bluuebunny/crossref_metadata_2025 huggingface dataset:
Avaliação do desempenho do uso da tecnologia da informação na saúde: revisão sistemática da literatura sobre o tema
Authors: Longaray André Andrade , Castelli Tiago Machado
Published: November 2020

Resumo A Tecnologia da Informação (TI) tornou-se fundamental na prestação de serviços de cuidado à saúde, abrangendo a pluralidade dos aspectos que envolvem a área. Isso faz com que a TI possa oferecer significativa contribuição ao desempenho das organizações de saúde. Há uma lacuna do conhecimento sobre como realizar e implementar melhorias nessas tecnologias, que como um dos motivos, cita-se a carência de estudos com o tema de Avaliação de Desempenho de Tecnologia da Informação na saúde. O objetivo deste trabalho é contribuir na disseminação do conhecimento sobre o assunto, através da realização de uma revisão sistemática com o emprego do “Knowledge Development Process – Constructivist (Proknow-C)”. Através da análise de métricas de produção, observou-se de que forma os estudos integrantes do Portfólio Bibliográfico da pesquisa representam a área do conhecimento investigada, e a partir de uma análise sistemática do conteúdo dessas publicações foi possível indicar as lacunas do conhecimento ainda existentes na área. Como limitação do estudo destaca-se a característica construtivista do “Proknow-C” e, nas sugestões para futuras pesquisas, recomenda-se o preenchimento das lacunas de conhecimento observadas, oriundas da análise realizada.
World No Tobacco Day: Tobacco is a Threat to the One Health and Sustainability
Authors: Bhore Subhash Janardhan
Published: November 2020

Abstract On 31st May of every year, in honour of the ‘World No Tobacco Day (WNTD),’ the international community does organise various events and encourages avoiding all forms of Tobacco consumption. To commemorate WNTD-2018, the World Health Organization (WHO) has promoted awareness to highlight the link between Tobacco and cardiovascular disease (CVD). Because, Tobacco use is the second leading cause of CVD, after high blood pressure. In addition to CVD, Tobacco use is also known to cause many non-communicable diseases, including chronic obstructive pulmonary disease (COPD), lung cancer and other complicated disorders caused by smoking. In fact, non-communicable diseases are now emerging as the primary disease burden. Globally, Tobacco use kills about 7 million people each year, and if the trend remains the same, then it will kill more than 8 million people per year by 2030. On the contrary, despite promoting awareness, the Tobacco industry is growing with little or no regulation. However, in the long run, the global community will not be able to afford business as usual as Tobacco has a direct impact on human health, environmental health and sustainable development.
Consumo frecuente de alimentos industrializados y su percepción en adolescentes indígenas Mayas con sobrepeso y obesidad
Authors: Pérez-Izquierdo Odette , Cárdenas-García Sergio , Aranda-González Irma , Perera-Ríos Javier , Castillo María del Rosario Barradas
Published: November 2020

Resumen Se planteó como objetivo identificar cuáles y de qué tipo son los alimentos industrializados modernos que los adolescentes con sobrepeso y obesidad consumen y la percepción que tienen de ellos. El estudio fue de tipo cuali-cuantitativo, descriptivo e interpretativo; se llevó a cabo con estudiantes adolescentes de cuatro secundarias del municipio de Abalá, Yucatán, México. Constó de tres etapas, en la primera se realizaron mediciones antropométricas a 292 estudiantes de las secundarias para obtener el Índice de Masa Corporal, en la segunda se seleccionaron al azar 58 estudiantes que presentaron sobrepeso y obesidad; a los cuales se les aplicó un cuestionario de frecuencia de consumo de alimentos. En la tercera etapa se realizaron cuatro grupos focales para conocer la percepción respecto al consumo de alimentos. Se observó una ingesta alta de alimentos industrializados modernos en el desayuno, receso escolar y cena; en el tiempo de la comida aún se consumen preparaciones tradicionales. Existe una transculturación de la alimentación en los adolescentes.
Brazilian transgender children and adolescents: Attributes associated with quality of life
Authors: Nascimento Fernanda Karla , Reis Roberta Alvarenga , Saadeh Alexandre , Demétrio Fran , Rodrigues Ivaneide Leal Ataide , Galera Sueli Aparecida Frari , Santos Claudia Benedita dos
Published: November 2020

Objective: to describe attributes associated with the Quality of Life of Brazilian transgender children and adolescents according to their own perception. Method: descriptive study conducted with 32 participants between eight and 18 years old, who were either interviewed or participated in focus groups. The statements were transcribed, grouped with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software, version 0.7 alpha 2 and described according to the definition of Quality of Life by the World Health Organization concerning to the mental, physical, and social dimensions. Results: it was possible to identify the family nucleus as the main social support for transgender children and adolescents. However, the experience of prejudice and discrimination were negative attributes associated with Quality of Life. Conclusion: the statements indicate that lives of transgender children and adolescents are impacted by social, physical, and mental factors due to the stigma and discrimination experienced. It is expected to contribute to the formulation of public policies related to transgender children and adolescents and expand the discussion on the citizens’ duties and rights in relation to transsexuality.
Structural empowerment of nurses in the hospital setting
Authors: Moura Lenize Nunes , Camponogara Silviamar , Santos José Luís Guedes Dos , Gasparino Renata Cristina , Silva Rosângela Marion Da , Freitas Etiane De Oliveira
Published: November 2020

