bluuebunny/crossref_metadata_2025 huggingface dataset:
Riesgo de transmisión de SARS-CoV-2: evaluación espacial multicriterio en un municipio de Colombia, 2020
Authors: Niño Larry , Gutiérrez-Lesmes Oscar , Diaz-Celis Cesar Augusto , Manrique-Abril Fred Gustavo
Published: October 2020

Objetivo Zonificar el riesgo de transmisión de SARS-CoV-2 en Villavicencio, Colombia, mediante una evaluación espacial multicriterio.Materiales y Métodos Se implementó un modelo de evaluación multicriterio, a través de un proceso de análisis jerárquico integrado a un sistema de información geográfica. Como criterios fueron incluidos atributos descriptores de las amenazas y vulnerabilidades de transmisión viral identificados mediante un modelo epidemiológico en una misma escala numérica adimensional y proporcional a la probabilidad de contagio. Las alternativas evaluadas corresponden a entidades espaciales representadas por pixeles. Los criterios fueron ponderados de acuerdo con el juicio experto de los evaluadores, con los cuales se realizó el cálculo de una matriz de prioridades relativas normalizada, que permitió la estimación de un vector de pesos, cuyo grado de inconsistencia fue admisible. La magnitud del riesgo se calculó con una sumatoria ponderada de la valoración de los criterios, de acuerdo con un geoproceso de álgebra de mapas.Resultados La heterogeneidad espacial del riesgo de transmisión de SARS-CoV-2 fue descrita en Villavicencio, lo que permitió identificar las áreas con mayor probabilidad de transmisión localizadas en barrios caracterizados por una alta vulnerabilidad socioeconómica.Conclusiones La representación cartográfica derivada de la implementación de un modelo multicriterio, integrado a un Sistema de Información Geográfica, en el análisis de riesgo de transmisión de SARS-CoV-2 constituye un aporte metodológico relevante para la toma de decisiones que definan estrategias de mitigación a escala local y que faciliten la localización y optimización de recursos por parte de las autoridades sanitarias.
Refleksi Pemikiran Multikulturalisme bagi Dakwah
Authors: Retpitasari Ellyda , Zuhriyah Luluk Fikri
Published: October 2020

This paper aims to discuss multiculturalism thinking from Europe and Asia, such as Bikhu Parekh, Daniel Conjanu, and Charles Taylor. Multiculturalism thinking is explored for the sake of Da'wa, or it can be called as multiculturalism preaching. This study uses literature review, and analysis of multiculturalism phenomena in the city of Surabaya. These thinkers used a number of approaches in terms of recognition politics, new identity politics, political equality with dignity, politics of difference, accommodative multiculturalism, and pragmatism. In the analysis of the Da'wa approach is divided into two, namely the structural approach and cultural approach. The structural approach refers to politics that encompasses politics of recognition, politics of new identity, politics of equality with dignity, and politics of difference. As for the cultural approach, it encompasses accommodative multiculturalism and pragmatism. Through this multicultural preaching approach it becomes an offer in overcoming the problems of preaching in multicultural societies.
Penyebaran Radikalisme di Media Penyiaran TV Indonesia
Authors: Fatwa Ah. Fajruddin
Published: October 2020

This article focused on assessing the role of media broadcasting in the spreading religious radicalism in Indonesia. The emergence of numbers broadcasting and diversity of content used was not only have positive impact on the delivery of information in the community but also possible negative impact among the communities. The research found three identified negative impacts among society. First, spreading hatred information towards certain social or religious groups. Second, the potential for disintegration of national disintegration with messages that conflict with national values. Third, the potential for legal violations that occur due to the weak supervision of digital-based broadcast content. The research also found three weaknesses to develop the capacity Indonesia Broadcast committee first, restoring the weak of statement regulation and contradictory norm within the Broadcasting Behavior Guidelines and broadcasting behavior standard. Second, Developing the institutional coordination among the state institution, and strengthening the socialization of new Broadcasting Behavior Guidelines and broadcasting behavior standard.
Destiny and Work Ethos as a Degree Strategy: Study in Vocational Community Katangka District Gowa
Authors: Mahmuddin Mahmuddin
Published: October 2020

Destiny and work ethic as a Da'wa strategy for the community in the Katangka Village, Gowa Regency. The problem is then broken down into several questions, namely: (1) What is the community's understanding of destiny in the Katangka Kelurahan, Gowa Regency? (2) Can the understanding of destiny encourage the work ethic of the community as a preaching strategy in the Katangka Kelurahan, Gowa Regency? This type of research is classified as qualitative with the research approach used is the sociological approach. The data source of this research is the community in Katangka Village, Gowa Regency. Data collection methods used were observation, interviews, questionnaires and documentation. Data processing and analysis techniques are carried out through three stages namely data reduction, data presentation and conclusion drawing. The results showed that people really believe in the destiny that was set by God from the beginning. The Katangka Kelurahan community understands it as a destiny of the provision of God that cannot be contested, there is also a destiny that requires an effort to change it and there is a destiny that can be known after that event occurs or known as destiny in human perspective. The community's view of destiny can encourage the community's work ethic as part of the Da'wa strategy it is said that destiny is a belief that comes from God and with that destiny the community is driven to seek that destiny by strengthening or doing hard work called the work ethic. Based on this research, the implications of the research are stated that the community should strengthen confidence in the provisions of God so that one continues to strive and work hard to achieve prosperity and meet their needs as part of the Da'wa strategy.
The Emergence of New Religious Movement and Threats to Social Harmony in Kupang, East Nusa Tenggara
Authors: Basyir Kunawi , Ja’far Suhermanto
Published: October 2020

In the post-reformation era, a new situation of religious life has challenged the Indonesian people at large. Several conflicts arose in many areas to dispute socio-religious harmony. Kupang, East Nusa Tenggara, is not an exception. In this area, the conflict occurs along with the presence of new religious groups within society. Through a phenomenological approach, this research deals with some religious groups, such as Lembaga Dakwah Islam Indonesia (LDII), Gafatar, Ahmadiyah, Hizbut Tahrir Indonesia (HTI), and Khilafatul Muslimin in Kupang. These groups have grown significantly under social and state control which keep an eye on them, especially for every political goal concealed behind the movement. They are perceived as a threat to the existence of the government and the state.

