bluuebunny/crossref_metadata_2025 huggingface dataset:
Etablierung von Gratiszeitungen in Deutschland
Authors: Kistner André , Möhring Wiebke , Schneider Beate
Published: December 2019

Gratiszeitungen haben sich seit ihrem ersten Erscheinen 1995 in Stockholm auf zahlreichen ausländischen Pressemärkten etabliert. Deutschland hingegen stellt nach mehreren gescheiterten Versuchen bisher einen der wenigen Märkte ohne Gratiszeitungen dar. Für eine erfolgreiche Etablierung von Gratiszeitungen auf dem deutschen Zeitungsmarkt wird über verschiedene Strategien nachgedacht. Um solche Szenarien zu identifizieren, wurden zehn Experteninterviews mit deutschen Verlegern, Wissenschaftlern und einem Verbandsvertreter geführt.
Tariftypenwahl von Privatkunden im deutschen Mobilfunkmarkt
Authors: Gerpott Torsten J.
Published: December 2019

Im deutschen Mobilfunkmarkt haben Privatkunden die Wahl zwischen Pauschaltarifen, nutzungsabhängigen Tarifen mit monatlicher Grundgebühr und Nutzungstarifen ohne Grundgebühr. Die Forschung zu anderen Telekommunikations-/Mediendiensten spricht dafür, dass die Kundenwahl eines dieser drei Tariftypen nicht nur durch die erwartete Menge abgehender Verbindungsminuten und den bei ihr anfallenden Rechnungsbetrag, sondern auch durch tariftypenbezogene Wahrnehmungskonstrukte beeinflusst wird. Der vorliegende Beitrag untersucht die Haltbarkeit dieser Vermutung in einer Stichprobe von 203 privaten Mobilfunkkunden in Deutschland. Die Analysen deuten darauf hin, dass die Wahl eines Tariftyps für mobile Sprachverbindungen gleichermaßen vom Nutzungsverhalten und von Wahrnehmungen tariftypenspezifischer Merkmale (z.B. Taxameterempfindungen) abhängt.
Corporate Social Responsibility und Medienunternehmen
Authors: Karmasin Matthias , Strahlendorf Peter , Nehm Florian
Published: December 2019

Die Fähigkeit eines Unternehmens, über den Tellerrand des rein wirtschaftlichen Handelns hinauszublicken und sich als glaubwürdiges Glied in der Gesellschaft zu definieren, gilt als zunehmend wichtiger Erfolgsfaktor. Als ungenügend wird die enge opportunistische Ausrichtung des Managementhandelns auf den Shareholder Value gegeißelt. Der Gesellschaft wird die Legitimation zugesprochen, die Unternehmen darauf hin zu beurteilen, ob sie in ihren Aktivitäten moralischen Grundsätzen standhalten und zu einem „guten“ gesellschaftlichen Leben beitragen. Umgekehrt wird von den Unternehmen verlangt, diesen Beitrag zur „Social Responsiveness“ sichtbar zu machen, sich offen gegenüber der Unternehmensumwelt zu verhalten, ein ehrliches Verhalten an den Tag zu legen und auf die Interessen und Anliegen der Stakeholder konstruktiv einzugehen. Die nachfolgenden Standpunkte zum Thema CSR beleuchten die Thematik aus unterschiedlichen Perspektiven. Matthias Karmasin gibt einen methodischen Überblick über die Konzeptionen und Instrumente von CSR und verweist auf die hohe Verantwortung von Medien unternehmen, sich ernsthaft mit CSR auseinander zu setzen. Peter Strahlendorf zeigt auf, dass sich im Bereich der Medienunternehmen zahlreiche Beispiele für eindrucksvolle CSR-Aktivitäten finden lassen, dass teilweise aber auch Nach holbedarf, z. B. im Vergleich zur Industrie, besteht. Florian Nehm fokussiert den Blick auf das Nachhaltigkeitskonzept bei der Axel Springer AG.
Das Convergent Media Center an der Hochschule der Medien in Stuttgart
Authors: Ferdinand Stephan , Stumberger Michaela
Published: December 2019

Die Digitalisierung führt in der gesamten Medienwirtschaft wie auch innerhalb einzelner Arbeitsprozesse in der Medienproduktion zu starken strukturellen Veränderungen (vgl. Gläser 2008: 406). Mediengrenzen und etablierte Produktionsprozesse lösen sich zunehmend auf, wodurch „der Wertschöpfungsprozess […] auf der immateriellen Ebene [erfolgt] und somit medienunabhängig“ (Hass 2004: 35) ist. Klassische Medienunternehmen, wie z.B. Verlagshäuser und TV-Sender, können folglich nicht mehr an „ihrem Medium“ festhalten. Dem print-basierten „Qualitätsjournalismus“ steht nun ein „online first“ gegenüber, das TV hingegen sieht sich mit Videoportalen konfrontiert und erfindet sich neu via „HDTV“, „IPTV“ und „WebTV“. Verwandte Beispiele finden sich auch in den anderen Segmenten der Medienwirtschaft – die Formen der Konvergenz sind ebenso zahlreich wie vielfältig.
Leserforschung deutscher Tageszeitungen: Ein Weg in die Zukunft?
Authors: Maier Michaela , Jers Cornelia
Published: December 2019

