bluuebunny/crossref_metadata_2025 huggingface dataset:
Compliance of Child Care Programs with Health and Safety Standards: Impact of Program Evaluation and Advocate Training
Authors: Aronson Susan S. , Aiken Leona S.
Published: October 2019

A 72-hour training program for workers in child care programs (day care and Head Start) on advocacy for health and safety was designed, implemented, and evaluated in the Southeast Region of Pennsylvania. From 142 day care sites that were involved in the study, 117 trainees were enrolled in groups of approximately 20 trainees over a two-year period. Overall attendance averaged 88%. Trainee satisfaction with individual sessions varied from 96% to 76%. Ninety-two percent of enrolled trainees completed the course. Most completed four out of the five course assignments. A pretest and posttest of health knowledge showed significant gain in all areas covered by the training; this knowledge was retained in a follow-up test seven months after the completion of training. Changes in desired opinions related to health advocacy were limited to an increase in the number who agreed that health issues can be grasped by individuals who are not health professionals. Pretraining assessment of program compliance with accepted health and safety standards revealed widespread need for improvement. Participation in the evaluation aspect of the study alone was associated with improved compliance of programs with health and safety standards, but in a number of health and safety aspects of the program, participation in training was associated with greater improvements in compliance than evaluation alone. This finding suggests a benefit to be derived from both monitoring and training provided for health and safety aspects of child care programs. Changes in compliance by programs were associated with increased involvement of the trained advocate in health and safety activities in the program. This greater involvement was manifested by the advocates as an increase in the combination of advocating and performing of activities and a decrease in only performing.
Erythema Following Transcutaneous Po2 Monitoring
Authors: Boyle Robert J. , Oh William
Published: October 2019

Transcutaneous Po2 (tcPo2) monitoring has become a reliable adjunct in the care of the critically ill neonate.1 The heated electrode applied to the skin produces local hyperthermia and vasodilation, "arterializing" the capillary bed under the electrode. Huch et al1 have noted no skin damage or irritation from hyperthermia for up to seven hours of application. However, others have noted lesions ranging from slight erythema to small vesicles, persisting from several hours to several days.2-4 Bossi et al5 noted erythema disappearing within 24 hours in every patient.

To define the incidence and severity of these lesions we prospectively studied this aspect in infants undergoing tcPo2 monitoring.
Leprosy in a Vietnamese Adoptee
Authors: Lauer Brian A. , Lilla James A. , Golitz Loren E.
Published: October 2019

The arrival in the United States of large numbers of Vietnamese war orphans and refugees means that physicians in this country may encounter exotic diseases that they have not been trained to recognize. We report here the case of a 10-year-old Vietnamese adoptee with tuberculoid leprosy. (This case was described in a brief letter to the editor, Pediatrics 61:330, 1978.) Our purpose is to remind physicians that leprosy is a common infection in Vietnam and that clinical symptoms may not appear for several years because of the long incubation period.

CASE HISTORY

A 10-year-old girl was seen in March 1977 because of a swollen finger and a tender mass in her palm.
Psychogenic Polydipsia with Hydronephrosis in an Infant
Authors: Adelman Raymond D. , Shapiro Stephen R. , Woerner Sarah
Published: October 2019

Psychogenic polydipsia can occur in infants and may be associated with urinary tract dilation. It is not known whether this dilation can lead to a decline in renal function, as has been reported in patients with diabetes insipidus and hydronephrosis.11,13,14 The structural changes may be reversed by treatment of polydipsia through fluid restriction and counseling.
Amniotic Fluid Microviscosity and Middle Ear Effusion
Authors: Jaffe Burton F.
Published: October 2019

As an otologist interested in newborn ear disease, I was fascinated by the article in Pediatrics 63:213, 1979, entitled "Amniotic Fluid Microviscosity Determined by Fluorescence Polarization: Methodology and Relation to Gestational Age." It documented the decreasing viscosity of amniotic fluid as the fetus approached term delivery.

My experience with middle ear effusions in infants leads me to go one step further than the authors' presentation. I would like to suggest that in premature infants persistent middle ear fluid may very well be initiated by the higher viscosity of amniotic fluid. The study that leads me to this conclusion was conducted in 1967 by Jaffe et al.1
Impact of Neonatal Intensive Care on Neonatal Mortality in Chile
Authors: Ventura-Junca P. , Tapia J. L. , Winter A. , Gonzalez H. , Ciriano A. , Juez G.
Published: October 2019

Up to the year 1975, neonatal care in our unit consisted of: pediatricians and nurses without specialization in neonatology; equipment basically limited to incubators; and treatment of premature infants and neonates with respiratory problems reduced to: (1) temperature control, (2) prevention of infection, (3) careful feeding and fluid administration, (4) oxygen therapy based on clinical appearance of cyanosis, and (5) correction of acidosis with NaHCO3.

See table in the PDF file

In 1976, a plan for introducing intensive care was begun.
Measles Vaccine in Egg-Allergic Children
Authors: Nieburg Phillip I. , Preblud Stephen R. , Halsey Neal A. , Brandling-Bennett A. David , Hinman Alan R.
Published: October 2019

The question of allergy to eggs or chickens as a true contraindication to measles vaccination has recently been discussed.1,2 We would like to comment further on the issues involved.

