bluuebunny/crossref_metadata_2025 huggingface dataset:
New Fixed Point Theorem for Discontinuous Operators in Cones and Applications
Authors: Rodríguez-López Jorge
Published: April 2020

We provide new fixed point theorems for a class of discontinuous operators by combining a new fixed point theorem of compression-expansion type for these discontinuous operators with monotone iterative methods. As an application we study the existence of positive solutions for a nonlinear fourth-order discontinuous boundary value problem.
Connections Between Optimal Constants in some Norm Inequalities for Differential Forms
Authors: Zsuppán Sándor
Published: April 2020

We derive an improved Poincaré inequality in connection with the Babuška–Aziz and Friedrichs–Velte inequalities for differential forms by estimating the domain specific optimal constants in the respective inequalities with each other provided the domain supports the Hardy inequality. We also derive upper estimates for the constants of a star-shaped domain by generalizing the known Horgan–Payne type estimates for planar and spatial domains to higher dimensional ones.
Relationship between the experience of online game genre and high risk of Internet gaming disorder in Korean adolescents
Authors: Han Hyunho , Jeong Hyunsuk , Jo Sun-Jin , Son Hye Jung , Yim Hyeon Woo
Published: April 2020

OBJECTIVES:This study examined the association between high risk of Internet gaming disorder (IGD) and online game genres used by adolescents.METHODS: The data derived from the baseline data of the Internet user Cohort for Unbiased Recognition of gaming disorder in Early Adolescence. A total 1,532 middle school students who use online games included. The participants reported the names of the online games they used during the past year. Game genres were categorized into role playing games (RPGs), shooting, multiplayer online battle arena (MOBA), simulation, arcade, sports and action games. The risk of IGD was measured using the Internet Gaming Use-Elicited symptom Screen. The relationship between the experience of online game genre and high risk of IGD was analyzed using multiple logistic regression model.RESULTS: The game time of a student was longer if he or she had an experience of RPGs, shooting games, MOBA games, simulation games, and action games. The direct and independent association between high risk of IGD in adolescents and the genres of RPGs, simulation games and MOBA were found to be odds ratios 1.52 (95% confidence interval [CI], 1.03 to 2.26); 1.59 (95% CI, 1.03 to 2.45); and 1.51 (95% CI, 1.03 to 2.21), respectively after adjusted the potential confounding variables and the use of other online game genres.CONCLUSIONS: The present cross-sectional study has found an association between online game genres and the risk of IGD in adolescents attending a school. A cohort study should verify the causal association in future.
Making sense of Piketty's ‘fundamental laws’ in a Post-Keynesian framework: the transitional dynamics of wealth inequality
Authors: Ederer Stefan , Rehm Miriam
Published: April 2020

If Piketty's main theoretical prediction (r > g leads to rising wealth inequality) is taken to its radical conclusion, then a small elite will own all wealth if capitalism is left to its own devices. We formulate and calibrate a Post-Keynesian model with an endogenous distribution of wealth between workers and capitalists which permits such a corner solution of all wealth held by capitalists. However, it also shows interior solutions with a stable, non-zero wealth share of workers, a stable wealth-to-income ratio, and a stable and positive gap between the profit and the growth rate determined by the Cambridge equation. More importantly, simulations show that the model conforms to Piketty's empirical findings during a transitional phase of increasing wealth inequality, which characterizes the current state of high-income countries: the wealth share of capitalists rises to over 60 per cent, the wealth-to-income ratio increases, and income inequality rises. Finally, we show that the introduction of a wealth tax as suggested by Piketty could neutralize this rise in wealth concentration predicted by our model.
Le récit à la deuxième personne dans l’écriture du malaise. Analyse comparative d’Un homme qui dort de Georges Perec et de L’Inconsolable d’Anne Godard (Ire partie)
Authors: Zapolnik Martyna
Published: April 2020

The secondperson narration in the writing of malaise. The comparative analysis of A Man Asleep by Georges Perec and L’Inconsolable by Anne Godard (Part One)

The history of mankind is the history of malaise. Melancholy, discomfort, anxiety or grief are just a few names and examples of this phenomenon. The heroes created by Georges Perec and Anne Godard experience the deep malaise of depression and grief disorder. However, this is not the only common feature of the characters – they are both described by the pronoun “you”. Due to its properties, the second‐person narration seems to be an effective tool of description of minor and major mental disorders. It helps to situate the heroes between life and death, and it is naturally associated with the concept of the Other, who plays a significant role in creation of a suffering Human being.
Análise conjunta de fatores explicativos para o comportamento assimétrico dos custos
Authors: Reis Luiza Santangelo , Borgert Altair
Published: April 2020

O objetivo do presente estudo consiste em determinar a interação conjunta de fatores explicativos relacionados ao decisor e ao ambiente organizacional na assimetria dos custos. Por meio de análise fatorial confirmatória e modelo empírico de regressão os resultados sugerem que os dois clusters afetam positivamente, e em magnitudes semelhantes, a assimetria das despesas gerais, o que comprova a existência de efeitos dos fatores explicativos que se sobrepõem na explicação da assimetria dos custos e corroboram a visão contemporânea sobre gestão de custos causados pela decisão deliberada dos gestores. Ainda, por meio de análise exploratória, revelaram-se 6 constructos que resumem as interações dos fatores explicativos da assimetria dos custos. Por fim, conclui-se que esta pesquisa contribui para a compreensão do comportamento dos custos baseada numa visão mais ampla, e não isolada em relação aos fatores explicativos, ao fornecer subsídios para novas teorias e modelos práticos de previsão de lucros aos analistas.
Constitutional Recognition or treaty?
Authors: Sullivan Carla
Published: April 2020

