bluuebunny/crossref_metadata_2025 huggingface dataset:
Dunbar syndrome - case report
Authors: Campos Sarah Maria Lemos de , Pessoa Rafael Prado , Pelegrini João Paulo de Araújo , Silveira Henrique Fernandes , Diniz Maria Fernanda Lopes , Bianchini Maria Passos , Lopes Leonardo Soares , Costa Marcus Eduardo Valadares Meireles Martins da
Published: July 2023

Abstract Dunbar syndrome is diagnosed by excluding other possible causes of abdominal pains. Surgical treatment comprises complete dissection of the ligament and the surrounding nerve ganglion. This report describes the case of a previously healthy 45-year-old male patient who presented with epigastric abdominal pain irradiating to the back and weakness. Initially, abdominal computed tomography was ordered, showing arteriopathy of the celiac trunk and mesenteric artery with stenosis. The patient underwent surgical treatment because of the refractory pain, but findings were nonspecific. It was necessary to continue workup with serial angiotomography to follow the case. After around 6 months, thickening of the arcuate ligament was found, with compression of the proximal third of the celiac trunk and 80% stenosis. The patient therefore underwent laparoscopy to relieve celiac trunk compression, with satisfactory postoperative recovery.
Prevalence, morphology, morphometry and associated clinical implications of mastoid emissary veins: narrative review
Authors: Singh Rajani
Published: July 2023

Abstract The mastoid emissary vein connects the posterior auricular vein to the sigmoid sinus and varies in size, number, location, and course, resulting in clinical complications. This study was conducted in response to the vast clinical implications associated with this vein. The aim of this review is to highlight and describe the prevalence, varied morphology, and morphometry of the mastoid emissary vein, how these varied parameters cause clinical complications, and how these can be rectified and avoided. A literature survey was conducted using various databases and different terms related to mastoid emissary vein were used to search the literature. Pitfalls related to surgery in the vicinity of this vein and their remedies were elucidated. The literature search revealed that the prevalence, morphology, and morphometry of mastoid emissary veins vary immensely and are responsible for morbidity and mortality. Pre-operative identification of mastoid veins is thus essential and so multidetector computed tomography of the temporal bone should be scheduled before planning surgery.
Needle visualization during ultrasound-guided puncture: image optimization
Authors: Brasileiro Augusto Cézar Lacerda , Silva Aeudson Víctor Cunha Guedes e , Garcia Ariana Lacerda , Furtado Beatriz Ribeiro Coutinho de Mendonça , Araújo Filho Frederico Augusto Polaro , Diniz Laís Nóbrega , Silva Leonardo César Maia e , Lima Lorena Agra da Cunha
Published: July 2023

Abstract Background Obtaining an adequate image of the needle by ultrasound reduces complications resulting from punctures, increasing patient safety and reducing hospitalization costs. Objectives To verify human perception in relation to number of pixels, while also identifying the best puncture angle and which needle should be used, and to evaluate whether there is a difference if needle visualization software is used. Methods 20 images were analyzed by 103 students who classified them as being sufficient or insufficient and were compared with the quality observed using photoshop. We evaluated whether there were differences between puncture angles of less than 45º and more than 45º, between IV catheter and introducer needles, and between images obtained with and without visualization software. Results There was a higher percentage of sufficient ratings for images those that had more than 60 pixels and when the puncture angle was less than 45º, with significant associations between students’ evaluations and each of these groups (p < 0.001). The percentages of images classified as sufficient were higher for images in which a IV catheter was used and also higher for those using the needle visualization software, with significant associations between the results for students’ classifications and each of these groups (p < 0.001). Conclusions The human eye classifies an image as sufficient according to higher numbers of pixels. Images of punctures at angles smaller than 45º in relation to the surface, of punctures performed with a IV catheter, and when using specific visualization software are also better detected by the human eye.
Study of digital palmar and plantar arteries of horses and mules by B-mode and Doppler ultrasonography
Authors: Fogaça J.L. , Castiglioni M.C.R. , Vettorato M.C. , Melo Neto G. B. , Mazzante G. M.N. , Albuquerque A.C.A. , Puoli Filho J.N.P. , Filadelpho A.L. , Machado V.M.V.
Published: July 2023

ABSTRACT The present study aimed to evaluate and compare the palmar and plantar digital arteries of 10 horses and 10 mules through B-mode and spectral Doppler ultrasound. Likewise, compare the plantar arteries of the pelvic limbs with the palmar arteries of the thoracic limbs, in addition to verifying the differences of the digital arteries in the contralateral limbs (right and left) in horses and mules using B-mode and spectral Doppler ultrasonography. The evaluated parameters were the diameter and the intima-media thickness (IMT), resistivity index (RI), pulsatility index (PI), peak of systolic velocity (pSV), final diastolic velocity (fDV) and mean velocity (MV) of the lateral and medial palmar and plantar arteries digital in healthy horses and mules. The horses presented higher diameters values, IMT, pSV, fDV and MV in comparison to the mules. The variables RI and PI also presented differences between horses and mules. Also, both species showed higher values in the variables of B-mode and Doppler ultrasonography in the thoracic limbs. Differences were also detected in the comparison between the limb sides (right and left) in the two modalities. The B-Mode and spectral Doppler ultrasound techniques are viable tools to identify differences in the palmar and plantar digital arteries in healthy horses and mules, highlight the differences between the thoracic and pelvic limbs and their respective sides (right and left) as well.
Surgical approach in correction of a crack in the gnathotheca of a black swan (Cygnus atratus, Latham, 1790) - First case report
Authors: Cazati L. , Ferreira M.B. , Faiete T.B.P. , Silva G.R.D. , Xavier G.S. , Araujo T.D.S. , Araujo G.R. , Pizzutto C.S. , Facco G.G.
Published: July 2023

