bluuebunny/crossref_metadata_2025 huggingface dataset:
A Preoperative Cognitive Screening Test Predicts Increased Length of Stay in a Frail Population: A Retrospective Case–Control Study
Authors: O’Reilly-Shah Vikas N. , Hemani Salman , Davari Paran , Glowka Lena , Gebhardt Emily , Hill Laureen , Lee Simon , Master Viraj A. , Rodriguez Amy D. , García Paul S.
Published: March 2019

BACKGROUND:

Frailty is associated with adverse perioperative outcomes including major morbidity, mortality, and increased length of stay. We sought to elucidate the role that a preoperatively assessed Mini-Cog can play in assessing the risk of adverse perioperative outcomes in a population at high risk of frailty.

METHODS:

In this retrospective case–control study, patients who were >60 years of age, nonambulatory, or had >5 documented medications were preoperatively assessed for handgrip strength, walking speed, and Mini-Cog score. The Emory University Clinical Data Warehouse was then used to extract this information and other perioperative data elements and outcomes data.

RESULTS:

Data were available for 1132 patients undergoing a wide variety of surgical procedures. For the subset of 747 patients with data for observed-to-expected length of stay, an abnormal Mini-Cog was associated with an increased odds of observed-to-expected >1 (odds ratio, 1.52; 95% CI, 1.05–2.19; P = .025). There was no association of abnormal Mini-Cog with intensive care unit length of stay >3 days (P = .182) discharge to home with self-care (P = .873) or risk of readmission (P = .104). Decreased baseline hemoglobin was associated with increased risk of 2 of the 4 outcomes studied.

CONCLUSIONS:

In a high-risk pool of patients, Mini-Cog may not be sensitive enough to detect significant differences for most adverse outcomes. Further work is needed to assess whether cognitive screens with greater resolution are of value in this context and to compare tools for assessing overall frailty status.
Case studies to take the weight off your shoulders
Authors: Harrison Penny
Published: March 2019

Penny Harrison, Senior Lecturer in Adult Nursing at De Montfort University, Leicester, covers case studies from NHS England's Atlas of Shared Learning
What is behind the spike in home education?
Authors: O'Connell Suzanne
Published: March 2019

A notable spike in the number of pupils being home educated has sparked suspicions that a minority of schools are using ‘off-rolling’ practices. Suzanne O'Connell looks at the figures, recent research and the background of home education in England
Supporting an effective transition for EAL pupils
Authors: Trzebiatowski Kamil
Published: March 2019

Continuing our series on supporting learners with English as an additional language, Kamil Trzebiatowski looks at how we can best help EAL pupils to prepare for their transition to secondary school
A focus on literacy and reading
Authors: Ebeneezer Alun
Published: March 2019

Alun Ebeneezer explains how he and his team put boys' literacy at the centre of teaching and learning
Old sounds with new technologies? Examining the creative potential of guitar ‘profiling’ technology and the future of metal music from producers’ perspectives
Authors: Herbst Jan-Peter
Published: March 2019

Innovations in music technology have the potential to change practices of music making and to contribute to the development of new forms of music. In 2011, a ‘profiling’ technology was released, capable of copying any valve guitar amplifier and shaping every detail of its sound. Many rock and metal guitarists and producers embraced this new technology, and the renowned producer Michael Wagener even claimed it to be ‘the biggest innovation for recording at least for the last fifteen years’. Building on an initial study on the quality and public reception of profiling technology in a metal music context, this article explores the attitudes of metal music producers towards new guitar amplification technologies, their uses thereof, and their conceptions of future music including the role of technological inventions. The findings indicate that although most producers experiment with modern technologies, they regard these as special effects or backup solutions. Traditional guitar sounds and engineering practices are still preferred, partly as a strategy to retain distinction between their established businesses and new enterprises. Developments in music technology are viewed sceptically regarding its positive contribution to future music.
Vinyl records, metal fandom and fan labour: Productions and exchanges at the intersection of the cultural and financial economies
Authors: Zenerian Eleftherios
Published: March 2019

This article presents a case study of how obsolete vinyl records are transformed into concert souvenirs through fan labour, using it as a springboard for an enquiry into fan creativity – both in terms of making do with a culture that excludes materially disenfranchised fans, and also in terms of re-purposing objects and discovering new ways of deriving pleasure from their use. It shows how embodied knowledge and dispositions are deployed to casually resist an economy of alienation and obsolescence, how fan productions are often exchanged in both the cultural and financial economies, and, in so doing, makes an intervention into an under-researched aspect of metal culture and fan cultures more generally.
“Sei a mensch”: Mezz Mezzrow’s Jewish Hipster Autobiography Really The Blues and the Ironies of the Color Line
Authors: Stein Daniel
Published: March 2019

Jewish jazz clarinetist Mezz Mezzrow’s autobiography Really the Blues (1946), co-written with Bernard Wolfe, has received some critical attention to date, most of which concerns the book’s depiction of white-to-black passing, its display and discussion of jive, and its construction of the white Jewish hipster as a countercultural figure in postwar America. Building on existing studies, this essay revisits these themes in order to foreground two largely unacknowledged aspects: a) the book’s encapsulation of Whitmanesque “American multitudes”, i. e., its attempt to reflect the internal diversity and multiplicity of U. S. culture, which complicates the autobiography’s frequent compression of the black-white-Jewish triad into a more convenient black-white binary; b) and its significance as one of the earliest extended postwar American Jewish reflections on World War II and the atrocities of Nazi Germany. All of these elements – the passing narrative, the promotion of the hipster ethic, the linguistics of jive, the encapsulation of multiplicity, and the immediate postwar context – must be considered together in order to unravel the autobiography’s investigation of, and simultaneous complicity in, the racial paradoxes that continue to haunt color-conscious America.
Permeable Boundaries: Daniel Defoe’s A Journal of the Plague Year (1722) and Jurij M. Lotman’s Semiosphere
Authors: Falkenhayner Nicole
Published: March 2019