Die deutschen Tageszeitungen stecken in der Krise. Sowohl konjunkturelle als auch strukturelle Gründe haben zu einer ungewohnt schlechten wirtschaftlichen Lage der Zeitungsbranche geführt. Neben Maßnahmen zur Kostenreduzierung setzen viele Häuser auf Produktinnovationen und neue Dienstleistungen, um ihre Marktposition zu verbessern. Eine Voraussetzung für den Erfolg redaktioneller Innovationen ist die genaue Kenntnis der Präferenzen der potenziellen Leserschaft. In diesem Zusammen hang spielt die Publikumsforschung eine zentrale Rolle für die Zukunftsstrategie der Zeitungsverlage. Auf der Basis des Konzepts der kooperativen Produktgenese analysiert diese Studie die Bedeutung der redaktionellen Leserforschung für die deutschen Zeitungen. Die Daten für die empirischen Analysen wurden im Rahmen einer postalischen Befragung von Chefredakteuren und Geschäftsführern erhoben.
Web 2.0 und etablierte Medienunternehmen
Authors: Dörnemann Jörg , Grau Christoph , Englert Marcus , Salm Christiane zu , Tief Rainer
Published: December 2019

Der Begriff des „Web 2.0“ hat sich in den letzten drei Jahren zu dem Schlagwort entwickelt. Geprägt und popularisiert hat ihn der Verleger Tim O’Reilly, der damit einen griffigen Namen für die veränderte Nutzung des Internet, vor allem des WWW, gefunden hatte. Für ihn stellt das Internet im Sinne des Web 2.0 eine Plattform dar, auf welcher interaktive und gemeinschaftlich genutzte Elemente zum Einsatz kommen. Zahlreiche Webblogs, Social Networks, Wikis, Videoplattformen und ähnliche Angebote sind Sinnbild für diese Entwicklung. Insbesondere unter dem Stichwort User Generated Content hat das Thema Einzug in die Medienbranche gefunden (siehe dazu Stöckl/Grau/Hess aus der „MedienWirtschaft“ 4/2006, S. 46-50). User Generated Content bezeichnet danach die Bereitstellung massenmedialer Inhalte durch Konsumenten ohne direkte Gewinnerzielungsabsicht. Die großen deutschen Medienunternehmen haben in den letzten Jahren ihre Online-Portfolios durch Aktivitäten im Bereich Web 2.0 ergänzt. Es ist daher an der Zeit, ein erstes Zwischenfazit zu ziehen: Was ist aus Web 2.0 geworden? Welche Ideen konnten verwirklicht werden und was hat sich bereits jetzt als unmöglich erwiesen? Wir haben fünf Medienexperten gebeten, ihre Einschätzung abzugeben.
Videospiele als Erfahrungsgut: Der Einfluss von Online-Bewertungen auf den Erfolg von Videospielen
Authors: Jöckel Sven
Published: December 2019

Erfolgreiche Videospiele verkaufen sich mittlerweile millionenfach. Allein in den USA kann ein Videospiel somit Bruttoumsätze von mehr als 100 Million US$ erzielen. Gleichzeitig setzt sich eine Vielzahl an Videospielen nicht am Markt durch. Aus wissenschaftlicher Perspektive haben sich nur wenige Forschungsansätze damit auseinandergesetzt, welche Umstände dazu führen, dass sich ein Videospiel erfolgreich verkauft. Dieser Artikel konzentriert sich auf die Rolle von externen Informationsquellen für den wirtschaftlichen Erfolg von Videospielen. In theoretischer Hinsicht wird auf die Bedeutung der Erfahrungsgutproblematik bei Videospielen zurückgegriffen. Basierend auf einer Vollerhebung aller Videospiele, denen es zwischen 1995 und 2007 gelungen ist, in den USA mehr als eine Million Einheiten zu verkaufen, wird ein Kausalmodell zur Bestimmung des Einflusses von externen Bewertungen auf den Erfolg von Videospielen überprüft.
Reducing Albuterol Use in Children With Bronchiolitis
Authors: Dunn Michelle , Muthu Naveen , Burlingame Caroline C. , Gahman Anne M. , McCloskey Maureen , Tyler Lisa M. , Ware Eileen P. , Zorc Joseph J.
Published: December 2019

OBJECTIVES:

In 2014, the American Academy of Pediatrics published bronchiolitis guidelines recommending against the use of bronchodilators. For the winter of 2015 to 2016, we aimed to reduce the proportion of emergency department patients with bronchiolitis receiving albuterol from 43% (previous winter rate) to <35% and from 18% (previous winter rate) to <10% in the inpatient setting.

METHODS:

A team identified key drivers of albuterol use and potential interventions. We implemented changes to our pathway and the associated order set recommending against routine albuterol use and designed education to accompany the pathway changes. We monitored albuterol use through weekly automated data extraction and reported results back to clinicians. We measured admission rate, length of stay, and revisit rate as balancing measures for the intervention.

RESULTS:

The study period included 3834 emergency department visits and 1119 inpatient hospitalizations. In the emergency department, albuterol use in children with bronchiolitis declined from 43% to 20% and was <3 SD control limits established in the previous year, meeting statistical thresholds for special cause variation. Inpatient albuterol use decreased from 18% to 11% of patients, also achieving special cause variation and approaching our goal. The changes in both departments were sustained through the entire bronchiolitis season, and admission rate, length of stay, and revisit rates remained unchanged.

