bluuebunny/crossref_metadata_2025 huggingface dataset:
Laminar Dynamics of Target Selection in the Posterior Parietal Cortex of the Common Marmoset
Authors: Selvanayagam Janahan , Johnston Kevin D. , Everling Stefan
Published: April 2024

The lateral intraparietal area (LIP) plays a crucial role in target selection and attention in primates, but the laminar microcircuitry of this region is largely unknown. To address this, we used ultra-high density laminar electrophysiology with Neuropixels probes to record neural activity in the posterior parietal cortex (PPC) of two adult marmosets while they performed a simple visual target selection task. Our results reveal neural correlates of visual target selection in the marmoset, similar to those observed in macaques and humans, with distinct timing and profiles of activity across cell types and cortical layers. Notably, a greater proportion of neurons exhibited stimulus-related activity in superficial layers whereas a greater proportion of infragranular neurons exhibited significant postsaccadic activity. Stimulus-related activity was first observed in granular layer putative interneurons, whereas target discrimination activity emerged first in supragranular layers putative pyramidal neurons, supporting a canonical laminar circuit underlying visual target selection in marmoset PPC. These findings provide novel insights into the neural basis of visual attention and target selection in primates.
Re:Mission study. Evaluating the NHS Low Calorie Diet pilot - an overview of service user data collection methods
Authors: Homer Catherine , Kinsella Karina , Marwood Jordan , Brown Tamara , Radley Duncan , Clare Ken , Bakhai Chirag , Ells Louisa
Published: April 2024

Introduction: The National Health Service (NHS) Low Calorie Diet (LCD) pilot programme aimed to support people with type 2 diabetes (T2DM) to lose weight, reduce glycaemia and potentially achieve T2DM remission using total diet replacement alongside behaviour change support. The Re:Mission study seeks to provide an enhanced understanding of the long-term cost-effectiveness of the programme and its implementation, equity, transferability and normalisation across broad and diverse populations. This article presents an overview of the methods used in the Re:Mission study.
Methods and analysis: A mixed method approach was used to draw together service user insights from across longitudinal and cross-sectional online surveys and semi-structured interviews supported by a modified photovoice technique. Insights were captured from active service users across the three phases of the programme (total diet replacement, food reintroduction and maintenance) in addition to those discharged prematurely. Survey data were analysed using descriptive statistics and qualitative data were thematically analysed and interpreted through a realist informed lens to understand which aspects of the service work and do not work, for whom, in what context and why.
Results: Results from the study are presented elsewhere, with recommendations for policy practice and research.
“Trying to make healthy choices”: the challenges of the food reintroduction phase of the NHS Low Calorie Diet Programme pilot for type 2 diabetes
Authors: Homer Catherine , Kinsella Karina , Brown Tamara , Marwood Jordan , Drew Kevin , Radley Duncan , Freeman Charlotte , Ojo Abimbola , Teke Jennifer , Clare Ken , Bakhai Chirag , Ells Louisa
Published: April 2024

Background: The food reintroduction phase of the NHS Low Calorie Diet (LCD) programme aims to support service users to reintroduce food gradually back into their diet. Understanding experiences of food reintroduction from a broad and diverse range of service users is critical in helping to improve service delivery and commissioning and equity in care.
Methods: This was a co-produced qualitative study underpinned by a realist informed approach, using interviews and photovoice techniques. Service users (n=43) of the NHS LCD Programme were recruited from three delivery models across 21 pilot sites in England. Data were analysed using a thematic approach.
Results: The food introduction phase required control and planning that challenged the behaviours of participants. Around a third of participants continued use of Total Diet Replacement products, or considered doing so, for convenience and to maintain calorie control. The coach–service user relationship was important to understanding of session content and translation into behaviour change. Physical activity increased during this phase, which contributed to positive health outcomes.
Conclusions: The paper reports insights from the food reintroduction phase of the LCD programme. Key messages include the need for increased frequency of support and the need for tailored and culturally representative education.
Glycoprotein non-metastatic melanoma protein B promotes tumor growth and is a biomarker for lymphangioleiomyomatosis
Authors: Gibbons Erin , Taya Manisha , Wu Huixing , Lopa Samia H , Moss Joel , Henske Elizabeth P , McCormack Francis X , Hammes Stephen R
Published: April 2024

Lymphangioleiomyomatosis (LAM) is a rare, progressive cystic lung disease affecting almost exclusively female-sexed individuals. The cysts represent regions of lung destruction caused by smooth muscle tumors containing mutations in one of the two tuberous sclerosis (TSC) genes. mTORC1 inhibition slows but does not stop LAM advancement. Furthermore, monitoring disease progression is hindered by insufficient biomarkers. Therefore, new treatment options and biomarkers are needed. LAM cells express melanocytic markers, including glycoprotein non-metastatic melanoma protein B (GPNMB). The function of GPNMB in LAM is currently unknown; however, GPNMB’s unique cell surface expression on tumor versus benign cells makes GPNMB a potential therapeutic target, and persistent release of its extracellular ectodomain suggests potential as a serum biomarker. Here, we establish that GPNMB expression is dependent on mTORC1 signaling, and that GPNMB regulates TSC2-null tumor cell invasion in vitro. Further, we demonstrate that GPNMB enhances TSC2-null xenograft tumor growth in vivo, and that ectodomain release is required for this xenograft growth. We also show that GPNMB’s ectodomain is released from the cell surface of TSC2-null cells by proteases ADAM10 and 17, and we identify the protease target sequence on GPNMB. Finally, we demonstrate that GPNMB’s ectodomain is present at higher levels in LAM patient serum compared to healthy controls and that ectodomain levels decrease with mTORC1 inhibition, making it a potential LAM biomarker.
Reproductive Health in Trans and Gender Diverse Patients: Fertility related knowledge, attitudes, and decision-making among gender diverse youth – A narrative review
Authors: Baines Hayley K , Quinn Gwendolyn P , Chen Diane , Nahata Leena
Published: April 2024

