrospectivo, descritivo, com abordagem quantitativa, realizado no município de Imperatriz – MA, utilizando a base de dados do Instituto Médico Legal (IML). A amostragem consistiu das ocorrências que deram entrada na referida instituição nos anos de 2017 e 2018, por meio da avaliação dos laudos cadavéricos e declarações de óbito. As variáveis utilizadas foram a causa do óbito, idade, gênero, grau de escolaridade, etnia e estado civil. As estimativas populacionais foram obtidas a partir dos dados censitários do Instituto Brasileiro de Geografia e Estatística (IBGE). As taxas de mortalidade (TM) foram calculadas por 100.000 habitantes de acordo com a causa específica. Pelo presente trabalho foi possível concluir que a taxa de mortalidade no município foi elevada, superior à média brasileira nos dois anos estudados, sendo as principais causas externas, os projéteis de arma de fogo, seguidos pelos acidentes de trânsito e agressão por instrumento perfurocortante. As principais vítimas de causas externas foram adultos jovens, do sexo masculino com baixo grau de escolaridade, pardos e solteiros.
Papillary Lesion of the Breast in a Young Girl Suspicious to Juvenile Papillomatosis, Clinical Decision Making in a Multi-disciplinary Team and Review of the Literature
Authors: Mohammadi Zavieh Marzieh , Azmude Ardalan Farid , Karimi Farnaz , Sedighi Nahid , Omranipour Ramesh , Elahi Ahmad
Published: September 2020

Background: Papillary lesions of the breast are a heterogeneous group of neoplasms, the diagnosis and treatment of which is challenging. Typically surgical excision is recommended for papillary lesions after core needle biopsy (CNB) to rule out concurrent malignancy when a diagnosis of papilloma with atypia is yielded on CNB. For papilloma without atypia, however, making a decision about excision versus observation is challenging.Case Presentation: A 14-year-old female with nipple discharge, and a 2 cm mass in the right breast, with the pathology of intra-ductal papilloma without atypia on CNB presented. The question to be answered by multi-disciplinary team was the best management of this papillary lesion and whether the follow up was adequate or excision was mandatory.Question: What is the best plan for management of the young patient according to the primary pathology report of Juvenile Papillomatosis?Conclusion: Histoathology review of CNB specimen in rare and high risk lesions may have some advantages. On the other hand, in high risk circumstances, the excision of the lesion is recommended. Thus, in this case, the multi-disciplinary team recommended excision of the lesion.
Characteristics of Breast Cancer at First Presentation in Sudanese Patients Attending the National Cancer Institute–University of Gezira (NCI–UG)
Authors: Ahmed Eltayeb Muna , Faggad Areeg , Sharafeldin Abbadi Osama , Mohammed Ali Elhassan Moawia
Published: September 2020

Background: Little information is available about breast cancer (BC) in Sudan. Therefore, the present study aimed to provide baseline information about the demographic features and tumor characteristics, and also to investigate the associations between demographic variables and presentation stage in BC patients attending the National Cancer Institute-University of Gezira (NCI-UG), Sudan.Methods: In this cross-sectional study, we included all BC patients treated at the NCI-UG from January to December 2013. Patients' demographic, clinical and pathological data were retrieved from the hospital records and analyzed using SPSS version 20, and associations between these factors were tested as well.Results: A total of 232 cases were included in this research. The majority (97.8%) of subjects were females and 2.2% were males. The median age at diagnosis was 50 years (range, 22-90). The mean time between identification of symptoms and diagnosis was 13 months (SD=16.1). Clinical stages I, II, III, and IV represented 6.9%, 37.0%, 40.9% and 15.2%, respectively. Advanced stage at diagnosis was associated with longer duration between identifying the symptoms to diagnosis (P=0.006). Also the level of education of BC patients was significantly associated with clinical stage at presentation (P = 0.01).Conclusions: Sudanese patients with BC present at a younger age and with more advanced stage at diagnosis than those in developed countries. Patients' education level and duration from identification of BC symptoms to diagnosis significantly impact the stage at the time of presentation. In limited resource setting, early diagnosis of symptomatic BC is crucial in reducing the disease burden.
Persepsi Wisatawan Asing Terhadap Daya Tarik Pariwisata Di Wilayah Perbatasan Indonesia-Malaysia
Authors: Fitriasari Ersa Tri
Published: September 2020

This study aims to determine the perception of foreign tourists on vacation in IndonesiaMalaysia border region. The acceleration of development in border region is followed by the strategic steps in increasing the tourists through the management of the use of natural resources and human resources as a reflection of the frontline of the Republic of Indonesia. With the attraction of tourism can open investment opportunities, job vacancy for the poor local residents, open isolation with improved infrastructure. With Law No. 6 of 2014 regarding to the Village Autonomy in handling and managing existing natural resources and the development of village-owned enterprises as an effort to increase the community income and to handling the community services problems in the Malaysian border region as well as being a regional innovation within the framework of autonomy area. The results of the study using a qualitative approach as the main approach and quantitative approach as a supporter can be concluded that the results of the cross tabulation analysis test informants' perceptions that the distortion of tourism in the border region attracts foreign tourists with natural potential that can be used as a source of regional income. In-depth interview results show that the potential of border natural resources is exploited and tourism investment opportunities are opened by integrating the cultural, economic and environmental sectors by prioritizing the principle of inter-sectoral integration and village independence by optimizing the villages in the border region.Keywords: Perception, Tourism, Attraction, Border Areas
Efektivitas Layanan Darurat Jakarta Siaga 112 dalam Penanganan Kebakaran oleh UPT. Pusat Data & Informasi Kebencanaan BPBD Provinsi DKI Jakarta
Authors: Musa Musa
Published: September 2020