This article argues that the cultural semiotic model of the “semiosphere” by Lotman (Lotman, Grishakova and Clark 2009) can be productively employed to interpret the complex layers of social order and liminal sociality in Daniel Defoe’s A Journal of the Plague Year (1722). Defoe’s text, analysed with a cultural semiotic approach, appears as more than a shocking re-narration of a historical event, as it becomes possible to read this proto-novel as a text that showcases and makes experiential the entanglement of social breakdown and social needs. London during the plague is shown as a space that labours to enforce both discursive as well as physical borders, but fails in both instances: The lively media public which Defoe depicts for the mid-17th century is shown as failing to establish boundaries of ‘facts’ and ‘fake news’, while single human beings constantly defy the shutting orders of the authorities, or flee the city illegally. In the semiosphere of a London constituted by a state of exception, Defoe strategically inserts permeable boundaries to show a survival of conviviality in the face of the breakdown of society. The main topoi of Lotman’s cultural semiotic model – explosion and periphery – illustrate both the discursive disorientation during the plague as well as the spatial peripheries of the city as sites of liminal social survival in the face of catastrophe.
Positioning Strategies and Representation in Fictional Autobiography: The Sense of an Ending
Authors: Farsi Roghayeh
Published: March 2019

Spatial positioning strategies and social actors representation have been introduced and discussed in visual and political texts. This paper offers an analysis of these strategies in a literary text, Julian Barnes’s The Sense of an Ending. The main objectives of this study are (a) to disclose the way(s) the narrator-autobiographer positions himself and others in his life story as social actors, (b) to investigate whether these strategies can explain the involved social actors’ motivations in their interactions, and (c) to pinpoint the pros and cons of this perspective for literary analysis. The paper uses social actors representation and spatial positioning theories provided by Langacker, Hart, van Leeuwen, and Chilton along with Jahn’s notions of focalization. The analysis of Barnes’s fictional autobiography pinpoints the precision spatial positioning strategies confer on literary focalization. Simultaneously, both social actors representation and spatial positioning strategies fail to attend to the gaps the narrative has due to its symbolic overtones or ambiguous repetitions.
Of Language and Music: A Neo-Baroque, Environmental Approach to the Human, Infrahuman and Superhuman in Richard Powers’ Orfeo
Authors: Fernandez-Santiago Miriam
Published: March 2019

In 2014, Richard Powers published Orfeo. Literally, a road novel, Orfeo tells the story of retired, avant-garde composer Peter Els as he flees Homeland Security for bioterrorism. However, Els’s intentions in biohacking Serratia marcescens are merely artistic, and concerned only with encoding his last musical composition in the DNA of this bacterium. Troubled as he is with the purpose and reach of art, Els does not anticipate the consequences of his artistic experimentation until Homeland Security is after him. In Orfeo, the power of music to move human and natural elements and the illicit disruption of the divine order-of-being represented in the Orphic katabasis find their parallel within the historical context of post-9/11 America, the environmental concerns regarding scientific experimentation at the turn of the century and the transhumanist branch of posthumanist discourse respectively, but also as they relate to each other. Orpheus’ katabasis is also reflected in the textual construction of the novel as a road novel, an epic journey the original purpose of which stands behind an ultimate gain of self-discovery that in the novel, engages the main character as much as the narrative itself. Finally, the thematic and formal aspects of the novel organize around a Neo-Baroque aesthetics that insists on the arrangement of apparently disconnected historical, musical and literary phenomena, as it widens into the transhistorical dimension of Orphic myths and religious practices.1
Genres matter: Video games as predictors of physical aggression among adolescents
Authors: Dickmeis Anne , Roe Keith
Published: March 2019

The purpose of this article is to investigate whether competition hypothesis (Anderson and Carnagey, 2009) contributes to the General Aggression Model when video game genre is entered into the relationship between video game use and self-reported physical aggression. A pre-test (n=93) taken randomly from the research sample employed categorized the game genres as violent and/or competitive. 1,170 adolescents (ages 12–18) completed the written survey. Online shooter games and fight’em up games, categorized as both violent and competitive, were positively related to self-reported physical aggression, while simulation games manifested a negative relationship. Video game genres such as strategy, sports, offline shooter, racing, adventure, puzzle, and platform games were not significantly related to physical aggression. The results support the hypothesis that the presence of both competition and violence in games increases the probability of physical aggression. This study shows that (1) video game genres can be used to predict physical aggression in a non-causal way and (2) that there is support for an interaction effect of the competition hypothesis and the violence hypothesis.
Association of IRS1 genetic variants with glucose control and insulin resistance in type 2 diabetic patients from Bosnia and Herzegovina
Authors: Mahmutovic Lejla , Bego Tamer , Sterner Maria , Gremsperger Gabriella , Ahlqvist Emma , Velija Asimi Zelija , Prnjavorac Besim , Hamad Nour , Causevic Adlija , Groop Leif , Semiz Sabina
Published: March 2019

Background

Previous studies reported conflicting results regarding association of insulin receptor substrate 1 (IRS1) gene variation with type 2 diabetes (T2D) and insulin resistance (IR) in different ethnic groups. We examined the association of rs7578326, rs2943641, and rs4675095 in the IRS1 gene with T2D and related traits in a population from Bosnia and Herzegovina, which is one of the European countries with the highest T2D prevalence of 12.5%.