ABSTRACT The black swan (Cygnus atratus, LATHAM, 1790) is a bird kept as an ornamental in zoos. Because of their long beaks they tend to have a reserved prognosis in musculoskeletal disorders such as beak trauma, secondary to skull bone fractures, presenting irreversible lesions. The aim of this report is present a clinical surgical innovation in the repair of a black swan’s gnathotheca fissure with the application of non-conventional materials used. It was observed that one of the swans kept in a zoo display area had difficulty feeding, with associated weight loss. It was observed tissue loss and a lacerative lesion in the caudal sublingual region of its beak. The lesion was corrected by a separate simple suture in the cranial region of the beak and with a x-clamping using steel surgical wire and the application of dental resin in the distal region to perform a sustentation bridge in the beak end-gap. After 12 days, the animal was able to feed again and remained perfectly adapted to the restoration, reestablishing the anatomical and physiological function of its beak.
Effect of heat stress and solar radiation on dry matter intake, biochemical indicators, production, and quality of Holstein and Jersey cows' milk
Authors: Hauser A. , França M. , Hauser R. , Scheid A. L. , Perazzoli L. , Mendes B. P. B. , Telles I. P. , Miletti L. C. , Thaler Neto A.
Published: July 2023

ABSTRACT The objective of this work was to compare the dry matter intake, milk yield and quality, physiological and biochemical parameters in Holstein (n=10) and Jersey (n=10) cows under heat stress and insolation, in two treatments: CL - cooling by ventilation and sprinkling and HS - heat stress and insolation. Data were submitted to ANOVA. There was an interaction between treatment and breed and day effect for dry matter intake. For consumption in % of body weight, CL and Jersey cows consumed more. CL cows produced more milk and 3.5% fat-corrected milk. Feed efficiency was similar between treatments and breeds. Fat, lactose, total solids, and somatic cell score did not differ. The concentration of milk urea nitrogen was higher for CL cows. Milk from Holstein cows had greater stability to alcohol, and from HT cows had a greater freezing point of milk. HT cows had higher respiratory rates in the morning and surface temperatures in the afternoon. There were no differences in beta-hydroxybutyrate and glucose concentrations. Heat stress, with insulation, reduces intake, especially in Holstein cows, as well as milk production and increases the freezing point of milk, respiratory rate, and surface temperature.
Collecting information on estrus in cattle using the internet of things
Authors: Gündüz K.A. , Başçiftçi F.
Published: July 2023

ABSTRACT Monitoring the movements of ruminant animals is one of the most challenging tasks. In animals that act according to their habits, it is difficult to label such movements and transfer them to farmers. Monitoring and recording the movement and behavior of animals on a farm is an adopted method for successfully determining the duration of the estrus cycle in ruminant animals. The Internet is a technology that offers remarkable solutions for such applications. The aim of this study is to determine the hourly step counts and to find the estrus period in the most accurate way with a circuit design applied to the ankles of animals using an IoT-supported microcontroller. The data is transferred to the web environment wirelessly and monitored via wi-fi communication signals. This wireless wearable and network equipment determines the step count and monitors the animal's abnormal body temperature. An IoT-supported microcontroller provides wireless communication, high-speed data transmission, and low power consumption. Insemination was ensured by testing different animals on the application farm. The data is monitored in real-time, and the system gives an alert. Low cost, high reliability, and being able to be watched over the internet are the advantages of the system. This study helped develop new techniques and provided a low-cost proposition for testing wearable technologies on animals.
Reproductive and economic evaluation of sexual stimulation during the anestrous period in a commercial farm with neonatal lamb losses
Authors: Takci A. , Kivrak M.B. , Murat H. , Cizmeci S.U.
Published: July 2023

ABSTRACT This study was performed during the anestrous, involving 140 Akkaraman Kangal ewes whose lambs had died in the neonatal stage due to pneumonia and enteritis. Intravaginal sponge containing progesterone was placed to the animals (Group 1, n = 70) on day 0 and removed after 7 days, following which 263 µg PGF2α and 500 IU eCG were administered to the sheep. Ram introduction was performed for 7 days (days 8-14), starting from the day after the removal of the intravaginal sponge (day 8). The animals in Group 2 (n = 70) were not exposed to any treatment. Ram introduction was performed simultaneously in both the groups. To determine the reproductive response, reproductive parameters such as estrous, pregnancy, multiple pregnancy, and embryonic mortality rates, number of births, number of offspring, and fertility, as well as their economic implications, were compared between groups. Each reproductive parameter exhibited a statistical difference between groups. An economically positive trend was observed in the study group compared with the control group. It was concluded that in case of lamb losses in commercial farms that derive profit from lambing, pregnancy of ewes can be achieved via sexual stimulation without waiting for the next breeding season.
Mixed infection of Bartonella and Eperythrozoon in a dog - case report
Authors: Shao Nihui , Xue Zihan , Wang Rujia , Ma Yonggang , Fang Dong , Zou Hui
Published: July 2023