In 2017, the Uluru Statement from the Heart was released during the Uluru First Nations Convention. In it, 250 Aboriginal and Torres Strait Islander delegates made a powerful statement endorsing constitutional reform to enshrine an Indigenous voice in Australian Parliament and in the Australian Constitution, as well as the establishment of a Makaratta Commission to supervise the subsequent legislative change and ‘truth-telling’ that would enshrine a First Nations Voice in Australia’s Constitution. While the Uluru Statement from the Heart was a culmination of many years of grassroots campaigning and activism, there remains dissent over whether constitutional recognition could be as effective as a treaty.
Dehydration and low ozone in the tropopause layer over the Asian monsoon caused by tropical cyclones: Lagrangian transport calculations using ERA-Interim and ERA5 reanalysis data
Authors: Li Dan , Vogel Bärbel , Müller Rolf , Bian Jianchun , Günther Gebhard , Ploeger Felix , Li Qian , Zhang Jinqiang , Bai Zhixuan , Vömel Holger , Riese Martin
Published: April 2020

Abstract. Low ozone and high water vapour mixing ratios are common features in the Asian summer monsoon (ASM) anticyclone; however, low ozone and low water vapour values were observed near the tropopause over Kunming, China, within the ASM using balloon-borne measurements performed during the SWOP (sounding water vapour, ozone, and particle) campaign in August 2009 and 2015.
Here, we investigate low ozone and water vapour signatures in the upper troposphere and lower stratosphere (UTLS) using FengYun-2D, FengYun-2G, and Aura Microwave Limb Sounder (MLS) satellite measurements and backward trajectory calculations.
Trajectories with kinematic and diabatic vertical velocities were calculated using the Chemical Lagrangian Model of the Stratosphere (CLaMS) trajectory module driven by both ERA-Interim and ERA5 reanalysis data. All trajectory calculations show that air parcels with low ozone and low water vapour values in the UTLS over Kunming measured by balloon-borne instruments originate from the western Pacific boundary layer.
Deep convection associated with tropical cyclones over the western Pacific transports ozone-poor air from the marine boundary layer to the cold tropopause region.
Subsequently, these air parcels are mixed into the strong easterlies on the southern side of the Asian summer monsoon anticyclone.
Air parcels are dehydrated when passing the lowest temperature region (< 190 K) at the convective outflow of tropical cyclones.
However, trajectory calculations show different vertical transport via deep convection depending on the employed reanalysis data (ERA-Interim, ERA5) and vertical velocities (diabatic, kinematic).
Both the kinematic and the diabatic trajectory calculations using ERA5 data show much faster and stronger vertical transport than ERA-Interim primarily because of ERA5's better spatial and temporal resolution, which likely resolves convective events more accurately.
Our findings show that the interplay between the ASM anticyclone and tropical cyclones has a significant impact on the chemical composition of the UTLS during summer.
Semi-Lagrangian advection in the NEMO ocean model
Authors: Subich Christopher , Pellerin Pierre , Smith Gregory , Dupont Frederic
Published: April 2020

Abstract. As model resolutions increase, the Courant-Frederichs-Lewy (CFL) number based on advective motion becomes the limiting factor in setting the timestep of time-explicit circulation models. Some atmospheric models escape this limit by using an implicit or semi-implicit semi-Lagrangian formulation of advection. This formulation calculates fluid properties along parcel trajectories which follow the fluid motion and end, for each timestep, at prescribed grid-points. This work is the first application of the semi-Lagrangian method to an operational ocean model. In this context, we solve the difficulty posed by the ocean's irregular, interior boundaries by calculating parcel trajectories using a time-exponential formulation. This formulation ensures that all trajectories that are solutions to a fixed-point iteration have an origin point in the valid domain, and it does not require any prescribed extrapolation of the fluid velocities into the invalid (land) portion of the domain. We derive this method in a way that is compatible with the leapfrog timestepping scheme used in the NEMO-OPA (Nucleus for European Modelling of the Ocean, Océan Parallélisé) ocean model, and we present simulation results for a simplified test-case of flow past a model island and for 10-year free runs of the global ocean on the quarter-degree ORCA025 grid.
Safety of tumor necrosis factor inhibitor use in patients with concomitant malignancy
Authors: Phan Hiep , Weideman Rick A. , Cipher Daisha J. , Feagins Linda A.
Published: April 2020