In brief

Transgender and gender diverse (TGD) youth demonstrate low utilization of fertility preservation before medical and surgical gender-affirming interventions. However, a significant number of TGD youth have goals for parenthood and/or recognize that their attitude toward future family-building goals may change over time. In this narrative review, we conclude that TGD young people should have ongoing opportunities to discuss their family-building goals and options for fertility preservation. Validated decision tools can help facilitate these discussions.

The number of transgender and gender diverse (TGD) youth seeking care continues to increase, necessitating comprehensive counseling about potential long-term effects of gender-affirming medical interventions on fertility. The objective of this narrative review was to examine fertility-related knowledge, attitudes, and decision-making (including factors influencing decisions, decision regret, and decision tools) among TGD youth. We searched PubMed, PsycInfo, and Google Scholar for original, peer-reviewed research investigating TGD youth attitudes and knowledge of fertility and fertility preservation, perspectives on fertility counseling and fertility preservation decision-making, as well as fertility-related decision tools. We reviewed 106 studies; eight were included in this narrative review. Four studies assessed TGD youth knowledge and attitudes of fertility and fertility preservation, three examined perspectives on fertility counseling and fertility preservation decision-making, and three discussed development of decision tools. Key findings were that: (1) many TGD youth are aware of potential fertility-related impacts of gender-affirming treatments, but there are still unmet informational needs, (2) some TGD youth report an interest in future biological parenthood, and of those who are not currently interested in biological parenthood, many acknowledge their desires may change over time, (3) ongoing discussions about fertility and fertility preservation are critical, and (4) decision tools are in development. In conclusion, TGD youth and their caregivers should receive ongoing, comprehensive fertility counseling and decision tools may be helpful to facilitate these discussions and decisions in each youth’s gender-affirming care journey.
A complex methodology for the development of mathematical modeling skills in engineering education
Authors: Sipos Dóra , Kocsis Imre
Published: April 2024

Today, the role of humans is changing rapidly in both industrial production activities and services. Mediocre, easy-to-learn activities can be performed more efficiently by machines; mediocre knowledge is being devalued while the importance of high-level skills is increasing. As a result, in all sectors of the economy, and especially in engineering, new approaches to expert training are needed; people must learn to hand over certain decision-making roles and to control the processes supported by AI rather than compete with it. STEM education has a responsibility to achieve these goals and must develop appropriate tools for engineering education. This paper presents a complex didactic methodology for competency-based education in engineering bachelor programs. An important element is the mathematical competency map, which shows the importance and place of mathematical and algorithmic (coding) knowledge in engineering topics. Another element is the systematic testing of mathematical knowledge in non-mathematical contexts in engineering courses. We provide an overview of our achievements in applying the developed toolset and improving the efficiency of mathematics teaching in engineering bachelor programs.
Annonaceous acetogenins: A comparative analysis of insecticidal activity
Authors: Durán-Ruiz Claudia Azucena , González-Esquinca Alma Rosa , de-la-Cruz-Chacón Iván
Published: April 2024

Abstract: The Annonaceae family besides its commercial value ( Annona cherimola, , A. macroprophyllata, A. muricata, A. reticulata, A. purpurea , A. squamosa, Annona x atemoya) also produces several active secondary metabolites. Among these metabolites, Annonaceous acetogenins which are exclusive in this family, are reported with insecticidal activity on various species of insects that are crop pests and disease vectors. This review systematizes what is reported in the scientific literature about them: aspects such as the plant species from which the acetogenins come, and the insecticidal potential using the comparative activity index; it also takes into account lethality, morphological, physiological, and behavioral changes, including deterrent and anti-feeding effects. Eighty-five annonaceous acetogenins are documented on thirty species of insects, as well as toxic activities at various stages of development, broad-spectrum, and differential. The studies on Aedes aegypti (Diptera) and Spodoptera frugiperda (Lepidoptera) and the activity of squamocin on fifteen species of insects stand out. Annonaceous acetogenins are toxic at low concentrations, considering evaluation standards and comparison with commercial insecticides, and are active at various stages of insect development. The low proportion of studied species of the Annonaceae means the opportunity to find molecules with this biological potential, and an argument for its conservation.
Performance of ChatGPT on questions from the Brazilian College of Radiology annual resident evaluation test
Authors: Leitão Cleverson Alex , Salvador Gabriel Lucca de Oliveira , Rabelo Leda Maria , Escuissato Dante Luiz
Published: April 2024