Methods

Our study included 390 T2D patients and 252 control subjects. Biochemical parameters, including fasting glucose (FG), fasting insulin (FI), homeostasis model assessment insulin resistance index (HOMA-IR), and HbA1c were measured in all participants. Genotyping analysis was performed by Mass Array Sequenom iPlex platform.

Results

Our results demonstrated that rs7578326 and rs4675095 variants were associated with increased FG levels. The rs7578326 was also associated with higher FI, HOMA-IR (B = 0.08, 95% CI [0.01, 0.15], padd = 0.025; B = 0.079, 95% CI [0.006, 0.150], padd = 0.033, respectively) in T2D, and with HbA1c (B = 0.034, 95% CI [0.003, 0.065], pdom = 0.035) in non-drug-treated T2D. In contrast, rs2943641 C allele was associated with lower FG levels in control subjects (B = −0.17, 95% CI [−0.03, −0.002], padd = 0.030) and HbA1c (B = 0.03, 95% CI [0.002, 0.06], pdom = 0.040) in non-drug-treated T2D.

Conclusions

We report the association between common variants in IRS1 gene with insulin resistance, glucose, and HbA1c levels in Bosnia and Herzegovina’s population.
Customer Engagement through Using Anime Stylized Advertisement
Authors: Klebanskaja Nina , Andriukhanova Olena
Published: March 2019

The paper analyses the ways how to engage more customers using anime stylized advertisement and provides new insights on it. The data was obtained through the scientific literature analysis and qualitative research. The results were provided based on in-depth interviews.
Gender-induced Differences while Choosing Cosmetics for Men: A Case of Lithuania
Authors: Pilelienė Lina , Grigaliūnaitė Viktorija
Published: March 2019

The paper discusses peculiarities of gender-induced differences in consumer choice behaviour. The problem solved in the paper is addressed as: what are gender-induced differences in the consumer’s decision while choosing cosmetics for men? The patterns of consumer behaviour while choosing cosmetics for men are determined by applying qualitative and quantitative research methods.
Mediale Vanitas
Authors: Marek Kristin
Published: March 2019

Bilder haben seit je her das Vermögen, sich als Metamalerei reflexiv mit den Bedingungen ihrer eigenen Bildlichkeit auseinander zu setzen. In Momenten ,medialer Vanitas’, wie sie der Beitrag nachvollzieht, ist es die Symbolik der Vanitas, welche gegen das Bild als solches gerichtet wird. Schon im Barock entstehen sie mit so unterschiedlichen Werken wie jenen Cornelius Norbertus Gijsbrechts und Michelangelo Merisi da Caravaggios, die als spezifisch ,thanatologische Metamalerei‘ bezeichnet werden können. Sie zielen auf die mortifzierenden Strukturen bildlicher Repräsentation, ihre Medialität und Materialität. Doch auch in zahlreichen zeitgenössischen Bildern von Marlene Dumas finden sich solch selbstreflexive Momente medialer Vanitas und damit moderne Transformationen eines vormodernen Topos.
Suppressive Traveling Waves Shape Representations of Illusory Motion in Primary Visual Cortex of Awake Primate
Authors: Chemla Sandrine , Reynaud Alexandre , di Volo Matteo , Zerlaut Yann , Perrinet Laurent , Destexhe Alain , Chavane Frédéric
Published: March 2019

How does the brain link visual stimuli across space and time? Visual illusions provide an experimental paradigm to study these processes. When two stationary dots are flashed in close spatial and temporal succession, human observers experience a percept of apparent motion. Large spatiotemporal separation challenges the visual system to keep track of object identity along the apparent motion path, the so-called “correspondence problem.” Here, we use voltage-sensitive dye imaging in primary visual cortex (V1) of awake monkeys to show that intracortical connections within V1 can solve this issue by shaping cortical dynamics to represent the illusory motion. We find that the appearance of the second stimulus in V1 creates a systematic suppressive wave traveling toward the retinotopic representation of the first. Using a computational model, we show that the suppressive wave is the emergent property of a recurrent gain control fed by the intracortical network. This suppressive wave acts to explain away ambiguous correspondence problems and contributes to precisely encode the expected motion velocity at the surface of V1. Together, these results demonstrate that the nonlinear dynamics within retinotopic maps can shape cortical representations of illusory motion. Understanding these dynamics will shed light on how the brain links sensory stimuli across space and time, by preformatting population responses for a straightforward read-out by downstream areas.