[Indonesia pasca-Reformasi melahirkan situasi baru dalam kehidupan keagamaan. Keharmonisan yang selama ini dibanggakan mendapat ujian oleh berbagai konflik sosial bermotif agama. Konflik keagamaan muncul di berbagai wilayah, termasuk di Kupang, NTT. Konflik ini beriringan dengan munculnya berbagai kelompok aliran keagamaan baru yang selama ini tidak ada di masyarakat. Melalui studi dengan pendekatan fenomenologi dan metode observasi partisipan, ditemukan bahwa terdapat  beberapa aliran paham keagamaan seperti Lembaga Dakwah Islam Indonesia (LDII), Gafatar, Ahmadiyah, Hizbut Tahrir Indonesia (HTI), dan Khilafatul Muslimin. Aliran-aliran keagamaan tersebut tidak memiliki akselerasi perkembangan yang signifikan. Masyarakat bersama aparat selalu mengawal, mengawasi serta mendampingi kegiatan-kegiatan keagamaan yang dipandang akan membuat risau ketenteraman sosial. Sekalipun demikian, kelompok-kelompok ini memiliki potensi negatif ke depan karena sebagiannya tidak semata-mata organisasi dengan misi dakwah, tapi juga misi politik yang bertentangan dengan NKRI.]
Prevalencia y factores asociados con el acoso escolar en adolescentes
Authors:   Universidad de Santander-UDES, Páez Esteban Astrid Nathalia , Ramírez Cruz María Angela , Campos de Aldana María Stella , Duarte Bueno Laura María , Urrea Vega Edwing Alberto
Published: October 2020

Introducción: El acoso escolar es un fenómeno social, complejo y multifactorial, que hace referencia a la exposición de diferentes formas de maltrato de forma repetitiva, sistemática e intencionada. Objetivo: Determinar la prevalencia y los factores asociados con el acoso escolar en adolescentes de tres instituciones educativas públicas. Métodos: Estudio analítico de corte transversal, mediante una encuesta auto-administrada se evaluaron 816 adolescentes de sexto a noveno grado de tres instituciones educativas de Bucaramanga, Colombia en el año 2014. Resultados: El 84.2% de los adolescentes escolarizados manifestó haber sido testigo de cualquier tipo de violencia, víctima el 33.8% y victimario el 22.3%. Predominó la violencia verbal 80.1%, seguida de la física 47.7% y psicológica 36.9%. En el análisis bivariado no se encontró relación entre el acoso escolar y el sexo, el colegio, la jornada, el curso académico, el tipo de familia y su funcionalidad en los roles de testigos y víctimas. En el análisis bivariado y multivariado se encontró asociación del acoso escolar con el sexo, tipo de familia, consumo de cigarrillo y consumo de bebidas energizantes en el rol de victimario. Discusión: La identificación de las variables asociadas al acoso escolar permite priorizar y orientar las decisiones que se tomen entorno a la problemática. Conclusiones: El acoso escolar es un fenómeno complejo que requiere la articulación de la comunidad académica, padres de familia, profesionales de la salud y autoridades territoriales.
La familia es la voz del paciente en la interacción con la enfermera
Authors:   Universidad de Antioquia, Anduquia Vásquez Paula Andrea , Ramirez Barrientos Adriana , Lopera Betancur Martha Adiela , Forero Pulido Constanza , Córdoba Pérez Luisa Fernanda
Published: October 2020

Introducción: La familia experimenta un reto importante cuando uno de sus miembros está hospitalizado, pues los obliga a modificar sus dinámicas en términos de funciones y roles. Esta investigación cualitativa se realizó con familiares que acompañaron a uno de sus integrantes durante una experiencia de hospitalización; se consideró familia a quienes compartieran una historia en común con el paciente. Objetivo: Comprender el significado que le da la familia al papel que desempeña con el paciente en la interacción con las enfermeras durante el tiempo de hospitalización. Materiales y Métodos: Se utilizó el enfoque etnográfico. Se aplicaron 10 entrevistas a personas adultas. Se obtuvo información hasta lograr la saturación. Se tuvo en cuenta los criterios de rigor y los principios éticos. Resultados: La familia considera que tienen el derecho de ser la voz del paciente para interactuar con la enfermera, y la asume como una de sus funciones en su rol cuidador, para lograrlo es indispensable que ésta acuda al llamado, atienda, acompañe y brinde al paciente unos cuidados mínimos requeridos, relacionados primordialmente con la esfera física, de tal forma que en esa interacción demuestre su calidad humana, reconozca las necesidades del paciente y base su comunicación en la verdad y la cercanía. La familia espera una enfermera que los reconozca y los eduque, así mismo que les diga la verdad y se muestre cercana. Conclusiones: La familia se constituye en la voz del paciente como derecho connatural filial y en ese sentido, asume el cuidado del paciente con apoyo de las enfermeras, quienes tienen el deber de generar confianza y buen trato.
Validación de un instrumento para medir la adherencia al tratamiento en hipertensión y diabetes
Authors:   Universidad Industrial de Santander, Romero Guevara Sandra Lucrecia , Parra Dora Inés , Roa Díaz Zayne Milena , Rojas Lyda Z.
Published: October 2020