Package inserts of vaccines have traditionally listed as contraindications allergies to the animal or egg whose cells have been used for propagating the virus in question. Measles vaccine in use now is produced in chick fibroblast cultures.3 This tissue differs from the egg cells that were used to grow viruses for some older vaccines and that are still used for influenza, yellow fever, and rabies vaccines.
Waardenburg Syndrome Associated with Hirschsprung Disease and Other Abnormalities
Authors: de Lumley Woodyear Lionel , Boulesteix Jean , Rutkowski Janice , Umdenstock Robert
Published: October 2019

Upon reading the interesting article by Branski et al1 concerning Hirschsprung's disease and Waardenburg syndrome, we think it beneficial to report this association in one of our patients. As Branski et al pointed out, both conditions are believed to be caused by a defect in the migration of neural crest cells before the 12th week of gestation (a hypothesis elicited by McKusick2 in 1973).

Our patient, FD, was born at 41 weeks' gestation with a birth weight of 3,225 gm following an uncomplicated pregnancy.
Development of National Digital Evidence Metadata
Authors: Sugiantoro Bambang
Published: October 2019

The industrial era 4.0 has caused tremendous disruption in many sectors of life. The rapid development of information and communication technology has made the global industrial world undergo a revolution. The act of cyber-crime in Indonesia that utilizes computer equipment, mobile phones are increasingly increasing. The information in a file whose contents are explained about files is called metadata. The evidence items for cyber cases are divided into two types, namely physical evidence, and digital evidence. Physical evidence and digital evidence have different characteristics, the concept will very likely cause problems when applied to digital evidence. The management of national digital evidence that is associated with continued metadata is mostly carried out by researchers. Considering the importance of national digital evidence management solutions in the cyber-crime investigation process the research focused on identifying and modeling correlations with the digital image metadata security approach. Correlation analysis reads metadata characteristics, namely document files, sounds and digital evidence correlation analysis using standard file maker parameters, size, file type and time combined with digital image metadata. nationally designed the highest level of security is needed. Security-enhancing solutions can be encrypted against digital image metadata (EXIF). Read EXIF Metadata in the original digital image based on the EXIF 2.3 Standard ID Tag, then encrypt and insert it into the last line. The description process will return EXIF decryption results in the header image. This can secure EXIF Metadata information without changing the image quality
Application of the Finite State Machine Algorithm on 2D Platformer Rabbit Games vs Zombies
Authors: Solihin Ade , Hidayat Eka Wahyu , Aldya Aldy Putra
Published: October 2019

This research develops Android games by applying the FSM Algorithm (Finite State Machine) for the movement of NPC (Non-Player Character) to produce dynamic movements. The popular and legendary game with the appearance of side scroller is Super Mario Bross and Shovel Knight, the game is the most preferred game of its time to the present, but the game does not apply AI (Artificial Intelligence) so the game seems less challenging. The game is a concept game that is currently rarely used. Based on this, a side scroller-based survival game was created by implementing AI on NPCs on the Android platform. The AI used is the FSM Algorithm which functions to regulate enemy movements. The method used in developing multimedia products of this game uses MDLC (Multimedia Development Life Cycle). Based on the tests that have been carried out, the alpha test results are functionally appropriate and the results of beta testing using UserAcceptence Test (UAT) obtained a value of 86.40% which is declared feasible to use and can be developed. The advantages of this game are the presence of shock elements in the form of landslides, bursts of water, rock rain, and attacks by eagles
The Advantages from Cloud Computing Application Towards SMME (UMKM)
Authors: Az-zahra Tazkia Shabrina
Published: October 2019

Small Micro Medium Enterprises (SMME) is one of the business enterprises that has a prime role in the development of economic growth in Indonesia. The SMME also not only reduces the number of jobless but also improve the communityâ€™s standard of living. Nonetheless, in this globalization era where the technology reaches its peak in every field, some SMME entrepreneurs have not taken advantage of IT-based business yet. On the other hand, the utilization of IT in the business field has many profitable benefits. This could make the SMME faced trouble and hard to survive in the tight competition with other bigger enterprises that had applied IT in the future. The main reason that SMME entrepreneur has not applied the IT system is that they lack fund. Moreover, cloud computing is a technology that can be used for every SMME entrepreneur without any costs. The advantages of this system utilization are to improve competitiveness, increase its flexibility, reduce costs, and to improve both agility and scalability. This research is based on a literature study that describes researchâ€™s aim that is to seek advantages from cloud computing implementation towards SMME in Indonesia so they can compete with international enterprises with a bigger scale. The researcher expects that SMME entrepreneurs in Indonesia can utilize Information technology particularly cloud computing, to support their business.
NASH EQUILIBRIUM MODEL FOR CONFLICTS IN PROJECT MANAGEMENT
Authors: Huynh Thang Quyet , Trinh Ngoc Bao , Nguyen Thang Xuan
Published: October 2019

There are many types of concern to project management, we used to deal with them using Risk management activities. But in the complicated situation, there are many factors and preconditions of the issues that make the issues be unrecognizable with risk consultants, and the consequences of these issues getting more and more enormous. The cause of issues can be a conflict between the project teams and their partners or maybe big inside their team, or between teams. These issues called the conflict in a project which never been considered in Risk management. The solution of solving these unseen conflicts can result in cost, schedule, and quality of the project. Good conflict control is a key project management practice to ensure that the least number of surprises occur while your project is underway. In recent research trends, the conflict in some types used to be explained in Game Theory model, and this research aimed to analyze types of conflicts in project management. We proposed a model of conflict in both type having project stakeholders in or not in conflict, later, we defined a Nash Equilibrium model for all type of conflicts which can be used in a multi-objective optimization algorithm then. Finally, we tested this model by building an application of Multi-round procurement problem which is a typical conflict in project management. Based on the result in experiment, the Game-theoretical model of Multi-round procurement was come to usable in finding a solution for the conflict problem. We believe that this research will help in handling another kind of conflicts in project management.
A CIPHERTEXT-POLICY ATTRIBUTE-BASED SEARCHABLE ENCRYPTION SCHEME IN NON-INTERACTIVE MODEL
Authors: Trinh Van Anh , Trinh Viet Cuong
Published: October 2019