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling
Strategi Pengembangan Kawasan Transmigrasi di Wilayah Perbatasan (Studi Kasus: Kabupaten Natuna)
Authors: Daim Chamidun
Published: September 2020

Selama ini wilayah perbatasan dikelola dengan mengedepankan pendekatan keamanan (security approach) sehingga pembangunan sosial ekonomi dan kesejahteraan masyarakat menjadi terabaikan dan terjadi ketimpangan wilayah. Hal ini mengakibatkan wilayah perbatasan di beberapa daerah menjadi daerah yang tidak berkembang dan masyarakat di wilayah perbatasan pada umumnya masih dikategorikan sebagai masyarakat menengah ke bawah. Salah satu program pemerintah untuk menjaga kedaulatan negara dan memberikan kesempatan kepada rakyat agar dapat mengelola sumber daya alam secara baik di wilayah perbatasan adalah Transmigrasi. Kabupaten Natuna yang berada di perbatasan pernah melaksanakan program transmigrasi pertama kali di Kawasan Transmigrasi Harapan Jaya pada tahun 1981-1983 yang menorehkan beberapa permasalahan. Kajian ini bertujuan untuk mengidentifikasi rancangan pengembangan kawasan transmigrasi, menganalisis model pengembangan kawasan transmigrasi, dan menganalisis strategi pengembangan kawasan transmigrasi yang efektif diimplementasikan di wilayah perbatasan Kabupaten Natuna agar bersifat berkelanjutan.Penelitian ini menggunakan pendekatan penelitian kualitatif yang dilakukan dengan kombinasi antara studi literatur dengan pengumpulan data sekunder. Penelitian ini menggunakan metode penelitian deskriptif kualitatif, yang mana memberikan gambaran atau uraian yang bersifat deskriptif yang dijabarkan secara deduktif. Teknik analisis yang digunakan pada penelitian ini yaitu menggunakan teknik analisis data (content analysis) dan analisis SWOT .Hasil penelitian menjelaskan bahwa pengembangan kawasan transmigrasi perlu dilakukan dengan berbasis kawasan. Namun, di Kabupaten Natuna hingga saat ini belum ada penetapan kawasan transmigrasi. Padahal penduduk eks transmigran di Desa Air Lengit dan Desa Harapan Jaya sebagian besar setuju adanya pengembangan program transmigrasi di wilayah mereka. Solusi ideal untuk meminimalisir permasalah dalam pengembangan kawasan transmigrasi di wilayah perbatasan ke depannya adalah dengan Green Transpolitan yang mengedepankan konsep kemitraan Pentahelix yang dikembangkan menjadi model pengembangan kawasan transmigrasi. Identifikasi dan perumusan strategi pengembangan kawasan transmigrasi di wilayah perbatasan Kabupaten Natuna dilakukan dengan menggunakan analisis SWOT yang dijabarkan pada hasil temuan.Kata Kunci: transmigrasi, perbatasan, pengembangan wilayah, Natuna
Long-Distance Person Travel: A Cluster-Based Approach
Authors: Hassanvand Mina
Published: September 2020

Many long-distance person trips (LDPT) modelling efforts fail to accurately represent trips using traditional segmentation approaches. Thus, a clustering approach was used herein to segment an intra-provincial trips data set. The trips’ segments found were short economical getaways (36%), same-day shopping (16%), personal business (14%), visiting friends/relatives (10%), business/casino trips (10%), young adults playing team sports (6%), same-day trips of snow/festival loving young families with kids (3%), costly cottage/camping trips (3%), seniors with medical appointments (2%), and multiple city visitors (1%). The existence of clusters and associated activities shows what segmentation approaches modern models should follow.
Safety and efficiency of the port-catheter for intensive intravenous chemotherapy in patients with multi-drug resistant tuberculosis and extensively drug-resistant tuberculosis
Authors: Cherenko S. O. , Lytvynenko N. A. , Reva O. A. , Khmel O. V. , Veremeenenko R. A. , Pogrebna M. V. , Senko Yu. A.
Published: September 2020

PURPOSE. To study the efficacy and tolerability of the port catheter for continuous intravenous infusion in patients with MDR-TB and XDR-TB.

MATERIALS AND METHODS. In a controlled study examined the effectiveness of the port catheter during an intensive 7-component anti-TB treatment with intravenous application of 3 anti-TB drugs (moxifloxacin, PAS, linezolid) in 16 patients with MDR-TB and XDR-TB. In the comparison group, which is formed by a pair of matching according to the drug resistance profile of MTB, the same intensive chemotherapy regimens in which the infusion of these drugs was carried out by daily injections of veins. In each group dominated patients with retreatment cases — 14 (87.5 %) patients. The planned duration of intravenous therapy was 2—4 months.