Abstract Objective: To test the performance of ChatGPT on radiology questions formulated by the Colégio Brasileiro de Radiologia (CBR, Brazilian College of Radiology), evaluating its failures and successes. Materials and Methods: 165 questions from the CBR annual resident assessment (2018, 2019, and 2022) were presented to ChatGPT. For statistical analysis, the questions were divided by the type of cognitive skills assessed (lower or higher order), by topic (physics or clinical), by subspecialty, by style (description of a clinical finding or sign, clinical management of a case, application of a concept, calculation/classification of findings, correlations between diseases, or anatomy), and by target academic year (all, second/third year, or third year only). Results: ChatGPT answered 88 (53.3%) of the questions correctly. It performed significantly better on the questions assessing lower-order cognitive skills than on those assessing higher-order cognitive skills, providing the correct answer on 38 (64.4%) of 59 questions and on only 50 (47.2%) of 106 questions, respectively (p = 0.01). The accuracy rate was significantly higher for physics questions than for clinical questions, correct answers being provided for 18 (90.0%) of 20 physics questions and for 70 (48.3%) of 145 clinical questions (p = 0.02). There was no significant difference in performance among the subspecialties or among the academic years (p > 0.05). Conclusion: Even without dedicated training in this field, ChatGPT demonstrates reasonable performance, albeit still insufficient for approval, on radiology questions formulated by the CBR.
Hydropriming and substrates affect the emergence and production of Calendula officinalis L. seedlings
Authors: Santos Cleberton Correia , Silverio Juliana Milene , Beltramin Francisco Antonio , Barros Daniela Maria , Vicenzi Júnior Sinval , Flauzino Darlan Souza , Torales Elissandra Pacito , Santos Silvia Correa
Published: April 2024

ABSTRACT: In order to establish protocols that can contribute to the propagation of medicinal plants, this study evaluated the effect of hydropriming and substrates on the emergence and production of Calendula officinalis L. seedlings. Seeds were submitted or not to hydropriming for 24 hours, and subsequent sowing in four substrates: S1) 100% Dystroferric Red Latosol - DRL, S2) DRL + coarse sand (1:1 v/v), S3) DRL + Tropstrato® commercial substrate (1:1 v/v) and S4) 100% Tropstrato®, and kept in greenhouse with 50% shading. Higher emergence percentage in substrates with the presence of DRL was observed. Seed hydropriming impaired seedling emergence, but contributed to root growth, biomass production and seedling quality. The 100% Tropstrato® substrate favored higher dry mass production and seedling quality. Positive linear correlation (≥ 0.70) was observed between shoot and root growth characteristics with biomass production and Dickson’s quality index. Principal component analysis explained 78.95% of the experimental variance, excluding the first count and the shoot/root ratio with low representativeness. In the cluster analysis of Euclidean distances, seedlings with the greatest similarity were those produced with 100% DRL and DRL + Tropstrato® with and without hydropriming, respectively. Dystroferric Red Latosol is recommended pure or combined with Tropstrato® for the production of C. officinalis L seedlings, and the hydropriming impaired seedling emergence characteristics.
Does organic hop cultivation in subtropical conditions promote physiological and productive changes?
Authors: Neves Caio Scardini , Aires Eduardo Santana , Ribera Laura Matos , Campos Olivia Pak , Fortuna Gabriel Cássia , Gomes Jordany Aparecida de Oliveira , Ono Elizabeth Orika , Rodrigues João Domingos , Bonfim Filipe Pereira Giardini
Published: April 2024

ABSTRACT: Hops are grown mainly for the brewing market due to the rich chemical composition that gives beer aroma and bitterness. Brazil is one of the largest beer producers and consumers in the world and one of the largest hop importers. There is growing demand and interest in producing hops for domestic supply; however, as this crop originates from a temperate climate and the Northern Hemisphere, it is important to carry out research that describes the development of hops in a tropical climate to provide information on its cultivation in Brazil, as well as to determine its behavior in organic cultivation. A randomized block design was adopted, the treatments consisted of two cropping systems, conventional and organic, for Hallertau Mittelfrueh variety cultivation, with four blocks and three plants per plot. Gas exchange analyzes of plants under both cultivation systems were performed to obtain measurements of A, g s , Ci, E, WUE and A/Ci, morphometric and yield analyzes were also carried out. In comparison with the plants of the organic system, the plants of the conventional cultivation had greater photosynthetic efficiency; however, the practices adopted in the organic cultivation system provided the plants with greater productive capacity.
Eficácia do Plano Transicional de Alta Hospitalar na competência para o cuidado de pacientes com condições crônicas e seu cuidador familiar: ensaio clínico
Authors: Estrada Yuliana Valentina Rincón , Esteban Astrid Nathalia Páez , Aldana Maria Stella Campos de , Niño Erika Yurley Durán , Contreras Juan Sebastian Rincón , Galvis Maria del Pilar Castillo , Pinzón Valeria Arias , Arenas Sergio Andrés García
Published: April 2024