Objective: to measure the level of structural empowerment of nurses working in a university hospital. Method: a descriptive, analytical, and cross-sectional study, carried out with 237 nurses, who developed care and management activities. Data collection took place through a self-administered questionnaire with questions on the personal and professional characterization and the Work Effectiveness Conditions Questionnaire II. Data analysis used descriptive and inferential statistics. Results: it was identified that nurses have a moderate level of structural empowerment (18.06±SD 0.9). The greatest value was obtained in the Opportunity dimension (4.08±SD 0.8), followed by the Resources (3.17±SD 0.8) and Informal power (3,04±SD 0.9) dimensions; while the scores of Support (2.67±SD 1.0), Formal power (2.59±SD 0.9), and Information (2.51±SD 0.9) were lower. Conclusion: the level of structural empowerment of the nurses was moderate, which means partial access to opportunities, resources, support, and information of the institution.
Clinical simulation for nursing competence development in cardiopulmonary resuscitation: systematic review
Authors: Nascimento Juliana da Silva Garcia , Nascimento Kleiton Gonçalves do , Oliveira Jordana Luiza Gouvêa de , Alves Mateus Goulart , Silva Aline Roberta da , Dalri Maria Celia Barcellos
Published: November 2020

Objective: to identify the effectiveness of clinical simulation for competence development regarding cardiopulmonary resuscitation in comparison with different teaching and learning strategies used in the education of nursing students. Method: systematic review, performed on the databases PubMed®/MEDLINE®, LILACS, Scopus, CINAHL and Web of Science. The Rayyan QCRI application was used to select the studies, in addition to the instruments for assessing the methodological quality of Joanna Briggs Institute and the Medical Education Research Study Quality Instrument. Results: a total of 887 studies were identified, and five we included in the final sample. The included studies had good methodological quality by the assessment instruments. All of them had statistically significant results to develop competence through clinical simulation, when compared to other methods. Conclusion: clinical simulation proved to be effective for the development of clinical competence in cardiopulmonary resuscitation of nursing students.
Educational technologies on sexually transmitted infections for incarcerated women
Authors: Carvalho Isaiane da Silva , Guedes Tatiane Gomes , Bezerra Simone Maria Muniz da Silva , Alves Fábia Alexandra Pottes , Leal Luciana Pedrosa , Linhares Francisca Márcia Pereira
Published: November 2020

Objective: to analyze in the scientific literature the educational technologies on sexually transmitted infections used in health education for incarcerated women. Method: an integrative review carried out by searching for articles in the following databases: Scopus, Cumulative Index of Nursing and Allied Health, Education Resources Information Center, PsycInFO, Medical Literature Analysis and Retrieval System Online, Latin American Literature in Health Sciences, Cochrane, and the ScienceDirect electronic library. There were no language and time restrictions. A search strategy was developed in PubMed and later adapted to the other databases. Results: a total of 823 studies were initially identified and, after applying inclusion and exclusion criteria, eight articles were selected. Most of them were developed in the United States with a predominance of randomized clinical trials. The technologies identified were of the printed materials type, isolated or associated to simulators of genital organs, videos, and games. Conclusion: the technologies on sexually transmitted infections used in health education for incarcerated women may contribute to adherence to the prevention of this serious public health problem in the context of deprivation of liberty.
Nursing now and always: evidence for the implementation of the Nursing Now campaign
Authors: Mendes Isabel Amélia Costa , Ventura Carla Aparecida Arena , Silva Manoel Carlos Neri da , Lunardi Valeria Lerch , Silva Ítalo Rodolfo , Santos Sara Soares dos
Published: November 2020

Objective: to identify the guiding axes of the documents that grounded the Nursing Now campaign and relate the recommendations of these documents to the campaign goals. Method: documentary research, based on the analysis of the documents that promoted the Nursing Now campaign. The data were collected between March and April 2020, using a form structured into: background, scope, challenges and potentials of health/nursing professionals and recommendations for the future. Results: the challenges and the need for investments in the health and nursing workforce to achieve the Sustainable Development Goals were evidenced. The report of the High Level Commission on health Employment and Economic Growth presents important recommendations, also introduced in the Triple Impact Report and in the Strategic Directions for Nursing and Midwifery, converging to the goals of the Nursing Now campaign, stimulating a profile of nurses with technical, political and leadership skills, engaged in health policy-making, and the effectiveness of their practice is clear to the entire society. Conclusion: knowledge about the dynamics of the factors that converged to the development of the Nursing Now campaign may be a condition for achieving its goals. This reality reveals evidence that global health will not be ensured without strengthening Nursing first.
Hospital care for elderly COVID-19 patients
Authors: Fhon Jack Roberto Silva , Silva Luipa Michele , Leitón-Espinoza Zoila Esperanza , Matiello Fernanda de Brito , Araujo Jessica Silva de , Rodrigues Rosalina Aparecida Partezani
Published: November 2020