RESULTS. Port-catheter for continuous infusion of combination of anti-tuberculosis drugs in comparison to their administration in the usual way ensures high efficiency and safety. In any case, was not observed phlebitis, no complaints of pain at the injection site, only 12.5 % cases were hematoma after setting the port in comparison to 100.0 % of patients with daily venous injections. In the study group was not a single case of interruption of intravenous infusion. In the control group, 56.2 % of patients discontinued intravenous treatment due to inability to penetrate the vein, patient’s complaints pain or phlebitis. At the end of the intensive phase of chemotherapy sputum conversion and disappearance of clinical symptoms were observed in 15 (3.7 %) patients of the study group, that was 26.7 % higher, than in control group (p>0,05). We found significant difference in terms of sputum conversion, which occurred in the study group through (2,2±0,1) months vs (3,7±0,3) months (<0,05) in control group.

CONCLUSIONS. Port-catheter for long-term daily infusions of combination of anti-TB drugs compared with their usual daily injections is safe and effective method of intravenous therapy. It is not accompanied by subjective complaints of patients and the development of phlebitis, which leads to early sputum conversion. With daily injections of veins 56.2 % of patients prematurely discontinued treatment through intensive local complications or phlebitis. Application of intensive treatment with the introduction of anti-TB drugs allows for faster time to achieve sputum conversion.
Existing opportunities to increase the effectiveness of tuberculosis Treatment
Authors: Feshchenko Y.I. , Gumeniuk M.I. , Korolyuk O.Ya.
Published: September 2020

INTRODUCTION. According to the WHO, tuberculosis remains one of the 10 leading causes of death in the world. Certain features of the pathogen, peculiarities of treatment regimens and some individual characteristics of patients create barriers to the effective treatment of the disease.
MATERIALS AND METHODS. Retrospective analysis of literary sources - recommendations, scientific articles and statistical data.
RESULTS. A review of the literature data showed features of the pathogen, patient-related problems and possible omissions in treatment regimens, that may be the cause of treatment effectiveness lack and a risk factor for the emergence of drug resistance in M. tuberculosis. Insufficient efficacy of treatment was described in patients with low adherence to treatment with oral anti-TB drugs, the presence of comorbidities, with a low level of intestinal permeability of oral medications and in patients with severe forms of tuberculosis. All these patients had a high mortality rate when treated within standard regimens using oral medications.
CONCLUSIONS. To solve the problems of low TB treatment efficiency in these categories of patients, the necessary measures are aimed at maximizing the elimination of causes listed in the article in order to optimize treatment regimens in accordance with the patient’s characteristics and needs, taking into account the peculiarities of mycobacteria.
A comparison of full and partial CSI opportunistic incremental relaying networks under power constraint
Authors: Bao Vo Nguyen Quoc , Cuong Le Quoc
Published: September 2020

Two  well-known  relay  selection  schemes including  full  relay  selection  (FRS)   or  partial  relay selection  (PRS)  have  been  proposed  for  opportunistic cooperative  networks.  Different  from  FRS  where channel state information (CSI) of the two hops is used, PRS employs only the  CSI of  the first hop to select  the best  relay,  which  significantly  reduces  the  complexity, thereby  extending  the  network  life-time.  In  this  paper, the  performance  comparison  of  the  opportunistic incremental  relaying  networks  installing  two  relay selection  schemes  is  reported.  Numerical  results  show that  at  low  signal-to-noise  ratios  (SNRs),  FRS outperforms PRS; However, at high SNRs, both of them approach to  a limit, which is determined by the quality of  the  direct  link  between  the  source  and  the destination.
A Literature Review on License Plate Recognition and Vehicle Classification
Authors: Kien Dao Trung , Lan Le Thi , Hai Tran Thanh , Thuy Le Ngoc
Published: September 2020

Automatic license plate recognition and vehicle classification based on computer vision technique have been deeply studied and developed. Certain commercial systems have been deployed. This paper aims at making a review of the approaches for license plate recognition and weaknesses of each approach are also pointed out. This paper can be used as an reference while developing alicense plate recognition and vechicle classification system.
Social Practice of Sahabat Kapas in Vulnerable Children and Children with Special Condition Assistance in Surakarta
Authors: Istiqomah Nurul , Haryono Bagus , Demartoto Argyo
Published: September 2020