Background/Aims: Safety for tumor necrosis factor inhibitors (TNFi) in cancer has been focused on risk of incident malignancies, but studies on prognostic effects have been scarce. We determined survival and recurrence rates at 1, 2, and 5 years after cancer diagnosis in patients with and without concurrent TNFi use.Methods: Chart reviews were performed between 1996 and 2015 at the VA North Texas Healthcare System. Cases were patients with inflammatory disease, concomitant malignancy, and TNFi use while controls were patients with inflammatory disease, concomitant malignancy but no TNFi use. Cases and controls were matched for type of malignancy. Analysis was performed with log-rank tests on Kaplan-Meier curves.Results: Thirty-six cases and 72 controls were identified. For cases, survival at 1, 2, and 5 years were 32 (89%), 31 (86%), and 29 (81%) compared to 63 (90%), 61 (87%), and 51 (73%) for the control group (P=0.985). For cases, recurrence rates at 1, 2, and 5 years were 3 (8%), 5 (14%), and 6 (17%) compared to 2 (3%), 5 (7%), and 7 (10%) for the control group (P=0.158). Conclusions: Our findings suggest TNFi may be safely used in select inflammatory disease patients with concurrent cancer if therapy is needed for proper disease control. However, case-by-case consideration in conjunction with an oncologist is recommended while considering the apparent safety of TNFi for patients suffering from active inflammatory diseases despite having a concomitant malignancy.
Helping a child with learning difficulties and his independenceAbstract
Authors: Skrzetuska Ewa
Published: April 2020

The author presents changes in ways of helping a child with learning difficulties. Contemporary early school education focuses on leaving a child a lot of independence during pedagogical activities aimed at helping in the implementation of tasks that are difficult for a child. Particularly important here is the need to leave a child time to understand the whole task to be performed. Helping a child to perform particular activities must not interfere with his understanding and independent thinking as well as the activities planned by him. It is important for the child to seek his own way to achieve the result even at the cost of making mistakes and repeating work.
Current possibilities of psychological and pedagogical assistance in therapy for dyslexic students
Authors: Zmysłowska Magdalena
Published: April 2020

The article shows the current possibilities of psychological and pedagogical assistance in the therapy of students with dyslexia, whose population is estimated at 10-15%. Research indicates that these children, when properly supported and motivated, are able to make progress in learning and achieve success in a variety of areas. The author describes the difficulties faced by students, taking into account specific problems in the area of reading and writing and paying attention to frequently occurring auditory processing disorders. She discusses the issue of student support in school space, also using modern technologies to improve the teaching and learning process. The author presents also the possibilities of using EEG Biofeedback neurotherapy, Neuroflow and Forbrain auditory therapy in working with children to improve their reading and writing skills, citing numerous studies showing the effectiveness of these interactions in dyslexic children. In order for the student support system to be effective, close cooperation between teachers, therapists, and parents is required; however, the analysis of the studies cited in the text indicates that teachers lack crucial knowledge about the conditions of dyslexia, they have difficulties in individualizing didactic work, interpreting the recommendations of psychological and pedagogical counselling centres and they rarely use information and communication technologies in the education process.
Forming of children's creative imagination by animated cartoons and fairy tale books
Authors: Pędzich Angelika , Łukasiewicz-Wieleba Joanna
Published: April 2020

Currently, there has been a big change in the form of spending free time because a large part of the average person's life is occupied by the Internet. Every day we browse pages, watch programs, movies and series. Activities involving children have also changed. Today, full playgrounds or libraries are a rare picture. The youngest generations absorb visual content much more often - various types of animated cartoons, which they often watch several hours a day. Sometimes cartoons are also used by parents as a form of bribery or as a kind of seizing the child's attention for some time. The purpose of this article is to find the answer to the question of how the form of content (text, movie), inspiring the creation of artistic products, affects the creative imagination of a child. At the beginning we present the scientific position in this matter, and then the results of our own research. As a tool in the research, the Kate Franck Drawing Completion Test was used, which measures the imagination of the examined person, and then the method of product analysis was used, , referring to the category of creative imagination. Two groups of children from the second grade of primary school took part in the study and were asked to create drawings after learning the presented content. For one group a fairy tale was presented in the text form, but for the second group: in the form of the animated cartoon. Students from the group listening to the story read from the book, on the created drawings added a lot of original ideas, variously presented the reality of the fairy tale heard, in contrast to the second group, in which the drawings of all students were very similar to each other. The results of the study indicate that cartoons in a form of the movie much less stimulate children to use their creative imagination, than fairy tales in a text form, which allows them to activate their creative potential.
Social functioning of disabled and non-disabled students in integration classes
Authors: Rozenbajgier Małgorzata
Published: April 2020

In each class team a specific informal structure is created. Depending on the social position of the student in this structure, the class is for him an attractive place or area of unpleasant experiences – fear and anxiety. In order to learn about the functioning of students in the school class, research was carried out using the diagnostic survey method with the author's own questionnaire. The research shows that some students make social contacts with others. They perform the tasks recommended by the teacher, solve tasks, do homework and also read and are on duty in the classroom. Most students evaluate their class behaviour positively. There are also negative behaviours that should be corrected by teachers.
Architectural art as a source of aesthetic education of students
Authors: Nyczkało Swietłana
Published: April 2020

The article analyses architecture as a source of comprehensive education of general secondary school students, in particular aesthetic education. Its educational impact is due to the artistic features of architecture that have great potential for use in training and educational activities. The close connection of architecture with numerous material and spiritual manifestations of human culture, and therefore with various fields of scientific knowledge and artistic creativity taught in general secondary school was emphasized. The author defines the principles of using architecture research in aesthetic education, on the basis of which it is possible to develop effective educational technologies.
Recent Advances in Migraine Therapy
Authors: Ommurugan Balaji , Rao Vanishree
Published: April 2020