Objetivo: avaliar a efetividade do Plano Transicional de Alta Hospitalar na competência para o cuidado e adesão terapêutica da díade paciente-cuidador com doença crônica não transmissível. Método: ensaio clínico randomizado controlado; a amostra foi composta por 80 díades paciente-cuidador com condição crônica distribuídas aleatoriamente, sendo 40 díades para o grupo controle e 40 para o grupo intervenção. Foram aplicados os instrumentos de caracterização da díade paciente-cuidador, competência do cuidar de pacientes e cuidadores e escala de adesão ao tratamento do paciente. No grupo intervenção foi realizada a “ Intervención Educativa Cuidemos ” e no grupo controle foram prestados os cuidados habituais, com auxílio de folheto; com acompanhamento telefônico após um mês. Resultados: 52,5% dos pacientes são mulheres, assim como 81,3% dos cuidadores. A idade média dos pacientes e cuidadores é de 69,5±12,6 e 47,5±13,1 anos. O Plano Transicional de Alta Hospitalar aumentou os escores das dimensões conhecimento, singularidade, instrumentalidade, desfrutar, antecipação e relação e competência global do cuidado ao paciente e cuidador familiar. Também os fatores medicamentos, dieta, controle de estimulantes, controle de peso, gerenciamento de estresse e adesão terapêutica geral do paciente. Não houve diferenças estatisticamente significativas entre os grupos controle e intervenção. Conclusão: o Plano Transicional de Alta Hospitalar aumenta a competência para o cuidado do paciente e do cuidador familiar pós-intervenção, e também a adesão do paciente. Porém, não houve diferenças entre os grupos intervenção e controle, possivelmente pela semelhança das atividades.
Quality indicators for the processing of health products: A mixed-methods study
Authors: Pontes Daniela , Munari Denize Bouttelet , Costa Dayane de Melo , Pereira Priscilla Perez da Silva , Sousa Elyana Teixeira , Tipple Anaclara Ferreira Veiga
Published: April 2024

Objective: to analyze the use of quality assessment indicators and their implementation to improve quality in the processing of health products. Method: a mixed-methods study with a multiple case approach using Structure, Process and Results indicators and elaboration of a plan using Appreciative Inquiry, carried out in four central sterile supply departments from hospital units. Results: the indicators for the Cleaning stage presented 47.8% compliance for Structure and 59.0% for Process: in addition 71.8% of the products were clean. In the Preparation operational stage, 50.0% of the Results indicators were in compliance for Structure and 66.7% for Process. In the Sterilization, Storage and Distribution stage, 43.5% compliance was obtained for Structure, 55.7% for Process and 78.6% for Packaging conservation. Appreciative planning proposed improvements to the physical structure, review of processes and protocols, promotion and appreciation of the work done and strengthening of teaching about processing and service management, highlighting the protagonism of the group and of the leaders. Conclusion: using indicators was positive in materializing reality; however, it was verified that the improvements proposed are related to people. The affirmative and constructive view of Appreciative Inquiry presented itself as a path to changes and quality improvements.
Indicadores de qualidade para o processamento de produtos para saúde: estudo de método misto
Authors: Pontes Daniela , Munari Denize Bouttelet , Costa Dayane de Melo , Pereira Priscilla Perez da Silva , Sousa Elyana Teixeira , Tipple Anaclara Ferreira Veiga
Published: April 2024

Objetivo: analisar o uso de indicadores de avaliação da qualidade e suas implementações para melhoria da qualidade do processamento de produtos para saúde. Método: estudo misto, com abordagem de casos múltiplos utilizando indicadores de estrutura, processo e resultado e a construção de um planejamento utilizando a investigação apreciativa, realizado em quatro centros de material e esterilização de unidades hospitalares. Resultados: os indicadores para a etapa da limpeza apresentaram 47,8% de conformidade para estrutura, 59,0% para processo e 71,8% de produtos estavam limpos. Na etapa operacional do preparo, 50,0% dos indicadores de resultados estiveram em conformidade para estrutura e 66,7%, para processo. Na etapa de esterilização, armazenamento e distribuição, obtiveram-se 43,5% de conformidade para estrutura, 55,7% para processo e 78,6% para conservação das embalagens. O planejamento apreciativo propôs melhorias para a estrutura física, revisão de processos e protocolos, promoção e valorização do trabalho, fortalecimento do ensino sobre processamento e a gerência do serviço, destacando o protagonismo do grupo e da liderança. Conclusão: o uso dos indicadores foi positivo na materialização da realidade, porém verificou-se que as melhorias propostas se relacionam às pessoas. A visão afirmativa e construtiva da investigação apreciativa apresentou-se como caminho para mudanças e melhorias da qualidade.
Assistance to victims of violence in Emergency services from the Forensic Nursing perspective
Authors: Citolin Morgana Oliveira , Vargas Mara Ambrosina de Oliveira , Santos Davydson Gouveia , Hilleshein Andreza Goulart , Brasil Gisele , Ramos Flavia Regina Souza
Published: April 2024

Objective: to analyze nurses’ role in collecting, identifying and preserving traces in Emergency care for victims of violence, from the perspective of these professionals. Method: a qualitative study with an exploratory and descriptive approach. It was developed through semi-structured interviews with 21 nurses from hospitals that are part of the intersectoral flow to assist victims of violence from two reference hospitals in this type of care, in a capital city from southern Brazil. Nurses that are members of the multiprofessional team working in the Emergency areas at the respective hospitals were included; in turn, the exclusion criteria corresponded to professionals relocated in Emergency areas during the pandemic. Data analysis was performed according to Thematic Content Analysis. Results: the data were discussed in five categories: 1) Professional qualification; 2) Institutional protocol and materials; 3) The professionals’ perceptions; 4) The professionals’ actions; and 5) Team structure. Conclusion: Nursing professionals’ skills in collecting, identifying and preserving traces in Emergency assistance provided to victims of violence need to be better organized, structured and standardized. The presence of Nursing professionals in the care of victims of violence in Emergency services is undeniable, but their importance is still underestimated and their potential contribution to the forensic approach is underused.
Evaluación de distintos métodos para medir la temperatura corporal de los pacientes durante el período intraoperatorio
Authors: Nascimento Ariane Souza do , Lemos Cassiane de Santana , Biachi Fernanda Baratojo , Lyra Fernanda Ribeiro Silva de , Gnatta Juliana Rizzo , Poveda Vanessa de Brito
Published: April 2024