Vulnerable Children and Children with Special Condition (Anak-Anak dalam Kondisi Khusus dan Rentan or AKKR) are children who must receive assistance and motivation to achieve their rights. In practice in real life, they are temporarily forced to be in correctional institutions/detention centers/Institute for Special Development Children (LPKA) as a result of violating the law. It should not make them shunned, but instead, they must be assisted. Vulnerable Children and Children with Special Condition need enforcement of the fulfillment of their rights. The existence of Sahabat Kapas as a nonprofit non-governmental organization (NGO) located in Karanganyar, Central Java, Indonesia, provides concerns and solicitudes for Vulnerable Children and Children with Special Condition. This research aims to analyze and describe the forms of social practice based on habitus in Sahabat Kapas organization. This research used a qualitative research method with Bourdieu’s genetic structuralism approach. Informants were determined using purposive sampling techniques. Data collection was performed using participant observation techniques in the field, in-depth interviews, and documentation studies. Data were analyzed in three stages, including data reduction, data presentation, and ended with concluding. Data were verified by source triangulation. The results showed that Sahabat Kapas became an alternative to assist Vulnerable Children and Children with Special Condition conducted in correctional institutions/detention centers/Institute for Special Development Children (LPKA). The social practices conducted by Sahabat Kapas in assisting Vulnerable Children and Children with Special Condition are following the capital they have and the history of the habitus they conduct. Relational social capital is at stake by assistants with prison officers and how to build relationships with children. Economic capital refers to the efforts made by Sahabat Kapas to get funds to support assistance through entrepreneurship and opening donations. Cultural capital includes the whole intellectual/knowledge gained by assistance through training that is useful to assist children in correctional institutions/detention centers/Institute for Special Development Children (LPKA). Symbolic capital is manifested in the form of awards from the government for Sahabat Kapas and assistance awards for children in the form of gifts.
Burmistrz siedemnastowiecznej Warszawy Karol Zabrzeski i jego księgozbiór
Authors: Truskolaska Ewa
Published: September 2020

Na podstawie analizy materiału proweniencyjnego starych druków zgromadzonych w Gabinecie Starych Druków Biblioteki Uniwersyteckiej w Warszawie (BUW) wyłoniono księgozbiór warszawskiego mieszczanina z siedemnastego wieku Karola Zabrzeskiego. W artykule przedstawiono pokrótce życie tej mało znanej postaci, pochodzenie księgozbioru (wcześniejsi właściciele), losy kolekcji po śmierci Zabrzeskiego oraz jej charakterystykę treściową. Wyróżniono i omówiono następujące grupy piśmiennictwa: teksty literackie i komentarze; gramatyka, leksykografia, podręczniki retoryki; teologia, literatura religijna; medycyna, filozofia; matematyka i astronomia; historia, geografia; prawo; varia (magia, pedagogika, polityka, chronologia i in.). Wyłowiony księgozbiór nie jest kompletny, nie mamy dziś wiedzy o wielkości zbiorów za życia właściciela, ani o liczebności poszczególnych działów. Autorka na podstawie materiału proweniencyjnego przypuszcza, że Zabrzeski był bardziej bibliofilem niż uczonym, a kryterium pozyskiwania książek były nie tyle cechy treściowe, co estetyczne egzemplarzy. W bibliotece mieszczanina znalazły się między innymi doskonałe edycje z oficyn Frobena, Estienna’a, Plantyna i Manucjuszów. Rzuca się w oczy brak w zbiorze dzieł polskich oraz duża liczba prac różnowierczych. Dołączono podobizny stron z zapiskami proweniencyjnymi.
“MIRACLE AT CAPORETTO”
Authors: BROŽIČ LILIANA
Published: September 2020

In 2018, the publication Modern Military Challenges celebrates the 20th anniversary of its publication. The 20th anniversary of the publication of military professional and scientific texts is an excellent achievement for the Slovenian Armed Forces, which has been off age for quite some time now. Initially, the goals of the Editorial Board were more modest. With the Bulletin of the Slovenian Armed Forces, as it was called at the time, they wanted mainly to distribute the knowledge of all those who had returned from various education programmes and trainings abroad. With the efforts of all those who took part in creating it, the publication has grown to gain a scientific and professional character and, as such, it has been indexed in the PAIS International database since 2010.
The Slovenian Armed Forces publishes specialised military literature on the basis of Article 42 of the Defence Act, which within the control of armed forces also includes a regulation that the minister, in addition to other areas, also decides on specialised military literature. This allows for the care for specialised military literature to be constantly present in the defence sector; however, outside the defence sector, it is unfortunately missing. Military specialised and scientific topics can rarely be found in printed form. As a rule, they are prepared as a result of personal motivation and not so much of the systemic development of the subject matter.
For this very reason, specialised military literature needs to be developed all the more carefully, and the development of military scientific topics promoted in cooperation with Slovenian and other foreign institutions, where the critical mass of intelligentsia and funding is significantly higher than in Slovenia.