Introducción: La hipertensión y la diabetes mellitus son enfermedades crónicas que representan una importante carga tanto económica como social. El manejo de estas patologías requiere de estrategias que involucran cambios en el estilo de vida, cumplimiento del tratamiento farmacológico y monitoreo eficaz de la enfermedad. Usualmente, la medición del cumplimiento se enfoca en el tratamiento farmacológico, dejando de lado el enfoque integral que involucra diferentes recomendaciones que son clave para el adecuado control de estas enfermedades. Objetivo: Determinar la validez de constructo y reproducibilidad de la etiqueta de resultado de enfermería “Conducta terapéutica: enfermedad o lesión (1609)” para medir la adherencia al régimen terapéutico en personas con hipertensión arterial y diabetes mellitus tipo 2. Materiales y Métodos: Estudio de corte transversal realizado en 500 usuarios de programas de riesgo cardiovascular en Bucaramanga-Colombia. Se diseñó un instrumento para medir la adherencia al tratamiento con base en la taxonomía Clasificación de Resultados de Enfermería, recomendaciones vigentes de la literatura científica y la experiencia de los investigadores. La validez de constructo fue evaluada a través de un análisis factorial de componentes principales y bajo la metodología Rasch. La reproducibilidad por medio del coeficiente de correlación intraclase en 100 usuarios. Resultados: Se obtuvo un instrumento de 13 ítems que representan 5 indicadores de la etiqueta de resultado de enfermería 1609, los cuales explicaron el 67.62% de la variación total y se ajustaron al modelo Rasch (unidimensionalidad del constructo adherencia). La reproducibilidad fue del 0.63 (IC 95% 0.46 - 0.75). Discusión y Conclusiones: Se encontró evidencia de la validez de constructo del instrumento que operacionaliza la etiqueta de resultado de enfermería (1609) para la medición de la adherencia al régimen terapéutico en pacientes con hipertensión y diabetes.
Riesgo de diabetes de una comunidad rural en México: un estudio observacional
Authors:   Universidad de Guanajuato, Avila Sansores Grever María , Vega Argote Ma. Gloria , Ruvalcaba Palacios Gerardo , Barreto Arias Ma. Eugenia , del Socorro Gómez Aguilar Patricia Isolina , Yam Sosa Antonio Vicente
Published: October 2020

Introducción. La rápida transición del medio rural a la adopción de hábitos alimenticios de zonas urbanas, el sedentarismo, las dificultades de acceso a la salud, ponen a la población en mayor riesgo de desarrollo de diabetes, sin embargo, son pocos los estudios que se enfocan en este fenómeno a nivel rural. Conocer el riesgo permite identificar las áreas problemáticas y revertir la situación a través de modelos de atención para esta población. El objetivo de este estudio fue describir los factores de riesgo presentes en una comunidad rural de Guanajuato. Material y Métodos: Estudio descriptivo, observacional, transversal; muestra no probabilística de 164 personas sin diabetes, se calculó con Epidat 3.1, intervalo de confianza al 95%, precisión del 3%; se aplicó el Cuestionario de Factores de Riesgo para la Diabetes Mellitus. Para la colecta se hizo un recorrido de casa por casa hasta completar la muestra, para el análisis estadístico se utilizó la chi cuadrada y cálculo de odds ratio. Resultados: El 71%(117) de la población fueron mujeres; el promedio para la edad fue de 43 años; el 85% de los sujetos presentaron un alto riesgo de padecer diabetes; los tres principales factores de riesgo fueron: 57.9% (95) con sobrepeso y obesidad, el 77.4%(127) de la muestra con cintura superior al parámetro recomendado, 75.6% (124) de la muestra presentó antecedentes heredofamiliares; en cuestión de género las mujeres presentaron 3 veces más riesgo de diabetes (p=<.05). Conclusión: Los entornos rurales muy contrario a lo que se observaba, tienen alto riesgo de desarrollo de diabetes, probablemente va de la mano con los cambios de hábitos de las comunidades, pues la industrialización las ha invadido, con todo lo que conlleva, como lo señala Moreno L.
Factores que inciden en la utilidad económica de los caprinocultores de la laguna, Durango, México
Authors: Farrera Vázquez I. C. , Cervantes Escoto F. , Palacios Rangel M. I. , Martínez González E. G. , Luna Olea R. A.
Published: October 2020

Los estudios técnicos económicos de los sistemas caprinos permiten identificar aquellos aspectos que podrían ayudar a la generación de utilidades. Por ello el objetivo de este artículo fue analizar algunos factores que inciden para que los productores mejoren su obtención de ganancias económicas. El trabajo se llevó a cabo en los municipios de Lerdo, Mapimí y Tlahualilo en el estado de Durango, México. Se utilizó información proveniente de 88 caprinocultores beneficiarios del PROGAN en 2016. Se desarrolló un modelo de regresión múltiple para explicar la utilidad bruta anual en función de variables relacionadas con el sistema productivo. Los resultados mostraron que a mayor infraestructura y horas-hombre dedicadas a la actividad el efecto es negativo, mientras que el tamaño del hato y el mejoramiento genético influyeron positivamente. De esta manera, se propone que estas últimas variables sean consideradas en el diseño de estrategias de intervención estatal, ya que aumentando la escala y calidad genética se tendrían mayores utilidades.
Osprey observed when drowned by its prey
Authors: Husby Magne
Published: October 2020

An Osprey Pandion haliaetus was observed by eight people as it was dragged under water by a fish and drowned. Several unsuccessful attempts to leave the water surface caused the Osprey gradually to sink in the water until it disappeared. The area was searched by boat, but the fish and Osprey were gone, and it was confirmed that there were no fishing nets in the area. This is a rare event, and sometimes rejected by scientists. The good view by eight persons, and detailed descriptions I received from two independent observers make the observation credible. The Osprey was an adult bird. In addition to traditional explanations that claws can become fastened to scales, bones or flesh of the fish, I propose that muscle spasm may be a reason why the osprey was not able to release its grip.