We address the problem of searching on encrypted data with expressive searching predicate and multi-writer/multi-reader, a cryptographic primitive which has many concrete application scenarios such as cloud computing, email gateway application and so on. In this paper, we propose a public-key encryption with keyword search scheme relied on the ciphertext-policy attribute-based encryption scheme. In our system, we consider the model where a user can generate trapdoors by himself/herself, we thus can remove the Trusted Trapdoor Generator which can save the resource and communication overhead. We also investigate the problem of combination of a public key encryption used to encrypt data and a public-key encryption with keyword search used to encrypt keywords, which can save the storage of the whole system
Schopenhauer e a topica admirationis: sobre a origem da filosofia
Authors: Engler M. R.
Published: October 2019

Resumo: No texto A necessidade metafísica do homem, Schopenhauer elabora considerações fundamentais sobre sua metafísica imanente e, na ânsia de explicar por que o homem filosofa, alia-se a uma longa tradição de pensadores que viram na admiração (thaumázein) o impulso metafísico do homem. Ele reinterpreta as duas mais famosas sentenças sobre o tema (Platão e Aristóteles) consoante o tom de sua filosofia. A origem da filosofia torna-se o resultado de fatores como a separação entre vontade e intelecto e a constatação de que o mundo, tal como agora é, possui caráter contingente e poderia deixar de ser. A isso se unem a contemplação dos males do mundo e a consciência da finitude humana (morte). No fim, desse conjunto emergem os sistemas metafísicos e religiosos. Este artigo comenta detidamente essas ideias, mostra sua relação com os filósofos antigos através de cinco tópoi e, ao fim, tenta localizar a originalidade da concepção schopenhaueriana, a qual se baseia na reinterpretação do primeiro tópos.
Arte e natureza: sobre a viagem de Goethe à Itália
Authors: Süssekind Pedro
Published: October 2019

Resumo: O ensaio a seguir tematiza o livro Viagem à Itália, no qual J. W. Goethe relata o período passado em território italiano, nos anos de 1786 e 1787. Procuro contextualizar essa viagem na vida e na carreira do escritor, servindo-me, para isso, especialmente de um texto sobre ele escrito por Walter Benjamin. Comento as observações de Goethe sobre a natureza, ligadas a suas pesquisas científicas, mas meu principal interesse são as observações sobre a arte e sobre a Antiguidade. Nestas, identifico não só a importante influência do historiador da arte J. J. Winckelmann, como também a orientação para o classicismo, algo que marcaria a produção artística de Goethe a partir daquele período passado em território italiano.
Influence of Pre-Heating Regular Resin Composites and Flowable Composites on Luting Ceramic Veneers with Different Thicknesses
Authors: Tomaselli Lucas de Oliveira , Oliveira Dayane Carvalho Ramos Salles de , Favarão Jamille , Silva Ariel Farias da , Pires-de-Souza Fernanda de Carvalho Panzeri , Geraldeli Saulo , Sinhoreti Mário Alexandre Coelho
Published: October 2019

Abstract The aim of this study was to evaluate of pre-heating, filler contents and ceramic thickness on film thickness, microshear bond strength, degree of conversion and color change on ceramic veneers. Two experimental composites were prepared (Bis-GMA/UDMA/BisEMA/ TEGDMA), with different amounts of filler (65% or 50%wt) simulating a conventional and a flowable composite. The flowable (F) was used at room temperature and, the conventional either at room temperature (C) or pre-heated (CPH). Disk-shaped ceramics with different thickness (0.4 mm, 0.8 mm, 1.5 mm) were prepared. The film thickness was evaluated according to the ISO 4049 (n=10). The microshear bond strength (n=10) was evaluated in enamel using tubing specimens light-cured through the ceramic veneer. The degree of conversion was evaluated using Raman spectroscopy. The color change of the ceramic restorations (n=10) was evaluated by spectrophotometry. The results were submitted to 2-way ANOVA and Tukey’s post hoc test (a=5%). For the film thickness 1-way ANOVA was used (a=5%). The C presented the thicker film thickness; the CPH produced a similar film thickness in comparison to the F. All composites showed similar microshear bond strength. The degree of conversion of the F was higher than the C and CPH. The degree of conversion of the composites photo-activated through a 0.4 mm was higher than the composites photo-activated through thicker ceramics. The C showed the highest color change, while the CPH showed similar color change to the F. In conclusion, pre-heated conventional composites seem to be a potential alternative to lute ceramic veneers such as the flowable composites.
Effects of Papain-Based Gel Used For Caries Removal on Macrophages and Dental Pulp Cells
Authors: Bastos Laura Alves , Silva Francine Lorencetti , Thomé João Pedro de Queiroz , Arnez Maya Fernanda Manfrin , Faccioli Lúcia Helena , Paula-Silva Francisco Wanderley Garcia
Published: October 2019