Migraine characterized by recurrent headache episodes presents with aura or without. Various treatment modalities ranging from 5-HT1B/1D agonists, nonsteroidal anti-inflammatory drugs (NSAIDs), to steroids are available for acute treatment of migraine. Prophylaxis for chronic cases usually encompasses β blockers, calcium channel blockers, and antiepileptics. Many nutraceutical preparations are helpful in migraine, including riboflavin and vitamin B12. This review focuses on the newer agents available for treatment of migraine with some insights into their clinical trials.
Vermicomposting: An Effective Option for Recycling Organic Wastes
Authors: Kaur Tamanreet
Published: April 2020

Urbanization and industrialization resulted in rapid increase in volume of solid waste; its management has become one of the biggest problems today. Solid wastes can be disposed off by methods like land filling, incineration, conversion into biogas, recycling, and composting, but its overproduction has led to inappropriate disposal practices such as their indiscriminate and inappropriately timed application to agricultural fields that ultimately leads to water and soil pollution. However, if handled properly, these organic wastes can be used for vermicomposting; it is an effective recycling technology that improves the quality of the products which is disinfected, detoxified, and highly nutritive. It is a low cost, eco-biotechnological process of waste management in which earthworms are used to cooperate with microorganisms in order to convert biodegradable wastes into organic fertilizer. Earthworms excreta (vermicast) is a nutritive organic fertilizer rich in humus, NPK, micronutrients, beneficial soil microbes; nitrogen-fixing, phosphate solubilizing bacteria, actinomycets, and growth hormones auxins, gibberlins and cytokinins, is a suitable alternative to chemical fertilizers, being an excellent growth promoter and protector for crop plants. Thus, vermiculture not only results in management of soild waste but also produces excellent nutrient enriched vermicompost. Vermicompost is beneficial for sustainable organic agriculture and maintaining balanced ecosystem.
Pharmacokinetic Aspects of Statins
Authors: Cid-Conde Lucía , López-Castro José
Published: April 2020

Statins are the most used therapeutic group in the treatment of hypercholesterolemia and reduce the risk of cardiovascular events and mortality. Long prescription periods and their pharmacokinetic characteristics increase the possibility of interactions, especially at the metabolism level. Simvastatin, lovastatin, and atorvastatin are metabolized by CYP3A4 isoenzymes, so they will have more significant interactions than fluvastatin, pitavastatin, and rosuvastatin that require CYP2C9. The main interactions are with macrolides, azole antifungals, antiretrovirals, platelet antiaggregants, anticoagulants, oral antidiabetics, calcium channel blockers, immunosuppressants, and other hypolipidemic agents, among others. A review of all medications that are taken by patients treated with statins should be performed at each medical consultation and during all healthcare transitions.
Banco de sementes do solo em áreas restauradas no sul do estado de Mato Grosso do Sul – MS
Authors: Costa Poliana Ferreira da , Pereira Zefa Valdivina , Santos Bruna Souza dos , Fernandes Shaline Séfara Lopes , Fróes Caroline Quinhones , Barbosa Thiago Oliveira
Published: April 2020

O objetivo foi avaliar o banco de sementes de três diferentes áreas em processo de restauração após 12, 13 e 16 anos de implantação, localizadas no estado de Mato Grosso do Sul. Foram coletadas 20 amostras (20 x 20 cm) no interior de cada floresta restaurada em pontos distribuídos ao acaso, a uma profundidade de 0 a 5 cm, considerando-se a serapilheira. Após serem dispostas em bandejas plásticas, as amostras foram irrigadas e monitoradas diariamente por um período de aproximadamente três meses (90 dias). As espécies também foram avaliadas conforme sua síndrome de dispersão, adotando os critérios morfológicos dos frutos como anemocóricas, zoocóricas, e autocóricas, além de serem classificadas quanto à forma de vida e a origem. A diversidade do banco de sementes foi estimada através do índice de diversidade de Shannon (H’) e a Equabilidade de Pielou (J’). Essas análises foram realizadas no programa Fitopac 2.0. Verificou-se, que a composição da comunidade herbácea variou com os locais, sendo a maior densidade de sementes viáveis para esta classe observadas em Ivinhema, onde o banco de sementes foi composto principalmente por ervas espontâneas oriundas de áreas antropizadas do entorno e grande densidade de plântulas da família Poaceae, contando com quatro espécies distintas. Já a área de Jateí apresentou uma alta densidade de plântulas de Cecropia pachystachya Trécul., além de quatro outras espécies arbóreas distintas. A área restaurada de Caarapó apresentou diferentes classes de vegetação e a presença de componentes importantes para sucessão tais como árvores e lianas. Nos três bancos de sementes avaliados houve a presença de espécies arbóreas representando um avanço no processo sucessional de cada área.
Análise da incidência temporal, espacial e de tendência de fogo nos biomas e unidades de conservação do Brasil
Authors: Jesus Janisson Batista de , Rosa Cristiano Niederauer da , Barreto Íkaro Daniel de Carvalho , Fernandes Milton Marques
Published: April 2020