 

Cover illustration: Fishing Osprey. Photo: Jørn Bøhmer Olsen.
Analysis of YouTube as a source of information for restless leg syndrome
Authors: ARIKANOGLU Adalet , DEMIR Melike , ALUCLU Mehmet Ufuk
Published: October 2020

ABSTRACT Background: YouTube is one of the major resources for health related videos around the world. Objective: The aim of this study was to evaluate the quality of information available on YouTube about restless leg syndrome (RLS). Methods: A YouTube search was carried out on https://www.youtube.com for videos pertaining to "restless leg syndrome" by using the keyword "restless leg syndrome". The first 100 relevant videos were included in the study. The videos were accepted as "useful" if they provided scientifically correct information about any aspect of RLS. The videos containing scientifically unproven information are defined as "misleading". The overall quality of all videos was subjectively graded using the global quality scale (GQS), a 5-point Likert scale. Results: The median video length for the included videos was 3.39 (0.11-85) minutes, and the median views were 6,055 (32-2351490). The median GQS of useful videos was 3 (1-5). The median number of likes and the median number of comments of personal experience videos were significantly higher than that of the useful and misleading videos. Videos uploaded by the university hospitals frequently issued pharmacological treatment of the RLS; however, those uploaded by practitioners, individual users, and TV or social media accounts were about the non-pharmacological treatment of the RLS. Conclusions: This study demonstrates that 77% of the videos uploaded on YouTube regarding RLS are in the useful category, whereas only 16 videos were providing misleading information. However, even videos in the useful category do not provide a full and complete description of the RLS.
Collaborative practices from health care teams to face the covid-19 pandemic
Authors: Belarmino Adriano da Costa , Rodrigues Maria Eunice Nogueira Galeno , Anjos Saiwori de Jesus Silva Bezerra dos , Ferreira Júnior Antonio Rodrigues
Published: October 2020

ABSTRACT Objective: To report the experience of collaborative practices facing the COVID-19 pandemic. Methods: This is a report about the experience of collaborative practices conducted by health care teams in emergency service in the Emergency Care Units facing of COVID-19 pandemic in the city of Fortaleza, State of Ceará, in the first semester of 2020. Results: Collaborative actions, cooperation and effective communication among nursing and medical team contribute to the management of mild and complex cases of COVID-19, as well as qualify them in suitable and necessary care and confrontation measures. Final considerations: The report shows the need for collaborative practices to minimize negative effects on the population in the face of the new coronavirus pandemic.
Impact of genotype on fatty acid profile, oil content and nutritional value of the sweet fruits of Acrocomia aculeata
Authors: Antoniassi Rosemar , Freitas Sidinea Cordeiro de , Silva Tania dos Santos , Santiago Manuela Cristina Pessanha de Araujo , Wilhelm Allan Eduardo , Junqueira Nilton Tadeu Vilela
Published: October 2020

Abstract Macauba (Acrocomia aculeata) has mainly been evaluated as an oil source focused on biodiesel production. Furthermore, the fruit mesocarp and kernel are edible, and candies, jelly, sweet alcoholic liquor and ice cream are also produced from the mesocarp. Despite its consumption, there is still a lack of information on the nutritional composition of macauba. Selected macauba genotypes producing fruits with a sweet mesocarp were evaluated regarding the fruit characteristics, proximate composition, oil content and fatty acid profile. The mesocarp total sugar (fructose and glucose) content ranged from 4.5 to 9.6 g/100 g, total dietary fiber varied from 6.8 to 9.3 g/100 g, while protein content was up to 2.2 g/100 g (wet basis). There was a significant difference among genotypes for fruit characteristics, pulp oil content (7-29 g/100 g wet basis), and fatty acids from the mesocarp such as C18:1 (36-63%), C18:2 (7-35%) and C18:3 (0.8-7%)(p<0.05), and one of the evaluated genotypes may contribute to daily intake of linoleic and linolenic acids. The carotenes in the mesocarp oil ranged from 30-240 mg/kg. Lauric acid was the main fatty acid in the kernel oil. The differences observed depended on the genetic diversity and point out the nutritional value and different applications for macauba mesocarps.
Biochemical parameters and nutritional status of surgical patients with gastrointestinal cancer: a literature review
Authors: ALBERTI DANIELA CARLA , ASCARI ROSANA AMORA , SCHIRMER EMANUELA MEDEIROS
Published: October 2020

ABSTRACT This is an integrative literature review with the objective of identifying the relationship between biochemical parameters and the nutritional status of surgical patients with cancer of the gastrointestinal tract, developed in April 2019, encompassing the databases SCOPUS (Elsevier), PubMed Central® (PMC), and the Cochrane Virtual Health Library (BVS). We used the terms “Gastrointestinal Neoplasm” AND “Nutritional Status” AND “Blood Chemical Analysis” with the aid of the Academical software after the protocol validation. Out of 147 articles analyzed, seven were included in the review, as they met the inclusion criteria. There were relevant associations between biochemical parameters and nutritional status. Impaired nutritional status can negatively influence the postoperative outcome. The monitoring of interdisciplinary teams can assist in the recovery of these patients and prevent unfavorable outcomes.
Optimizing Pelvic X-Ray indication in blunt trauma patients using clinical criteria
Authors: MORAES JÚLIO PATROCÍNIO , PARREIRA JOSÉ GUSTAVO , LUCARELLI-ANTUNES PEDRO DE SOUZA , RONDINI GIOVANNA ZUCCHINI , PERLINGEIRO JACQUELINE ARANTES GIANNINNI , ASSEF JOSE CESAR
Published: October 2020