Objetivos: el objetivo de este estudio fue estimar y comparar la confiabilidad de mediciones de temperatura obtenidas por medio de un termómetro temporal infrarrojo periférico, un termómetro cutáneo central (“Termómetro cutáneo Zero-Heat-Flux ”) y un termómetro esofágico o nasofaríngeo en pacientes sometidos a cirugías electivas durante el período intraoperatorio. Método: estudio longitudinal con mediciones repetidas llevado a cabo con una muestra por conveniencia de 99 pacientes, de al menos 18 años de edad, sometidos a cirugías electivas por cáncer abdominal, con anestesia de al menos una hora de duración, y midiendo la temperatura de cada paciente con los tres métodos. Resultados: el coeficiente de correlación intraclase indicó una correlación baja entre las mediciones realizadas con el termómetro temporal periférico y los termómetros cutáneo (0,0324) y esofágico/nasofaríngeo (-0,138) centrales. Se registró una correlación alta (0,744) entre los termómetros centrales evaluados. Conclusión: los datos del presente estudio no recomiendan utilizar termómetros temporales infrarrojos como estrategia para medir la temperatura corporal de pacientes sometidos a procedimientos anestésico-quirúrgicos. Los termómetros cutáneos centrales y los esofágicos/nasofaríngeos son equivalentes para detectar hipotermia intraoperatoria.
Evaluation of different body temperature measurement methods for patients in the intraoperative period
Authors: Nascimento Ariane Souza do , Lemos Cassiane de Santana , Biachi Fernanda Baratojo , Lyra Fernanda Ribeiro Silva de , Gnatta Juliana Rizzo , Poveda Vanessa de Brito
Published: April 2024

Objectives: this study aimed at estimating and comparing the reliability of temperature measurements obtained using a peripheral infrared temporal thermometer, a central cutaneous thermometer (“Zero-Heat-Flux Cutaneous thermometer”) and an esophageal or nasopharyngeal thermometer among elective surgical patients in the intraoperative period. Method: a longitudinal study with repeated measures carried out by convenience sampling of 99 patients, aged at least 18 years old, undergoing elective abdominal cancer surgeries, with anesthesia lasting at least one hour, with each patient having their temperature measured by all three methods. Results: the intraclass correlation coefficient showed a low correlation between the measurements using the peripheral temporal thermometer and the central cutaneous (0.0324) and esophageal/nasopharyngeal (-0.138) thermometers. There was a high correlation (0.744) between the central thermometers evaluated. Conclusion: the data from the current study do not recommend using infrared temporal thermometers as a strategy for measuring the body temperature of patients undergoing anesthetic-surgical procedures. Central cutaneous thermometers and esophageal/nasopharyngeal thermometers are equivalent for detecting intraoperative hypothermia.
Relaciones entre sueño, calidad de vida y ansiedad en pacientes sometidos a cirugías cardíacas
Authors: Karahan Elif , Demirtaş Hüseyin , Çelik Sevim , Dolu İknur
Published: April 2024

Objetivo: el objetivo de este estudio es examinar las relaciones entre el sueño, la calidad de vida y la ansiedad en pacientes sometidos a cirugías cardíacas durante el período preoperatorio, al momento del alta hospitalaria, y dos semanas y tres meses después del alta. Método: este estudio tuvo un diseño prospectivo, descriptivo y correlacional y se realizó en un único centro. La muestra estuvo compuesta por 68 pacientes que habían sido sometidos a cirugías cardíacas. Los datos se recolectaron por medio de un Formulario de Información y a través de los siguientes instrumentos: State-Trait Anxiety Inventory , Richard-Campbell Sleep Questionnaire y Nottingham Health Profile . Resultados: la calidad del sueño de los pacientes mejoró de moderada a buena en cada medición después de las cirugías, en comparación con la evaluada al momento de la primera internación. Si bien las puntuaciones de ansiedad rasgo disminuyeron al momento del alta hospitalaria y 2 semanas después de la internación inicial, aumentaron al nivel moderado 3 meses después del alta. No se registró ninguna relación significativa entre niveles de ansiedad y calidad del sueño en ninguna de las mediciones. Además, la calidad de vida de los pacientes mejoró significativamente 2 semanas y 3 meses después del alta hospitalaria. Conclusión: los resultados de este estudio demostraron que la calidad de sueño de los pacientes sometidos a cirugías cardíacas mejoró durante el período postoperatorio, además de que esta mejora ejerció un efecto positivo sobre su calidad de vida.
CSR and financial institution ownership in managing the cost of capital
Authors: Hatane Saarce Elsye , Soewarno Noorlailie
Published: April 2024

Abstract This study aims to examine the influence of corporate social responsibility (CSR) performance and financial institution ownership on the cost of capital for companies in the tourism and hospitality industry at ASEAN-5. A balanced panel data of 594 firm-year observations from 2014-2019 in ASEAN-5. CSR performance data results from content analysis in the annual reports of ninety-nine companies. The WACC is the proxy for the cost of capital. The research framework applies the weighted least square of panel effect regression. The statistical results indicate that CSR performance raises the cost of capital while financial institution ownership diminishes. Also, environment and human rights disclosures are components of CSR disclosures that reduce the cost of capital. The results are limited to the tourism and hospitality industry of ASEAN-5. Future studies may consider using other than KLD to measure CSR. Besides, this study only focuses on financial institution ownership. Future studies can examine other types of ownership, such as managerial and government ownership. This research is the first to examine CSR and Financial Institution Ownership's role in the cost of capital in the tourism and hospitality industry within the 5 ASEAN countries.
Assessment of the nursing staff's knowledge on periodontal disease and its associations with systemic changes
Authors: RODRIGUES Elisângela , OLIVEIRA Guilherme José Pimentel Lopes de , ALVES Roberta de Oliveira , ABREU Isabella Silva de , HERVAL Álex Moreira , MATTOS Flávio de Freitas , SOARES Priscilla Barbosa Ferreira
Published: April 2024