Objective: to analyze the newspaper articles on hospital care for elderly COVID-19 patients in online newspapers. Method: documentary, retrospective, descriptive and exploratory research. The data were collected from articles published on open-access websites of 12 newspapers from the following countries: Brazil, Spain, United States, France, Italy and Portugal. Results: out of 4,220 newspaper articles identified in this regard, 101 were selected after applying the inclusion criteria, the majority coming from Italy. The data analysis revealed three thematic categories: the care for patients with COVID-19 in the health system; the work process of the health team and its concern with contagion; and ethical dilemma in care for the elderly during hospitalization. Conclusion: the COVID-19 pandemic presented itself quickly and was widely reported in all countries. The health systems need to reorganize for care to the global population, especially the elderly, considering their weaknesses and also the lack of prior professional training to offer care to this population.
Multimodal critical discourse analysis of the cinematic representation of women as social actors
Authors: Bezerra Fábio Alexandre Silva
Published: November 2020

ABSTRACT In this paper, an expanded version of the visual social actor network (van Leeuwen 2008) is suggested in integration with the classification of fields proposed by Martin (1992). In the context of multimodal critical discourse analysis, such network has provided a template for the discussion of the data aiming to reveal and interrogate the construal of women’s agency in the introductory part of the first film Sex and the City (2008). Overall results place women’s actions mostly in the private sphere but also reveal instances of gender performativity (Butler 1990) that question social norms for women mainly imposed by the media.
Romance-folhetim em tela: linguagem, personagens e sentidos sociais
Authors: Sabino Rosimeri Ferraz , Bezerra Antônio Ponciano
Published: November 2020

RESUMO Este estudo analisa o enredo, os personagens e a circulação do romance-folhetim transposto para o cinema, e suas implicações nas representações e sentidos sobre a mulher na sociedade e, em especial, para o trabalho de secretária. O objeto foi o filme “Ciúmes”, originado do romance-folhetim “Wife versus secretary”. As análises, sob a perspectiva da Linguística, Semiótica e História Cultural, indicam um discurso que cristaliza o estereótipo da “secretária-amante”, na mesma medida em que significa a perfeição feminina pela sujeição ao masculino.
Efeito Doppler gravitacional na órbita da estrela S2 em torno do buraco negro massivo Sgr A* no centro da Via Láctea
Authors: Santos Wytler Cordeiro dos , Magalhães Rafael dos Santos
Published: November 2020

Resumo No ano de 2018 foi anunciado que a estrela S2, que vinha sendo monitorada desde 1992, orbitando o buraco negro massivo Sgr A* no centro da galáxia Via Láctea, obedecia as previsões da Teoria da Relatividade Geral de Einstein. Os movimentos orbitais dessa estrela e outras dezenas, em órbita do buraco negro Sgr A*, revelam que a massa do buraco negro é superior a quatro milhões de massas solares. A intensa gravidade do buraco negro Sgr A* causa um efeito Doppler gravitacional previsto na Teoria da Relatividade Geral e que foi observado na luz emitida pela estrela S2. Discutimos didaticamente os fenômenos envolvidos nessas observações realizadas para a estrela S2.
Cerebellar infarction after sneezing
Authors: Camilo Gustavo Bittencourt , Riccio Marco Antônio , Nogueira Anna Luíza Machado , Querubino Amanda Campos , Maciel Ana Luísa dos Santos , Rodrigues Daniela Girardi Pereira Linhares , Sá Júnior Carlos Alberto Corrêa de
Published: November 2020

SUMMARY Vertebral Artery Dissection (VAD) is a rare condition that can be caused by a wide amplitude of neck movement, which injures the vessel wall and can cause ischemia in the cerebellum. We present a 37-year-old man with herniated lumbar disc and allergic rhinosinusitis, which caused sneezing spells. After one of these bouts with a ricochet of the head, he presented C3 misalignment with local pain. Twenty-one days later, affected by a new crisis, he presented left temporal headache, nystagmus, and vertigo. After 3 days, Magnetic Resonance Imaging (MRI) identified 2 regions of cerebellar ischemia and filling failure of the right vertebral artery. After 2 days, Computed Angiotomography (CT Angiography) was performed and showed right VAD with a local thrombus, without aneurysmal signs. Transcranial Doppler did not indicate an increase in blood flow from this artery. The suggested treatment involved administration of anticoagulant Apixabana 5mg, 12/12h, for 3 months, until the condition was reevaluated with new Angio CT and MRI. It was recommended that the patient was released from work for 1 month and forbidden from doing intense physical exercises for 3 months; however, due to setbacks, these deadlines were extended until a new appointment, 4 months after the first visit. The new tests showed no changes, indicating that the condition was stable. This case aims to indicate the possible investigations of the diagnosis and therapeutic options of the rare association between VAD with cerebellar infarction in a well-documented case.
Evaluation of the frequency of patients with cancer presenting to an emergency department
Authors: Isikber Cem , Gulen Muge , Satar Salim , Avci Akkan , Acehan Selen , Isikber Gulistan Gul , Yesiloglu Onder
Published: November 2020

SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.
Seasonal variation of vitamin D among healthy adult men in a subtropical region
Authors: Fontanive Tiago Oselame , Dick Nidea Rita Michels , Valente Mariana Costa Silva , Laranjeira Vani dos Santos , Antunes Marina Venzon , Corrêa Marcelo de Paula , Alves Rita de Cássia Marques , Linden Rafael , Furlanetto Tania Weber
Published: November 2020

SUMMARY OBJECTIVE: To evaluate seasonal variation of 25(OH)vitamin D [25(OH)D3] levels, and factors associated with it, in healthy adult men, who exercised outdoors for 50 min., at least twice a week, from 10AM to 4PM, in a Brazilian semitropical region. METHODS: Blood samples were collected at the end of each season for 25(OH)D3, measured by liquid chromatography with tandem mass spectrometry. Ultraviolet irradiation was estimated by radiometer, calculating the daily photobiological response to vitamin D synthesis in human skin (D-VitD). The prevalence of 25(OH)D3 <20ng/mL changed with the seasons (p=0.000): 8.7% (n=6/69), 1.5% (n=1/66), 0 (n=0/64), and 21.7% (n=13/60), respectively, at the end of winter, spring, summer, and autumn. The prevalence, adjusted for multiple comparisons, was higher in winter than summer (p=0.026), and in autumn than spring (p=0.001) and summer (p=0.000). There were no associations of 25(OH) D3 levels with BMI (p=0.207), body fat (p=0.064), and phototype (p=0.485), in univariate analysis. It was associated with D-VitD in the 30 days before blood sampling (p=0.000), after adjustment to body fat. The prevalence of 25(OH)D3 <30ng/mL varied seasonally (p=0.000): 69.6% (n=48/69), 68.2% (n=45/66), 43.8% (n=28/64), and 88.4% (n=53/60), respectively, in winter, spring, summer, and autumn. CONCLUSIONS: In a Brazilian subtropical region, a seasonal variation in 25(OH)D3 was observed in healthy adult males, although they spent at least 50 min outdoors twice a week, wearing shorts and T-shirts. 25(OH)D3 <20ng/mL was 21.7% in autumn; D-vitD 30 days prior to blood sampling was the only factor independently associated with 25(OH)D3 levels.
Inflammatory Bowel Diseases and diet: an integrative review
Authors: Cavalcante Regina Márcia Soares , Lima Murilo Moura , Parente José Miguel Luz , Moura Mayara Storel Beserra de , Nogueira Nadir do Nascimento
Published: November 2020

SUMMARY OBJECTIVE: To gather scientific evidence on the role of diet in inflammatory bowel diseases. METHODS: Integrative review with studies published in the last 10 years in national and international journals. Original studies developed with adult human beings aged ≥18 years were included and articles published before 2010, literature reviews, and those that did not focus on elements that answered the guiding question were excluded. RESULTS: 14 articles were selected that addressed important dietary elements in inflammatory bowel disease such as fermentable carbohydrates and polyols, foods of animal origin, foods rich in omega 3, consumption of fruits and vegetables, use of probiotic supplements, whey proteins and soy. CONCLUSION: The diet, as a potentially modifiable environmental factor, plays an important role in the prevention and treatment of inflammatory bowel diseases. The reduction in the consumption of fermentable carbohydrates and polyols combined with the increase in the consumption of fruits and vegetables as well as the exclusion of products of animal origin such as beef, pork, milk and eggs can help control inflammation and improve the quality of life of patients with inflammatory bowel diseases. The use of probiotics increases food tolerance and, whey and soy proteins, can alter body composition and reduce inflammation.
ETHNONURSING: CULTURAL CARE IN A MAPUCHE COMMUNITY IN PUERTO AGUIRRE, AYSÉN, CHILE
Authors: Ojeda Marisa Angélica Mansilla , Heidemann Ivonete Teresinha Schulter Buss , Villa Sergio Eduardo Contreras
Published: November 2020

ABSTRACT Objectives: to understand the beliefs, expressions, and practices of generic care used by the Mapuche community in Puerto Aguirre and acknowledge the professional care offered to promote health. Method: a qualitative research based on ethnonursing carried out during seven trips to Puerto Aguirre between July 2018 and January 2019. A total of seven key informants and seven general informants were interviewed. Information was collected through observations, field notes, conversations, and interviews. Results: the scientific property of ethnonursing was verified. Three themes that structure the cultural care practices in the studied community emerged: Mapuche identity as the main value to preserve cultural care; The essesntial presence of women to carry out meaningful experiences and care practices among the Mapuche; and Mapuche value and use of cultural and professional care practices to promote health. Conclusion: the research recognizes the full validity of the Cultural Care Theory. Nursing and, in general, the different health professions tend to become popular, and professional knowledge is complemented, thus learning and improving cultural care in the community.
HEALTH PROMOTION BEFORE THE HIV/AIDS EPIDEMIC IN PRIMARY CARE IN PUNTA ARENAS
Authors: Velásquez Mónica Rosas , Meirelles Betina Hörner Schlindwein , Suplici Samara Eliane Rabelo
Published: November 2020