O Brasil tem extensas formações vegetais ao longo do seu território que são afetadas por ocorrências de queimadas, necessitando de um monitoramento espaço-temporal e de estudos que relacionem a sua atuação nos biomas e nas áreas protegidas do país. Sendo assim, o objetivo do presente estudo foi analisar o comportamento temporal e espacial das ocorrências de fogo de 2003 a 2017 nos biomas brasileiros: Amazônia, Caatinga, Cerrado, Mata Atlântica, Pantanal e Pampa, incluindo as incidências nas áreas de Unidades de Conservação, verificando possíveis padrões da distribuição dos focos, assim como a tendência estatística das suas ocorrências. Foram utilizados dados geoespaciais de 2003 a 2017 do satélite de referência AQUA_M-T obtido no Instituto Nacional de Pesquisas Espaciais, e das Unidades de Conservação disponibilizados pelo Ministério do Meio Ambiente. Estatisticamente, foi aplicado o algoritmo Kernel para analisar a distribuição espacial a partir da média da série temporal estudada, e o teste não paramétrico de Mann-Kendall, considerando também a sua Persistência de Longo Alcance para verificar a tendência de ocorrência. Observou-se que os biomas Amazônia e Cerrado possuem, respectivamente, os maiores focos de fogo, com o Cerrado tendo maior área queimada. Consequentemente, as Unidades de Conservação localizadas nestes biomas tiveram maior quantidade de focos detectados. A análise da tendência estatística indicou que o crescimento da ocorrência de fogo possui sazonalidade em todos os biomas, com o Pampa sendo caracterizado por uma condição natural. Portanto, o estudo permitiu identificar e quantificar, espacialmente, os maiores focos de queimadas nos Biomas brasileiros, bem como nas Unidades de Conservação em cada respectivo bioma para a série estudada, servindo como base para medidas de prevenção e controle do fogo principalmente nas Unidades de Conservação que possuem maiores ocorrências no país.
A escolaridade na doença
Authors: Fonseca Eneida Simões da
Published: April 2020

Este estudo reflexivo visita referências que tratam da realidade do atendimento escolar oferecido aos doentes. As impressões que se pode ter quando considerando a atuação docente no ambiente escolar hospitalar ou domiciliar são discutidas. Os documentos oficiais sobre esta modalidade de ensino são analisados e problemati-zados, assim como se considera as possíveis contribuições dos encontros nacionais, dos informativos semestrais, de pesquisas e estudos e de organizações que estão focadas nessa parcela da população para esse campo específico. As considerações apontam que estudos e pesquisa podem, certamente, contribuir para a formalização tanto de eventos para a disseminação desse conhecimento específico e aperfeiçoa-mento da formação dos professores que atuam com esse alunado, quanto fornecer subsídios para a elaboração de políticas públicas e respaldo legal que adequada-mente contemplem essa modalidade de ensino. Entretanto, salienta que, a não observação da relação tênue entre a teoria e a prática, pode resultar em apenas divulgar resultados em eventos científicos que, não necessariamente serão aplicados no cotidiano escolar hospitalar ou domiciliar.
Editorial Revista Educação
Authors: Menezes Cinthya Vernizi Adachi de , Salva Sueli
Published: April 2020

Editorial
Fatores relacionados à falha na extubação em uma unidade de terapia intensiva da Amazônia ocidental brasileira
Authors: Prado Patricia Rezende do
Published: April 2020

Introdução: A falha da extubação está relacionada a um elevado índice de mortalidade hospitalar. Os fatores relacionados ao insucesso da extubação ajudam na elaboração de um protocolo para conduzir as práticas relacionadas a este processo, atenuando as consequências indesejáveis decorrentes deste desfecho. Objetivo: Identificar as características e desfechos na falha da extubação em pacientes internados sob ventilação mecânica em uma Unidade de Terapia Intensiva (UTI) da Amazônia ocidental brasileira. Método: Estudo descritivo do tipo transversal desenvolvido na UTI Adulto de um hospital de urgência e emergência de Rio Branco, Acre, no período de maio a novembro de 2015. Resultados: A amostra final foi composta por 36 pacientes em processo de extubação, com idade média de 49,03 anos (± 20,73), o diagnóstico mais prevalente foi o trauma, com 30,6%, tempo médio de internação na unidade de terapia intensiva de 7 dias e a prevalência de falha na extubação foi de 33,3%. As características clinicas evidenciadas como precursoras da reintubação foram: baixa saturação (38,9%), seguido de taquipneia (27,8%) e alteração no nível de consciência (16,7%). Nenhum protocolo foi utilizado para o desmame. Conclusão: Este estudo evidenciou as características do paciente que está sendo extubado, assim como os fatores relacionados ao seu insucesso, no entanto, ênfase maior pode ser dada à necessidade de utilizar um protocolo para a extubação deste paciente. Este foi um estudo preliminar que instiga novos estudos nesta unidade com o objetivo de identificar relações causais para as dificuldades vivenciadas e oferecer uma assistência direcionada aos pacientes críticos.
Cuidado farmacêutico a um portador de diabetes: relato de caso
Authors: Melo Almeida Nágila Mylla , Pereira Belfort Ilka Kassandra , Moutinho Monteiro Sally Cristina
Published: April 2020