CONCLUSIONS:

Using a multidisciplinary group that redesigned a clinical pathway and order sets for bronchiolitis, we substantially reduced albuterol use at a large children’s hospital without impacting other outcome measures.
DECISION OF THE EUROPEAN COURT OF HUMAN RIGHTS AS THE SOURCE OF THE CONSTITUTIONAL LAW OF UKRAINE
Authors: Synytsyn P. M.
Published: December 2019

The article has been devoted to the analysis of the nature of the decisions of the European Court of Human Rights as a source of constitutional law of Ukraine. The nature of the judgments of the European Court of Human Rights has been characterized depending on the following factors: state legal system, constitutional approach to the relation between national and international law, the level of bindingness of decisions of the European Court of Human Rights for public authorities. The author has concluded on the duality of nature the decisions of the European Court of Human Rights, namely that, the author considers that the decisions of the European Court of Human Rights have a complicated, complex structure, combining the properties of both a right-interpreting act and a judicial precedent. According to the author, the decisions of the European Court of Human Rights are intended not only to resolve the cases under trial, but also to specify and interpret the rules of the European Convention for the Protection of Human Rights and Fundamental Freedoms. It has been established that the current Ukrainian legislation, establishing the primacy of the rule of law before the law, provides for the obligation of the judicial authorities to apply the decisions of the European Court of Human Rights as a source of law and at the same time the duty of the state to enforce the decisions of the European Court of Human Rights in cases where Ukraine is the defendant. In addition, as the case law of the European Court of Human Rights shows, the judiciary itself emphasizes in its decisions the interpretative nature and the binding nature of all its decisions to be taken into account by all States parties. The Constitutional Court of Ukraine constantly uses the decisions of the European Court of Human Rights to form its own legal positions, after which they actually become a substantive element of the motivating part of the decision of the Constitutional Court of Ukraine. It has been concluded that regardless of whether or not the decision of the European Court of Human Rights has been ruled on Ukraine, it is a source of constitutional law in Ukraine.
ABOUT THE REDUCTION OF CIVIL LIABILITY IN THE CASE OF PENALTY
Authors: Cherkashyn S. V.
Published: December 2019

The article deals with the peculiarities of the historical formation of provisions on the possibility of reducing the amount of the penalty by court. Attention is paid to both the study of the socio-economic aspects of the problem and the consequences of modern practice. The study is based on a historical analysis of the main provisions of the Civil Code Draft (1914), the Civil Code of the Ukrainian SSR (1922), Civil Code of the Ukrainian SSR (1963), and Civil Code of Ukraine (2003). On this basis, regularities of the functioning of judicial restriction of the amount of the penalty, as well as inheritance by legislative acts of the most characteristic rules were established. Considering the regularities of the case law for 2017–2018, placed in the Unified Register of Judgments of Ukraine. Particular attention is paid to the clarification of the higher courts of law regarding the reduction of a penalty in court. Based on the comparison of legal provisions and clarifications of higher courts, was found the historical origins of the problem of application of the provisions of Part 3 of Art. 551 of the Civil Code of Ukraine. In particular, the courts substantially reduce the amount of the penalty in almost all cases without substantiating such action. This practice undermines contractual discipline and distorts the principles of liability laid down in the Civil Code of Ukraine. The analysis of the scientific literature and the case law shows that the reason for this problem is the fact that the reduction of the amount of the penalty is carried out if its size significantly exceeds the damage caused. Such positioning of liability measures is the basis of contractual discipline; otherwise the right of participants to set exactly the amount of responsibility that would make an effort to fulfill the obligation properly is nullified. In the current socio-economic context, the need to apply a judicial restriction on penalties is overwhelmingly lacking. The author proposes to improve the provisions of Part 3 of Art. 551 of the Civil Code of Ukraine by establishing the exclusivity and proportionality of the court’s reduction of the penalty.
COLLECTIVE LABOUR RIGHTS AS THE PRINCIPLES
OF THE EUROPEAN UNION LABOUR LAW
Authors: Rym O. M.
Published: December 2019

The article deals with certain aspects of collective labour rights in the European Union. Prerequisites and procedure of this rights guaranting as general principles of EU law are analyzed and their content is characterized. It is emphasized that such legal establishing took place somewhat haphazardly, both at the level of the acts of primary and secondary law of the European Union and in the case law. As a result, there is no single position on the spectrum of collective labour rights as principles of EU labor law.
The author focuses on significant changes in the understanding of the necessity of cooperation of social partners and the extension of their interaction at the supranational level. It is under the responsibility of the European Commission to promote cooperation between Member States and to facilitate coordination of their activities in the field of the right of association and collective bargaining between employers and employees.
The article clarifies the content of collective labour rights as general principles of EU law on the basis of EU legal acts, the case law of the Court of Justice of the European Union, as well as the scientific works of domestic and foreign scholars. It is noted that the system of collective labour rights, as general principles of EU labour law, consists of the right of collective bargaining and collective action, the right of employees to information and consultation within the enterprise, as well as the freedom of assembly and association.
It is concluded that the necessity of cooperation between the social partners is recognized as one of the foundations of EU labour law. Herewith appropriate interaction is ensured through the normative-legal consolidation of collective labour rights and procedures for their implementation. After all, European Union legal acts allow employees and employers’ representatives to play an active role in regulating labour legal relations. For example, Member States may instruct employers and employees, upon their joint request, to implement Council directives or decisions. In addition, many directives contain warnings about the possibility of derogating from their provisions through the adoption of a collective agreement.
SEPARATE ISSUES OF LEGAL REGULATION OF THE LABOR RELATIONS OF PERSONS RECEIVING POSTGRADUATE EDUCATION
Authors: Parinova A. O.
Published: December 2019

