bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educação permanente em saúde: Estratégia de prevenção e controle de infecção hospitalar
Authors: Aparecida de Oliveira Pinto Porto Mônica , Consuelo Ortiz Sanchez Maritza , Lelita Xavier Maria , Marinho Chrizostimo Miriam , Da Silva Brandão Euzeli , Valéria Rosa Lima Márcia 
Published: June 2020

Objetivo: analisar através da literatura as estratégias da educação permanente que contribuem para a mudança de condutas de prevenção e controle de infecção em assistência í saúde pela equipe multidisciplinar. Método: Revisão integrativa com busca nas bases de dados LILACS, MEDLINE e BDENF. Elaborou-se um instrumento de coleta de dados que sinaliza as caracterí­sticas para análise dos estudos. Resultados: Incluí­ram-se 12 artigos e foram agrupados por similaridade didática de acordo com as estratégias implementadas quanto í prevenção e controle em assistência í saúde. Conclusão: Ficou evidente que a utilização de diversas estratégias da educação permanente, na assistência í saúde, traz melhorias í medida que estimulam os profissionais no aperfeiçoamento, qualificação e na atualização de conceitos e ações práticas, contribuindo também para o desenvolvimento da reflexão crí­tica, trazendo mudança comportamental, favorecendo desta forma o crescimento pessoal e profissional e a interação da equipe multidisciplinar, propiciando assim a melhora na qualidade da assistência.
A saúde da mulher na colônia penal feminina de Abreu e Lima
Authors: Avanilde Paes Miranda  , Niedja dos Santos Brito  , Milena Roberta Matias da Silva de Freitas  
Published: June 2020

Objetivo: Conhecer a situação de saúde das IST"™s HIV/AIDS, rastreamento câncer colo útero em mulheres, serviço e estrutura na Colônia Penal Feminina de Abreu e Lima. Método: Trata-se de um estudo observacional, transversal, quantitativo. A coleta de dados foi realizada pelas pesquisadoras em Presí­dio Privadas de Liberdade através de entrevista com questionário elaborado para analisar as caracterí­sticas da população. Resultado: no perí­odo de agosto a outubro/2017. A população apenada N=415 e n=100 mulheres. Observou a faixa etária mais acometida foi entre 20 a 60 anos incompletos com 76% (n=76). O sistema prisional reflete grande importância epidemiológica em se tratando da vulnerabilidade socioeconômica e da superlotação que interferem de forma negativa na higienização, alimentação e nos cuidados básicos para com o ser humano. Conclusão: consideramos que as ações de educação em saúde realizadas na unidade têm sido fundamental í prevenção e o controle da IST HIV/AIDS, rastreamento câncer colo útero.
Segurança do paciente e cirurgia segura: taxa de adesão ao checklist de cirurgia segura em um hospital escola
Authors: Akie Fujii Neta  , Nelsi Salete Tonini  , Mateus Souza da Luz  , Letí­cia Katiane Martins  , Renata Pereira de Oliveira  , Pamela Regina dos Santos  
Published: June 2020

Objetivo: Avaliar a taxa de adesão a lista de verificação de cirurgia segura em um hospital escola. Método: pesquisa retrospectiva, descritiva, com abordagem quantitativa, realizada no perí­odo de julho e agosto de 2018. Resultados: a amostra foi composta por 540 prontuários, com anexo a lista de verificação de cirurgia segura. A taxa de adesão a lista de verificação encontrada é de 95%. Entretanto, 75% dos instrumentos são preenchidos incompletos, seguindo de 14% de instrumentos preenchidos por completo e 6% em branco. É visto que a adesão ao instrumento não exige demanda de alto custo para seu preenchimento, entretanto há dificuldade na sua aplicação pelas equipes cirúrgicas da instituição. Conclusões: a adesão integral desse instrumento de registro possibilita a redução da ocorrência de eventos adversos, facilita o trabalho, diminui custos hospitalares decorrentes de eventos adversos e, mais importante, garante assistência adequada ao paciente no que tange í cirurgia segura.
Escalas aplicadas para avaliação do estresse do trabalhador de enfermagem no Brasil
Authors: Eduardo Fernandes da Silva  , Jorge Luiz Lima da Silva  , Mayara Souza Monnerat  , Claudia Maria Messias  , Rafael da Silva Soares  , Felipe dos Santos Costa  
Published: June 2020