Os serviços prestados no campo da assistência farmacêutica na atenção básica incluem as ações logísticas, relativas à seleção, à programação, à aquisição, ao armazenamento e à distribuição dos medicamentos e às ações assistenciais do cuidado farmacêutico. Este trabalho objetivou realizar o acompanhamento farmacoterapêutico em uma usuária com diabetes mellitus cadastrada e acompanhada na Estratégia de Saúde da Família, de São Luís/MA. Os dados foram coletados através da realização de um estudo do tipo exploratório descritivo em abordagem quantitativa, com emprego da técnica de observação direta e do Roteiro de Atendimento Farmacêutico proposto pelo Caderno de Cuidado Farmacêutico do Ministério da Saúde, adaptado. A usuária teve sua farmacoterapia avaliada, para detecção dos possíveis problemas relacionados com medicamentos (PRMs) e elaboração de intervenções farmacêuticas para tentar resolvê-los e/ou amenizá-los. Foi constatado que as intervenções realizadas identificaram 5 PRM e promoveram a melhora da qualidade de vida e maior adesão a sua terapêutica.
Situações de violência obstétrica vivenciadas por mulheres em processo de abortamento
Authors: Pedrosa Amanda Andeade de Brito , Silva Lucineide Santos , Nunes Gittanha Fadja de Oliveira , Pimentel Mônica Cecília , Lima Juciara Karla De Souza , Matos Khesia Kelly Cardoso
Published: April 2020

Objetivo: Conhecer situações de violência sofrida por mulheres em abortamento. Método: Pesquisa qualitativa, exploratória e descritiva, realizada em maternidades públicas de Juazeiro-BA e Petrolina-PE. Utilizou-se a entrevista semiestruturada e análise do conteúdo temático para análise dos dados. Resultados: Identificou-se que as principais situações de violência obstétrica sofrida pelas mulheres foram decorrentes de entraves na comunicação: injurias verbais e omissão de esclarecimentos sobre sua condição de saúde, procedimentos e exames. Além da queixa de superlotação que, não tão raro, culminou em demora no atendimento e negligência. Conclusão: É imperioso que as maternidades citadas nesse estudo invistam em educação permanente voltada para atendimento ético e humano, assegurando os direitos humanos e reprodutivos das mulheres em abortamento.Descritores: Saúde da Mulher; Exposição a violência; Aborto
Funcionalidade em Atividades de Vida Diária de Crianças Deambuladoras com Paralisia Cerebral
Authors: Meincke Natiéle De Moraes , Mélo Tainá Ribas , Bonamigo Elenita Costa Beber , Strassburger Simone Zeni
Published: April 2020

Introdução: A Paralisia Cerebral (PC) é a principal alteração neurológica da infância e que ocasiona limitações funcionais e em atividades de vida diária (AVDs). Objetivo: Verificar a funcionalidade em AVDs das crianças com PC de níveis I a III da Gross Motor Function Classification System (GMFCS), em uma Unidade de Reabilitação Física do Rio Grande do Sul. Método: Estudo transversal, descritivo que caracterizou as atividades de vida diária pelo Pediatric Evaluation of Disability Inventory (PEDI) de crianças com PC deambuladoras (GMFCS I a III). Resultados: De 315 prontuários 8 pacientes foram incluídos, 7 do sexo masculino. A média da idade foi de 5±1,6 anos. Todas as crianças foram classificadas como espásticas, 7 diparéticas e uma hemiparética. Uma criança GMFCS I (hemiparética) obteve melhores escores na mobilidade. As crianças diparéticas GMFCS II obtiveram melhores escores no autocuidado. As crianças diparéticas GMFCS III tiveram menores escores no autocuidado e mobilidade. Na função social, todas as crianças tiveram escores normativos e contínuos típicos. Conclusão: Quanto melhor o nível motor, maiores os escores de habilidades funcionais. O GMFCS I e II apresentaram escores semelhantes, com maiores dificuldades na mobilidade, diferente do nível III, evidenciadas também para autocuidado.
Perfil microbiológico das meningites em um hospital público universitário
Authors: Horner Rosmari , Cattelan Márcia Pavanello , Bertoncheli Cláudia De Mello , Righi Roselene Alves , Oliveira Loiva Therezinha Ottonelli de , Meneghetti Bettina Holzschuh , Dal Forno Nara Lucia Frasson , Salla Adenilde
Published: April 2020

As meningites infecciosas constituem um importante problema de saúde pública sendo responsáveis por elevadas taxas de morbidade e mortalidade em crianças e adolescentes. O objetivo deste trabalho foi determinar a prevalência dos principais patógenos responsáveis por meningites isolados em pacientes internados no Hospital Universitário de Santa Maria (HUSM - Santa Maria - RS).  Foram analisadas 437 amostras de líquido cefalorraquidiano (LCR) de pacientes internados com suspeita de meningite, no período de 01/10/2003 a 31/01/2005. Este estudo retrospectivo foi efetuado utilizando os resultados constantes nas fichas de trabalho das amostras de LCR analisadas empregando-se técnica de rotina no Laboratório de Bacteriologia do Hospital Universitário de Santa Maria. Em 64 (14,64%) das amostras foi identificado o agente etiológico. Os organismos mais comumente identificados foram Staphylococcus epidermidis (n= 13; 19,7%), Cryptococcus neoformans (n= 10; 15,50%) e Staphylococcus aureus (n= 6; 9,09%). Todos os casos que apresentaram etiologia por Cryptococcus neoformans estavam associados à infecção por HIV. É aconselhável que seja efetuado o monitoramento contínuo do perfil etiológico das meningites: cada instituição deve se basear em seus dados para direcionar a terapia antimicrobiana empírica e a identificação da infecção versus contaminação.
Rastreamento dos programas de saúde voltados para a criança elaborados pelas três esferas de governo
Authors: Rizzetti Danize Aparecida , Trevisan Claudia Morais
Published: April 2020