The article is devoted to covering the issues of legal regulation of employment relations of persons receiving postgraduate education. The analysis of the educational and labor legislation on the state of regulation of the exercise of the right to work by the lifelong learners is made. The positions of scientists on defining the concept of education are given, the forms of postgraduate education are indicated. The use of the term "postgraduate education" has not been proven correct, instead it is suggested to use the concept of lifelong education or adult education instead. It is concluded that in modern Ukrainian conditions, both employers and employees, as well as the state and society as a whole, show interest in the effective development of education throughout life, which is a reflection of the global tendency to increase the importance of education as an important factor of socio-economic development. Emphasis is placed on the importance of labor relations in the aspect of the development of lifelong learning. It is argued that lifelong learning should be understood as an important socio-pedagogical phenomenon that, if developed and approved in the state, can overcome such a phenomenon as unemployment. It is stated that the system of national institutes of formal education is a fundamental source of lifelong learning.
Approaches of foreign countries to become a lifelong education institute are analyzed. It is proposed to review the approach currently available in the current labor law and in the draft Labor Code to cover education and labor relations. It is noted that educational- labor relations contain a much larger range of legal regulation issues than just “benefits for workers who combine work with training”.
It is noted that lifelong learning becomes the link between the dynamic development of information technology, the emergence of new social relations, the emergence of new forms of employment. It focuses on the need to create a sound synthesis of educational and labor relations in order to ensure a decent standard of living for the population in today's market economy.
BEFORE UNDERSTANDING THE CONCEPT OF TAX PAYERS’ RIGHTS
Authors: Priamitsyn K. Yu.
Published: December 2019

The article is devoted to defining the concept of renewal of taxpayers’ rights in Ukraine. It is established that the concepts of “violation of the rights of taxpayers”, “protection of the rights of taxpayers”, “restoration of the rights of taxpayers” are not enshrined in the legislation; The examples prove the inefficiency of the procedure for renewal of taxpayers’ rights, which has occurred during the interaction of administrative bodies and taxpayers. An understanding of the subjective rights of taxpayers has been established and their relationship with the legitimate interests of taxpayers has been established. It is proved that under the rights of the taxpayer it is necessary to use the concept of “rights and legitimate interests of taxpayers” as complementary. It is proved that the main direction of real ensuring the renewal of taxpayers’ rights should be the improvement of tax legislation, the creation of rules on administrative remedies for the renewal of taxpayers’ rights. The inefficiency of administrative renewal of taxpayers’ rights has been proved. It is found that the most commonly used procedure is protection, which is not aimed at real restoration of taxpayers’ rights. Therefore, under the renewal of rights we mean a complex of effective remedies for taxpayers’ rights, in which the amount of taxpayer’s rights that existed before the infringement was restored, and the state authorities ensured the forced realization of the renewal of the rights carried out by the taxpayer’s independent actions or appeals to court or administrative bodies over rights and legitimate interests that are not only violated by the controlling bodies, but for which, according to the taxpayer, there is a real threat of infringement. According to the author, it is possible to increase the efficiency of protection of taxpayers’ rights through legislative changes of administrative and legal means of protection and realization of equality in the legal status of the rights of taxpayers and controlling bodies. The article defines the renewal of taxpayers ’rights and proposes to supplement the list of taxpayers’ rights with the right to renew the violated taxpayer’s rights by the controlling body.
LA INSERCIÓN DE YOLANDA OREAMUNO EN EL “MUNDO ELEGANTE” COSTARRICENSE (1931-1935)
Authors: Molina Jiménez Ivan
Published: December 2019

Este artículo analiza una faceta que no ha sido investigada de la reconocida escritora costarricense Yolanda Oreamuno Unger (1916-1956): su inserción en el llamado mundo elegante costarricense de inicios de la década de 1930. Debido a la temprana muerte de su padre (1917), Oreamuno experimentó un deterioro de su condición social, que procuró superar mediante tres estrategias básicas: participar en diversas actividades culturales, modelar para algunos de los principales pintores de la época y competir en varios certámenes de belleza. Como resultado de sus esfuerzos, logró convertirse en una figura mediática de alcance nacional y, por un breve período de tiempo, frecuentó los más exclusivos espacios de sociabilidad de las acomodadas familias de San José.
Encontros Reflexivos Dialogais (ERD): um recurso metodológico possível nas ciências humanas e sociais
Authors: Morais Erivania Melo de
Published: December 2019