Abstract Papain-based gel is used for chemical-mechanical caries removal and present antimicrobial and anti-inflammatory activities. However, its effects on dental pulp cells and on macrophages remains largely unknown. Therefore, the aim of this study was to investigate whether the papain-based gel Papacárie Duo® acts as an immunomodulator in lipopolysaccharide (LPS)-activated macrophages and its effects on dental pulp cells . J774.1 macrophage and OD-21 dental pulp cells were stimulated with 0.5% and 5% of Papacárie Duo®, following pre-treatment or not with LPS. After 24 h, a lactate dehydrogenase assay was used to measure cytotoxicity, a tetrazolium-based colorimetric assay (MTT) was used to measure cell viability, and qRT-PCR was used to analyze relative gene expression of Ptgs2, Il10, Tnf, Mmp9, Runx2, Ibsp and Spp1. Papacárie Duo® was cytotoxic and reduced cell viability at 5% but not at 0.5% in both cultures. In macrophages, Papacárie Duo® increased the expression Il10 and LPS-induced Ptgs2, but it did not affect Tnf or Mmp9. In OD-21 cells, Papacárie Duo® inhibited Runx2 and Ibsp expression, but stimulated Spp1 expression. Papain-based gel presented a concentration dependent cytotoxicity, without affecting cell viability, for dental pulp cells and macrophages. Interestingly, the gel presented an inhibitory effect on pulp cell differentiation but modulated the activation of macrophages stimulated with LPS. We speculate that in dental pulp tissue, Papacárie Duo® would impair reparative dentinogenesis but could activate macrophages to perform their role in defense and inflammation.
Bond Stability of Universal Adhesives Applied To Dentin Using Etch-And-Rinse or Self-Etch Strategies
Authors: Cardoso Gabriela Cardoso de , Nakanishi Leina , Isolan Cristina Pereira , Jardim Patrícia dos Santos , Moraes Rafael Ratto de
Published: October 2019

Abstract This study evaluated the immediate and 6-month dentin bond strength of universal adhesives used in etch-and-rinse or self-etch bonding strategies. The adhesives tested were Ambar Universal, G-Bond, Single Bond Universal, Tetric N-Bond Universal, and Ybond Universal. Gold standard adhesives (Scotchbond Multipurpose Plus and Clearfil SE Bond) were controls. Microtensile dentin bond strength (n=5 teeth), pH, and C=C conversion (n=3) were evaluated. Data were analyzed at α=0.05. All adhesives showed differences in pH. Ybond had intermediately strong aggressiveness, whereas the others were ultra-mild. The C=C conversion was different in most adhesives. In the etch-and-rinse strategy, all adhesives showed similar results generally except for G-Bond, which had lower bond strength than most adhesives. G-Bond and Tetric-N-Bond showed lower bond strengths after 6 months compared with 24 h, whereas the other adhesives had stable dentin bonds. In the self-etch strategy, G-Bond had lower bond strength than most adhesives. After 6 months, Ambar was the only adhesive showing lower dentin bond strength compared with 24 h. Most adhesives had discreet drops in bond strength during aging when used in the self-etch strategy. The failure modes were also material dependent, with a general pattern of increased adhesive and/or pre-testing failures after storage. In conclusion, the bonding performance of universal adhesives to dentin is material dependent. Most adhesives had stable dentin bonds with results comparable to the gold standard materials, particularly when applied in the self-etch mode. In general, it seems the use of universal adhesives in dentin should not be preceded by phosphoric acid etching.
Effect of Magnification during Post Space Preparation on Root Cleanness and Fiber Post Bond Strength
Authors: Silva Natércia Rezende da , Rodrigues Monise de Paula , Bicalho Aline Aredes , Deus Raissa Albuquerque de , Soares Priscilla Barbosa Ferreira , Soares Carlos José
Published: October 2019

Abstract The aim of this study was to evaluate the effect of magnification during post space preparation on root cleanness and on fiber post bond strength. Methods: Thirty human central upper incisors with similar root canal in size and shape were selected, decoronated to 15 mm and endodontically filled. The teeth were assigned into 3 groups (n=10), according to the method of magnification during post space preparation inspection: Control, using naked eye; loupe, using a dental surgical 3x magnifying glass; surgical microscope, using a 6x surgical microscope. The roots were scanned by using micro-CT before and after post space preparation for residue remnants evaluation. Fiber posts were cemented using self-adhesive resin cement (Rely X U200, 3M-ESPE). Two 1-mm-thick slices from the cervical, medium and apical thirds were submitted to a push-out test (PBS). Failures modes were classified. PBS data were analyzed by using two-way ANOVA with repeated measurement and the Tukey test. The significance level was set at 5%. The method of visualization had no effect on PBS (p=0.556). The cervical region had higher values than apical region irrespective of the inspection method (p=0.012). Adhesive failure between the resin cement and dentin was the prevalent failure mode for all groups. Micro-CT analysis showed no difference on root cleanness into the root canal after post space preparation. The use of magnification devices as loupe and microscope while performing post space do not improve the PBS and did not affect sealer remain of decoronated anterior teeth.
What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?
Authors: Abreu Mauro Henrique Nogueira Guimarães de , Morato Amanda de Lima Franca Neumann , Marinho Angélica Maria Cupertino Lopes , Cunha Maria Aparecida Melo , Mendes Suellen da Rocha
Published: October 2019