Objetivo: descrever escalas aplicadas para avaliação do estresse do trabalhador de enfermagem, no Brasil. Método: pesquisa de natureza descritiva que se deu por meio de revisão integrativa de literatura incluindo obras dos últimos cinco anos. Resultados: foram obtidos 09 artigos os quais demonstram que a escala mais utilizada foi a Maslach Burnout Inventory para avaliação de burnout. Os artigos contendo as escalas analisadas apresentaram significância estatí­stica e validade interna, atendendo a critérios Qualis Capes. Conclusão: esses instrumentos de avaliação são eficazes í medida que permitem ao pesquisador obter informações a respeito de aspectos psicossociais relacionados ao trabalho, subsidiando a produção de conhecimento para a tomada de decisões amenizadoras de fatores estressantes no trabalho
Simultaneidades dos componentes da sí­ndrome metabólica em adultos quilombolas baianos, Brasil
Authors: Ricardo Franklin de Freitas Mussi  , Ana Claudia Moraes Godoy Figueiredo  , Bruno Morbeck de Queiroz  , Edio Luiz Petroski  , Deyvis Nascimento Rodrigues  , Claudio Bispo de Almeida  
Published: June 2020

Objetivo: analisar os padrões de simultaneidade da sí­ndrome metabólica e os fatores sociodemográficos associados em quilombolas baianos. Métodos: Na amostra representativa de 850 adultos quilombolas, os componentes da sí­ndrome metabólica foram definidos conforme o critério Joint Interim Statement. A razão entre a prevalência observada e a esperada determinaram as simultaneidades aumentadas. A regressão de Poisson com variância robusta testou as associações da maior simultaneidade e as variáveis sociodemográficas. Resultados: Metade das combinações da sí­ndrome metabólica apresentaram prevalência observada maior que prevalência esperada. A hipertrigliceridemia foi o componente mais presente nas simultaneidades aumentadas. Após análise múltipla situação laboral e escolaridade permaneceram associadas (p<0,05) í maior simultaneidade. Conclusão: Ocorreu alta presença de simultaneidades aumentas em adultos quilombolas, tendo a hipertrigliceridemia como elemento mais recorrente. Além disso, a maior simultaneidade se associou trabalho remunerado e <5 anos de escolarização.
Perfil psicopatológico de atendimentos em serviço de saúde mental do entorno do Distrito Federal
Authors: Marciano de Moraes Filho Iel , Taumaturgo Fernandes de Negreiros Cintia , Rebecca Sousa da Silva Sarah , Fernando Rodrigues Marcio , Cândida Pereira Mayara , Vilela de Sousa Thais , Cárita da Silva Danila , Cristina Félis Keila , Soares Carvalho Filha Francidalma 
Published: June 2020

Objetivo: Realizar levantamento epidemiológico das psicopatologias mais frequentemente atendidas em um Centro de Atenção Psicossocial (CAPS) II no municí­pio do entorno do Distrito Federal. Método: Estudo transversal descritivo com coleta de dados por análise documental realizada com 2848 registros de atendimento de um CAPS II do municí­pio de Valparaí­so de Goiás. Resultados: O maior número de atendimentos foi relacionado transtorno de pânico (20,5%). Os menores números de atendimento foram para o episódio depressivo moderado (1,8%). Conclusão: Com relação í cobertura de contingente populacional, a atenção em saúde mental da região estudada é adequada. Em relação ao seu perfil, atendimentos a pacientes com transtorno de pânico foram predominantes. Conhecer o perfil epidemiológico dos atendimentos permite melhor direcionar o cuidado, mas é preciso também traçar estratégias que visem í prevenção do adoecimento quando possí­vel e a promoção da saúde mental.
Hallinnoiva diakoni - Diakonian virka Lutherin Ensimmäisen Timoteuskirjeen selityksessä
Authors: Hautala Harri 
Published: June 2020