As políticas públicas de saúde constituem-se como resposta do Estado às necessidades da população. Aquelas voltadas para criança promovem tanto o seu desenvolvimento integral, como também o da sociedade. Os objetivos do estudo foram verificar os programas de saúde voltados para a criança elaborados a nível Federal, Estadual e Municipal; identificar quais estão implantados no Município e os que atuam nas escolas. A pesquisa foi descritiva exploratória, cujos dados foram coletados através de entrevista semi-estruturada aplicada aos responsáveis pela área infantil das Secretarias Municipal de Educação e de Saúde de Santa Maria entre os meses de junho a agosto de 2006. Foram encontrados 30 programas, sendo 13 a nível Federal, 10 a nível Estadual e sete a nível Municipal. No município estão implantados 25 programas, oito deles atuando nas escolas. Conclui-se que ainda existem poucas políticas públicas de saúde destinadas à criança, principalmente as que visam atuação no ambiente educacional.
Zeitgeist effects, fragmentation of media use, and value consensus
Authors: Puohiniemi Martti , Verkasalo Markku
Published: April 2020

Finland changed from an industrial society to an information society in 1991-2015. Due to economic fluctuations, diffusion of digitalization and media turbulence the period changed Finnish society a lot. We studied the impact of this on basic human values with Schwartz’s approach, and concentrated on zeitgeist effects. We developed a definition of zeitgeist effects and a set of hypotheses, based on the literature, to study how major societal changes influence values. Also, we found theoretical similarities between value consensus, democratization and the fragmentation of media use that we analyzed. Data (N = 7.172) were collected in five waves. We measured changes in the ten values, and used the two value dimensions based on factor analysis, also. Moreover, we used the Schwartz value map to illustrate value changes in social groups. The combination of the latter two methods offer a parsimonious way to get an overview of value change over a longer period of time, but single values suit better for the analysis of short-term changes. Our hypotheses received support regarding overall change that is small, as well as regarding zeitgeist effects in the 1990s, the disappearance of them in the new millennium, and how the values of social groups started to change in different directions in the era of social media. The above changes including the disappearance of zeitgeist effects in the new millennium were linked to societal events, e.g. fragmentation of media use. Moreover, we found that in a complex society zeitgeist effects might mirror simultaneous impact of several events.
Early Postoperative Mortality Among Patients Aged 75 Years or Older With Stage II/III Rectal Cancer
Authors: Sineshaw Helmneh M. , Yabroff K. Robin , Tsikitis V. Liana , Jemal Ahmedin , Mitin Timur
Published: April 2020

Background:Elderly patients with rectal cancer have been excluded from randomized studies, thus little is known about their early postoperative mortality, which is critical for informed consent and treatment decisions. This study examined early mortality after surgery in elderly patients with locally advanced rectal cancer (LARC).Methods:Using the National Cancer Database, we identified patients aged ≥75 years, diagnosed with clinical stage II/III rectal cancer who underwent surgery in 2004 through 2015. Descriptive analyses determined proportions and trends and multivariable logistic regression analyses were performed to determine factors associated with early mortality after rectal cancer surgery.Results:Among 11,794 patients with rectal cancer aged ≥75 years, approximately 6% underwent local excision and 94% received radical resection. Overall 30-day, 90-day, and 6-month postoperative mortality rates were 4.2%, 7.8%, and 11.5%, respectively. Six-month mortality varied by age (8.4% in age 75–79 years to 18.3% in age ≥85 years), and comorbidity score (10.1% for comorbidity score 0 to 17.7% for comorbidity score ≥2). Six-month mortality declined from 12.3% in 2004 through 2007 to 10.2% in 2012 through 2015 (Ptrend=.0035). Older age, higher comorbidity score, and lower facility case volume were associated with higher 6-month mortality. Patients treated at NCI-designated centers had 30% lower odds of 6-month mortality compared with those treated at teaching/research centers.Conclusions:Six-month mortality rates after surgery among patients aged ≥75 years with LARC have declined steadily over the past decade in the United States. Older age, higher comorbidity score, and care at a low-case-volume facility were associated with higher 6-month mortality after surgery. This information is necessary for informed consent and decisions regarding optimal management of elderly patients with LARC.
Breast Cancer, Version 3.2020, NCCN Clinical Practice Guidelines in Oncology
Authors: Gradishar William J. , Anderson Benjamin O. , Abraham Jame , Aft Rebecca , Agnese Doreen , Allison Kimberly H. , Blair Sarah L. , Burstein Harold J. , Dang Chau , Elias Anthony D. , Giordano Sharon H. , Goetz Matthew P. , Goldstein Lori J. , Isakoff Steven J. , Krishnamurthy Jairam , Lyons Janice , Marcom P. Kelly , Matro Jennifer , Mayer Ingrid A. , Moran Meena S. , Mortimer Joanne , O'Regan Ruth M. , Patel Sameer A. , Pierce Lori J. , Rugo Hope S. , Sitapati Amy , Smith Karen Lisa , Smith Mary Lou , Soliman Hatem , Stringer-Reasor Erica M. , Telli Melinda L. , Ward John H. , Young Jessica S. , Burns Jennifer L. , Kumar Rashmi
Published: April 2020