ABSTRACT A March male Golden, weighing 7.6kg, presented with gradual weight loss, high body temperature, depression, poor appetite and thirst, and vomiting before consultation. The results showed that the erythrocytes, hematocrit, hemoglobin, and platelets were lower than the reference values. The diagnosis of mixed infection with haematocrit and eosinophilic bodies was confirmed by real-time fluorescence PCR of whole blood, which was positive for haematocrit and eosinophilic bodies. The dog was treated with doxycycline and ceftriaxone, and the dog fully recovered after 2 weeks with blood transfusion, symptomatic treatment, and supportive therapy. This indicates that the disease can be treated well by a comprehensive treatment approach.
Effect of lunging exercise program with Pessoa training aid on cardiac physical conditioning predictors in adult horses
Authors: Siqueira R.F. , Teixeira M.S. , Perez F.P. , Gulart L.S.
Published: July 2023

ABSTRACT The aim of this study was to evaluate the effect the Pessoa training aid (PTA) exercise program exerts in some physical conditioning predictors. Eight detrained adult horses were evaluated in 12 sessions of work with PTA (3 sessions per week). All horses used a heart rate monitor and GPS (V800, Polar Electro) and data was used to calculate energy expenditure (EE), net cost of transport (COT), metabolic energy requirement (Pmet), oxygen pulse, oxygen utilization, heart rate and heart rate variability (HRV). The horses were weighted, and the thoracolumbar shape were measured at the level of the 18th (T18), 13th (T13) and 8th (T8) thoracic vertebrae with a flexible ruler before and after the experimental period. Data obtained weekly were submitted to ANOVA and Tukey test (p≤0.05). Data obtained just before and after the experimental period were submitted to paired t test. There was a decrease in left-right asymmetry. In the third week there was an increase in HR, EE, oxygen pulse and oxygen utilization followed by a decrease in the fourth week. The biomechanics related parameters, COT and Pmet decreased week by week. The HRV showed a sympathetic stimulus in the third week followed by a shift to parasympathetic in the fourth week. We conclude that 12 sessions of lunge exercise with PTA contributed to physical condition improvement.
Effects of multimodal environmental modification in crystal-related feline lower urinary tract diseases
Authors: Kurum H. , Yalcin Ebru
Published: July 2023

ABSTRACT This study aims to analyze the effects of multimodal environmental modification (MEMO) of cats with recurrence of lower urinary tract signs (LUTS). Treatment of FLUTD included pharmacological treatment, dietary management, and multimodal environmental modification approaches. Twenty client-owned indoor-housed cats with recurrence of lower urinary tract signs had been covered in this observation. Diagnosis of lower urinary tract was made primarily based on the cat's clinical signs, results of laboratory parameters, urinalysis and ultrasonographic examination. Cats were divided into two groups as cefovecin (8 mg/kg sc, single time use) + meloxicam (0.1mg/kg q24h, 3 days) + dry food including l-tryptophan and milk protein hydrolysate to dissolve struvite stones (Group 1) and cefovecin + meloxicam + dry food including l-tryptophan and milk protein hydrolysate to dissolve struvite stones + multimodal environmental modification (Group 2). Clinical and urinary parameters are scored as 0, 1, 2, 3 or 4 points on initial, third, seventh days. Scores of clinical parameters were significantly different between (p<0.05) group 2 and group 1 on the third and seventh days and scores of urinary parameters are significantly different between (p<0.05) group 2 than group 1 on the seventh day. Clients who were contacted after 1 year reported that they did not see any clinical signs of urinary tract diseases.
Evaluation of cell proliferation and apoptosis markers as predictive factors for electrochemotherapy in cutaneous squamous cell carcinoma of cats
Authors: Ribeiro Roana Cecília S. , Anjos Denner S. , Pazzini Josiane M. , Bertolo Paulo Henrique L. , Carra Gabriel João U. , Nardi Andrigo B. De
Published: July 2023

ABSTRACT: Determining cell proliferation rates and tumor apoptosis through immunohistochemistry allows the evaluation of the biological behavior of the tumor, optimizing the patient’s clinical course. This study aimed to analyze the immunohistochemical expression of Ki-67, COX-2 and caspase-3 and correlate them with the type of response to ECT in feline cutaneous squamous cell carcinoma (SCC), thus determining the predictive potential of these variables. For this, 13 samples of feline cutaneous SCC were evaluated before ECT, and statistical analyses of the correlation intensity between the variables were performed using the Spearman correlation coefficient, with a significance level of 95%. The results indicate a significant negative correlation between histopathological grade and response to ECT (ρ=-0.6; p=0.03); there was no significant correlation between Ki-67, COX-2 and caspase-3 immunoexpression with the response to ECT (ρ=-0.18; p=0.54/ρ=-0.23; p=0.44/ρ=-0.12; p=0.69, respectively). Therefore, the study shows that the histopathological grade, tumor size and staging, degree of cellular pleomorphism and degree of inflammatory infiltrate can be considered negative prognostic factors for cutaneous SCC and negative predictors for response to ECT. However, the markers Ki-67, COX-2 and caspase-3 are not considered predictive factors for the type of response to ECT. In addition, no relationship between these immunoexpressions and greater tumor aggressiveness was observed. The SCCs evaluated in this study showed significant COX-2 labeling, indicating a potential therapeutic target. ECT has been shown to be safe and effective for local control of feline cutaneous SCC but with reduced effectiveness in larger and invasive lesions.
Dry-eye syndrome in Shih Tzu dog: Ocular surface clinical and morphological aspects in the different stages of keratoconjunctivitis sicca
Authors: Fayad Andre R. , Lobo Thaissa V. , Silva Rayanne Henrique da , Neves Carla Amorim , Arnold Emmanuel , Lima Aline Maria V. , Moura Veridiana M.B.D. de
Published: July 2023