SIGNIFICANCE STATEMENTTraveling waves have recently been observed in different animal species, brain areas, and behavioral states. However, it is still unclear what are their functional roles. In the case of cortical visual processing, waves propagate across retinotopic maps and can hereby generate interactions between spatially and temporally separated instances of feedforward driven activity. Such interactions could participate in processing long-range apparent motion stimuli, an illusion for which no clear neuronal mechanisms have yet been proposed. Using this paradigm in awake monkeys, we show that suppressive traveling waves produce a spatiotemporal normalization of apparent motion stimuli. Our study suggests that cortical waves shape the representation of illusory moving stimulus within retinotopic maps for a straightforward read-out by downstream areas.
AYDIN İLİNDE TÜKETİLEN SEBZE VE MEYVELERİN ESER ELEMENT DERİŞİMLERİNİN TAYİNİ
Authors: Güven Gülşen
Published: March 2019

Bu çalışmanın amacı, Aydın’da satılan çeşitli meyve ve
sebzelerde kadmiyum (Cd), kobalt (Co), bakır (Cu), krom (Cr), demir (Fe),
kurşun (Pb), mangan (Mn), nikel (Ni) ve çinko (Zn) derişimini
değerlendirmektir. Bu eser elementler indüktif eşleşmiş plazma optik emisyon
spektrometrisi (ICP OES) ile tayin edildi. İncelenen elementlerin derişim
aralığı, kadmiyum, kobalt, bakır, krom, demir, kurşun, mangan, nikel ve çinko
için sırasıyla 0-0.27 µg/g, 0–0.40 µg/g, 3.23–25.05 µg/g, 0–0.33 µg/g,
7.35–554.86 µg/g, 0–2.19 µg/g, 0–58.34 µg/g, 1.03–16.84 µg/g, 4.02–48.55
µg/g’dır.  Metodun doğruluğu standart
referans madde (liyofilize edilmiş esmer ekmek-BCR 191) kullanılarak tayin
edildi. Bulunan değerler sertifikalı referans değerler ile uyumludur.
Association between isolated hypothyroxinaemia in early pregnancy and perinatal outcomes
Authors: Su Xiujuan , Zhao Yan , Cao Zhijuan , Yang Yingying , Duan Tony , Hua Jing
Published: March 2019

Background

The effect of isolated maternal hypothyroxinaemia (IMH) on pregnancy complications and neonatal outcomes in human beings is still controversial.

Methods

This was a retrospective cohort study based on the electronic medical register system. The records of women with a singleton pregnancy who sought antenatal examination between January 2014 and December 2015 at Shanghai First Maternity and Infant Hospital were extracted from the electronic medical records system. Thyroid-stimulating hormone (TSH), free thyroxine (fT4) and anti-thyroperoxidase autoantibody (TPO-Ab) was measured before 20 gestational weeks, and a multiple logistic regression model was used to estimate the odds ratios of pregnancy complications and neonatal outcomes between euthyroid women and those with isolated hypothyroxinaemia.

Results

A total of 8173 women were included in this study, of whom 342 (4.18%) were diagnosed with IMH. Regression analysis showed that IMH diagnosed in the second trimester (13–20 weeks) was associated with an increased risk of hypertensive disorders of pregnancy (OR = 2.66, 95% CI: 1.38–5.10) and placenta abruption (OR = 3.64, 95% CI: 1.07–12.41), but not with preterm delivery (OR = 1.09, 95% CI: 0.50–2.40), small or large gestational age of infant (OR = 0.91, 95% CI: 0.39–2.12; OR = 1.16, 95% CI: 0.72–1.86), macrosomia (OR = 1.71, 95% CI: 0.95–3.07), gestational diabetes mellitus (OR = 1.36, 95% CI: 0.86–2.15) and placenta previa (OR = 1.62, 95% CI: 0.39–7.37).

Conclusion

IMH could be a risk factor for hypertensive disorders of pregnancy.
FACTORS ASSOCIATED WITH THE USE OF NON-HORMONAL CONTRACEPTIVE METHODS IN THE PANTOLOAN PUBLIC HEALTH CENTER PALU CITY
Authors: Rosmala Nur , Rahman Abd. , Krisnasari Sendhy
Published: March 2019

Non-hormonal contraception is an action to prevent conception or pregnancy hormones include (IUD, condoms, operating methods lady/MOW, operation method man/MOP), This method can prevent pregnancy up to 99%. The purpose of this study was to determine whether the factors of family support, education, economic status, and knowledge associated with the use of non-hormonal contraception. This type of research is quantitative research design used by the cross sectional approach.The population in this study were all active family planning acceptors who visit the Tawaeli Health Center Palu subdistrict Pantoloan 2018 as many as 674 people.The sampling technique is to use a non-probability sampling technique accidental sampling, The total sample of 84 respondents. Data collection was conducted by filling out a questionnaire as a tool for an interview. Data were analyzed by univariate and bivariate, at the level of 95% (P ≤ 0.05). Chi square test results showed that family support, education, economic status and knowledge of respondents associated with the use of non-hormonal contraception with a p-value ≤ 0.05.It is expected that the community can be open and willing to receive information from health workers related to family planning.
Pycnogenol supplementation as an adjunct treatment for antidepressant-induced sexual dysfunction
Authors: Smetanka A , Stara V , Farsky I , Tonhajzerova I , Ondrejka I
Published: March 2019

Introduction

Major depressive disorder is a serious mental disorder in which treatment with antidepressant medication is associated with incidence of adverse events, such as constipation, diarrhea, dry mouth, headache, insomnia, and sexual dysfunction (SDys). Escitalopram (ESC), an effective and safe selective serotonin reuptake inhibitor with good tolerability, was used in this study. In this study, we investigated the prospective effect of Pycnogenol (PYC), an antioxidant, anti-inflammatory, and vasodilator agent, on ESC-induced SDys.