Abstract Introduction The maintenance of oral health in inpatients is essential, particularly to avoid complications arising from periodontal disease, which not only affect oral health but can also exacerbate systemic issues during hospitalization. Objective: This study aimed to assess nursing staff’s knowledge regarding the management of periodontal disease and its association with systemic diseases. Material and method This cross-sectional observational study was conducted in a general referral hospital of the Brazilian National Health System (SUS). A total of 504 nursing professionals completed a self-administered 24-item questionnaire on relating to oral care procedures and the importance of oral health in hospitalized patients. Data were analyzed using descriptive analysis and the chi-squared test (α = 0.05). Result Most respondents (97.8%) believed that oral infections can affect a patient's general health and that oral hygiene is important during hospitalization. However, knowledge deficits were identified. The oral effect of periodontal disease was considered moderate by 49.3% of the participants, and 74.6% believed that sugar was the most common cause of periodontal disease. Conclusion Nursing professionals are aware of the importance of maintaining oral hygiene and the relationship between periodontal and systemic diseases. However, their dental hygiene practice knowledge is limited. A training program on oral healthcare for inpatients and the inclusion of oral hygiene topics in the curricula of nursing professionals are recommended.
DESENVOLVIMENTO E VALIDAÇÃO DE SERIOUS GAME PARA ENSINO-APRENDIZAGEM DE PREVENÇÃO DE INFECÇÃO DE SÍTIO CIRÚRGICO
Authors: Nascimento Kleiton Gonçalves do , Nascimento Juliana da Silva Garcia , Raponi Maria Beatriz Guimarães , Pires Patrícia da Silva , Fonseca Luciana Mara Monti , Barbosa Maria Helena
Published: April 2024

RESUMO Objetivo: desenvolver e validar serious game para o ensino-aprendizagem referente à prevenção de infecção de sítio cirúrgico. Método: estudo metodológico conduzido por etapas: desenvolvimento e validação do conteúdo do jogo, baseados na simulação virtual (preparação, participação e debriefing) e desafios; desenvolvimento do jogo, seguindo as etapas de conceito, pré-produção, protótipo, produção e pós-produção; e, validação da usabilidade, por meio do instrumento Heuristic Evaluation for Digital Educational Games. Para avaliação do conteúdo e usabilidade do jogo, contou-se com 12 enfermeiros e 08 especialistas em jogos digitais. Resultados: o script do serious game conteve três períodos sequenciais pré, intra e pós-operatório, com enfoque em intervenções de enfermagem voltadas para prevenção de infecção de sítio cirúrgico. Obteve-se um Coeficiente de Validade de Conteúdo acima de 0,80 para o conteúdo do jogo. Referente à avaliação da jogabilidade pelas heurísticas avaliadas, todas as afirmativas presentes no script do jogo foram consideradas adequadas e houve a implementação de ajustes no que se refere ao feedback, ao acesso ao referencial teórico sobre prevenção de infecção de sítio cirúrgico, à inclusão de imagens no material de estudo e ao direcionamento do jogador à sessão de debriefing. Conclusão: o serious game desenvolvido foi considerado válido e potencial ferramenta pedagógica na área de enfermagem para aprendizagem da prevenção de infecção de sítio cirúrgico.
VALIDAÇÃO DE TECNOLOGIA EDUCACIONAL COMO RECURSO DIDÁTICO NO ENSINO DE ENFERMAGEM EM SAÚDE MENTAL
Authors: Silva Felicialle Pereira da , Alves Beatriz Mendonça Morais , Silva Darine Marie Rodrigues da , Frazão Iracema da Silva , Brandão Neto Waldemar , Pinto Isla Daniela da Silva , Pereira Emanuela Batista Ferreira e , Ventura Carla Aparecida Arena
Published: April 2024

RESUMO Objetivo: Validar uma tecnologia educacional como recurso didático para o ensino de enfermagem em saúde mental. Método: Estudo metodológico, realizado através da concordância entre os juízes especialistas e do público-alvo, para a validação do conteúdo e avaliação da aparência de um jogo educacional. Participaram do estudo 11 juízes especialistas e 114 alunos de duas universidades. Para a validação, foi utilizado o Índice de Validade de Conteúdo. Resultados: A avaliação do recurso didático-pedagógico atingiu um Índice de Validade de Conteúdo Global igual a 88,5%. Os itens 7 e 9 obtiveram um Índice de Validade de Conteúdo Individual inferior a 78%. À vista disso, esses itens foram reavaliados e ajustados conforme as alterações sugeridas. Para os domínios avaliados referentes à aparência do jogo educacional, foram obtidos percentuais que estiveram entre 85,9% e 97,3%. Conclusão: As avaliações desencadearam adequações no conteúdo teórico-científico do jogo, tornando-o apto a ser empregado como recurso educacional da disciplina de saúde mental nos cursos de enfermagem.
Why did humans surpass all other primates? Are our brains so different? Part 1
Authors: Nitrini Ricardo
Published: April 2024