Este trabalho tem como finalidade, discutir inicialmente os Encontros Reflexivos Dialogais - ERD[1] como recursos metodológicos possíveis nas ciências humanas e sociais. A sua constituição tem fundamentação nas concepções de grupos focais, a partir de Gatti (2012) e Babour (2009)  e nos grupos reflexivos a partir de Formiga e Barbosa (2008), tendo como base epistêmica a abordagem multirreferencial, que permitiu o seu desenvolvimento a partir da bricolagem e de autorizar-se enquanto um processo criativo da pesquisa, levando em consideração as especificidades e complexidades da investigação científica. Assim para melhor sistematizar a compreensão do ERD, vamos apresenta-lo em dois momentos a saber: o primeiro “A ressignificação metodológica: grupos focais e reflexivos como ponto de partida” e em segundo “Os Encontros Reflexivos Dialogais como recurso metodológico nas ciências humanas e sociais”, dessa forma evidenciamos a relevância desse recurso como um caminho possível para a pesquisa social, que suscitam dois movimentos, primeiro de autorização dos participantes e segundo de apreender os seus sentidos e significados em relação a uma temática.[1] Recurso metodológico utilizado na nossa pesquisa de doutorado no Programa de Pós-Graduação em Ciências Sociais da Universidade Federal do Rio Grande do Norte/UFRN, que está em fase de desenvolvimento, mas que tem se mostrado como um potencial possível para a apreensão do sentidos e significados acerca de algo, sobre processos formativos, reflexivos e constituídos de modo coletivos a partir da imersão do campo de pesquisa.
Promovendo a saúde escolar: a experiência de Hong Kong na parceria saúde e educação
Authors: Vidigal Sonia Maria Pereira
Published: December 2019

Lee A, Tsang C, Lee SH, et alA comprehensive “Healthy Schools Programme” to promote school health: the Hong Kong experience in joining the efforts of health and education sectorsJournal of Epidemiology & Community Health 2003;57:174-177.
Overcoming bashfulness: how cocaine aided Freud to summon the courage to meet Charcot
Authors: Teive Hélio A. G. , Marques Paula T. , Oliveira Livia P. de , Germiniani Francisco M. B. , Paola Luciano de , Camargo Carlos Henrique F.
Published: December 2019

ABSTRACT Jean-Martin Charcot, the most celebrated neurologist of the 19th century, had a profound influence on Sigmund Freud's career. Freud spent the winter of 1885-1886 working in Charcot's neurology department in Paris. During this period, he went to Charcot's house on several occasions to participate in the very famous Tuesday soirées under the guidance of Gilles de la Tourette. Freud was always very proud to be invited and curious to meet the Parisian intellectual elite. On these occasions, however, he was very apprehensive and made frequent use of cocaine. Due to anxiety and the need to appear creative in front of Charcot, it is possible that Freud used cocaine at other times.
Comparison of patients with migraine and tension-type headache in terms of somatosensory amplification and health anxiety
Authors: Cengiz Gül ferda , Sacmaci Hikmet , Aktürk Tülin , Hacimusalar Yunus
Published: December 2019

ABSTRACT Although it is known that anxiety and depressive disorders frequently accompany migraine and TTH, the role of somatic amplification (SSA) and health anxiety in these diseases is not adequately known. Objective: The aim of this study is to compare SSA and health anxiety in patients with migraine or TTH, and healthy controls and to investigate the relationships between SSA, health anxiety, headache characteristics, anxiety and depressive symptoms. Methods: Fifty-four migraine, 50 TTH patients from the outpatient unit of the neurology department and 53 healthy volunteers were recruited for the study. The somatosensory amplification scale (SSAS), health anxiety inventory, Beck depression (BDI) and anxiety inventory (BAI) were administered to all participants. Results: The SSAS scores were significantly higher in migraineurs compared with the healthy controls. The health anxiety scores were significantly higher in both migraine and TTH groups. The BDI and BAI scores were also significantly higher in migraine and TTH groups compared with the controls. A significant positive correlation was found between headache frequency and BAI scores, the visual analogue scale scores and SSAS and BDI scores in migraineurs. The SSAS scores were also significantly correlated with the BDI and BAI scores in both of the headache groups. A similar correlation was determined with the health anxiety scores. Conclusions: While patients with migraine and TTH evalute, taking into account the SSA and health anxiety may contribute to the prognosis and treatment of these diseases.
Carreiras Políticas na Câmara dos Deputados: Uma Análise Quase-Experimental
Authors: Meireles Fernando
Published: December 2019

RESUMO Este artigo investiga o efeito das eleições sobre as carreiras dos candidatos a deputado federal no Brasil. Com um desenho de regressão descontínua, ele mostra que os resultados de uma única eleição têm impactos substantivos na carreira parlamentar: obter um mandato na Câmara causa um aumento de cerca de 25 pontos percentuais a mais na chance de um político ser reeleito quatro anos depois, efeito que permanece positivo por até 12 anos após o primeiro mandato. Candidatos derrotados, ao contrário, passam a ambicionar mais cargos eletivos nos municípios, mas não têm maiores chances de obtê-los e, além disso, também têm probabilidade muito maior de se retirarem da arena eleitoral. Nesse sentido, o artigo contribui ao mostrar que os resultados de uma única eleição afetam decisivamente as perspectivas de carreira dos políticos brasileiros.
Aging, sexuality and nursing care: the elderly woman’s look
Authors: Souza Cinoélia Leal de , Gomes Vanda Santana , Silva Roberta Lopes da , Silva Elaine Santos da , Alves Jaqueline Pereira , Santos Núbia Rêgo , Reis Victor Neves , Ferreira Simone Aline
Published: December 2019