Methods

This was a randomized, parallel, open-label study. Seventy-two outpatients of both genders with depression were randomized into two groups as follows: 37 patients from the ESC + PYC group took 50 mg of PYC per day for 4 months in ESC co-treatment, and 35 subjects from the ESC group took ESC only. Five patients dropped out and were excluded from the analysis. The participants were examined every month (visits 1–4).

Results

ESC use led to improvement of depressive symptoms and severity scored by standardized psychiatric tests. PYC co-treatment resulted in attenuation of SDys beginning at 1 month of treatment and continuing for two consecutive months. Furthermore, an increase in heart rate in the PYC group was registered.

Conclusions

We propose that PYC-mediated SDys attenuation is based on its ability to improve endothelial functions by its antioxidant, anti-inflammatory, vasodilatory, and anticoagulant action. We assume that the action of PYC on heart rate is in accordance with the aforementioned vasodilatory action of PYC and consequent baroreflex-mediated heart rate response. PYC co-treatment reduced ESC-induced SDys and elevated heart rate.
Marketing e cooperativismo: uma revisão sistemática da literatura
Authors: Coutinho Juliana Karem Fonseca , Cardoso Janaina Gularte
Published: March 2019

A gestão das atividades e ferramentas de marketing contribui para que as empresas possam compreender e atender aos seus consumidores, bem como acompanhar os diversos fatores internos e externos que afetam sua atuação. No cooperativismo, o suporte do marketing apresenta-se igualmente relevante, fazendo-se necessária a aplicação de métodos flexíveis às especificidades destas instituições. Tendo em vista estes aspectos e considerando a importância das cooperativas para as regiões em que se inserem, esta pesquisa propõe uma revisão sistemática, em revistas que mantenham relação com a administração ou questões regionais e de desenvolvimento, e que apresentem classificação A2, B1 ou B2 no SICAPES. A seleção de artigos restringiu-se ao período de 1995 a 2015, com vistas a identificar o perfil e a evolução das pesquisas sobre o tema marketing em cooperativas, considerando as atividades de sistema de informação de marketing, pesquisa de marketing, planejamento de marketing e composto ou mix de marketing. Ressalta-se uma relativa carência de estudos que abordem o papel estratégico do marketing em cooperativas, embora se espere uma gradual expansão no interesse pelo assunto nos próximos anos.
Educação empreendedora e taxonomia de bloom na educação superior
Authors: Aranha Elzo Alves , Araújo Luiz Gustavo Dos Passos , Garcia Neuza Abbud Prado
Published: March 2019

O empreendedorismo vem sendo alvo de interesse da comunidade acadêmica brasileira de engenharia e pelas empresas. Artigos acadêmicos no campo do empreendedorismo nos cursos de graduação em engenharia brasileiros analisam diversas perspectivas de como desenvolver habilidades empreendedoras nos estudantes de engenharia. Entretanto, duas lacunas são identificadas nos artigos acadêmicos. O objetivo do artigo é analisar as habilidades empreendedoras e as atividades do pensamento desenvolvidas no estudante de engenharia. A pesquisa é exploratória e reflexiva, apoiada em estudo de caso. A partir de uma técnica de aprendizagem adotada na disciplina de empreendedorismo do curso de graduação em engenharia realizou-se a coleta e análise de dados empíricos. Resultados apontam que energia, visão e networking foram as principais habilidades desenvolvidas juntamente com as atividades do pensamento da mais alta ordem tais como análise, avaliação e criação. Os resultados do artigo são inovadores e tem diversas implicações práticas. Diretores e dirigentes de universidades e faculdades poderão desenvolver programas de capacitação para professores sobre desenvolvimento de habilidades empreendedoras e dos domínios cognitivos e coordenadores e professores poderão introduzir novas técnicas de desenvolvimento de habilidades empreendedoras apoiadas nos domínios cognitivos de aprendizagem, nos projetos pedagógicos dos cursos de graduação e ferramentas que possibilitarão avaliar se o desenvolvimento das atividades do pensamento da mais alta ordem estão sendo desenvolvidas nos estudantes.
A educação financeira de acadêmicos de ciências econômicas em Santa Catarina
Authors: De Souza Fabiana Paula Schiller , Ciello Fernanda , Mores Giana De Vargas , Ternus Cássia Heloísa , Furlanetto Bruna
Published: March 2019

Este trabalho buscou identificar o conhecimento sobre educação financeira de acadêmicos do curso de Ciências Econômicas de uma instituição de ensino superior do estado de Santa Catarina. Trata-se de uma pesquisa aplicada e, em seu nível de complexidade, caracteriza-se como descritiva. Quanto à abordagem, tem-se uma pesquisa quantitativa. Em relação às técnicas, foram utilizadas as pesquisas bibliográfica, documental e de levantamento. Foi empregado o modelo survey cross-section, apresentando características de uma amostragem não probabilística e por conveniência. Para a coleta dos dados secundários, elaborou-se instrumento adaptado de dois questionários validados. O questionário autoaplicado foi composto por 28 questões. Com base nas questões sobre gerenciamento financeiro, os resultados mostram que os acadêmicos não utilizam com frequência o cheque especial da conta corrente e, em sua maioria, pagam em dia as contas mensais e as faturas do cartão de crédito. Os resultados também indicam que os acadêmicos estão administrando os seus gastos de maneira equilibrada para não ultrapassar o orçamento mensal e possuem um conhecimento moderado sobre linhas de financiamento e investimentos.
PRONATEC FIC: UMA AVALIAÇÃO DA EFICIÊNCIA, EFICÁCIA E DA EFETIVIDADE DOS CURSOS OFERECIDOS PELO PROGRAMA
Authors: Da Fonseca Janilson Gomes , Ferreira dos Santos Maria Aparecida
Published: March 2019