ABSTRACT Objective: to identify the attitudes and actions of health professionals in health promotion before the HIV/AIDS epidemic in Primary Health Care (PHC), Punta Arenas, Magallanes and Chilean Antartica Chilena region, Chile. Method: a qualitative, descriptive, and exploratory study carried out at PHC facilities in the city of Punta Arenas, Chile. Sixteen professionals who work in the five Family Health Centers participated. Data collection was carried out between March and May 2019. Data was obtained through a semi-structured interview. To organize data, ATLAS ti® was used, which were analyzed according to thematic content analysis. Results: two categories have emerged. The first category, Health promotion and prevention actions before HIV/AIDS, described the actions carried out by nurses in their daily work, such as counseling on STI/AIDS prevention, sexual/reproductive health and education for professionals and the community. The second category, Nurse-midwives’ attitudes towards caring for people living with HIV/AIDS, includes caring without prejudice, active behavior and empathy due to high workload. Conclusion: health promotion and prevention actions carried out by PHC professionals are mainly related to counseling and education for professionals and the community. The need to integrate prevention measures with other professionals and vulnerable groups in the community stands out.
Preceptores de Residência Médica: Perfil Epidemiológico e Capacitação Pedagógica
Authors: Carvalho Filho Aderval de Melo , Santos Almira Alves dos , Wyszomirska Rozangela Maria de Almeida Fernandes , Medeiros Isabella Costa Figueiredo
Published: November 2020

Abstract: Introduction: Medical Residency is a specialization course characterized as in-service training, considered in Brazil as the gold standard in the development of specialist physicians’ training. The medical residency preceptorship is an activity carried out by a specialist physician, responsible for monitoring resident physicians. However, there is neither a definition of the main requirements for such a preceptor, nor of his/her academic background to carry out the due teaching training, and it was possible to notice a relative lack of preparation regarding the pedagogical aspects. Methods: Descriptive study based on a quantitative approach, comprising 200 preceptors, of both genders, from medical residency programs in Maceió, state of Alagoas, Brazil. Results: The mean age was 43.31 ± 10.31 years, with a slight majority of female participants (52.5%). The mean time since graduation was 19.5 ± 10.58 years, and 83% of the participants had graduated in the state of Alagoas. Moreover, 78.5% said they had their Medical Residency certification, with an increased trend of public institution preceptors getting their degree at the stricto sensu level. The mean time of their completed postgraduate course was 12.63 ± 10.87 years and 7.07 ± 6.99 years being a preceptor. Only 19% mentioned they had some qualification for exercising the preceptorship, and 29.5% work as the teachers at the undergraduate level. The state of Alagoas has followed the expansion of the Residency programs, justifying the mean age found, similar to other studies. The majority of female participants can be associated with the feminization of health care professionals. The high percentage of preceptors with medical residency qualification is in accordance with Resolution n. 4/1978. We found experienced preceptors, but some authors differed. The low percentage of preceptors with qualification for exercising preceptorship indicates low interest and lack of available training. Conclusion: This study population is characterized as being young, and most are females. They have had long professional experience, and most have graduated in the state of Alagoas. There is a predominance of medical residency as their main qualification, and few of them have had training in the field. Finally, preceptors from public institutions have mostly got their degrees at the stricto sensu level.
Preceptors in Medical Residency Programs: Epidemiological Profile and Pedagogic Training
Authors: Carvalho Filho Aderval de Melo , Santos Almira Alves dos , Wyszomirska Rozangela Maria de Almeida Fernandes , Medeiros Isabella Costa Figueiredo
Published: November 2020

Abstract: Introduction: Medical Residency is a specialization course characterized as in-service training, considered in Brazil as the gold standard in the development of specialist physicians’ training. The medical residency preceptorship is an activity carried out by a specialist physician, responsible for monitoring resident physicians. However, there is neither a definition of the main requirements for such a preceptor, nor of his/her academic background to carry out the due teaching training, and it was possible to notice a relative lack of preparation regarding the pedagogical aspects. Methods: Descriptive study based on a quantitative approach, comprising 200 preceptors, of both genders, from medical residency programs in Maceió, state of Alagoas, Brazil. Results: The mean age was 43.31 ± 10.31 years, with a slight majority of female participants (52.5%). The mean time since graduation was 19.5 ± 10.58 years, and 83% of the participants had graduated in the state of Alagoas. Moreover, 78.5% said they had their Medical Residency certification, with an increased trend of public institution preceptors getting their degree at the stricto sensu level. The mean time of their completed postgraduate course was 12.63 ± 10.87 years and 7.07 ± 6.99 years being a preceptor. Only 19% mentioned they had some qualification for exercising the preceptorship, and 29.5% work as the teachers at the undergraduate level. The state of Alagoas has followed the expansion of the Residency programs, justifying the mean age found, similar to other studies. The majority of female participants can be associated with the feminization of health care professionals. The high percentage of preceptors with medical residency qualification is in accordance with Resolution n. 4/1978. We found experienced preceptors, but some authors differed. The low percentage of preceptors with qualification for exercising preceptorship indicates low interest and lack of available training. Conclusion: This study population is characterized as being young, and most are females. They have had long professional experience, and most have graduated in the state of Alagoas. There is a predominance of medical residency as their main qualification, and few of them have had training in the field. Finally, preceptors from public institutions have mostly got their degrees at the stricto sensu level.
A Qualitative Method Proposal for the Study of Strategy as Practice
Authors: Santos Leonardo Lemos da Silveira , Tureta César , Felix Bruno
Published: November 2020