ABSTRACT: This study analyzed clinical and cyto-histomorphological parameters of the ocular surface of Shih Tzu dogs, non-carriers and carriers of quantitative keratoconjunctivitis sicca (KCS) at different stages. Thirty-five eyes from 23 male and female Shih Tzu dogs between two and eight years were evaluated in four groups: control group (CG - without KCS), mild KCS group (KCS1), moderate KCS group (KCS2), and severe KCS group (KCS3). Most clinical variables among KCS carrier groups worsened at the more advanced stages of the disease, with a negative correlation between the Schirmer tear test (STT-1) and tear film break-up time (TBUT). Squamous metaplasia, lymphoplasmacytic inflammatory infiltrate, and decrease in conjunctival goblet cells on histopathological examination comprised disease severity parameters. Quantitative KCS non-carried Shih Tzu dogs have qualitative and tear film distribution changes. The cytomorphological exam is limited to evaluating the inflammatory infiltrate and quantifying conjunctival goblet cells. However, intermediate epithelial cells were higher in healthy eyes compared to eyes with KCS in Shih Tzu dogs. Also, moderate and severe KCS carrier Shih Tzu dogs have qualitative dysfunction of the tear film. KCS in Shih Tzu dogs is common and chronic and may be responsible for the loss of vision of these animals. Early identification of the disease and routine evaluation can improve these dogs’ quality of life and ocular health.
Instantánea de aguará guazú: etnografía de un monitoreo participativo con cámaras trampa en Paso Centurión, Uruguay
Authors: Chouhy Clulow Magdalena
Published: July 2023

Resumen En 2013 una ambigua fotografía de cámara trampa puso en discusión la extinción del aguará guazú en el territorio uruguayo. Este registro, tomado en el marco de un monitoreo participativo con cámaras trampa realizado en Paso Centurión, un área protegida del departamento de Cerro Largo, en el noreste del Uruguay, da lugar a reflexiones antropológicas sobre distintas formas de conocimiento y relaciones entre humanos y animales que se encuentran, dialogan y tensionan. Este trabajo parte de una etnografía sobre diálogos entre conocimientos locales y biológicos, enfocando en particular en un monitoreo participativo con cámaras trampa desarrollado por una organización civil que combina biología y activismo ambiental en la localidad. Nos centramos en las relaciones con uno de los animales registrados, el aguará guazú, para discutir acerca de sus categorizaciones como especie rara, presente o elusiva y su devenir como emblema del monitoreo.
Gestão da Reserva Extrativista Tapajós-Arapiuns: Limites e possibilidades na percepção de seus conselheiros
Authors: Mota Anne Gabriella Salgado dos Santos , Farias Maria da Luz , Silva Andrea Araújo da , Vieira Thiago Almeida , Alves Helionora da Silva , Silva Alanna do Socorro Lima da
Published: July 2023

Resumo Unidades de Conservação (UCs) são áreas estratégicas para conservação da sociobiodiversidade, fortalecem as comunidades tradicionais e promovem desenvolvimento sustentável, necessitando que sua gestão territorial seja inclusiva, participativa e integradora. Este estudo analisou a gestão compartilhada da Reserva Extrativista Tapajós-Arapiuns e suas contribuições para o desenvolvimento socioeconômico desta UC, na percepção de membros do Conselho Deliberativo. O método da Análise de Conteúdo foi utilizado para analisar os dados resultantes de entrevistas semiestruturada. Foram identificados padrões de discursos que indicam pontos de melhoria para o fortalecimento institucional do Conselho Deliberativo.
Objetivos de Desenvolvimento Sustentável: o impacto de grandes representantes da construção brasileira
Authors: Ferreira Tamiris Capellaro , Caldana Adriana Cristina Ferreira , Batalhão André Cavalcante da Silva , Alves Marlon Fernandes Rodrigues , Paliari José Carlos
Published: July 2023

Resumo As grandes corporações causam os danos mais significativos, mas podem contribuir para alcançar os Objetivos de Desenvolvimento Sustentável (ODS) e suas prioridades globais. O objetivo desta pesquisa foi mapear os potenciais impactos relacionados aos ODS, analisando o setor empresarial da construção civil brasileiro, incluindo algumas das principais empresas brasileiras dos seguintes segmentos: construtoras, fábricas e cimenteiras, analisando seus relatórios de sustentabilidade de acordo com o modelo da Global Reporting Initiative (GRI). Foi identificado que apenas quatro entre os dezessete ODS não são diretamente afetados pelos aspectos materiais do setor de construção brasileiro. Por isso, foram feitas sugestões para a mitigação dos impactos causados, incluindo principalmente medidas governamentais de regulação e fiscalização, bem como medidas empresariais relativas ao modelo de gestão. Com base na teoria da Visão Baseada na Atenção, foram sugeridas contribuições aplicáveis ao modelo de gestão das empresas visando o alcance dos ODS.
Ética climática, (in)justiças e limitações do Pagamento por Serviços Ambientais no Brasil
Authors: Salmi Frederico , Canova Moara Almeida , Padgurschi Maíra C. G.
Published: July 2023