ABSTRACT Objective: to identify a subgroup of blunt trauma patients with very low chance of sustaining pelvic fractures based on clinical criteria. Methods: retrospective analysis of the trauma registry data, collected in a period of 24 months. We selected adult blunt trauma patients who had a PXR on admission. The frequency of pelvic fractures was calculated for the following groups: Normal neurological examination at admission (NNE), hemodynamical stability (HS), normal pelvic examination at admission (NPE), less than 60 years old (ID<60) and absence of distracting injuries (ADI). Logistic regression analysis was carried out in order to create a probability model of negative PXR. Results: an abnormal PXR was identified in 101 (3.3%) out of the 3,055 patients who had undergone a PXR at admission. Out of these, 1,863 sustained a NNE, with 38 positive CXRs (2.0%) in this group. Considering only the 1,535 patients with NNE and HS, we found 28 positive PXRs (1.8%). Out of these, 1,506 have NPE, with 21 abnormal PXRs (1.4%). Of these, 1,202 were younger than 60 y, with 11 positive PXRs (0.9%). By adding all these criteria to the ADI, we found 2 abnormal PXRs in 502 (0.4%) cases. The probability model including all these variables had a 0,89 area under the ROC curve. Conclusions: by adding clinical criteria, it is possible to identify a group of trauma patients with very low chance of sustaining pelvic fractures. The necessity of PXR in these patients needs to be reassessed.
Overview and perspectives about the robotic surgical certification process in Brazil: the new statement and a national web-survey
Authors: ARAUJO RAPHAEL L. C. , BENEVENUTO DYEGO SÁ , ZILBERSTEIN BRUNO , SALLUM RUBENS A. , AGUIAR-JR SAMUEL , CAVAZZOLA LEANDRO TOTTI , NACUL MIGUEL , MELANI ARMANDO G. F. , TOMASICH FLÁVIO D. S.
Published: October 2020

ABSTRACT Objective: to appraise the general profile of the Brazilian robotic surgeon and the acknowledgment of the new certification process for robotic surgery upon the Associação Médica Brasileira (AMB - Brazilian Medical Association) statement. According to the AMB statement, medical societies and proctors have to achieve leading roles in training and certification of surgeons, acting in partnership with industry. Methods: a national web-based survey was promoted by the Colégio Brasileiro de Cirurgiões (CBC - Brazilian College of Surgeons) among their members. Results: the 294 answers were split into two groups: 133 (45.3%) who had robotic console certification, and 161 (54.8%) who did not have it. The overall median age was 46, but the non-robotic group presented more surgeons with at least 30 years of experience than to the robotic group (32.3% versus 23.3%, p=0.033). Surgeons with robotic certification more frequently work in a city with at least one million inhabitants than surgeons who were not certified (85.7 versus 63.4%, p<0.001). The majority of surgeons in both groups have similar positioning for all main points of the statement. However, the agreement proportions for the preceptors responsibility during the procedures were higher among non-robotic surgeons that expected the preceptor to assume co-responsibility for the procedure (85% versus 60.9%, p<0.001), and intervene during the procedure as much as necessary (97.5% versus 91.7%, p=0.033). Conclusion: the overall agreement of the answers to the AMB statement seems to be a promising pathway to increase the participation of the medical entities into the robotic certification in Brazil.
Quality management in surgery: improving clinical and surgical outcomes
Authors: FERREIRA RAPHAELLA PAULA , ABREU PHILLIPE , TOMASICH FLAVIO DANIEL SAAVEDRA , PRETI VINICIUS BASSO
Published: October 2020

ABSTRACT Quality is a term used by various specialists, from different perspectives, having as a common point to identify focuses that promote their development in institutional management. Quality processes allow us to improve assistance, reducing complication and death rates and reducing costs. Currently, the positive experience of the patient is highly valued and should be sought by all institutions. The benefits of quality procedures are extensive. There is evidence of lower complication and mortality rates, cost reduction, uniformity of care, improved communication and opportunity for health education. There is a need for financial investment by the institutions, but they can be converted in the future. The idea that these are just bureaucratic steps must be fought because individualistic attitudes are no longer part of safe medicine. The success of a quality process requires interdisciplinarity, integration with quality offices for effective communication. The implementation of feasible attitudes should be sought, with a high adherence rate to seek patient satisfaction and safety. We will address historical aspects, the requirements for the implementation of a quality program, the concepts of indicators and the aspects that influence the quality in surgery, in addition to presenting benefits that such a program can offer to the surgeon and the institution.
The first five-year evaluation of cystic fibrosis neonatal screening program in São Paulo State, Brazil
Authors: Maciel Léa Maria Zanini , Magalhães Patrícia Künzle Ribeiro , Ciampo Ieda Regina Lopes Del , Sousa Maria Luísa Barato de , Fernandes Maria Inez Machado , Sawamura Regina , Bittar Roberta Rodrigues , Molfetta Greice Andreotti de , Silva Júnior Wilson Araújo da
Published: October 2020