ABSTRACT Purpose: recently, the strategy as practice approach has sought to overcome the micro/macro dichotomy existing in its literature, as well as to better integrate the dimensions of praxis, practice and practitioner. To fill this gap, the aim of the paper is to discuss potential methods to guide empirical studies of strategy as practice (SAP). Method: the paper proposes a method based on an extensive literature review. Phenomenology, grounded theory, ethnography, and narratives are discussed, and their components are presented in the context of strategy as practice studies. Results: the presented method articulates four approaches. Phenomenology is used to enhance the understanding of strategist experiences. Grounded theory is considered a method to develop theories about the studied phenomenon. Ethnography is used to contextualize the daily practices of strategists. Narratives are the path to access the stories of the strategists. Conclusion: the proposed method may be useful to overcome micro/macro dichotomy existing in strategy as practice literature and to integrate praxis, practice and practitioner dimensions.
Justiça, cuidado e reconhecimento: trama moral do vínculo terapêutico
Authors: Fortes Pablo Dias , Rego Sergio
Published: November 2020

Resumo O objetivo deste ensaio, dividido em duas partes, é investigar a estrutura geral do vínculo terapêutico. A primeira parte descreve agentes sociais como sujeitos moralmente interpelados pela norma fundamental da justiça (“a cada qual o que lhe é devido”), que na cena particular do cuidado se desdobra em potenciais conflitos intersubjetivos. A segunda representa a relação terapêutica articulada com os “três níveis do juízo médico” apontados por Paul Ricoeur – prudencial, deontológico e reflexivo –, conferindo às prescrições desse âmbito o estatuto de relação francamente moral.
Humanidades: ensino de “nova” dimensão ética na educação médica
Authors: Garcia Júnior Carlos Alberto Severo
Published: November 2020

Resumo O objetivo deste estudo é apresentar o processo de formação ética por meio da disciplina Humanidades Médicas do curso de medicina de instituição de ensino superior do Sul do Brasil. Trata-se de pesquisa qualitativa realizada com 28 alunos matriculados entre o 1º e o 7º período. Os dados foram coletados em grupos focais, e os resultados, obtidos por análise de conteúdo, foram divididos em duas categorias temáticas: produção de si e de práticas relativas à dimensão ética da medicina; e propostas de mudança na formação humanística. Conclui-se que é necessário identificar os problemas éticos do processo de ensino-aprendizagem, desenvolver oportunidades para outras formas de conexão entre docentes e discentes e problematizar questões inerentes à ética médica.
Espiritualidade nos cuidados paliativos: questão de saúde pública?
Authors: Esperandio Mary , Leget Carlo
Published: November 2020

Resumo Reconhecido pela Organização Mundial da Saúde como essencial às boas práticas em assistência paliativa, “cuidado espiritual” é termo recente na saúde brasileira e carece de reflexão específica. A fim de diminuir tal lacuna, este estudo apresenta o estado da arte sobre a temática, traz breves orientações sobre como identificar necessidades espirituais e descreve quatro ferramentas úteis para esse cuidado. Após contextualização, reflete-se, de forma introdutória e com base nos campos da bioética e da teologia pública, se esse tipo de cuidado seria questão de saúde pública. O texto conclui com recomendações para subsidiar políticas públicas voltadas à implementação do cuidado espiritual na assistência paliativa no Brasil.
Efeitos da associação entre espiritualidade, religiosidade e atividade física na saúde/saúde mental: revisão sistemática
Authors: Moreira Wanderson Carneiro , Nóbrega Maria do Perpétuo Socorro de Sousa , Lima Fernanda Púpio Silva , Lago Eliana Campêlo , Lima Mário Oliveira
Published: November 2020

RESUMO Objetivo: Identificar na literatura evidências acerca dos efeitos da associação entre espiritualidade, religiosidade e atividade física na saúde física e mental. Método: Revisão sistemática realizada em janeiro de 2019 nas bases de dados MEDLINE/PubMed, SCOPUS, Web Of Science, CINAHL, PsycINFO, LILACS e SciELO, com os descritores “spirituality”, “religion”, “physical activity” e “physical exercise”. Incluíram-se estudos primários realizados com adultos, publicados até 2018 em português, inglês ou espanhol. Resultados: Foram selecionados nove estudos, publicados entre 2011 e 2017, todos internacionais, com desenho transversal (55%) e nível de evidência quatro (78%). Oito estudos abordaram efeitos na saúde física e um abordou efeitos na saúde mental. Conclusão: A Associação entre espiritualidade, religiosidade e atividade física promove efeitos na saúde física e mental, porém as evidências disponíveis não são suficientes para que esta associação seja aplicada na prática clínica.
COVID-19: A new crisis that reinforce inequality in higher education in Brazil
Authors: Miranda Pinto Francisco Ricardo
Published: November 2020