On this important anniversary, the Contemporary Military Challenges are in good shape. The statistics show that, in the two decades, 438 articles have been written by 594 authors. 51 percent of them were members of the Slovenian Armed Forces, 29 percent were from other Slovenian institutions and 12 percent of them were foreign authors. Only eight percent of authors come from the administrative part of the Ministry of Defence. The largest number of external authors participated in 2008, i.e. 50 percent, and most foreign authors in 2010 and 2016. In the former case, the share was 42 percent, and in the latter case, 50 percent of all authors. The share of contributions from the administrative part of the Ministry of Defence, which includes the Defence Policy Directorate in charge of monitoring the defence future and drafting important documents in the field of defence policy has, however, been the smallest in the history of the publication. Indeed, this is a smaller organizational unit, but in terms of substance, a very important one for the defence sector. Nevertheless, or perhaps, for this very reason, the Directorate did not contribute any professional or scientific article in 2013, 2015, and 2017.
We expect and wish that this year this would change.
Conhecimento e práticas de pessoas com diabetes mellitus sobre a terapêutica medicamentosa e suas complicações agudas
Authors: Gomes Lilian Cristiane , Tsuda Luciana Castelar , Pace Ana Emilia
Published: September 2020

Objetivo: Identificar o conhecimento e as práticas acerca da terapêutica medicamentosa e suas complicações agudas entre as pessoas com diabetes mellitus. Métodos: Estudo seccional, de abordagem quantitativa, com uma amostra de 46 adultos em seguimento ambulatorial em uma unidade de atenção terciária í  saúde, no interior paulista. A coleta de dados foi realizada por meio de entrevista face a face, com o uso de instrumento semiestruturado, elaborado a partir de estudos prévios, e simulação do processo de preparo e administração da insulina. Resultados: Houve maior frequência de sexo feminino, casados/amasiados, inativos no mercado de trabalho, procedentes de Ribeirão Preto e/ou região, com escolaridade média de 5,6 anos de estudo, tempo médio de diagnóstico de 16,4 anos e em insulinoterapia. Quanto ao conhecimento e às práticas relativas í  terapêutica medicamentosa, observaram-se fragilidades no processo de preparo e administração da insulina e na prevenção de suas complicações agudas, como a hipoglicemia. Conclusão: Os resultados reforçam a necessidade de monitoramento contí­nuo durante o curso da doença, no que se refere, em particular, í  insulinoterapia, de modo a proporcionar um tratamento seguro e eficaz.Palavras-chave: diabetes mellitus, conhecimento do paciente sobre a medicação, cuidados de enfermagem.
Targeting shear gradient activated von Willebrand factor by the novel single-chain antibody A1 reduces occlusive thrombus formation in vitro
Authors: Hoefer Thomas , Rana Akshita , Niego Be'eri , Jagdale Shweta , Albers Hugo J. , Gardiner Elizabeth E. , Andrews Robert K. , Van der Meer Andries D. , Hagemeyer Christoph E. , Westein Erik
Published: September 2020

Intraluminal thrombus formation precipitates conditions such as acute myocardial infarction and disturbs local blood flow resulting in areas of rapidly changing blood flow velocities and steep gradients of blood shear rate. Shear rate gradients are known to be pro-thrombotic with an important role for the shear-sensitive plasma protein von Willebrand factor (VWF). Here, we developed a single-chain antibody (scFv) that targets a shear gradient specific conformation of VWF to specifically inhibit platelet adhesion at sites of shear rate gradients (SRG) but not in areas of constant shear. Microfluidic flow channels with stenotic segments were used to create SRG during blood perfusion. VWF-GPIbα interactions were increased at sites of SRG compared to constant shear rate of matched magnitude. The scFv-A1 specifically reduced VWF-GPIbα binding and thrombus formation at sites of SRG but did not block platelet deposition and aggregation under constant shear rate in upstream sections of the channels. Significantly, the scFv A1 attenuated platelet aggregation only in the later stages of thrombus formation. In the absence of shear, direct binding of scFv-A1 to VWF could not be detected and scFVA1 did not inhibit ristocetin induced platelet agglutination. We have exploited the pro-aggregatory effects of SRG on VWF dependent platelet aggregation and developed the shear gradient-sensitive scFv-A1 antibody that inhibits platelet aggregation exclusively at sites of SRG. The lack of VWF inhibition in non-stenosed vessel segments places scFV-A1 in an entirely new class of anti-platelet therapy for selective blockade of pathological thrombus formation while maintaining normal hemostasis.
Järjestömuotoista vertaisoppimista vapaassa sivistystyössä : tapaus opintokerhot
Authors: Fields Marion
Published: September 2020

Vertaisoppiminen voidaan määritellä keskenään tasa-arvoisessa suhteessa olevien henkilöiden välisessä vuorovaikutuksessa tapahtuvaksi oppimiseksi. Se on aidosti sosiaalinen oppimisen muoto, koska oppijalla tulee aina olla kumppani, vertainen, jota vasten hän voi peilata omia ajatuksiaan ja jonka kanssa yhteistyössä hän voi omaksua uusia tietoja, taitoja ja asenteita. Aikuisten vertaisoppimisen tutkimus on pitkälti keskittynyt muuan muassa työssäoppimiseen.
Sivistystyö sopeuttamisen ja voimaannuttamisen ristipaineessa
Authors: Turunen Annika
Published: September 2020