Martti Lutherin diakonin virkakäsityksen olennaisia piirteitä on löydettävissä Lutherin teoksessa Ensimmäisen Timoteuskirjeen selitys. (WA 26, 1-120). Luther määrittelee kommentaarin kolmannessa luvussa diakonin tehtävät. Tämä artikkeli on John N. Collinsilta vaikutteita saanut tutkimus, jossa diakonian tutkimuslähteitä tulkitaan tietoisena diakonian tutkimusperinteistä. Ensimmäisen Timoteuskirjeen selitys on syntynyt Martti Lutherin vuosina 1527-1528 Wittenbergin yliopistossa pitämien luentojen koosteena. Teos pyrkii hahmottamaan uusitestamentillisen kirkollisen järjestyksen, käyttäen analogiaa Paavalin ajan ja kommentaarin kirjoitusajankohdan välillä. Tarkoitukseni on selvittää teoksessa ilmenevän diakonin virkan funktio ja sijoittaa diakoni ekklesiologisen köyhienhoidon kokonaisuuteen siinä ihannekirkossa, jonka näköaloja Luther hahmotteli Ensimmäisen Timoteuskirjeen selityksessä.
The essential features of Martti Luther's deacon's concept of office are found in Luther's Lecture on 1 Timothy. (WA 26, 1-120). In the third chapter of the commentary, Luther defines the functions of the deacon. This article is a research inspired by John N. Collins, where the sources of diaconia are interpreted as aware of the diaconia research traditions. Lecture on 1 Timothy was born as a compilation of lectures by Martti Luther in 1527-1528 at the University of Wittenberg. The work seeks to perceive the New Testament Church order, using the analogy between Paul's time and the time of writing the commentary. My purpose is to find out the function of the deacon in the work and to place the deacon in the ecclesiological poverty care unit in the ideal church, whose views were outlined by Luther in the Lecture on 1 Timothy.
Spectropolarimetric Properties of Swift J1818.0–1607: A 1.4 s Radio Magnetar
Authors: Lower Marcus E. , Shannon Ryan M. , Johnston Simon , Bailes Matthew 
Published: June 2020

Abstract
The soft-gamma repeater Swift J1818.0−1607 is only the fifth magnetar found to exhibit pulsed radio emission. Using the Ultra-Wideband Low receiver system of the Parkes radio telescope, we conducted a 3 hr observation of Swift J1818.0−1607. Folding the data at a rotation period of P = 1.363 s, we obtained wideband polarization profiles and flux density measurements covering radio frequencies between 704 and 4032 MHz. After measuring, and then correcting for the pulsar’s rotation measure of 1442.0 ± 0.2 rad m−2, we find the radio profile is between 80% and 100% linearly polarized across the wide observing band, with a small amount of depolarization at low frequencies that we ascribe to scatter broadening. We also measure a steep spectral index of

across our large frequency range, a significant deviation from the flat or inverted spectra often associated with radio-loud magnetars. The steep spectrum and temporal rise in flux density bears some resemblance to the behavior of the magnetar-like, rotation-powered pulsar PSR J1119−6127. This leads us to speculate that Swift J1818.0−1607 may represent an additional link between rotation-powered pulsars and magnetars.
Psychological effects of boarding students in schools far away from home – a qualitative study of a sample of students referred to a psychiatry clinic from Central Sri Lanka
Authors: Malalagama A. S. 
Published: June 2020

BackgroundThe education system in Sri Lanka drives parents to seek popular schools in cities for their children, some of who are being boarded far away from their homes (1). Living away from home at a young age can cause grief and even depression. Children boarded at an early age may present with a cluster of symptoms later in life known as “Boarding School Syndrome” (BSS) (2). AimsThe aims of this study were to explore the psychological effects of being boarded in schools far away from home, in a sample of students referred to the psychiatry unit of Base Hospital Diyatalawa. MethodsThis was a qualitative study. Students who had been boarded in schools in four towns, who were referred to the psychiatry unit, and their parents, were interviewed using a semi-structured interview. Interviews were audio-recorded, transcribed and thematic analysis was done. ResultsSeven students were interviewed, aged between 11- 18 yrs with a mean age of 13.4 yrs. Several main themes were identified from the analysis; grief at leaving home, difficulty in transitioning to the new school environment, worry about effect on scholastic performance after boarding, crisis situations and cries for help, and the experience of emotional abuse. Several students also had features of depression. ConclusionsThe findings of this study suggest that separation from parents in childhood significantly increases the risk of negative psychological outcomes including depressive symptoms. This is in keeping with findings from similar previous studies. Psychiatrists should be aware of the possible negative impact of being separated from parents and boarded away from home, when assessing children and adolescents.
Stigma related to mental health issues – a study among adolescents in Sri Lanka
Authors: Attygalle U. R. , Perera H. , Jayamanne B. D. W. 
Published: June 2020