Resumo Este artigo analisa, sob a ótica da ética climática, as políticas de Pagamento por Serviços Ambientais nas dimensões local (PSA em São Paulo) e nacional (Plano Nacional de PSA) e o nexo indissociável entre a ética e a dimensão política brasileira. Essa conexão remete a uma reflexão teórica entre as políticas de PSA e o confronto de princípios éticos, por vezes antagônicos. As práticas observadas nas arenas políticas brasileiras foram avaliadas via análise de conteúdo à luz das seguintes categorias: Pluralidade decisória, Localidade energética, Acesso ao conhecimento e ao recurso material, Naturalização planejada e Benefício geracional (PLANB Index). As análises dos resultados transferem à urgência de políticas climáticas alinhadas a um horizonte ético normativo que reduza as iniquidades sociais e climáticas simultaneamente, as quais devem considerar, em termos de escala, as perspectivas locais e o tempo de implementação em sintonia com os acordos globais multilaterais.
Diagnóstico e discussão sobre Planos Municipais de Redução de Riscos no Brasil
Authors: Mendonça Marcos Barreto de , Gregorio Leandro Torres Di , Alfradique Christine de Oliveira Silva
Published: July 2023

Resumo Em 2003, mediante o cenário de desastres associados a deslizamentos e inundações, o Governo Federal Brasileiro iniciou um programa de incentivo à elaboração de Planos Municipais de Redução de Riscos (PMRRs). Diante do ineditismo da ação e da variedade de instituições responsáveis pela sua execução, envolvendo diferentes recursos materiais e humanos, é importante dar-se a conhecer como os PMRRs vêm sendo construídos para, possivelmente, se buscar seu aperfeiçoamento. O presente trabalho realizou o levantamento de informações sobre os 33 PMRRs disponibilizados no site do Ministério do Desenvolvimento Regional, focando-se nos seguintes itens: composição da equipe técnica envolvida; participação popular; mapeamento de risco; tipologias e custos de ações estruturais propostas; ações não estruturais. Dentre as conclusões, destaca-se a observação de uma excessiva assimetria de abordagem dos PMRRs a favor dos aspectos físicos do problema em detrimento dos sociais, influenciando o método de estimativa do risco e as medidas mitigadoras propostas.
KNOWLEDGE AND PRACTICE OF NURSING IN SICKLE CELL DISEASE AND HEMOGLOBINOPATHIES IN PRIMARY CARE
Authors: Araújo Claudirene Milagres , Ferreira Brisa Emanuelle Silva , Meira Maria Silvia de Jesus Nunes , Mucuta Nadjulia de Jesus , Andrade Renê Rummenygg Guimarães , Oliveira Thiago Henrique Caldeira de , Gonçalves Gleisy Kelly Neves
Published: July 2023

ABSTRACT Objective: to investigate the level of knowledge of nurses in Basic Health Units and their engagement in monitoring patients with sickle cell disease and other hemoglobinopathies. Methods: this is a qualitative, descriptive-exploratory study, carried out with 12 nurses from basic health units in the municipality of Santa Luzia/Minas Gerais between August 2018 and February 2019. The semi-structured interview was the technique used for data collection, which was analyzed using Content Analysis. Results: the analysis of the interviews emerged in the construction of three categories: understanding of sickle cell disease, risk factors, and alterations on physical examination; nursing care at the health unit according to the recommendation of the Ministry of Health; obstacles and facilitators for the tracking and identification of patients. Discourse analysis highlighted: the outstanding presence of misconceptions regarding sickle cell disease; the absence of effective follow-up of patients in the area covered by the nurse; and the non-existence of a positive sickle cell disease patient link with primary care. Conclusion: although nursing plays a fundamental role in monitoring and assisting patients with sickle cell disease, the study revealed a significant gap between care recommendations and practice in basic health units.
STRESS AND SUFFERING IN HOSPITAL NURSES: RELATIONSHIP WITH PERSONAL AND WORK VARIABLES AND LIFE HABITS
Authors: Medeiros Sílvia Elizabeth Gomes de , Aquino Jael Maria de , Arruda Gustavo Aires de , Robazzi Maria Lúcia do Carmo Cruz , Gomes Betânia da Mata Ribeiro , Andrade Maria Sandra , Monteiro Estela Maria Leite Meirelles
Published: July 2023

ABSTRACT Objective: to identify the possible associations between stress and suffering with personal, work and lifestyle variables. Method: cross-sectional, quantitative, exploratory, correlational, conducted from June 2019 to February 2020. Data on personal characteristics, life habits and working conditions were obtained with the application of a questionnaire. To assess stress, the Nurses’ Stress Inventory (Inventário de Estresse em Enfermeiros) was used and, for suffering, the Pleasure and Suffering Indicators at Work Scale was applied, both in the Brazilian versions. Results: stress was associated with dissatisfaction with remuneration, indicators of suffering and interest in changing jobs and professions. The comparisons between the indicators of suffering and the domains of stress investigation were significant. Conclusion: the stress experienced in nurses' work activity is strongly influenced by low remuneration, leading them to wish to change jobs and professions. Professional burnout and lack of recognition are stressors that drive defense mechanisms, among them, the desire to change jobs.
COMPETENCIES FOR AEROMEDICAL EVACUATION PRACTICES IN EMERGENCIES AND DISASTERS: A SCOPING REVIEW
Authors: Haberland Débora Fernanda , Silva Thiago Augusto Soares Monteiro da , Kneodler Thais da Silva , Guilherme Fábio José de Almeida , Borges Letícia Lima , Oliveira Alexandre Barbosa de
Published: July 2023