Several new systemic therapy options have become available for patients with metastatic breast cancer, which have led to improvements in survival. In addition to patient and clinical factors, the treatment selection primarily depends on the tumor biology (hormone-receptor status and HER2-status). The NCCN Guidelines specific to the workup and treatment of patients with recurrent/stage IV breast cancer are discussed in this article.
Ética periodística para una información con perspectiva de género
Authors: Rivas-de-Roca Rubén
Published: April 2020

Main topic / subject: The objective of this work is to carry out a theoretical reflection on new communicative strategies, focused on journalistic ethics. This ethics would be useful for the setting-up of a journalism with gender perspective. The research addresses the role of the media in the social construction of gender, based on the social responsibility paradigm.

Logical development of the subject: In recent years, the concern for the informative treatment of these issues has increased exponentially, at the same time that a greater degree of awareness about the relationship between men and women has taken place. Traditionally, media representations of gender had contributed to the reinforcement of stereotyped archetypes. Against this, journalistic organizations must modify their approach, using a gender perspective. This responsibility in a broad sense is what our study is based on.

Author’s point of view and contributions: Our main contribution is a new assessment of the concept of journalistic ethics, which becomes central to news with gender perspective. This ethics includes all phases of the information production process. Therefore, it is put forward as a tool for the media to fight sexist gender roles as a whole.

Implications and conclusions: The conclusions have impacts on the social representation of gender, triggered by the development of a journalistic perspective that helps to ending macho archetypes. In addition, our approach involves an amendment to the main ethical codes applied in Spain, outdated in gender equality. On the other hand, some regional audiovisual councils are aligned with our ethical dimension. Journalism, as a social profession, has to be open to these proposals that would contribute to meeting the informational needs of women, usually forgotten by the masculinized nature of media companies.
Representación paritaria de género vs. participación pública de las diputadas. Análisis de caso de las dos sesiones plenarias de la XIII legislatura en España
Authors: Martín Fernández Ángela Paloma
Published: April 2020

Purpose: The objective of this article is to prove if in the XIII Legislature in Spain, the most egalitarian in Europe, there is a relationship between the representation of Spanish deputies and their public participation, done through the formulation of oral questions in the two plenary sessions held.Findings:The research has been articulated with a double approach. First, comparing the number of deputies in the XIII Legislature with the oral questions made, separating them by gender and parliamentary groups. Secondly, with in-depth interviews that broaden the debate about representation of women in power, as well as their public communication.Research limitations/implications: The results invite us to question whether women’s political representation is aligned with their public participation: and the proof that there are still obstacles to women’s political participation.Limitations / Implications:The number of women who have presented oral questions by parliamentary group has been left aside. This article is limited to the participation of deputies in general, focusing on representation by gender and social representation, and not by parliamentary group.Originality/value:The presence of Spanish women in the public arena has been increasing. This article proofs that their public participation through the formulation of oral questions in plenary sessions, at a time when Spain was news for being the most equal in Europe. This means a double challenge: there are more women MPs, but that they can also participate and influence. Moving from perception to reality offers the opportunity to reduce gender gaps.
Importancia de la comunicación interna en la gestión del conflicto: Empresa y mujer
Authors: Paradinas Márquez María del Carmen
Published: April 2020

Reach of the review: This research focuses on reviewing the state of the art regarding the importance of internal communication as one of the effective tools for the proper management of conflict in the company’s work environment. It analyses the relevance of communication, as far as the use of non-sexist language is concerned, as an integrating element and therefore facilitator of conflict management.
Period of the publications reviewed: The search has been limited to those publications between the year 2000 and the present day. Previous publications are also cited and referenced, given the relevance of their authors as references in the topics dealt with and therefore of necessary inclusion.
Origin and types of documents reviewed: The searches have been carried out in various databases such as Leisure and Tourism, Google Scholar, Academic Search Complete, Redalyc, Science Direct, Scopus, Web of Science and ABI, reviewing books, reports, popular and scientific research journals, academic texts, doctoral theses and specialized and contrasted web pages, and an analysis of secondary sources.
Author’s contribution on the publications analysed: There is abundant literature on the presence of women in the company, but academia does not observe a relationship between this incorporation, internal communication, company policies and the benefits that all this brings to the proper management of conflict in the workplace.
Conclusions on the lines on research studied: One of the most relevant factors is the incorporation of women into the business ecosystem. It is not enough to consider the equality policies that the law requires, but we must go further, given the benefits they bring to companies that incorporate them as having positive skills in conflict management.