ABSTRACT. This review is based on a conference presented in June 2023. Its main objective is to explain the cognitive differences between humans and non-human primates (NHPs) focusing on characteristics of their brains. It is based on the opinion of a clinical neurologist and does not intend to go beyond an overview of this complex topic. As language is the main characteristic differentiating humans from NHPs, this review is targeted at their brain networks related to language. NHPs have rudimentary forms of language, including primitive lexical/semantic signs. Humans have a much broader lexical/semantic repertory, but syntax is the most important characteristic, which is probably unique to Homo sapiens. Angular gyrus, Broca's area, temporopolar areas, and arcuate fascicle, are much more developed in humans. These differences may explain why NHPs did not develop a similar language to ours. Language had a profound influence on all other higher nervous activities.
Social and family support, emotional dysregulation and depression: Associations and pathways
Authors: Tartaro Gustavo Kastien , Baptista Makilim Nunes , Raad Alexandre José
Published: April 2024

Abstract Objective Emotional dysregulation, family and social support are associated with depression. The present study aims to explore, by path analysis, relationships between these variables. Method The path analysis method was applied, and, additionally, comparisons of the means were made between participants with and without a diagnosis of depression and suicide attempts. The sample consisted of 712 Brazilians (M = 23.8; SD = 8.13), 66.7% of whom were women. Results The results show a correlation between both types of support for emotional dysregulation and depression. Emotional dysregulation was found to be an associated variable in depression. Positive correlations were observed between emotional dysregulation and depression. Both were negatively correlated with family and social support. Conclusion People with a diagnosis and previous suicide attempts had higher averages in emotional dysregulation and depression, and lower averages in family and social support.
Factors associated with above-average cognitive performance in long-lived older adults
Authors: Pereira Célio Alves , Gomes Lucy , Rezende Eduarda Freitas , Chariglione Isabelle Patriciá Freitas Soares , Moraes Clayton Franco , Alves Vicente Paulo , Silva Henrique Salmazo da
Published: April 2024

Abstract Objective To investigate the factors associated with performance equal to or higher than the 95th percentile in the Mini Mental State Examination of elderly people aged 80 years and over. Method This is a cross-sectional, descriptive, and quantitative research conducted with a convenience sample composed of 101 cognitively healthy older adults residing in Brazil's Federal District, assessed by scales that measure mood, social support, functional performance, and health. Results Bivariate statistical analyses indicated that older individuals with better cognitive performance in the Mini Mental State Examination, when compared to participants with performance below the 95th percentile, showed better self-perceived health, greater satisfaction with the ability to perform daily tasks, and a more positive evaluation of general social support and in the domain of having someone to talk to when feeling lonely. Conclusion High global cognitive performance in old age is associated with perceived health, satisfaction with functional performance, and social support.
DA IMIGRAÇÃO INDESEJADA À IMIGRAÇÃO CELEBRADA: REPRESENTAÇÕES DA IMIGRAÇÃO JAPONESA EM TRÊS JORNAIS BRASILEIROS NO IMEDIATO PÓS-GUERRA (1946-1958)
Authors: Hayashi Bruno Naomassa
Published: April 2024

Resumo A representação brasileira da imigração japonesa passou por rápidas transformações nos primeiros anos após a Segunda Guerra Mundial. Neste artigo analisa-se, a partir do ponto de vista de três jornais brasileiros, o processo de transformação das imagens da imigração japonesa, de sua quase proibição em 1946 (durante a Constituinte) até as celebrações do Cinquentenário da Imigração Japonesa no Brasil em 1958. Os três jornais são: O Estado de S. Paulo (SP), o Jornal do Brasil (RJ) e o Jornal do Commercio (RJ). Em comum, todos partem de uma mesma posição de apoio à proibição em 1946 e chegam a uma mesma posição de homenagem e celebração em 1958. O caminho que liga o percurso, no entanto, é sensivelmente distinto. O objetivo do trabalho é identificar empiricamente as formas de representação do grupo minoritário japonês em veículos de imprensa de grande circulação no imediato pós-guerra. Além disso, busca-se delinear alguns dos fatores que inf luenciaram nas transformações dessas representações, verificando a importância da economia, da geopolítica, da ação de lideranças e associações locais, assim como das ideologias raciais e de nacionalidade que dominam o debate público em cada momento.
SÉRGIO BUARQUE DE HOLANDA, O MODERNISMO PAULISTA E OS INDÍGENAS NA HISTORIOGRAFIA SOBRE SÃO PAULO
Authors: Santos Diogo de Godoy
Published: April 2024

Resumo Este artigo explora, de um ponto de vista etnográfico, as ideias, temas e estilos expressivos suscitados pelo estudo da temática indígena na produção intelectual do historiador e crítico Sérgio Buarque de Holanda (1902-1982), em paralelo às abordagens historiográficas sobre os indígenas na história de São Paulo promovidas por intelectuais da elite paulista nos anos 1920 e 1930. Para tanto, percorre alguns textos publicados pelo autor no período de seu engajamento com o modernismo paulista e na época de gestação de seu projeto para o estudo das monções e das bandeiras paulistas. O objetivo é deslindar uma nova chave de interpretação da obra buarqueana, recobrando o olhar para sua relação complexa e intrincada com a tradição historiográfica no Brasil e seus ideais “racialistas” de modernização.
REFORMA TRABALHISTA, PANDEMIA E IMPLICAÇÕES SOBRE AS MULHERES
Authors: Leite Marcia de Paula , Biavaschi Magda Barros , Vazquez Bárbara Vallejos , Lapa Thaís de Souza
Published: April 2024