Vapaan sivistystyön rehtorit arvioivat haastatteluissa, mitä ja keitä varten vapaata sivistystyötä tehdään. Tulosten perusteella vapaalla sivistystyöllä ei ole selkeää yhtenäistä identiteettiä, sillä se elää ajassa. Monien mielestä tärkeää on kuitenkin ihmisten hyvinvoinnin tukeminen.
”Itselleen voi sentään jotain”
Authors: Mäkinen Katariina
Published: September 2020

työelämävalmennuksessa oletetaan, että yksilöissä piilee rajaton potentiaali. Samalla luodaan käsitystä, ettei ihminen ole vielä valmis, vaan tarvitsee tietoista työskentelyä tullakseen paremmaksi itsekseen.
Tecnologias de informação e comunicação na atenção à saúde mental de profissionais da saúde no contexto da pandemia da COVID-19
Authors: Nelson Isabel Cristina Amaral de Sousa Rosso , Bezerra Kelianny Pinheiro , Costa Kalidia Felipe de Lima , Oliveira Lucidio Clebeson de , Vieira Alcivan Nunes , Fernandes Amélia Carolina Lopes , Queiroz Johny Carlos de , Lima Magda Fabiana do Amaral Pereira
Published: September 2020

Objetivou-se analisar as contribuições das Tecnologias de Informação e Comunicação (TIC) na atenção à saúde mental de profissionais da saúde, no contexto da pandemia da COVID-19. Pesquisa descritiva e exploratória, com profissionais da saúde atendidos pelo Núcleo de Práticas Integrativas e Complementares em Saúde (NUPICS). Dados coletados de abril a junho de 2020, mediante atendimentos on-line via direct do Instagram do Núcleo.  Empregou-se a análise de conteúdo de Bardin, elaborando-se as categorias: ambiente de trabalho desgastante; autocuidado prejudicado; e importância dos atendimentos realizados pelo NUPICS on-line. A saúde mental dos profissionais foi comprometida, implicando sintomas físicos e psíquicos; o estresse prejudica a capacidade de autocuidado; o atendimento on-line oportunizou suporte, por meio das práticas integrativas e complementares em saúde. Evidenciaram-se as TIC como fundamentais na atenção à saúde mental dos trabalhadores e na restauração da capacidade do autocuidado.
Anti-inflammatory and antinociceptive effects of kaempferide from the Brazilian green propolis
Authors: Almeida-Junior Silvio de , Pereira Danielle Vieira , Ferreira Thuany Martins , Freitas Renato Alves de , Silva Carina Coimbra , Santos Mario Ferreira Conceição , Borges Carly Henrique Gambeta , Silva Márcio Andrade e , Ambrósio Sérgio Ricardo , Bastos Jairo Kenupp , Ross Samir A , Furtado Ricardo Andrade
Published: September 2020

The Brazilian green propolis is produced by Apis mellifera from Baccharis dracunculifolia. Kaempferide, which was isolated from green propolis and B. dracunculifolia is an O-methylated flavonol bearing gastroprotective, anti-allergic and anti-hypertensive activities. Thus, the aim of this study was to evaluate the anti-inflammatory and antinociceptive potentials of kaempferide, as well as its possible toxicological effect on kidney and liver. For that, nociception was assessed by thermal (hargreaves apparatus) and mechanical (Dynamic Plantar Aesthesiometer) sensitivities; anti-inflammatory potential was assessed by carrageenan induced edema; and the toxicological profile was assessed by blood biochemical assessment. Kaempferide significantly reduced mechanical nociception and displayed anti-inflammatory effect, which was evidenced by the reduction of the volume of the paw edema, as well as by the reduction of infiltrates, cellularity and area of the injured tissue. On the other hand, it was inactive in the thermal nociception protocol either with or without an inflammatory process, as well as it was inactive in the mechanical nociception protocol after an inflammatory process. In addition, central nervous system depression, liver and kidney toxicities were not observed.
A visita familiar como processo proximal no desenvolvimento de crianças em acolhimento institucional
Authors: Vieira Adrine Carvalho dos Santos , Silva Tamires Santos Rufino e , Cavalcante Lília Iêda Chaves
Published: September 2020

Descreveu-se aspectos das interações sociais observadas durante a visita familiar, analisando-os a partir do conceito de processo proximal do Modelo Bioecológico do Desenvolvimento Humano. Participaram cinco crianças de instituições de acolhimento e seus familiares. Realizaram-se entrevistas e observação das interações. Verificou-se que os processos proximais de competência parecem estar relacionados à forma como as crianças mantiveram-se engajadas na construção e manutenção do vínculo com seus familiares durante a visita, traduzidos pela intenção de permanecerem juntos, realizando atividades e estabelecendo contato afetuoso. Os processos proximais disfuncionais foram identificados a partir de comportamentos como choro, manifestações intensas de sofrimento da criança ao término da visita, dificuldades no relacionamento com seus familiares e na sua adaptação à instituição. Conclui-se que as interações que se sucedem no tempo no contexto da visita familiar, quando favorecem o fortalecimento dos vínculos afetivos e promovem o bem estar na criança, podem se constituir como um processo proximal.
Importance of pharmacist in pharmacotherapeutic adhesion of patients with HIV/AIDS
Authors: Silva Luana Maria Jales Dantas , Medeiros Érika Ramos da Cunha , Gois José Nyedson Moura de , Nunes Luanne Eugênia
Published: September 2020