Abstract The study aimed to identify the changes in the provision of dental prosthetics procedures in the Brazilian primary care. Secondary data from the Brazilian “National Programme for Improving Access and Quality of Primary Care” was assessed and three similar questions related to dental prostheses execution that were answered by the same 9,698 oral health teams, in 2011/2012 and 2013/2014, were compared. There was a 4.3% increase in the number of teams that identified individuals with prosthetic needs; a 0.8% increase in the number of teams that performed impression for prosthetic purposes; and the number of teams that reported performing dental prostheses consultations increased by 0.6%. Overall, there was a small modification in the number of teams that provided dental prosthesis procedures in Brazil.
Restorative Possibilities Using Zirconia Ceramics for Single Crowns
Authors: Felberg Rodrigo Volz , Bassani Rafaela , Pereira Gabriel Kalil Rocha , Bacchi Ataís , Silva-Sousa Yara Teresinha Corrêa , Gomes Erica Alves , Sarkis-Onofre Rafael , Spazzin Aloísio Oro
Published: October 2019

Abstract Two clinical cases are presented to explore technical differences and discusses the advantages and disadvantages of using veneered or monolithic zirconia to manufacture posterior single crowns. The first case describes the clinical steps in manufacturing a monolithic crown on a mandibular left second premolar using high translucency zirconia. It shows the use of a conservative tooth preparation based on the superior mechanical properties that this material presents as well as the final optical characteristics achieved by shading and staining. In the second case, a conventional bilayer restorative treatment was made using zirconia framework followed by veneering with feldspar ceramic on a mandibular left first molar. Recent literature indicates that each of these restorative alternatives presents specific advantages and disadvantages. Factors such as mechanical performance, fracture, esthetic characteristics, clinical success, complication rates, adhesion and antagonist wear performance are discussed comparing the two restorative assemblies. The data highlight that monolithic crowns prevent a major problem reported on bilayer restorations: the chipping of veneering ceramic. Monolithic crowns also allow minimally invasive tooth preparations, thus increasing tooth remnant preservation. However, data that support esthetic performance similarity between monolithic and bilayer assemblies are lacking, thus the predictability of use is restricted for the posterior region, as cases demanding high esthetic appeal continue to fundamentally use bilayer restorations. Failures were not found, and patient satisfaction was reported in both techniques after the 12-month follow up.
The Wear Performance of Glazed and Polished Full Contour Zirconia
Authors: Alves Larissa Marcia Martins , Contreras Lisseth Patricia Claudio , Bueno Mirian Galvão , Campos Tiago Moreira Bastos , Bresciani Eduardo , Valera Marcia Carneiro , Melo Renata Marques de
Published: October 2019

Abstract This study evaluated the influence of zirconia surface finishes on the wear of an enamel analogue. 40 zirconia discs were divided into four groups: control (without finish); glazed; polished; polished and glazed. All samples were subjected to wear against steatite antagonists. The specimens underwent roughness, topographic, scanning electron microscopy (SEM) and wettability analyses. Quantitative wear measurements were performed on both steatites and discs. To measure wear of steatites the weight before and after the test and the diameter after the test were used. Profilometer measurements were performed to determine the wear on discs. Roughness, volumetric wear and mass loss were analyzed using the Kruskal-Wallis and Dunn tests (5%), while contact angle values were analyzed with One-way ANOVA and Tukey tests (5%). The polished group had the lowest roughness means, being statistically different from the other groups (p-value=0.0001). The glazed group presented the lowest steatite volumetric wear (p-value=0.0001), but not statistically different from the polished and glazed group, whereas these groups presented the highest zirconia volumetric wear, with statistically different (p-value=0.0002) compared to the others. SEM showed irregularities on the control groups surface, grooves on the polished group, and a homogeneous surface for the glazed group with a few pores. All groups presented contact angles lower than 90 degrees, characterizing hydrophilic surfaces. It can be concluded that just glazed zirconia caused less wear on the antagonist when compared to no finish and polished zirconia.
Adição à internet ou uso problemático da internet? Qual dos termos usar?
Authors: Fernandes Beatriz , Maia Berta Rodrigues , Pontes Halley M.
Published: October 2019

Resumo O uso da internet tem aumentado exponencialmente a nível mundial. Ainda que ele não seja por si só negativo, já que integra benefícios vários, alguns indivíduos parecem exibir problemas relacionados com o seu uso excessivo, descontrolado e disfuncional. Consequentemente, tem sido crescente, particularmente nas últimas duas décadas, o interesse dos investigadores em explorar este uso, quando excessivo e pouco saudável. Porém, e sendo um tema/constructo tratado por diferentes autores com quadros teóricos também diferentes, são vários os termos usados na literatura para descrever este fenómeno. Neste sentido, este artigo propõe-se a apresentar o trabalho uma revisão de literatura de dois dos conceitos mais usados e espartilhados na literatura científica, ou seja, adição à internet e uso problemático da internet.
Influence of Nb Content on Sensitization and Pitting Corrosion of Welded AISI 430 Ferritic Stainless Steel
Authors: Gonçalves Caroline Nazaré , Carvalho Gabriel Mendes de Almeida , Siqueira Jordânio Samuel , Renzetti Reny Ângela
Published: October 2019