ABSTRACT Objective: to analyze the perception of elderly women about sexuality and practice of nursing care in this context. Method: a descriptive qualitative study. Fifty elderly women from Guanambi City - Bahia State were interviewed in 2016. Data collection technique was direct interview by using an unstructured script. Analysis of the semantic content described was carried out, and two empirical categories: the elderly woman’s view of nursing care in the promotion of sexual health and experience of sexuality in the elderly; and nursing care in the context of women’s aging. Results: it has been noted that the elderly women are afraid to talk about sexuality, especially with health professionals. By influences of society, they often exclude this issue of health care for elderly women. Final considerations: changes must be thought about assistance provided in relation to sexuality.
Advanced mobile prehospital nursing care for elderly people post-trauma: integrative review
Authors: Degani Gláucia Costa , Mendes Karina Dal Sasso , Storti Luana Baldin , Marques Sueli
Published: December 2019

ABSTRACT Objective: to identify scientific evidences available on the literature on nursing interventions on advanced mobile prehospital care for elderly people post-trauma. Method: an integrative review of literature on the databases PubMed, CINAHL, and LILACS, from 2012 to 2017. Results: a sample composed by 26 studies, grouped into six thematic categories: circulation with hemorrhage control (n=11); dysfunction, neurological state (n=7); airway with protection of the cervical spine (n=3); secondary evaluation (n=3); ventilation and breathing (n=1), and environment exposition/control (n=1). Conclusion: Despite having identified nursing interventions, there was no description of specific nursing interventions related to advanced mobile prehospital care for elderly people post-trauma.
Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms
Authors: Santos-Orlandi Ariene Angelini dos , Brigola Allan Gustavo , Ottaviani Ana Carolina , Luchesi Bruna Moretti , Souza Érica Nestor , Moura Fernanda Gomez de , Zacarin Juliana de Fátima , Terassi Mariélli , Oliveira Nathalia Alves de , Pavarini Sofia Cristina Iost
Published: December 2019

ABSTRACT Objective: to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers. Method: a cross - sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables). Results: there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility. Conclusion: elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.
Validation by experts of Risk of suicide Nursing Diagnosis in the elderly
Authors: Sousa Girliani Silva de , Perrelli Jaqueline Galdino Albuquerque , Mangueira Suzana de Oliveira , Sougey Everton Botelho
Published: December 2019

ABSTRACT Objective: to validate the conceptual and operational definitions content of factors for Risk of suicide Nursing Diagnosis in the elderly. Method: this is validation of the conceptual and operational definitions content of factors for Risk of suicide in the elderly, performed by 15 experts, from November 2015 to March 2016. Risk factors were classified into three hierarchical chuncks. The data were analyzed by descriptive statistics and binomial test. Results: of the 54 validated risk factors, only eight presented problems regarding clarity, simplicity and accuracy: chronic pain, vision problems, retirement, frustration, medication neglect and depression. Only rigidity was not validated as relevant for the study diagnosis. Conclusion: content validation of the risk factors for Nursing Diagnosis can guide the clinical practice of the nurse in the early detection of risk of suicide in the elderly.
Elderly caregiver: knowledge, attitudes and practices about falls and its prevention
Authors: Mamani Abigail Roxana Nina , Reiners Annelita Almeida Oliveira , Azevedo Rosemeiry Capriata de Souza , Vechia Akeisa Dieli Ribeiro Dalla , Segri Neuber José , Cardoso Joana Darc Chaves
Published: December 2019

ABSTRACT Objective: investigate the knowledge, attitudes and practices of informal elderly caregivers about falls and its prevention. Method: this is a descriptive cross-sectional study conducted with 97 informal elderly caregivers residents in areas covered by five Health Strategy Units (ESF) in Cuiabá. Results: more than half of the participants are aware of falls and identify them as a problem, as well as they identify some risk factors and prevention measures. Regarding attitudes, more than half of the caregivers do not seem to act effectively to prevent falls. Most of them report adopting practices to prevent falls of the elderly, supervising the activities of their daily lives. Conclusion: caregivers know about falls and its prevention, but in a superficial way, and it seems to influence their attitudes and practices regarding the prevention of this event.
Hospital transition care for the elderly: an integrative review
Authors: Menezes Tânia Maria de Oliva , Oliveira Ana Luíza Barreto de , Santos Lucivalda Barbosa , Freitas Raniele Araújo de , Pedreira Larissa Chaves , Veras Sylvia Maria Cardoso Bastos
Published: December 2019

ABSTRACT Objective: to identify evidence of scientific production on hospital transition care provided to the elderly. Method: an integrative review, with publications search in the MEDLINE, PubMed, LILACS, BDENF, Index Psychology and SciELO databases, with keywords and Mesh terms: elderly, hospitalization, patient discharge, health of the elderly, and transitional care, between 2013 and 2017 in English, Portuguese and Spanish. The 14 selected articles analysis was carried out through exploratory and critical reading of titles, abstracts and results of the researches. Results: transitional care can prevent re-hospitalizations as they enable rehabilitation, promotion and cure of illnesses in the elderly. Final considerations: transitional care implies the improvement of the quality of life of the elderly person, requiring skilled health professionals who involve the family through accessible communication.
Care complexity in hospitalized elderly according to cognitive performance
Authors: Silva Henrique Salmazo da , Gutierrez Beatriz Aparecida Ozello
Published: December 2019