The Hospital of the Ribeirão Preto Medical School, University of São Paulo is one of the three screening centers in São Paulo State, Brazil, and has included a test for cystic fibrosis (CF) since February 6, 2010, by a court order. We evaluated the first five years of this CF-newborn screening program. The original immunoreactive trypsinogen (IRT)/IRT screening protocol was adopted in Brazil. A total of 173,571 newborns were screened, 1,922 (1.1%) of whom showed IRT1 ≥ 70ng/mL. Of these, 1,795 (93.4%) collected IRT2, with elevated results (IRT2 ≥ 70ng/mL) in 102 of them (5.2%). We identified a total of 26 CF cases during this period, including three CF cases that were not detected by the CF-newborn screening. The incidence of the disease among the screened babies was 1:6,675 newborns screened. Median age at the initial evaluation was 42 days, comparable to that of neonates screened with the IRT/DNA protocol. Almost all infants with CF already exhibited some manifestations of the disease during the neonatal period. The mutation most frequently detected in the CF cases was F508del. These findings suggest the early age at the beginning of treatment at our center was due to the effort of the persons involved in the program regarding an effective active search. Considering the false negative results of CF-newborn screening and the early onset of clinical manifestations of the disease in this study, pediatricians should be aware of the diagnosis of CF even in children with negative test.
Vaccines for neglected and emerging diseases in Brazil by 2030: the “valley of death” and opportunities for RD&I in Vaccinology 4.0
Authors: Homma Akira , Freire Marcos da Silva , Possas Cristina
Published: October 2020

Abstract: We examine the implications of the very low competitiveness of the Brazilian vaccine RD&I system, which precludes the development of all the important vaccines required by the National Immunization Program (NIP), severely impacting the healthcare of the population. In a country dramatically affected by COVID-19 pandemic and by an exponential increase in emerging and neglected diseases, particularly the poor, these RD&I constraints for vaccines become crucial governance issues. Such constraints are aggravated by a global scenario of limited commercial interest from multinational companies in vaccines for neglected and emerging diseases, which are falling into a “valley of death,” with only two vaccines produced in a pipeline of 240 vaccines. We stress that these constraints in the global pipeline are a window of opportunity for vaccine manufacturers in Brazil and other developing countries in the current paradigm transition towards Vaccinology 4.0. We conclude with recommendations for a new governance strategy supporting Brazilian public vaccine manufacturers in international collaborations for a sustainable national vaccine development and production plan by 2030.
Aspectos demográficos e socioeconômicos dos adultos brasileiros e a COVID-19: uma análise dos grupos de risco a partir da Pesquisa Nacional de Saúde, 2013
Authors: Borges Gabriel Mendes , Crespo Claudio Dutra
Published: October 2020

Os objetivos deste trabalho são caracterizar os grupos de risco para COVID-19 no Brasil, bem como estimar o número de indivíduos convivendo no mesmo domicílio com pessoas no grupo de risco. Para tal, utiliza-se dados da Pesquisa Nacional de Saúde de 2013. Para caracterizar os grupos de risco, ajustou-se um modelo de regressão logística binária múltipla tendo como variável a resposta à existência ou não de pelo menos uma condição associada à COVID-19 e como variáveis explicativas a idade, sexo, grande região, cor ou raça, nível de escolaridade e condição em relação à força de trabalho dos moradores entrevistados pela pesquisa. Os resultados mostram que a idade é o principal fator de risco para comorbidades associadas à COVID-19, mas há também maior risco para pessoas em categorias mais vulneráveis, como os menos escolarizados e pretos e pardos. Estima-se que 68,7% dos brasileiros viviam com pelo menos uma pessoa no grupo de risco - 30,3% viviam com pelo menos um idoso e outros 38,4% não tinham idosos em seus domicílios, mas havia pelo menos um morador adulto com condições médicas preexistentes. A proporção de pessoas vivendo em domicílios com pelo menos um morador no grupo de risco era maior ou igual a 50% para todas as idades, sendo crescente a partir dos 35 anos, mas havia também um alto número de pessoas com idades entre 10 e 25 anos convivendo com pessoas no grupo de risco. Tais resultados sugerem que, em função das dificuldades em se evitar contato próximo intradomiciliar, o isolamento exclusivo de grupos populacionais específicos não se configura uma estratégia possível no contexto brasileiro, devendo ser combinado com o isolamento do conjunto da população.
Frankenstein: quando a Ficção Científica questiona a Ciência
Authors: Conceição Verônica Alves dos Santos , Porto Cristiane de Magalhães , Couto Edvaldo Souza
Published: October 2020

Resumo: Com suporte no romance Frankenstein, de Mary Shelley, o artigo defende a aproximação entre dois campos do saber, o literário e o científico, por meio da narrativa de ficção científica. O objetivo é discutir a relação ficção/Ciência onde a Literatura problematiza a Ciência a partir das relações socioculturais. O método usado foi o da pesquisa bibliográfica, de cunho revisão bibliográfica. Como resultado constatamos que a Ciência pode utilizar-se da Literatura para antever os possíveis desdobramentos sociais de decisões científicas e a ficção científica se singulariza por averbar o direito de indagar a Ciência e os avanços tecnológicos que marcam a existência humana. Concluímos que reconhecer a relação estreita entre ficção e Ciência induz a recolocá-la na condição de potencializadora de reflexão sobre o papel da intervenção científica no mundo.
Produção de Sentidos pelas Imagens em Livros Didáticos de Química
Authors: Meloni Reginaldo Alberto , Lopes Alice Casimiro
Published: October 2020