Abstract In this work, the effect of Nb addition on sensitization and pitting corrosion of welded AISI 430 ferritic stainless steel subjected to autogenous GTAW was investigated by microstructural characterization and electrochemical techniques. The three distinct regions of welding process, weld metal, heat affected zone and base metal of AISI 430 steel with and without Nb were evaluated. The degree of sensitization was measured by double loop electrochemical potentiodynamic reactivation and pitting corrosion was studied by potentiostatic polarization test. The microstructural analyses reported martensite network in the weld metal and heat affected zone of AISI 430 non stabilized. The electrochemical studies revealed that the highest degree of sensitization and the lowest pitting potential are in the weld metal of AISI 430 without Nb.
DISTAL HUMERAL FRACTURE: AN EPIDEMIOLOGICAL ANALYSIS OF ORTHOPEDIC PATIENTS FOR CHILDREN
Authors: Fernandes Junior José Carlos Figueiredo , Milan Taiuã Vardasca , Ribeiro Helio Augusto Martins Ferreira , Stein Helena Elisa , Ribas Filho Hamilton Carmargo , Carula Beatriz Canhoto
Published: October 2019

ABSTRACT Objective: To analyze the epidemiological profiles of children with orthopedic distal humerus fractures. Methods: An analytical descriptive study was conducted with a retrospective approach using medical records of 665 orthopedic children who attended the Jesser Amarante Faria Children's Hospital, a reference hospital in the city of Joinville, Santa Catarina, between June 2012 and December 2016. Results: The results showed a predominance of male patients (64.2%), with a mean age of 7 years, and the age group of 6–10 years being the most frequent with 319 patients (48%). The main mechanism of trauma was fall of height in 59.7% of patients, Gartland type 1 fracture in 57.1%, and absence of vascular injury in 99.7%. Conservative management was implemented in 64.7% (95%) of patients. Absence of neurological lesion (95.6%) and closed lesion (99.4%) were the main epidemiological characteristics of patients in the study. A low complication rate was observed, with reduction losses in 1.7% of patients, followed by infections in 1.1%. Conclusion: We can conclude that the cases studied presented epidemiological characteristics similar to those described in the literature. Level of evidence IV, Description of a case series, with analysis of results, without a comparative study.
ASSESSING PSYCHOSOCIAL DISTRESS IN BONE METASTASES TREATED WITH ENDOPROSTHESIS
Authors: Santiago Lucas , Anzuatégui Pedro Reggiani , Ribeiro José Paulo Agner , Filon Maurício Carrilho , Mello Glauco José Pauka , Rigolino Ana Valéria Brunetti
Published: October 2019

ABSTRACT Objective: To compare preoperative and early postoperative levels of psychosocial distress in patients undergoing bone metastasis treatment with endoprosthesis, evaluating its impact on quality of life. Methods: Thirteen patients undergoing endoprosthetic treatment of bone metastasis were assessed at two time points: preoperatively and 30 days postoperatively. The tool used was the Distress Thermometer, a questionnaire for psychosocial screening developed by the National Comprehensive Cancer Network. Distress is considered moderate or severe if the patient scores 4 or higher. Results: The most frequent problems in the preoperative period were “bathing and dressing”. At 30 days, “fatigue” and “nervousness” prevailed. There was a significant improvement in distress when preoperative and 30-day assessments were compared. Conclusion: The surgical treatment of bone metastasis with endoprosthesis results in an early improvement of psychosocial distress as measured by the Distress Thermometer. Level of evidence II, Prospective and comparative therapeutic study.
QUALITY OF LIFE IN PATIENTS WHO HAVE UNDERGONE REVERSE SHOULDER ARTHROPLASTY
Authors: Leite Luiz Marcelo Bastos , Lins-Kusterer Liliane , Belangero Paulo Santoro , Patriota Gyoguevara , Ejnisman Benno
Published: October 2019

ABSTRACT Objective: To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA). Methods: A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36). Results: Of the 35 patients, 29 (82.9%) were female, and mean age was 75.71 years, ranging from 50 to 89 years. The dominant side was frequently affected (68.6%), and most of the cases were Hamada type 3 (57.1%). The Mackenzie approach was used in 30 patients (85.7%). Physical and mental HRQoL was not associated with severity of RCA before RSA. Lower scores for Physical Functioning, Role Physical, Bodily Pain, and Physical Component Summary (PCS) were associated with other orthopedic comorbidities. Vitality, Role Emotional, Mental Health, and Mental Component Summary (MCS) were significantly higher in patients without depression. Orthopedic comorbidity and depression predicted lower PCS and longer follow-up time predicted better PCS scores. Depression was also a predictor of the MCS. Conclusion: Patients who had undergone RSA for RCA had good HRQoL. Longer follow-up time was associated with better HRQoL. Good results were maintained over the follow-up period. Level of evidence II, retrospective study.
Argumentação de estudantes na criação e crítica de analogias sobre o Modelo Atômico de Thomson
Authors: Ramos Tatiana Costa , Mendonça Paula Cristina Cardoso , Mozzer Nilmara Braga
Published: October 2019

Resumo: Neste trabalho buscamos compreender como a estratégia de criação e crítica de analogias por estudantes de Química pode favorecer o engajamento em argumentação e a aprendizagem do modelo atômico de Thomson. Foi produzida uma Unidade Didática e o desenvolvimento da mesma em uma turma de 1º ano do ensino médio foi registrado em áudio e vídeo. Um estudo de caso foi desenvolvido para um grupo de estudantes. A análise do caso indica que os estudantes se envolveram em argumentação ao apresentarem as correspondências e limitações das comparações, o que favoreceu a defesa de posicionamentos, a refutação e a avaliação das ideias sobre as comparações deles. A estratégia contribuiu para a aprendizagem de aspectos complexos relacionados ao modelo, como a movimentação dos elétrons. Consideramos que essa estratégia possa ser potencialmente útil no contexto do ensino de Química.
Educação ambiental e sustentabilidade: é possível uma integração interdisciplinar entre o ensino básico e as universidades?
Authors: Silva Ana Paula , Santos Junior Reginaldo Pereira dos
Published: October 2019