Acquired Immunodeficiency Syndrome (AIDS) is a disease characterized by progressive stages after the vulnerability of the immune system to the Human Immunodeficiency Virus (HIV) infection, which can affect the worldwide population. The antiretroviral therapy (ART) indicated for infected patients improves the patient's quality of life by preventing disease progression. The health team, including the pharmacist, is essential to assist and ensure the safety and efficacy of pharmacotherapeutic treatment. This work aims to present the importance of pharmaceutical care in pharmacotherapeutic follow-up for HIV/AIDS patients through an integrative literature review. 14 articles were analyzed, which showed a prevalence of the disease in a male patient over 30 years old, with an incidence always greater than 50%. The main causes that hinder adherence to antiretrovirals are disinformation on the risk of non-adherence, lack of understanding about prescription drugs, low education, drug, and alcohol use among male patients. Studies have shown that pharmaceutical care and the multidisciplinary team can positively assist in increasing adherence to antiretrovirals. Therefore, the interventions and guidelines carried out by the pharmaceutical professional together with the health team show promising results that favor adherence to medications by patients with HIV/AIDS. However, greater commitment and collaboration between health professionals is necessary to improve the quality of life of these patients, working mainly in the process of adhering to treatment.
Mortalidade por acidentes de transporte terrestre no estado de São Paulo: análise da tendência nos anos de 2000 - 2017
Authors: Perin Viviane , Souza Luciane Zanin de , Fonseca Márcia  Regina Campos Costa da , Novo Carolina Pimentel Duarte
Published: September 2020

O objetivo deste trabalho foi descrever o perfil da mortalidade por acidentes de transporte terrestre (ATT) no estado de São Paulo e os efeitos da Lei Seca sobre a taxa de mortalidade. Foram selecionados, pelo Sistema de Informações sobre Mortalidade (SIM), os óbitos com os  códigos V01-V89 determinados na 10ª revisão da Classificação Internacional de Doenças (CID-10), tendo como causa o ATT. Calculou-se, para 8 anos antes e 9 anos após a Lei, a taxa de mortalidade por ATT de acordo com faixa etária e sexo. Além da distribuição (absoluta e percentual) da mortalidade por ATT relacionados as variáveis: faixa etária, sexo, raça, escolaridade, estado civil, categoria da CID-10 e por departamentos regionais de saúde (DRS). Os resultados mostraram uma tendência de aumento de óbitos por ATT antes da Lei e uma queda nos óbitos após a Lei, além de maior frequência de mortalidade no sexo masculino, entre 20-39 anos, solteiros, brancos, com escolaridade de 4-7 anos antes da Lei e de 8-11 anos após a Lei. Maior mortalidade nos Municípios da Grande São Paulo, Baixada Santista, Registro e Taubaté tanto antes como após a Lei; maior registro de mortalidade por outros ATT antes da Lei e uma maior frequência de pedestres traumatizados por ATT após a Lei. Conclui-se então que a implementação da Lei Seca interferiu positivamente na taxa de mortalidade observada no período e nas variáveis analisadas.
Importância dos planos urbanísticos e espaços livres para a sustentabilidade urbana: estudo na Cidade de Teresina, Piauí
Authors: Matos Karenina Cardoso , Falcão Ana Luiza Soares , Lopes Wilza Gomes Reis , Santiago Denise Rodrigues , Sampaio Ingred Mendes Ribeiro
Published: September 2020

Com o crescimento populacional, atrelado ao aumento dos problemas urbanos, observa-se no planejamento e gestão das cidades, a preocupação voltada para questões relacionadas ao meio ambiente e à sustentabilidade. A Agenda 21 Global definiu diretrizes para a construção de um desenvolvimento mais sustentável, estabelecendo estratégias que deveriam ser inseridas nas políticas públicas de planejamento urbano de cada país, consolidando legislação referente à questão ambiental e ao planejamento urbano, como o Estatuto da Cidade, que previa a elaboração de Plano Diretor. Neste contexto, a cidade de Teresina, capital do Piauí, encontrava-se em fase de elaboração da sua Agenda 21 Local, denominada Teresina Agenda 2015, estabelecida em 2002, e adotada como Plano Diretor no mesmo ano. Neste trabalho, propõe-se analisar espaços livres públicos de Teresina, como resultado das diretrizes e ações da Agenda 2015, do plano de Desenvolvimento Sustentável – Teresina Agenda 2015 e do Plano Diretor de 2006, identificando diretrizes, estratégias e políticas constantes nestes planos, que atuaram na criação, recuperação e/ou preservação dos referidos espaços, considerando o recorte temporal entre 2006 e 2019. Como metodologia, foi realizada pesquisa bibliográfica e documental, abordando políticas de planejamento urbano, políticas ambientais e de preservação e proteção das paisagens naturais e urbanas. Além disso, foram realizadas visitas a espaços livres escolhidos, a fim de analisar e obter registo gráfico, por meio de mapas e fotografias. Foi observado o não cumprimento de grande parte das diretrizes estabelecidas, prejudicando a preservação, manutenção, estruturação e segurança dos espaços livres da cidade, resultando em locais pouco convidativos para população.
Cultivo de plantas forrageiras de apelo regional para o Semiárido brasileiro sob a perspectiva de técnicas agrometeorológicas para melhoria da resiliência: uma revisão
Authors: Silva Gabriel Italo Novaes da , Jardim Alexandre Maniçoba da Rosa Ferraz , Alves Hygor Kristoph Muniz Nunes , Souza Marcondes de Sá , Souza Carlos André Alves de , Araújo Júnior George do Nascimento , Alves Cleber Pereira , Pinheiro Antonio Gebson , Salvador Kaique Renan da Silva , Leite Renan Matheus Cordeiro , Costa Sidney Anderson Teixeira da , Silva Marcelo José da , Silva Thieres George Freire da
Published: September 2020