Resumo: Nesse artigo objetivamos apresentar uma interpretação dos possíveis significados da ciência Química que são promovidos pelas imagens de experimentos nos livros didáticos publicados no período entre a segunda década do século XX e os anos de 1960. Dialogando com os pressupostos da teoria do discurso, consideramos que os livros didáticos são suportes discursivos que promovem subjetivações estabilizadas, mas precárias e, embora não representem sentidos fixos ou conhecimentos cristalizados, permitem investigar inscrições, tanto dos sentidos provisórios em um determinado espaço/tempo, como dos processos de produção de sentidos ao longo do tempo. As ilustrações parecem indicar disputas no processo de produção de sentidos das operações químicas e, nesse sentido, defendemos que, mesmo quando um experimento é apresentado por meio das imagens com o propósito de que a ciência Química seja redescoberta pelo aluno no espaço escolar, tal discurso é obrigatoriamente traduzido para fins escolares, fazendo da ciência uma produção com finalidades pedagógicas.
Expectativas quanto às Disciplinas de Matemática no Curso de Pedagogia: a importância de ouvir os alunos
Authors: Zanetti Monise , Julio Rejane Siqueira
Published: October 2020

Resumo: A proposta deste artigo é a realização de uma leitura, sob a ótica do Modelo dos Campos Semânticos, de falas de pedagogas iniciantes a partir de entrevistas sobre suas vivências com as disciplinas de Matemática na Educação Básica e suas expectativas quando foram cursar disciplinas de Matemática no curso de Pedagogia. Ocorreram diferentes produções de significados a partir das vivências relatadas, sendo que algumas gostavam e outras não das disciplinas de Matemática, atribuindo diferentes fatores para isso. Também ocorreram diferentes expectativas quanto às disciplinas de Matemática no curso de Pedagogia que parecem não terem sido ouvidas pelos(as) professores(as) formadores(as). Com isso, ressalta-se a importância de ouvir futuros(as) pedagogos(as) e conhecê-los(as) para que possam ocorrer interações na direção de uma ampliação de modos de produção de significados para a Matemática e as disciplinas de Matemática na Educação Básica.
Representações Sociais do Meio Ambiente: Implicações em Abordagens de Educação Ambiental sob a Perspectiva Crítica com Alunos da Primeira Etapa do Ensino Fundamental
Authors: Vittorazzi Dayvisson Luis , Gouveia Daniele da Silva Maia , Silva Alcina Maria Testa Braz da
Published: October 2020

Resumo: Amparado pelo referencial teórico-metodológico da Teoria das Representações Sociais, com atenção especial a sua abordagem estrutural, o presente trabalho trouxe como objetivo identificar o conteúdo e a organização das representações de Meio Ambiente construídas por um grupo de alunos do 4º ano do Ensino Fundamental de uma escola municipal no Estado do Espírito Santo. Sinaliza, ainda, sua relevância quando no interesse de aplicação de propostas de trabalho pedagógico sob o foco da Educação Ambiental Crítica. Por meio de técnicas aplicadas à Teoria do Núcleo Central foi possível compreender que a representação dos alunos se ordena em torno de elementos que se relacionam a visões naturalistas, conservacionistas e antropocêntricas-utilitaristas de meio ambiente. As análises permitiram inferir algumas relações dessas representações com estratégias no sentido de promover uma visão articulada de caráter globalizante, onde o meio é integrado pelo ambiente e pela sociedade. Os resultados pretendem contribuir nas discussões acerca dos processos de Educação Ambiental sob a perspectiva Crítica.
Ontogeny of the skull of Sotalia guianensis (Cetartiodactyla: Delphinidae) on the Northern coast of Brazil
Authors: Novais Renata F. , Siciliano Salvatore , Emin-Lima Renata , Silva Júnior José S.
Published: October 2020

ABSTRACT This study aimed to investigate the ontogenetic development of the skull in the Guiana dolphin (Sotalia guianensis Van Bénéden, 1864 ) through the comparison of 29 morphological non-metrical characters together with the estimated age of 54 specimens derived from four areas on the northern coast of Brazil. The state of each character was associated with the age of each specimen to assess the formation of bone structures, and the degree of fusion of the sutures in each state of the character studied. Nineteen qualitative morphological characters presenting state ontogenetic variations have been analyzed statistically. The analysis depicted that the characters associated with the parietal-frontal suture, parietosupraoccipital, parietoexoccipital, supraoccipital-exoccipital and basioccipital-pterygoid varied according with the age. The results suggest that the physical maturity of the cranium was more premature in the specimens from the Northern Coast, suggesting a geographical adjustment of the species, or a biological response to an intense pressure of by-catch in fisheries over decades on the populations.
Padronização de teste de Potência in vitro Para vacinas que contenham toxoide alfa de Clostridium novyi tipo B
Authors: Lima C.G.R.D , Lobato Z.I.P. , Pires PS. , Silva R.O.S , Salvarani F.M. , Assis R.A. , Lobato F.C.F.
Published: October 2020

RESUMO Clostridium novyi tipo B é o patógeno responsável pela hepatite necrótica, causada pela ação da toxina alfa. O controle desta enfermidade é baseado na imunização dos animais com vacinas que contenham na sua composição toxóide alfa de C. novyi tipo B. O teste de potência deste imunógeno é realizado a partir de soros de coelhos imunizados, por meio da técnica de soroneutralização em camundongos. Portanto objetivou-se padronizar um teste de potência de toxóide alfa de C. novyi tipo B em linhagem de célula VERO, como método alternativo ao bioensaio animal. O coeficiente de correlação obtido pelas técnicas in vitro e in vivo foi de 98,38%, indicando ser possível a utilização do modelo estudado na substituição do modelo animal para teste de potência de toxoide alfa de C. novyi tipo B.
MORTALIDADE DE BLATTELLA GERMANICA (L.) (BLATTODEA: BLATTELLIDAE) EM FUNÇÃO DA PORCENTAGEM DE EXPOSIÇÃO AOS INSETICIDAS E DO TIPO DE SUPERFÍCIE, ANTES E APÓS A LAVAGEM
Authors: Silva I.C. , Ferreira M.C. , Parreira R.S. , Martinelli N.M. , Pazini W.C.
Published: October 2020