ABSTRACT Objective: to map the competencies developed in training strategies for air transport practices for patients, in the face of emergency situations and disasters involving chemical, biological, radiological and nuclear (CBRN) agents. Method: this is a scoping review structured in accordance with the JBI and Preferred Reporting Items for Systematic reviews and Metanalyses extension for Scoping Reviews recommendations. The study was carried out in five stages: search for sources in 17 databases, an information portal and two repositories of gray literature, using 125 DeCS, MeSH and Emtree descriptors, without temporal and idiomatic clipping; selection; critical reading of the texts selected by two double-blind reviewers; summary of results and presentation of mapped competencies. Results: a total of 878 studies were analyzed, of which 18 composed the sample. In all, 11 competencies were mapped, with emphasis on the technical training domain. Competencies refer especially to technical-scientific knowledge in disaster situations involving CBRN agents and the safety of patients and professionals involved. Conclusion: the operationalization of artifices to improve qualification processes based on competencies proved to be strategic to increase the quality and safety of patient air transport practices. The approach of the sources on specific aspects of the particularities of practices related to emergencies and disasters involving CBRN agents in training/training processes demonstrates the academic effort to promote the reduction of the risk of these events when, in due course, civil and military institutions and their health operators are activated.
DESENVOLVIMENTO DO CACTO: PROGRAMA DE CUIDADO ÀS MÃES DE CRIANÇAS COM SÍNDROME CONGÊNITA DO ZIKA
Authors: Vale Paulo Roberto Lima Falcão do , Costa Jessica Santos Passos , Freitas Katia Santana , Lacerda Maria Ribeiro , Carvalho Rosely Cabral de , Carvalho Evanilda Souza de Santana
Published: July 2023

RESUMO Objetivo: desenvolver um programa de cuidado unitário às mães de crianças com Síndrome Congênita do vírus Zika. Método: estudo metodológico, fundamentado na Ciência do Cuidado Unitário, desenvolvido em duas fases: criação, constituída por seis momentos, e validação de conteúdo mediante participação de 36 experts na temática, cuidadoras profissionais e mães. O Índice de Validação de Conteúdo e o Content Validity Ratio foram utilizados para análise dos dados. Resultados: o programa foi nomeado de CACTO, composto por sete modalidades de cuidado: Cuidando da minha mente; Posição ereta e correta; Cuidando do meu sono; Família que chega junto; Espelho espelho meu; Mãe que cuida de mãe; Enfrentando preconceitos. O CACTO foi validado com Índice de Validação de Conteúdo ≥0,88 e valores do Content Validity Ratio crítico maior ou igual ao ponto de corte definido para cada grupo de experts. Conclusão: a translação da Ciência do Cuidado Unitário em programa de cuidado estimula as profissionais a promoverem cuidados inovadores, valorizando o acolhimento, autonomia, cidadania e consciência crítica, advogando em favor do cuidado interacional emancipatório. O CACTO é uma inovação tecnológica que pode transformar os cuidados profissionais, promover resolutividade das necessidades de saúde das mães e potencializar qualidade de vida da criança com Síndrome Congênita do vírus Zika, família e das próprias cuidadoras.
EXPERIENCE OF CARE NURSES: APPROACHES TO THE PRINCIPLES OF NAVIGATION OF CANCER PATIENTS
Authors: Roque Andréa Cibele , Gonçalves Ivana Regina , Popim Regina Célia
Published: July 2023

ABSTRACT Objective: To understand the experiences of nurses assisting cancer patients, according to Harold Freeman´s principles of navigation. Method: A qualitative study conducted in a large public hospital in the State of São Paulo in December 2021. Six nurses were interviewed using a semi-structured script with questions about the care of cancer patients and their families. The data were submitted to content analysis with theoretical framework of Harold Freeman. Results: Five categories emerged from the statements: fluidity in care; integration between teams; bond with patients and families; competencies of care nurses in the navigation of cancer patients; valorization and facilities in team training. Conclusion: According to the categories observed, we can consider that the experiences of care nurses working in an oncology unit revealed the strengthening of navigation principles contributing to the care and minimization of barriers, which can facilitate and/or soften the therapeutic path of the cancer patient.
EXPERIÊNCIA DE ENFERMEIRAS ASSISTENCIAIS: APROXIMAÇÕES AOS PRINCÍPIOS DA NAVEGAÇÃO DE PACIENTES ONCOLÓGICOS
Authors: Roque Andréa Cibele , Gonçalves Ivana Regina , Popim Regina Célia
Published: July 2023