Resumo: Este artigo é o resultado da análise bibliográfica entre os conteúdos associados à educação ambiental com foco em sustentabilidade, retratando a importância dos conteúdos abordados nos livros didáticos da educação básica e nos artigos e livros científicos debatidos e retratados nas universidades. Essa pesquisa tem como finalidade analisar o contexto ambiental no currículo desses espaços institucionais e perceber se há uma conexão ou um distanciamento entre eles. Outros aspectos abordados no trabalho são os principais temas em debate nessas instituições, as convergências entre os conteúdos e a integração existente entre eles. Dentro das considerações finais, além das descrições resultantes das literaturas analisadas, é apresentada uma abordagem sobre as possibilidades de interações entre as instituições, visando um trabalho integrador na promoção de uma dialogicidade que permite a autonomia dos indivíduos nas suas instituições de ensino.
Interlocuções entre a Pedagogia Histórico-Crítica e a Psicologia Histórico-Cultural para o ensino de Ciências
Authors: Mendes Carolina Borghi , Biancon Mateus Luiz , Fazan Paulo Borges
Published: October 2019

Resumo: Evidenciando o conceito de trabalho como categoria ontológica do ser social, e a importância da mediação, necessária à humanização, o presente artigo se caracteriza como ensaio teórico e se propõe a apresentar interlocuções entre a Pedagogia Histórico-Crítica e a Psicologia Histórico-Cultural como fundamentos para o Ensino de Ciências, importantes à objetivação da atividade docente comprometida com o desenvolvimento humano dos estudantes em formação. Partimos do pressuposto de que a função social da educação escolar se concentra na socialização dos conhecimentos clássicos produzidos pela humanidade, sem desconsiderar, no entanto, a qual papel esta serve historicamente para, então, evidenciar a importância do ensino de Ciências que supere as perspectivas naturalizantes de desenvolvimento que o desvinculam da totalidade social, apresentando-o na dialética singular-particular-universal.
Resistir ao presente: tensionando heranças modernas para pensar a Educação Ambiental
Authors: Henning Paula Corrêa
Published: October 2019

Resumo: O artigo objetiva analisar o discurso inicial da ciência moderna como uma das condições de possibilidade para emergência da crise ambiental. Para isso, analisa o Novum organum, de Francis Bacon e O discurso do método, de René Descartes. A partir dos estudos foucaultianos sobre a função-autor e a atualização dos ditos no contemporâneo, busca-se elementos para problematizar o eterno retorno de nossas heranças modernas. Dá-se visibilidade a três reativações discursivas: aos modos atuais de encarar a ciência; a dupla posição do humano hoje e a objetificação da natureza. Abordando os fundamentos históricos, epistemológicos e filosóficos da Educação Ambiental (EA), esse artigo busca contribuir para pensarmos na responsabilidade dos professores e pesquisadores desse campo, olhando de modo provocativo para a crise ambiental que experienciamos. Examinando a crise, talvez pudéssemos, com o auxílio dos fundamentos da EA, tensionar nossas heranças modernas. Não para negá-las, mas para potencializar o desejo de resistir ao presente.
O planejamento de sequências didáticas de química fundamentadas no Modelo Topológico de Ensino: potencialidades do Processo EAR (Elaboração, Aplicação e Reelaboração) para a formação inicial de professores
Authors: Bego Amadeu Moura , Alves Milena , Giordan Marcelo
Published: October 2019

Resumo: Este trabalho objetiva avaliar a influência do processo de Elaboração, Aplicação e Reelaboração (EAR) no desenvolvimento da capacidade de planejamento de sequências didáticas (SDs) de professores de química em formação inicial. Realizou-se uma pesquisa documental qualitativa em duas diferentes versões das SDs de química produzidas pelos professores em formação inicial. A análise dos documentos foi baseada nos princípios do modelo topológico de ensino e em um instrumento-padrão para validação de SDs. Os dados revelaram melhorias significativas nas SDs reelaboradas as quais apresentaram uma abordagem contextualizada e problematizada dos conteúdos, além de um encadeamento mais coeso das atividades didáticas. Conclui-se que o Processo EAR pode se constituir em um importante processo de formação inicial de professores de química, uma vez que fundamenta teórica e metodologicamente o planejamento, além de propiciar ciclos expansivos de qualificação a partir da integração dialética entre teoria e prática e conhecimento específico e pedagógico.
PSYCHOSOCIAL CHARACTERISTICS IN CHILDREN WITH ASTHMA REGARDING PHYSICAL ACTIVITY
Authors: Román Pedro Ángel Latorre , Martínez Ana Vanesa Navarro , Sánchez Jesús Salas , Pinillos Felipe García , Sánchez Julio Ángel Herrador
Published: October 2019