The pandemic state caused by the rapid proliferation of Sars-Cov-19 has, in the short to long term, direct and indirect impacts on Education. Cessation in direct contact between peers is a limitation experienced by teachers and students. It implies the access, permanence and training of academics in public or private higher education due to the commitment of the economy and the labor market. The aim of this article is to reflect the impacts of COVID-19 on the access and permanence of the low-income Brazilian population in higher education. We chose to use as a source the educational censuses of Brazil that point to data from the higher education presential and at a distance, journalistic materials and other documentary sources that unveil the Brazilian geographical and social realities. Public policies developed by the Brazilian State that provided access to and permanence in higher education are identified. However, the public institution cannot contemplate everyone. Distance Education offered by private higher education institutions approaches the different social class. It is considered that the reflexes of the pandemic happen, massively on the poor and miserable classes since those who are in the public university do not sometimes have access to technology and if they are in private universities feel the impact of the inability to honor with tuition salaries beyond the closure of various jobs in different sectors.
Development of a soil boundary friction meter: application to scale model testing
Authors: Talesnick Mark , Ringel Motti
Published: November 2020

The development and application of a boundary friction meter is presented. The friction meter was designed to allow for the measurement of a resultant shear stress on a planar interface between a structural boundary and a soil mass. Calibrations illustrate the repeatability of the device and its moderate level of parasitic interaction due to the presence of normal pressure. The friction meter was used to consider the development of shear stresses along a vertical, non-yielding model retaining wall, subjected to uniform vertical pressure at K0conditions. Testing was performed with a uniform, fine-grained dune sand, placed at loose and medium dense conditions. The surface of the model wall was configured to have three distinct levels of roughness; from very smooth to the geometrical roughness of the sand itself. Measurement of normal soil pressures was performed in tandem to the shear stress measurements. The results illustrate that interface stress paths are unique to surface roughness. Angles of interface friction are defined and independent of soil density. The development of a shear stress along the vertical wall during unloading is significantly different than that measured during loading and the direction of the vertical shear stress reverses as vertical pressures approach zero.
Law and Religion in the Liberal State
Authors: Rautenbach Christa
Published: November 2020

This contribution reviews the book titled Law and Religion in the Liberal State, and edited by two scholars, namely Md Jahid Hossain Bhuiyan and Darryn Jensen. The book contains a collection of papers dealing with the relationship between law and religion in liberal jurisdictions such as Great Britain, Europe, Italy, the USA, Australia and India. It also contains a few contributions that explore the relationship between religious freedom and certain traditions, such as Roman Catholicism and Orthodox Christianity. It also has a contribution on the theological ideas of Roger Williams, who is regarded as the founder of the Rhode Island's colony.
El videojuego de temática histórica como arte visual: anacronías conscientes y licencias creativas en la representación de espacios urbanos de la saga Assassin’s Creed
Authors: Ocaña Romero Jose Enrique , Ruíz del Olmo Francisco Javier
Published: November 2020

A partir de la revisión de bibliografía especializada y del análisis crítico-constructivo del trabajo de Dow (2013) que examina los anacronismos existentes en la recreación digital de la ciudad de Florencia en el videojuego Assassin’s Creed II (2009), el presente trabajo explora la capacidad que tienen este tipo de videojuegos para reconstruir la ambientación de un período histórico concreto a partir del uso de anacronismos derivados de licencias creativas y de las necesidades artísticas propias del videojuego. Los resultados demuestran que el anacronismo es una herramienta que los desarrolladores de videojuegos históricos utilizan de forma intencionada para transmitir una imagen del pasado que resulte vigente y atractiva en la actualidad. Igualmente se evidencia la necesidad de una metodología propia dentro de los denominados Game Studies que aborde el videojuego como objeto de estudio artístico lejos del enfoque de líneas de investigación como los Historical Game Studies y otras disciplinas humanísticas.
Microrrelato hipermedial: hibridismo semiótico en la obra de Patricia Esteban Erlés
Authors: Calvo Revilla Ana
Published: November 2020

Con el giro del pensamiento contemporáneo hacia la cultura textovisual y multimedia, los géneros literarios, también el microrrelato, se expanden más allá de lo escrito en unas creaciones simbióticas en las que texto e imagen pueden ser contemplados de un solo golpe de vista en una unidad perceptiva. Partiendo de las estrategias narrativas que confluyen en ambos lenguajes y de la formulación conceptual de microrrelato hipermedial, se analiza la interacción de los componentes verbales y visuales (en concreto, fotográficos) en los microrrelatos que Patricia Esteban Erlés ha publicado en Facebook. El universo imaginario fantástico de estas miniaturas narrativas se reviste en la red de una gran densidad semiótica, que multiplica las redes de significación narrativa. En ese orden de ideas, se estudia la interacción que entablan los imaginarios de Patricia Esteban Erlés y Diane Arbus en torno a lo monstruoso y siniestro.
¿Un nuevo a priori histórico? Análisis de propuestas de renovación de las Humanidades centradas en la noción de información
Authors: Rubio Roberto , Rodríguez Pablo
Published: November 2020