RESUMO Objetivo: Compreender as experiências de enfermeiras assistenciais aos pacientes oncológicos, segundo os princípios da navegação de Harold Freeman. Método: Estudo de abordagem qualitativa, realizado em hospital público de grande porte no interior do Estado de São Paulo no mês de dezembro de 2021. Foram entrevistadas seis enfermeiras por meio de roteiro semiestruturado com questões acerca do atendimento ao paciente oncológico e familiares. Os dados foram submetidos à análise de análise de conteúdo com referencial teórico de Harold Freeman. Resultados: Cinco categorias emergiram dos depoimentos: fluidez na assistência; integração entre as equipes; vínculo com pacientes e familiares; competências das enfermeiras assistenciais na navegação de pacientes oncológicos; valorização e facilidades no treinamento das equipes. Conclusão: De acordo com as categorias observadas, podemos considerar que as experiências de enfermeiras assistenciais que atuam em unidade oncológica revelaram o fortalecimento dos princípios de navegação contribuindo para o atendimento e minimização de barreiras, o que pode facilitar e/ou suavizar o trajeto terapêutico do paciente oncológico.
CIUDADANÍA CON SENTIDO: APROPIACIÓN DE TIC PARA LA FORMACIÓN CIUDADANA
Authors: Giraldo-Ramírez María Elena , Ángel-Uribe Isabel Cristina , Rodríguez-Velásquez Maribel , Sánchez-García Oscar Eduardo
Published: July 2023

Resumen El artículo presenta la experiencia investigativa de Ciudadanía con Sentido desde la construcción de: redes sociales comunitarias de iniciativas ciudadanas para la construcción de la cultura de paz; propuesta de formación para la apropiación de tecnologías de información y comunicación (TIC) y estrategia para el desarrollo de una plataforma digital desde una perspectiva social. Se presenta el contexto en el que se desarrolla la experiencia, en términos socio-políticos y teóricos; luego se describe la estrategia metodológica con diferentes grupos poblacionales de Medellín y, por último, los resultados en clave de una propuesta que articula el desarrollo de una plataforma digital desde una perspectiva social de formación para la apropiación de tecnologías y la construcción de iniciativas ciudadanas en comunidades vulnerables.
Análise de variáveis com potencial discriminante para classificação de escolas médicas
Authors: Vaccarezza Gabriela Furst , Montagna Erik , Barata Rita Barradas , Carneiro Junior Nivaldo
Published: July 2023

Resumo: Introdução: Este estudo metodológico pretendeu identificar em qual medida um conjunto de variáveis características de escolas médicas possui capacidade discriminante na classificação dos cursos por meio da análise de agrupamento. Nas últimas décadas, houve um aumento expressivo do número de vagas ofertadas para cursos médicos. Esse advento impôs desafios para os programas de avaliação, tanto pela necessidade de expandir o processo como pela necessidade de implantação de novos indicadores de qualidade. Objetivo: Esse estudo teve como objetivo propor técnicas de análise para aprimorar a capacidade discriminante na classificação de cursos médicos mediante variáveis objetivas relacionadas a aspectos estruturais e operacionais que possam ser incorporadas aos métodos já utilizados. Método: Trata-se de um estudo descritivo, analítico-metodológico e quantitativo que utilizou dados dos cursos médicos de São Paulo, em dezembro de 2020. Foi realizada análise por agrupamentos hierárquico e não hierárquico dos cursos para identificar variáveis com capacidade discriminante em busca de padrões que cooperem para a classificação das escolas médicas. As variáveis estudadas foram: início do curso, carga horária, regime letivo, metodologia, hospital universitário, categoria administrativa da instituição e gratuidade. Para a construção dos agrupamentos, adotaram-se o método de Ward e a distância euclidiana para estimar a discriminação entre os grupos. No agrupamento não hierárquico, a definição da quantidade de grupos foi determinada pela análise da diminuição da variância. Avaliou-se a correlação entre as variáveis por meio de mapas de calor. Resultado: As análises de agrupamento mostraram a existência de três grupos de escolas médicas por similaridade: um grupo composto por escolas mais antigas e com maior carga horária, e, nos outros dois, consideraram-se as escolas não gratuitas sem hospital universitário, diferenciando-se pela idade das escolas. Além disso, as correlações reforçaram que as variáveis adotadas cooperavam para a discriminabilidade entre grupos. Há reconhecida heterogeneidade entre os cursos de graduação no Brasil, e esse dado também se aplica aos cursos médicos que impõem desafios metodológicos para os processos de avaliação estabelecidos. Entretanto, a inclusão de variáveis requer métodos capazes de refinar a capacidade discriminante da análise. Conclusão: A análise aqui proposta mostrou-se capaz de identificar grupos de escolas médicas por meio de indicadores objetivos e pode auxiliar o processo de avaliação das escolas médicas.
Analysis of discriminant variables for classification of medical schools
Authors: Vaccarezza Gabriela Furst , Montagna Erik , Barata Rita Barradas , Carneiro Junior Nivaldo
Published: July 2023