Resumo Este artigo discute os resultados da pesquisa Reforma Trabalhista no Brasil e implicações sobre as mulheres , realizada em 2019 e 2020 sob os auspícios do Conselho Latino-Americano de Ciências Sociais, a qual envolveu utilização de dados sobre mercado de trabalho, negociações coletivas e entrevistas com sindicalistas e trabalhadores(as) dos setores metalúrgico, químico, de brinquedos e instrumentos musicais e de confecção, bancário, comércio e serviços, setor de saúde, educação e trabalho doméstico. A pesquisa se baseou na hipótese de que, ao não levar em conta as desigualdades de gênero no mercado de trabalho, a reforma afetaria mais profundamente as mulheres. Essa hipótese foi confirmada pela investigação, que acabou evidenciando que os impactos da reforma se entrecruzam com os da pandemia, provocando desproteção, degradação e intensificação laboral. O texto revela, assim, os impactos dramáticos da reforma trabalhista e da pandemia sobre as mulheres, centrando o debate na crise dos cuidados e da reprodução social sob o neoliberalismo e evidenciando como ela se aprofunda com o entrecruzamento da reforma e da pandemia, tornando a reprodução social ainda mais difícil.
Avaliação do modo respiratório por meio da termografia: um estudo piloto
Authors: Telson Yasmim Carvalho , Furlan Renata Maria Moreira Moraes , Ferreira Rafael Augusto Magalhães , Porto Matheus Pereira , Motta Andréa Rodrigues
Published: April 2024

RESUMO Objetivo Apresentar um método de análise do modo respiratório por meio da termografia infravermelha. Método Estudo transversal exploratório de 38 imagens térmicas que representavam o momento da inspiração e da expiração durante a respiração nasal e durante a simulação da respiração oral de quatro voluntárias respiradoras nasais sem queixas respiratórias. Para a extração da temperatura das regiões de interesse (nariz e boca) foram utilizadas três formas de seleção distintas de dados (linha, retângulo e elipse) e três medidas de temperatura (mínima, média e máxima) por meio do software FLIR Tools®. Resultados Dentre as três formas de seleção houve maior variabilidade nas medidas obtidas pela linha, revelando limitações nessa medida. Não houve diferenças entre as medidas do retângulo e elipse, mostrando que ambas as formas de seleção apresentam resultados semelhantes para a extração das temperaturas. Na comparação entre as temperaturas do nariz e da boca na inspiração e expiração, os resultados indicaram que houve diferença com relevância estatística em todas as medidas realizadas, exceto para as medidas de temperatura média da inspiração, usando o retângulo e a elipse. Percebe-se diferenciação do modo respiratório tanto na inspiração quanto na expiração quando utilizada a temperatura média da boca com o retângulo e a elipse. Conclusão Sugere-se para avaliação do modo respiratório a avaliação da boca, por meio da elipse, com análise da temperatura média durante a inspiração.
Do negro-vida ao pretuguês: contribuições do pensamento social brasileiro negro para o Direito
Authors: Drummond Julia dos Santos , Pinheiro Luciano Santana
Published: April 2024

Resumo O presente artigo tem por objetivo apresentar as contribuições do pensamento social brasileiro negro para o campo jurídico brasileiro recente. Adotamos como método a revisão de literatura. Primeiro, apresentamos como o debate racial é abordado no pensamento social brasileiro clássico. A seguir, utilizamos as categorias centrais no pensamento de Lélia Gonzalez e Guerreiro Ramos, especificamente os conceitos de “amefricanidade”, “pretuguês” e “negro-vida”, destacando as suas contribuições fundamentais para o pensamento social negro. Em seguida, a partir de pesquisa em bases de dados de periódicos, demonstramos como as produções desses intérpretes são mobilizadas, atualmente, por pesquisadores no campo do Direito e das relações raciais. Concluímos que, nos últimos seis anos, o pensamento social brasileiro negro tem sido utilizado para atualizar as pesquisas acadêmicas no campo do Direito e das relações raciais, principalmente por meio de artigos científicos e dissertações de mestrado, sendo, assim, fundamental para a racialização do debate jurídico.
Epidemiology and the area of Worker’s Health
Authors: Ribeiro Fátima Sueli Neto , Pinheiro Tarcísio Márcio Magalhães
Published: April 2024

Abstract This essay addresses the conflicting relation between the theoretical and applied epidemiological health services instruments, including the difficulties in apprehending the social determination linked to the neoliberal model and workers’ subjectivities in their creative process of resisting the model of exploitation of their workforce that characterizes the current world of work. The role of Epidemiology in the following theoretical frameworks of the relations between health and work from the 1970s onward is described and discussed: Occupational Medicine, Occupational Health, and Worker’s Health. Despite the criticisms, studies from the beginning of the 2000s showed methodological advances when research turned to a more conservative set of instruments that insufficiently contextualized the social determinations of the work process. Even with legal support in Brazil, the operationalization of Epidemiology at the service of Workers’ Health in the Unified Health System still adopts approaches toward measuring risks. Such approaches lie far from the models that apprehend the reflexes of social organization proposed by researchers from Latin America, which are yet to be expressed in the studies and services of Worker’s Health in Brazil.