A baixa disponibilidade de forragem devido à escassez hídrica e o efeito das mudanças climáticas são problemas enfrentados pelos produtores rurais das regiões semiáridas. Para contornar esses efeitos, pesquisas mostram a importância da utilização de espécies que sejam adaptadas às condições ambientais. Dentre essas espécies, a palma forrageira é um importante alimento para dietas de ruminantes, de alta aceitabilidade, rico em energia e alto teor de água, além da sua implantação no campo ser de baixo custo. O milheto é uma outra espécie usada, pois apresenta tolerância aos estresses hídrico e salino, além de ser um alimento útil para suplementação junto com a palma forrageira. O emprego de práticas agrícolas como irrigação, cobertura morta e consorciação pode auxiliar no sistema de produção dessas culturas. Além disso, a aplicação de parâmetros agrometeorológicos são relevantes para garantir o melhor planejamento e a tomada de decisão agrícola. Nesta revisão, objetivou-se abordar práticas agronômicas, análises estatísticas e indicadores agrometeorológicos empregados em pesquisas voltadas às culturas da palma forrageira e do milheto em sistemas de produção. Pesquisas foram feitas nas bases bibliográficas da Scopus, ScienceDirect, Mendeley e Google Scholar. As práticas agrícolas uso mínimo de irrigação, cobertura morta e consorciação são essenciais nos sistemas de cultivo da palma forrageira e do milheto. Em conjunto ao manejo dessas culturas, o uso de indicadores agrometeorológicos atrelados à análise multivariada permite o melhor planejamento e tomada de decisão na produção.
Impact of utilitarian value and hedonic value on purchase in online store in Indonesia
Authors: Budiharseno Rianmahardhika Sahid , Handani Narariya Dita , Hwan Seo Joo
Published: September 2020

Nowadays, Indonesia shopping patterns have significantly changed. E-commerce continues to grow rapidly as online shopping has become increasingly attractive. Online shopping saves time and offers convenience. This study was conducted in order to assess the impact of utilitarian and hedonic values on purchasing from online stores in Indonesia. The focus of the assessment was on five dimensions of hedonism and utilitarianism, which are: usefulness, enjoyment, ease of use, trustworthiness, and distribution channel (settlement). A total of 484 respondents were randomly asked to be participants. A questionnaire was the research instrument used to survey the participants for data gathering. The data was then analyzed using Structural Equation Modeling (SEM). Among the indicators tested, it was found that usefulness, enjoyment, ease of use, and distribution channel impacted hedonic values and utilitarian values significantly. Trustworthiness was the dimension that was not significant. For this study, the hypothesis was made that usefulness and enjoyment positively impacted impulsiveness. It can be concluded that whether due to utilitarian, hedonic, or impulsive motives, it will not be a problem. Indonesian shoppers will make purchases thru online shopping even if they have different motivations and purposes.
Perspectivas sobre acesso no Programa Universidade para Todos: gênero e raça na distribuição de bolsas entre 2005 a 2016
Authors: Baptista Vinicius Ferreira
Published: September 2020

O objetivo deste artigo é investigar como determinadas políticas públicas no âmbito da Educação em nível superior, estão impactando no âmbito do acesso ao mesmo, notadamente no que se refere à composição de gênero e raça, em paralelo às regiões no Brasil. Dentro deste recorte de políticas, estudamos os bancos de dados disponibilizados pelo Governo Federal sobre o Programa Universidade para Todos – PROUNI no período de 2005 a 2016, no que se refere à ocupação de bolsas. Conjugamos esta dimensão empírica à proposta teórica de Gerth e Mills, na qual seis questões norteadoras devem ser respondidas para qualquer análise sobre mudança social. Observamos que a política do PROUNI entre 2005 e 2016 ampliou o acesso ao ensino superior em perspectiva de mudança social em relação aos grupos que o acessam. Por um lado, vemos que existe uma prevalência de mulheres sobre homens no acesso às bolsas nas universidades privadas. Por outro, quando observamos apenas as bolsas concedidas às mulheres, verificamos um lastro de desigualdade que ainda permanece. Ao vermos a composição de raça, percebemos a desigualdade em um caráter ainda mais forte, sobretudo quando temos em mente as regiões sudeste e sul. As mulheres brancas predominam praticamente em todas as regiões brasileiras, num processo histórico em que tal processo vem reduzindo, ainda que em determinadas regiões tal discrepância seja acentuada.