Abstract: Introduction: This is a methodological study that aims to identify the extent to which a set of variables characteristic of medical schools have a discriminating capacity to classify the courses through cluster analysis. In the last two decades, there has been a significant increase of vacancies in medical courses. This advent has posed challenges for evaluation programs, both because of the need to expand the evaluation process and the need to implement new quality indicators. Objective: To propose analysis techniques to improve the discriminating capacity to classify medical courses through variables related to structural, operational, and objective aspects that can be incorporated into the already used methods. Method: Descriptive, analytical-methodological, quantitative study that used data from existing medical courses in December 2020, in the state of São Paulo. Analysis by hierarchical and non-hierarchical clustering of courses was performed to identify the discriminating elements that provide standards that cooperate for the classification of medical schools. The studied variables were: course start, workload, academic regime, methodology, University-Hospital, administrative category of the institution, gratuity. For the construction of the clusters, the Ward method and the Euclidean distance were used to estimate the discrimination between the groups. In the non-hierarchical clustering, the definition of the number of groups was determined by the analysis of the decrease in variance. The correlation between the variables was also evaluated through heatmaps. Results: The cluster analysis showed the existence of three groups of medical schools by similarity, with one group consisting of older schools with greater workload, and the other two consisting of private schools without a university-hospital, differing by the course time. Furthermore, the correlations reinforced that the adopted variables cooperated for the discriminability between the groups. Discussion: There is a known heterogeneity among undergraduate courses in Brazil and this also applies to medical courses, which poses methodological challenges for the established assessment processes. However, the inclusion of variables requires methods capable of refining the discriminant capacity of the analysis. Conclusion: The analysis proposed here proved to be capable of identifying groups of medical schools through objective indicators that can support the evaluation process of medical schools.
Tradução, adaptação transcultural e validação de escala que avalia o profissionalismo interprofissional
Authors: Mendonça Patrícia Travassos Karam de Arruda , Lapenda Izadora Lorenza Cavalcanti de Morais , Paiva Vitória Farias , Souza Edvaldo da Silva
Published: July 2023

Resumo: Introdução: Nas últimas décadas, a educação interprofissional vem ganhando cada vez mais visibilidade na área da saúde, a partir do reconhecimento de que essa abordagem é capaz de melhorar a qualidade da assistência à saúde e contribuir para a qualificação dos profissionais de saúde e a formação dos estudantes de diversas graduações. No entanto, no Brasil, ainda são escassas as experiências, bem como as publicações relativas ao tema. Objetivo: Este estudo teve como objetivo apresentar os procedimentos e a análise estatística relacionados às etapas de tradução e adaptação transcultural da Interprofessional Professionalism Assessment (IPA), ferramenta observacional, publicada em 2018, elaborada na língua inglesa, capaz de mensurar o profissionalismo interprofissional entre estudantes e profissionais da saúde, no contexto do cuidado centrado no paciente. Método: O estudo transcorreu na Faculdade Pernambucana de Saúde,,no período de julho de 2020 a outubro de 2021. A amostra foi composta por três tradutores, cinco especialistas e 201 estudantes do curso de Medicina, que foram submetidos ao questionário com a finalidade de testar a confiabilidade e validade da versão final em português. Considerou-se aceitável o alfa de Cronbach igual ou superior a 0,70. Resultado: O estudo cumpriu rigorosamente as exigências metodológicas recomendadas internacionalmente para as etapas de tradução, retrotradução, painel de especialistas, teste, reteste e teste final. Gerou-se a versão traduzida para o português e adaptada para a cultura brasileira. Após o teste da versão final, realizado com estudantes do internato do curso médico, obteve-se coeficiente alfa de Cronbach igual a 0,94. Conclusão: A confiabilidade obtida foi considerada elevada, refletindo a boa consistência interna do instrumento produzido.
Reflexões sobre a utilização do Teste de Progresso na avaliação programática do estudante
Authors: Troncon Luiz Ernesto de Almeida , Elias Lucila Leico Kagohara , Osako Mariana Kiomy , Romão Elen Almeida , Bollela Valdes Roberto , Moriguti Júlio Cesar
Published: July 2023

Resumo: Introdução: O Teste de Progresso (TP) constitui modalidade estabelecida e bem-sucedida de avaliação de conhecimentos do estudante das profissões da saúde, principalmente os de Medicina, com potencial de contribuir substancialmente para as finalidades formativa e informativa (controle de qualidade e indicação de melhoria nos processos de ensino e aprendizagem). Adicionalmente, o TP apresenta características adequadas à sua inclusão em sistemas institucionais de avaliação que privilegiem a finalidade formativa, como a avaliação programática (AP), mas que cumprem também a somativa. Nas escolas que vêm definindo ações visando à introdução da AP em seus cursos de graduação, é necessária a reflexão sobre as fortalezas e limitações da utilização do TP no sistema de avaliação. Desenvolvimento: A partir das considerações de um grupo de trabalho representativo de toda a instituição, incumbido de propor meios de introdução da AP em um novo currículo para o curso de Medicina, contando com assessoria internacional com experiência tanto no TP como na AP, elaborou-se reflexão sobre esse tema, baseada na experiência dos autores e em dados da literatura. Propõe-se que, dentro da perspectiva longitudinal da AP, o TP constitua um dos pilares na avaliação de conhecimentos. O TP pode servir de base para acompanhamento do estudante, no contexto da sua turma (coorte), e seus resultados devem ser discutidos com o mentor que o acompanha e lhe dá suporte. O TP deve ter também papel central na gestão, como fonte de informações para eventual revisão e qualificação do currículo e das suas atividades de ensino e aprendizagem. É previsível que a utilização do TP na AP traga diferentes desafios e barreiras, que serão mais facilmente superados se houver na instituição experiências já consolidadas de aplicação de exames institucionais e de desenvolvimento docente para a elaboração de questões objetivas de boa qualidade. Conclusão: A efetividade do TP dentro do sistema institucional de AP vai depender de medidas que visem aumentar a sua efetividade na avaliação e que estimulem a participação ativa do estudante, refletindo sobre seu desempenho no TP, com o apoio do seu mentor, de modo a se engajar em ações que fomentem a autorregulação da aprendizagem.