ABSTRACT Objective: to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline. Method: quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP. Results: cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain. Conclusion: the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
Nurses’ competencies in health promotion for homebound older people
Authors: Leandro Telma Alteniza , Alves Allana Mirella , Pinheiro Ana Karina Bezerra , Araujo Thelma Leite de , Quirino Glauberto da Silva , Oliveira Dayanne Rakelly de
Published: December 2019

ABSTRACT Objective: to identify competencies related to health promotion targeting homebound older people, as they appear in the literature. Method: systematic review using the LILACS, Scopus, CINAHL, PubMed and Cochrane Library databases. The search was performed in November 2017. Selected articles were analyzed according to nine competency domains: enable change; advocate for health; mediate through partnership; communication; leadership; assessment; planning; implementation, and evaluation and research. Results: nine clinical trials were included. All health promotion competency domains were identified in the reviewed research interventions, performed with homebound older people. Conclusion: studies showed that the employed treatments were beneficial for the homebound older population. Interventions based on health promotion competencies were positively identified, and are linked to an effective and high-quality health care practice.
Translation and content validation of the Geriatric Institutional Assessment Profile for Brazil
Authors: Souza e Silva Magda Carla de Oliveira , Beleza Cinara Maria Feitosa , Soares Sônia Maria
Published: December 2019

ABSTRACT Objective: to describe the process of content adaptation and validation of the Geriatric Institutional Assessment Profile (GIAP) for nurses working in the health care for older adults in Brazilian hospitals. Method: methodological study conducted in five stages: initial translation, synthesis of initial translation, back translation, evaluation by committee of judges, and pre-test for cultural adaptation of the instrument. Results: the instrument evaluation had good agreement between the judges, with general content validity of 0.94. The items of the translated version evaluated as unsatisfactory by the judges were reformulated from the professionals’ considerations in each group. Thirty-one subjects participated in the study. They considered the instrument easy-to-understand and suggested minor adjustments in some items. Conclusion: the content of the Brazilian version of the GIAP is considered adapted and validated, with potential use in hospital institutions. The next stage will be to submit the instrument to the evaluation process of its psychometric properties for use in Brazilian populations.
Vulnerability of the elderly: a conceptual analysis
Authors: Barbosa Keylla Talitha Fernandes , Oliveira Fabiana Maria Rodrigues Lopes de , Fernandes Maria das Graças Melo
Published: December 2019

ABSTRACT Objective: To analyze the concept of vulnerability of the elderly. Method: A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the Descriptors: Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected. Results: Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly. Conclusion: The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.
Centesimal and mineral composition of the fruit in Brazilian genotypes of feijoa (Acca sellowiana)
Authors: Amarante Cassandro Vidal Talamini do , Souza Alexandra Goede de , Steffens Cristiano André , Benincá Thalita Dal Toé
Published: December 2019

Abstract This research was carried out to evaluate centesimal [dry matter (DM), ash, and crude contents of proteins (CP), fats (CFt) and fiber (CFb)] and mineral composition (Ca, Mg, N, P, K, Fe, Zn, Cu and Mn) of peel and flesh tissues of feijoa fruit (cultivars Alcântara, Mattos, Helena and Nonante, and accession 2316). The genotypes had, in the flesh, DM of 12.10-15.40%, ash of 0.33-0.40%, CP of 0.95-1.45%, CFt of 0.56-1.72%, and CFb of 1.39-2.43%, and in the peel DM of 12.8-17.27%, ash of 0.30-1.49%, CP of 0.56-0.88%, CFt of 0.57-0.90%, and CFb of 2.54-3.98%. The contents of Ca, Mg, K, N and P in the peel were 96-116, 20-30, 1588-3635, 1096-1643 and 68-83 mg kg-1 FW, respectively, and in the flesh were 56-92, 17-29, 1358-2917, 2017-3384 and 255-374 mg kg-1 FW, respectively. Among the micronutrients, Fe had the highest content in peel and flesh tissues (~3.5 mg kg-1 FW). The results show that feijoa fruit represent a dietary source of CP, CFt and CFb, as well as of minerals, especially of P and N in the flesh, and of K and Fe in the peel and flesh tissues.
Reflective and critical thinking in nursing curriculum
Authors: Jiménez-Gómez María Antonia , Cárdenas-Becerril Lucila , Velásquez-Oyola Margarita Betzabé , Carrillo-Pineda Marcela , Barón-Díaz Leyvi Yamile
Published: December 2019

Objective: to evaluate the teaching of transversal competence of the Reflective and Critical Thinking that is fundamental in the decision-making and solution of nursing problems, in degree programs of public and private institutions in the Andean region. Method: multi-center, cross-sectional, exploratory-descriptive study, with mixed approach in 5 countries. Results: 76 nursing programs participated in the study. The Reflective and Critical Thinking was found as a subject, subject content and didactic strategies. Of the 562 subjects reviewed, this type of thinking is found in 46% of the humanities area and 42% in the area of research and professional discipline. It is important to train teachers to achieve coherence between the pedagogical model approach, teaching strategies and evaluations. Conclusion: nursing programs in the Andean region contemplate the critical thinking as cognitive and personals skills of communication. They also use real situations analysis, supervised practice, simulation labs and specifically learning based in problems to develop the capacity to solve them, decision-making and develop communication skills, including analysis, synthesis and evaluation.
Health-related quality of life of adolescents with type 1 diabetes mellitus
Authors: Souza Maria Amélia de , Freitas Roberto Wagner Junior Freire de , Lima Luciane Soares de , Santos Manoel Antônio dos , Zanetti Maria Lúcia , Damasceno Marta Maria Coelho
Published: December 2019