O presente texto visa fazer uma avaliação ex post ou avaliação de resultados da politica pública  do Pronatec, dando foco aos cursos FIC. Para tanto, cotejá-la com as fases do ciclo das políticas públicas: a agenda, a implementação e a avaliação, com foco nesta última, tendo como pano de fundo, os critérios da eficiência, da eficácia e da efetividade. A hipótese levantada é de que tais critérios não foram alcançados por essa Política pública no que diz respeito às satisfações das necessidades dos trabalhadores (as) e da sociedade. Trata-se de pesquisa qualitativa, exploratória, descritiva e documental. A metodologia utilizada foi revisão bibliográfica em alguns autores e também em legislações e sites pertinentes ao tema com o uso de fontes primárias e secundárias. O resultado alcançado foi à confirmação da hipótese levantada com relação aos benefícios não contemplados pelo Programa.
RESUSCITATION OF VITAL ACTIVITY AFTER COLD ARREST OF RESPIRATION BY PHYSIOLOGICAL METHODS WITHOUT REWARMING THE BODY
Authors: Ivanov K. P.
Published: March 2019

The arrest of respiration during deep hypothermia means death, though at a low temperature the heart may rhythmically contract for 30–40 minutes more. The attempts of rewarming only shorten the time before the heart arrest. “The aim of the study” the attempts to develop the methods of stimulating the respiration and heart without rewarming the body. Calcium ions (Ca2+) are believed to accumulate in the nervous cells in cold. An excess of these ions inhibits the metabolism. Moreover it stimulates the cell proteases, which destroy the cell membranes. “Materials and methods” The work was carried out on wite rats 250-320 g in weight. We introduced disodium salt of ethylenediaminetetraacetic acid (EDTA) into the animals. The second method of blocking the mechanisms of the cold death was artificial respiration. “Results”EDTA  reacts with calcium ions, decreases their quantity in the blood, and, consequently, in a complex manner in the cell protoplasm. Artificial respiration not only increases the flow of oxygen into an organism but also decreases the lowest temperature threshold of the cold death of an organism. “Conclusions” A decrease in the surviving threshold by 1.5-1.8oC is very important from the point of view of reanimation of an organism since to preserve life in the critical period of reanimation each 0.5oC are important. Prolongation of minimal frequency of heart contractions and maintaining a minimal arterial blood pressure in an overcooled organism given the body temperature of 11-12.5oC is a special problem of great interest associated with many physiological and biological parameters.
Twelve Tips for Students in Longitudinal Integrated Clerkships
Authors: Pepper Joshua , Riegels Nardine Saad , Ziv Tal Ann , Mazotti Lindsay
Published: March 2019

This article was migrated. The article was marked as recommended. Longitudinal integrated clerkships (LICs) are a curricular structure for medical clerkships grounded in continuity across learning environments and experiences. There has yet to be a peer-reviewed article directly advising students in LIC programs. Twelve tips were created based on a comprehensive literature review of LICs and supported by the cumulative experience of the authors. They are ordered in four sequential groups: The first three tips discuss the importance of the relationships that are built between students and their patients (Tip 1), preceptors (Tip 2), and peers (Tip 3). Next we cover health systems, and offer advice on how students can integrate their learning (Tip 4), use technology to their advantage (Tip 5), and practice systems thinking (Tip 6). We then discuss the educational benefits when students take an active role in patient care (Tip 7), their own learning (Tip 8), and the feedback process (Tip 9). Finally, we cover the importance of self-care (Tip 10), reflection (Tip 11) and patience (Tip 12) during a LIC. These tips are designed to help students understand the pedagogical theory that underpins LICs, take an active role in their education, and maximize learning and wellness during their clerkship.
Relacionando níveis de maturidade em gestão ambiental e a adoção de práticas de Green Supply Chain Management: convergência teórica e estudo de múltiplos casos
Authors: Marco-Ferreira Antonio , Jabbour Charbel José Chiappetta
Published: March 2019

Resumo Embora as temáticas de níveis de maturidade da gestão ambiental empresarial e a adoção de práticas de GSCM estejam se consolidando, elas percorreram, até o momento, um longo caminho desconectadas, embora ambas tenham sua gênese circunscrita à sustentabilidade empresarial. Buscou-se, por meio de múltiplos casos, a caracterização de um padrão lógico de adoção de práticas de GSCM inerentes a cada nível de maturidade em gestão ambiental. Com base no estudo de cinco casos de empresas inseridas em cadeias produtivas de alto impacto ambiental (setor de suprimentos de defensivos agrícolas, setor de pilhas e baterias e setor de reciclagem de chumbo, buscou-se identificar o relacionamento entre práticas de Green Supply Chain Management (GSCM) e níveis de maturidade em gestão ambiental. Para o alcance do objetivo, foi realizada uma sistematização junto à literatura que versa sobre maturidade de gestão ambiental e tipologia das práticas de GSCM. Os principais resultados apontam que: no primeiro nível de maturidade em gestão ambiental, o reativo, as organizações adotam práticas de GSCM específicas relacionadas à imposição da legislação; no nível preventivo de maturidade em gestão ambiental, as organizações adotam práticas de GSCM relacionadas ao retorno de investimentos e à redução de custos operacionais; e no nível proativo de maturidade em gestão ambiental, as organizações tendem a adotar práticas relacionadas à inovação de produtos e processos e práticas comunicacionais ambientais, visando obter vantagens competitivas baseadas em gestão ambiental. Até o momento, este artigo trata da primeira pesquisa a relacionar níveis de maturidade de gestão ambiental a práticas de GSCM, aplicada a cinco casos com alto impacto ambiental do Brasil.
Estratégia de operações: uma abordagem teórica quanto à aplicabilidade do constructo para empreendimentos rurais produtores de grãos
Authors: Leitner Camyla Piran Stiegler , Alves Filho Alceu Gomes
Published: March 2019