RESUMO Entre as espécies sinantrópicas de baratas, a barata alemã, Blattella germanica (L., 1767), é a mais importante por desenvolver altas populações em habitações. Este trabalho objetivou avaliar a mortalidade de B. germanica exposta a diferentes áreas tratadas, com quantidade equivalente de inseticidas e verificar a mortalidade provocada por inseticidas em superfícies lisa e rugosa, antes e após lavagem. Os experimentos foram conduzidos no Departamento de Fitossanidade da UNESP/FCAV de Jaboticabal, SP. No primeiro experimento, a aplicação dos inseticidas foi realizada sobre placas de Petri, com áreas de exposição ao inseticida de 25, 50, 75 e 100%. No segundo, a aplicação foi realizada com pulverizador costal pressurizado, sobre superfícies lisa (de azulejo) e rugosa (de cimento), que posteriormente foram lavadas com detergente e água corrente. Foram utilizados os inseticidas cypermethrin (Cynoff 400 PM) 2,5 g p.c./L; deltamethrin (Deltagard WG 250) 1,0 g p.c./L; lambda-cyhalothrin (Icon 5 CE) 5,0 mL p.c./L e uma testemunha sem aplicação. Foram confinadas, por quinze minutos, cinco baratas adultas no primeiro experimento e dez no segundo. As avaliações de mortalidade foram realizadas 0, 1, 2, 4, 24, 48 e 72 horas após o confinamento. Assim, conclui-se que os inseticidas aplicados em 50%, 75% e 100% das áreas resultaram em alta mortalidade de B. germanica. Os inseticidas cypermethrin , deltamethrin e lambda-cyhalothrin foram eficientes no controle de B. germanica, antes da lavagem, na superfície lisa. A eficiência de controle dos inseticidas foi maior na superfície lisa que na superfície rugosa. Após a lavagem, a eficiência diminuiu em ambas as superfícies.
First Record of Culex (Culex. maxi Dyar (Diptera: Culicidae) in Pernambuco State, Brazil.
Authors: Ramos R.A.N. , Costa G.J.A. , Carvalho G.A. de , Faustino M.A.G. , Alves L.C.
Published: October 2020

ABSTRACT Culicid females of some species may be hematophagous and important vectors of different etiological agents. The aim of the present study was to report the first record of Culex (Culex. maxi (Diptera: Culicidae) in the state of Pernambuco, Brazil. Two hundred and fifty culicid larvae were collected for identification. The morphological descriptions were compatible with descriptions for Cx. (Cx.. maxi. This is the first record of the occurrence of Cx. (Cx.) maxi in the state of Pernambuco, Brazil.
Components of physical fitness as prognostic factors for falls in elderly female exercise practitioners: a longitudinal study
Authors: Mazo Giovana Zarpellon , Lima Raquel Ester , Franco Pedro Silvelo , Hoffmann Leonardo , Menezes Enaiane Cristina
Published: October 2020

Abstract Introduction: Physical exercise is used as a strategy for the prevention of falls because it improves the physical fitness of older adults. Objective: To determine which components of physical fitness are predictors of falls in elderly female exercise practitioners. Method: Longitudinal, descriptive, comparative study. The components of physical fitness (upper and lower limb strength and flexibility, agility, aerobic endurance, and hand grip strength) and the occurrence or not of falls in the last 12 months were analyzed in 80 older women practitioners of exercise from 2013 to 2016. Descriptive analysis, ROC curve attributing cut-off points, and binary logistic regression for the prediction of falls were used. Results: The mean age of the participants was 67.46 years (SD=7.65). Over the years, a significant difference between elderly fallers and non-fallers was observed for right hand grip strength (2013 and 2015), left hand grip strength (2014 and 2015), lower limb flexibility (2013, 2014 and 2015), agility (2015), and aerobic endurance (2015). In adjusted analysis, older women with poor lower limb flexibility in 2013 had a higher risk of falls in 2016 (OR=4.98; 95%CI 1.12 - 22.1). Older women with poor flexibility in 2015 also had a higher risk of falls (OR= 6.08; 95%CI 1.06 - 34.67). Conclusion: Poor performance in the lower limb flexibility, right and left hand grip strength, agility and aerobic endurance tests was associated with falls and these components are predictors of future falls in elderly exercise practitioners.
Effect of parathyroid hormone levels on the functional capacity and pulmonary function of patients on dialysis
Authors: Franco Fabiana Santos , Sousa Joana D’arc Borges de , Agostinho Patrícia Leão da Silva
Published: October 2020

Abstract Introduction: Chronic kidney disease is characterized as the gradual loss of kidney function, with patients on dialysis experiencing a decline in functional capacity and pulmonary function. One of the non-traditional risk factors is parathyroid hormone (PTH), which influences metabolism and the status of the disease. Objective: Assess the effect of parathyroid hormone levels on functional capacity and pulmonary function in patients on dialysis. Method: Cross-sectional study with hemodynamically stable dialysis patients of both sexes, aged 18 to 59 years, who did not gain more than 2.5kg between dialysis sessions. Two groups were created according to PTH blood levels: PTH (A), with values outside the normal range, and PTH (C), who exhibited normal levels of the hormone. Pulmonary function (PF) was assessed by spirometry and functional capacity (FC) via the six-minute walk test (6MWT). Results: The PTH A group displayed a negative association between PTH levels and PF, based on the values obtained for the spirometric variables forced expiratory volume in 1 second (FEV1) (r = -0.54) and forced vital capacity (FVC) (r= -0.69). The average distance walked by the PTH (C) group was 343.85 ± 98.14 meters. Conclusion: The results suggest that high PTH levels have a negative effect on the PF of patients on dialysis.