Este artículo analiza dos proyectos de renovación programática de las Humanidades, los cuales se centran en la noción de información. Consideraremos, por una parte, la propuesta de Friedrich Kittler acerca de un materialismo teórico-informacional, y por otra, la axiomática de las ciencias humanas de Gilbert Simondon. La pregunta que guía nuestro examen crítico es la siguiente: ¿de qué manera, en cada uno de esos proyectos, la noción de información funge como centro para una propuesta renovadora de las Humanidades? Nuestra hipótesis sostiene que hay un común denominador en ambas propuestas, el cual puede formularse en términos foucaultianos del siguiente modo: la información es entendida allí como el a priori histórico actual.
Zero Waste––Zero Justice?
Authors: Müller Ruth , Schönbauer Sarah Maria
Published: November 2020

Plastic is slowly covering the earth, accumulating in oceans, soil, air, and human and non-human bodies. In the face of this catastrophe, zero waste activists call upon us for action, detailing, how we, too, can change our lifestyle to eliminate plastic waste and save the planet. Yet, who it is that is called upon, who speaks, and whose voices and lived realities might be ignored? In this contribution, we explore the social politics of the zero waste movement. This leads us to ponder: might popular environmental movements that relegate social justice to the back seat ultimately do more harm than good?
Colisional deformations of the Dnieper-Donets Basin. Part 2. Geodynamic modes and kinematic mechanism of tectonic inversion
Authors:   Ukrainian Research Institute of Natural Gases (UkrNIIgaz), Bartashchuk A.V.
Published: November 2020

The tectonic inversion of the Dnieper-Donets Basin and the Donets Foldbelt began in the Late Hercynian epoch under the influence of collisional movements of the left-sided knematics of the compression orogen on the edge of the Paleotethis. It is shown that as a result of gently inclined disruptions in the Paleozoic platform cover of the West Donets Graben, a thrust lattice was formed, which controlled the processes of collisional buckling of the horizons in the thrust and strike-slip modes. As a result of the displacement of geomasses from the axial zones of maximum compression to the zones of "geodynamic shadow" - in the direction of the Basin borders in the northern and axial parts of the Graben, linear uplift folds were formed, and in the southern - thrust covers. At the Late Mesozoic and Cenozoic, in the mode of interference of the uplift-thrust and strike-slip fields of the reverse, right-sided kinematics of movements, deformations of the Hercynian thrust lattice and the dynamically conjugated linear near-fault folding took place with the formation of coulisse articulated upthrust-fold zones and en-echelonly overthrust covers. The geodynamic setting of the grouping of the compression axes in the western part of the Donbass, which was experiencing orogenic uplift, caused the thrust of allochthonous geomasses to the syneclise related autochthon of the southeastern segment of the depression. In the West Donets Graben, this caused an increase in the section beyond the Hercynian Neoautochthon and the Cimmerian-Alpine allochthon with the formation of a clinoform wedging Segment. Along the main strike-slip faults, which form the tectonic rails of its invasion, geodynamic zones of geomass squeezing out, formed by curvilinear, en-echelonly upthrow folds, were formed. In the foreland of the Segment, at the ends of dynamically coupled thrust and strike-slip faults, a forward compression fan is formed; in the hinterland, on the roots of thrust covers, folded suture zones are formed. Based on the results of the kinematic analysis of the Hercynian and Alpine deformation structures, a new kinematic model of the tectonic inversion of the riftogenic structure of the Southeastern Segment of the Dnieper-Donets Basin has been developed. In accordance with it, the deformations of the sedimentary cover of the West Donets Graben were carried out according to the kinematic mechanism of a transverse orocline of pushing geomasses of the sub-thrust type, under the pressure of the tectonic stamp of the Donets Foldbelt.
Nordic Cooperation in the Nuclear Safety Sector: High, Low, or Differentiated Integration?
Authors: Kjøndal Kjerstin
Published: November 2020

Nordic cooperation has been depicted as eroding due to the increased importance of EU-related cooperation and integration. However, scholars propose that longstanding Nordic networks, grounded in professions and located in the state administration, may prove to be more robust toward external changes. This article discusses this proposal by looking at Nordic cooperation between the national radiation protection and nuclear safety authorities in Iceland, Denmark, Norway, Sweden, and Finland. The article maps behavioural perceptions of agency staff based on a dataset of 37 interviews to illustrate if the cooperation between the Nordic authorities is characterized by high integration, low integration, or differentiated integration within the nuclear safety sector. The study finds that the cooperation is differentiated between the highly integrated areas of radiation protection and emergency preparedness, and the less integrated areas of nuclear security and safeguards. To account for variation, the data indicates the importance of path dependency and portfolio.