Resumo A estratégia de operações (EO) é responsável por decisões chave das atividades desempenhadas pela função de produção, afim de alcançar a vantagem competitiva no mercado, sendo recorrentes as pesquisas sobre esse constructo nas áreas industrial e de serviços. Porém, a agricultura brasileira também promove bons resultados econômicos pela produção e exportação de grãos. No entanto, poucas são as pesquisas que permitem a compreensão das decisões operacionais frente aos fatores endógenos e exógenos da cadeia de produção de grãos e o impacto delas para o sucesso da organização. Dessa forma, objetiva-se, a partir de revisão bibliográfica, apresentar conjecturas e proposições relacionando as decisões de produção das propriedades produtoras de grãos à estratégia de operações. Observou-se que há aplicabilidade do constructo às propriedades rurais e, dessa forma, almeja-se contribuir com o campo teórico das EO e continuar as discussões a esse respeito, subsidiando novas pesquisas e o desenvolvimento/adaptação de ferramentas e métodos gerenciais aplicáveis a tais empreendimentos, dada a relevância socioeconômica da atividade agrícola.
Alimentación saludable y oferta de restaurantes. Una revisión de la evidencia reciente en la literatura
Authors: Beltrán Mónica del Pilar Díaz , Romero Yiseth Mariana Hernandez
Published: March 2019

Resumen Las características de la oferta de alimentos son un determinante del consumo, y por ende de la salud de la población. Este trabajo buscó establecer los temas destacados en la literatura científica reciente sobre oferta de restaurantes y alimentación saludable. Se revisó sistemáticamente la investigación adelantada en estos escenarios y publicada desde 2011 hasta 2016 en siete reconocidas bases de datos. De 999 títulos fueron escogidos 20 artículos. Se realizó análisis de contenido de la información obtenida, usando Nvivo 10.0, y ésta fue codificada a través del método inductivo por dos investigadores independientes. Se identificaron tres temas a saber: Modificaciones en la oferta de alimentación, fomento de elecciones saludables y barreras para promover alimentación saludable. Los hallazgos descritos dan cuenta de las oportunidades de investigación en el área, particularmente en el contexto Latinoamericano, y de la necesidad de intervenciones que redunden en ambientes saludables dada la relevancia del suministro alimentario en la salud colectiva.
Acesso à saúde bucal na primeira infância no município de Porto Alegre, Brasil
Authors: Comassetto Marcela Obst , Baumgarten Alexandre , Kindlein Katherine de Andrade , Hilgert Juliana Balbinot , Figueiredo Márcia Cançado , Faustino-Silva Daniel Demétrio
Published: March 2019

Resumo O objetivo foi avaliar o acesso e fatores associados à consulta odontológica em crianças de até 5 anos no município de Porto Alegre, Brasil. Estudo transversal realizado em 10 Unidades Básicas de Saúde, através de questionário e exame clínico em 560 crianças. Foram avaliadas variáveis clínicas (placa visível, sangramento gengival e ceo-s), sociodemográficas, e de acesso à consulta. Regressão de Poisson foi utilizada para cálculo de Razões de Prevalência (RP), com intervalo de confiança de 95%. Os resultados mostraram que 68,2% das crianças nunca haviam ido ao dentista. O principal motivo relatado para a não realização de consulta odontológica foi não ter sentido necessidade (48,7%) e dificuldade de acesso ao posto de saúde (15,8%). A procura pelo dentista teve como propósito a prevenção/revisão (55,8%) e os locais mais procurados para consultas foi o consultório particular (43,9%) e o posto de saúde (39,5%). O modelo multivariado final mostrou que a idade da criança (IC95%, RP = 1,03 (1,02-1,05)), a renda familiar (RP = 1,05; (1,01-1,08)) e a mãe ter concluído o ensino médio (RP = 1,69 (1,15-2,56)) estiveram associados com a procura por consulta odontológica. Assim, torna-se fundamental reconhecer a importância do contexto familiar durante os primeiros anos de vida.
Conceptual framework for designing video games for children with type 1 diabetes
Authors: Sparapani Valéria de Cássia , Fels Sidney , Kamal Noreen , Nascimento Lucila Castanheira
Published: March 2019