ABSTRACT Introduction Children who are more active enjoy sports, have confidence in their ability to engage in physical activity, feel competent and perceive fewer barriers to physical activity. Objective Psychosocially characterize the asthmatic child’s relationship with enjoyable physical activity, physical self-concept, health and perceived quality of life. Method Eighty asthmatic children (age = 11.33 ± 1.10 years, body mass index [BMI] = 20.52 ± 3.83 kg/m2) and 80 healthy children (age = 11.18 ± 1.00 years, BMI = 20.81 ± 4.24 kg/m2) participated in the study. The Physical Activity Enjoyment Scale (PACES), Physical Activity Questionnaire for Children (PAQ-C), the Physical Self-concept Questionnaire (CAF) and the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) were used. Results In the PACES questionnaire, healthy children had a better level of general physical activity while in the CAF questionnaire, significant differences were found in ability, physical fitness and general self-concept, which were higher in healthy children. There is a significant correlation between the PAQ-C and ability, general physical self-concept, PACES and total PAQLQ in asthmatic children. Conclusion Asthmatic children had lower levels of physical activity, physical self-concept and enjoyment in physical activity than healthy children. Level of evidence II; Retrospective study.
De Adorno a Marx: política e fetichismo
Authors: Vasconcellos Caio
Published: October 2019

Resumo O objetivo deste artigo é comparar aspectos das interpretações de Karl Marx em 18 brumário de Luís Bonaparte e no ensaio Teoria freudiana e o padrão da propaganda fascista de Theodor Adorno, a respeito do caráter fetichista que se incorpora a instituições e fenômenos políticos no mundo burguês - tanto em sua aurora, quanto em seu desenlace tardio. Em ambas as interpretações há uma curiosa reincidência de personagens e certos procedimentos que estimulariam o povo a agir como massa. Se é possível sublinhar, nas análises de Marx sobre a ascensão de Luís Bonaparte, consequências para a centralização e racionalização do aparato estatal, ressalta-se, por outro lado, o aspecto mitológico e fantasmagórico que organizaria o interior da esfera política. Ao perscrutar o fenômeno do nazifascismo e do antissemitismo moderno, Adorno desenvolve uma interpretação a respeito das bases objetivas e dos mecanismos subjetivos envolvidos na dinâmica da relação entre o líder fascista e a massa de seus seguidores. Também aqui se verifica a atuação de fenômenos fetichizados.
Dor lombar inespecífica e sua relação com o processo de trabalho de enfermagem
Authors: Cargnin Zulamar Aguiar , Schneider Dulcinéia Ghizoni , Vargas Mara Ambrosina de Oliveira , Machado Rosani Ramos
Published: October 2019

Objetivo relacionar a dor lombar inespecífica dentro do contexto de trabalho da enfermagem com suas cargas de trabalho, processos de desgaste e os riscos de adoecimento. Método estudo transversal com 301 trabalhadores de um hospital geral do Sul do país. Utilizaram-se o Nordic Musculoskeletal Questionnaire e a Escala de Avaliação do Contexto de Trabalho composta de três dimensões: “condições de trabalho”, “organização do trabalho” e “relações socioprofissionais”. Foi testada a associação das variáveis com a dor lombar por meio de análises bivariadas e multivariadas. A medida de associação utilizada foi a Odds Ratio e seus respectivos intervalos com 95% de confiança. Os dados coletados foram discutidos sob o referencial teórico do processo de trabalho dentro da concepção marxista e da Teoria da Determinação Social do Processo Saúde-doença. Resultados houve associação estatisticamente significativa entre as dimensões “organização do trabalho” e “condições de trabalho com a dor lombar”, que obtiveram classificação crítica, significando riscos moderados ao adoecimento profissional. Conclusão o estudo permitiu maior compreensão do processo de trabalho de enfermagem e sua relação com a lombalgia inespecífica e sinalizou que devem ocorrer mudanças na organização e nas condições de trabalho a fim de diminuir os riscos de adoecimento dos trabalhadores de enfermagem.
Tradução, adaptação e validação da Escala de Instabilidade no Trabalho de Enfermagem para português brasileiro
Authors: Petersen Rafael Souza , Tennant Alan , Nakagawa Theresa Helissa , Marziale Maria Helena Palucci
Published: October 2019

Objetivo traduzir, adaptar e testar as propriedades psicométricas da Nurse-Work Instability Scale (Escala de Instabilidade no Trabalho de Enfermagem) em português do Brasil. Método trata-se de um estudo metodológico seguindo os passos de tradução: síntese, retrotradução, comitê de especialistas, análise semântica, pré-teste e testes psicométricos. O comitê foi composto por 5 especialistas. Para a análise semântica, 18 profissionais de enfermagem avaliaram o instrumento e 30 fizeram o pré-teste. Para os testes psicométricos, o tamanho da amostra foi de 214 profissionais de enfermagem. A validade interna do construto foi analisada pelo modelo de Rasch. A confiabilidade foi avaliada usando consistência interna e validade concorrente com a correlação de Pearson entre a Nurse-Work Instability Scale, o Work Ability Index (Índice de Capacidade para o Trabalho) e a Job Stress Scale (Escala de Estresse no Trabalho). Resultados a Nurse-Work Instability Scale com 20 itens em português brasileiro apresentou confiabilidade (0,831), estabilidade (p <0,0001) e correlação esperada adequadas com o Work Ability Index (r = -0,526; P 0,0001) e a Job Stress Scale (r = 0,352; p 0,0001). Conclusão o instrumento é apropriado para detectar a instabilidade do trabalho em profissionais de enfermagem brasileiros com distúrbios osteomusculares. Sua aplicação é fundamental para evitar o afastamento do trabalho a longo prazo pela identificação precoce da instabilidade do trabalho. Além disso, a escala pode auxiliar no desenvolvimento de ações e estratégias para prevenir que profissionais de enfermagem acometidos por distúrbios osteomusculares abandonem a profissão.