Objective: To evaluate the health-related quality of life of adolescents with type 1 diabetes mellitus, associating it with socio-demographic, clinical and biochemical variables. Method: Cross-sectional study with 92 adolescents with type 1 diabetes mellitus. A form containing socio-demographic, clinical and biochemical variables was used, as well as the Diabetes Quality of Life for Youths questionnaire. Descriptive statistics and logistic regression were used for analysis. Results: Regarding socio-demographic variables, economic class showed statistically significant differences in relation to total Health Related Quality of Life (p-value =0.02) and the impact domain (p-value =0.009). However, the impact domain was more compromised. Diabetes-related complications (p-value =0.004), number of hospitalizations (p-value =0.01), number of daily insulin injections (p-value =0.02), glycated hemoglobin (p-value =0.002) and triglycerides (p-value =0.03) were associated with greater impairment of quality of life related to total health and greater dissatisfaction. Conclusion: Single male adolescents with lower level of education and high glycated hemoglobin levels were more likely to have lower health-related quality of life.
Temporal pattern of tuberculosis cure, mortality, and treatment abandonment in Brazilian capitals
Authors: Sousa George Jó Bezerra , Garces Thiago Santos , Pereira Maria Lúcia Duarte , Moreira Thereza Maria Magalhães , Silveira Germana Maria da
Published: December 2019

Objective: to analyze the temporal pattern of tuberculosis cure, mortality, treatment abandonment in Brazilian capitals. Method: this is an ecological study whose data source was the Information System of Notifiable Diseases for Tuberculosis (Sistema de Informação de Agravos de Notificação para Tuberculose). For analysis of temporal evolution, regressions by join points were performed considering the annual percentage variation and the significance of the trend change with 95% confidence interval. Results: 542,656 cases of tuberculosis were found, with emphasis on a 3% decrease per year in the cure rate for Campo Grande (interval: −5.0 - −0.9) and a 3.5% increase for Rio de Janeiro (interval: 1.9 - 4.7). Regarding abandonment, it decreased 10.9% per year in Rio Branco (interval: −15.8 - −5.7) and increased 12.8% per year in Fortaleza (interval: 7.6 - 18.3). For mortality, a decreasing or stationary tendency was identified, with a greater decrease (7.8%) for Porto Velho (interval:−11.0 - −5.0) and a lower one (2.5%) in Porto Alegre (interval:−4.5 - −0.6). Conclusion: the rates of cure and abandonment are far from the ones recommended by the World Health Organization, showing that Brazilian capitals need interventions aimed at changing this pattern.
Use of pH reagent strips to verify gastric tube placement in newborns
Authors: Dias Flávia de Souza Barbosa , Almeida Beatriz Pera de , Alvares Beatriz Regina , Jales Rodrigo Menezes , Caldas Jamil Pedro de Siqueira , Carmona Elenice Valentim
Published: December 2019

Objective: to confirm the accuracy of the pH test in identifying the placement of the gastric tube in newborns. Method: double-blind, diagnostic test study conducted with 162 newborns admitted to a neonatal intensive care unit and an intermediate care unit. The subjects were submitted to enteral intubation, followed by pH test with reagent strip, which was analyzed by a nurse, and radiological examination, analyzed by radiologist. Blinding was kept among professionals regarding test results. Diagnostic accuracy analysis of the pH test in relation to the radiological exam was performed. Results: the sample consisted of 56.17% boys, with average birth weight of 1,886.79g (SD 743,41), 32.92 (SD 2.99) weeks of gestational age and the mean pH was 3.36 (SD 1.27). Considering the cutoff point of pH≤5.5, the sensitivity was 96.25%, specificity 50%, positive predictive value 99.35% and negative predictive value 14.29%. Conclusion: The pH test performed with reagent strips is sensitive to identify the correct placement of the gastric tube, so it can be used as an adjuvant technique in the evaluation of the gastric tube placement. In interpreting the results, pH ≤5.5 points to correct placement and values > 5.5 require radiological confirmation.
Production cost of autologous platelet rich plasma gel
Authors: Ribeiro Andrea Pinto Leite , Oliveira Beatriz Guitton Renaud Baptista de
Published: December 2019

Objective: to estimate the direct cost of producing autologous platelet rich plasma gel. Method: an economic, prospective, longitudinal study with direct cost estimation, from the perspective of the Unified Health System, conducted in a university hospital in the state of Rio de Janeiro, over a period of 12 weeks. It was approved by the Ethics Committee of the School of Medicine. Direct observation of 18 participants was conducted. Material and human resources categories were analyzed for production costs. Results: the cost of producing platelet rich plasma gel was US $4.88 per session, for a total of US $5.16, when the material resources per unit were considered in the Unified Health System. The time to complete the procedure was approximately 22 minutes. Conclusion: the production of platelet rich plasma gel involves low cost material resources for both blood collection and preparation, enabling universal access to treatment. The procedure requires trained staff in an appropriate location; it is a safe and inexpensive technology.