ABSTRACT Objective: to present a theoretically based conceptual framework for designing video games for children with type 1 diabetes mellitus. Methods: this was a methodological study that developed a conceptual framework with nine steps in view of health behavior change theories and the user-centered design approach as theoretical and methodological frameworks, respectively. Twenty-one children, aged 7 to 12 years, participated by expressing their needs and preferences related to diabetes and video games. Data were analysed following content analysis guidelines. Then, a choice of appropriate health behavioral change theories and their determinants that should be capable of influencing children’s behaviors and preferences. Results: the conceptual framework proposes a video game that consists of six phases, each addressing one stage of behavioral change and specific determinants, aligned with the needs and preferences identified by the participating children. This study shows the applicability of this framework in view of each proposed phase presenting examples and the children’s ideas. Conclusion: the results of this study contribute to advance the discussion on how behavioral theories and their determinants should be related to the design of creative and funny video games considering the profile of the target population as well as its needs and preferences.
Acupuncture in adults with Chemotherapy-Induced Peripheral Neuropathy: a systematic review
Authors: Baviera Amanda Fonseca , Olson Karin , Paula Juliana Maria de , Toneti Bruna Francielle , Sawada Namie Okino
Published: March 2019

ABSTRACT Objective: to analyze and synthesize knowledge about the effect of acupuncture on chemotherapy-induced peripheral neuropathy symptoms in adults with cancer. Method: the method used was a Systematic Review. Potential articles were identified by searching in the PubMed of National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Embase, Cochrane Central and Scopus. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy, 607 articles were identified. After removing the duplicates, all titles and abstracts were reviewed, and seven articles were selected for full review. After the full review, five studies were selected for inclusion. Results: of the five articles included, four were cohort studies and one was a quasi-experimental study. All articles showed that acupuncture was associated with an improvement in the peripheral neuropathy, but the type of protocol, use of medications, time of treatment, and different outcome measures made it difficult to compare the studies. Conclusion: the use of acupuncture appears to be associated with an improvement in the symptoms of chemotherapy-induced peripheral neuropathy and has no side effects. In order to improve the evidence about benefits associated with acupuncture, more experimental studies using both subjective and objective measures are needed.
Non-puerperal uterine inversion associated with myomatosis
Authors: Vieira Gustavo Thales Bringel , Santos Graciete Helena Nascimento dos , Silva Júnior João Beltrão Noleto , Sevinhago Rodrigo , Vieira Mariana Isis Bringel , Souza Ana Cláudia Santos de
Published: March 2019

SUMMARY Uterine inversion is an uncommon complication of the puerperium and it is an even rarer complication of the non-puerperal period. In this way, uterine inversions are classified into two groups, being of puerperal origin due to obstetric problems and non-puerperal origin due to gynecological problems. In general, a non-puerperal uterine inversion occurs as a possible complication of a sub mucosal leiomyoma, after an expansive process, a dilation of the cervix occurs and thus its protuberance over the vaginal canal.
Association between sex differences on foot health related to the quality of life in a sample of sedentary people
Authors: López-López Daniel , Cancela-Carral Jose María , Araujo Romeu , Losa-Iglesias Marta Elena , Becerro-de-Bengoa-Vallejo Ricardo , Rodríguez-Sanz David , Calvo-Lobo Cesar
Published: March 2019

SUMMARY Sedentary (sitting) time may produce many anatomical and physiological consequences which are supposedly associated with a decreased quality of life (QoL) related to foot health. Accordingly, this study aimed to analyze the QoL impact on the overall health and the foot health among male and female sedentary people. A total of 312 participants with an age mean of 39.81 ± 15.40 years completed all phases of the study. In addition, self-reported data were registered. The participants' sedentary lifestyle was determined using the European Prospective Investigation into Cancer and Nutrition (EPIC) physical activity questionnaire. Furthermore, the scores obtained from the Portuguese version of the Foot Health Status Questionnaire were registered. Sedentary people in the equivalent metabolic energy had 301.09 ± 72.22 (min/week). In the first section, values were higher for foot pain and foot function and lower for general foot health and footwear. In the second section, values were higher for general health and vigor and lower for physical activity and social capacity. The differences between the sex groups of the study were statistically significant for footwear (P = 0.008), physical activity (P= 0.002), social capacity (P = 0.001) and vigor (P = 0.001) showing a worst QoL related to foot health in favor of male subjects in comparison with females. The rest of the domains did not show any statistically significant difference (P ≥ .01). The sedentary population evidenced a negative impact on the QoL related to foot health. This problem may be associated with this lifestyle, especially for males.
Ameliorative effect of certolizumab on experimentally induced acute necrotic pancreatitis in rats
Authors: Kosekli Mehmet Ali , Herek Özkan , Ozmen Özlem , Sahinduran Sima
Published: March 2019

SUMMARY OBJECTIVE: The effects of Certolizumab, a pegylated monoclonal antibody to tumor necrosis factor α, on experimentally induced acute pancreatitis (AP) were examined. METHODS: Thirty-six Wistar Albino male rats were randomly divided into four groups. Group I was the control group and no medication administered to this group. Group II was the Certolizumab group, and 100 ml/kg serum physiologic administered into the biliopancreatic duct and a single dose of 10 μg Certolizumab was simultaneously administered intraperitoneally. Acute pancreatitis was induced with a retrograde injection of 3% Na taurocholate into the common biliopancreatic duct in the study (Group III) and treatment (Groups IV) groups. Rats were sacrificed 72 hours later. Serum amylase, lipase, lactate dehydrogenase activities, along with pancreatic histopathology, were examined. RESULTS: Certolizumab treatment significantly decreased serum amylase, lipase, and LDH levels; histopathologically edema, hemorrhage, parenchymal necrosis, fat necrosis, and infiltration scores; immunohistochemically MDA, MPO, TNF-α and Caspase-3 activity. CONCLUSION: The results support the idea that certolizumab might be beneficial for the severity of AP.