IntroductionIt is well known that stigma is a key contributory factor for delayed help seeking in mental health issues. This in turn has led to poor outcomes amongst those who suffer from mental health issues. In Sri Lanka, large studies on stigma amongst adolescents are limited. AimsThis study aims to describe the attributes of stigma in relation to selected mental health issues amongst adolescents. MethodsThis is a descriptive cross-sectional study focusing on data collected from 1002 adolescents. The data was collected using a questionnaire based on the Children's Attribution Questionnaire (AQ-8-C). Case vignettes depicting depression with suicidal ideation, social phobia, psychosis and a physical health issue, namely diabetes, was used. ResultsThe study revealed that the likelihood of providing help was significantly higher with regards to mental health issues compared to diabetes (p<0.001), while the likelihood of avoiding a mental health patient was higher in psychosis compared to the other vignettes (p<0.001). Those with a personal or family history of mental health issues had a higher tendency of avoiding or being angered by such patients, or considering the person in the mental health vignette to be dangerous (p<0.05). ConclusionsAdolescents in this cohort stated they were more likely to help in the case of a person with a mental health issue, compared to someone with diabetes. They were more likely to stay away from those with psychosis, compared to those with other mental health issues. Exposure to mental health issues did not appear to lower the stigma associated with these disorders.
Betel-quid use and its effects on symptoms of schizophrenia and extrapyramidal symptoms among a group of patients in a tertiary care hospital in Sri Lanka
Authors: Isuru A. , Ediriweera D. , Pathmeswaran A. , Embuldeniya A. , Narammalage H. , Warnakulasuriya S. , Kuruppuarachchi K. A. L. A. , Hapangama A. 
Published: June 2020

BackgroundThere is limited research regarding the prevalence of betel quid use and its effects on symptoms of patients with schizophrenia. Available studies suggest an association between betel chewing and positive symptoms among males with schizophrenia. AimsThis study aimed to compare the prevalence of betel quid chewing between patients with and without mental illness, and to explore the association between betel quid use, symptoms of schizophrenia and side effects of psychotropic medication. MethodsA cross sectional descriptive study was carried atoutpatient clinics at a tertiary care hospital in Sri Lanka. A structured interview schedule was administered to all participants. ResultsOut of 1000 participants, 20.9% chewed betel quid (95%CI: 18.4% - 23.4%). The rate of betel chewing among patients with and without a mental illness was 20.7% (95% CI: 17.0% - 24.4%) and 21.0% (95% CI: 17.6% - 24.5%) respectively and there was no significant difference between the two groups. There was no statistically significant difference between the occurrence of positive or negative symptoms and extra pyramidal side effects in patients with schizophrenia who did and did not chew betel. Female gender (p=0.004) and betel quid chewing (0.002) were associated with more anticholinergic side effects. ConclusionsThere was no association between betel quid usage and the occurrence of positive or negative symptoms of schizophrenia or extra pyramidal side effects.
TLR Stimulation Produces IFN-β as the Primary Driver of IFN Signaling in Nonlymphoid Primary Human Cells
Authors: Nistler Ryan , Sharma Ankur , Meeth Katrina , Huard Christine , Loreth Christine , Kalbasi Alireza , Tyminski Edyta , Bellmore Ryan , Coyle Anthony J , Gullà Stefano V , Berasi Stephen P , Greenberg Steven A , Buhlmann Janet E 
Published: June 2020

Abstract
Several human autoimmune diseases are characterized by increased expression of type 1 IFN-stimulated genes in both the peripheral blood and tissue. The contributions of different type I IFNs to this gene signature are uncertain as the type I IFN family consists of 13 alphas and one each of β, ε, κ, and ω subtypes. We sought to investigate the contribution of various IFNs to IFN signaling in primary human cell types. We stimulated primary skin, muscle, kidney, and PBMCs from normal healthy human donors with various TLR ligands and measured the expression of type I IFN subtypes and activation of downstream signaling by quantitative PCR. We show that IFNB1 is the dominant type I IFN expressed upon TLR3 and TLR4 stimulation, and its expression profile is associated with subsequent MX1 transcription. Furthermore, using an IFN-β–specific neutralizing Ab, we show that MX1 expression is inhibited in a dose-dependent manner, suggesting that IFN-β is the primary driver of IFN-stimulated genes following TLR3 and TLR4 engagement. Stimulation with TLR7/8 and TLR9 ligands induced IFNB1 and IFNA subtypes and MX1 expression only in PBMCs and not in tissue resident cell types. Concordantly, IFN-β neutralization had no effect on MX1 expression in PBMCs potentially because of the combination of IFNB1 and IFNA expression. Combined, these data highlight the potential role for IFN-β in driving local inflammatory responses in clinically relevant human tissue types and opportunities to treat local inflammation by targeting IFN-β.
Athletic Training Students' Perspectives and Performance When Learning Online
Authors: Winkelmann Zachary K. , Eberman Lindsey E. 
Published: June 2020

Context
Technology continues to change throughout the world, and higher education is not absent from the adjustment. Athletic training educators should adapt to online learning opportunities that enhance the curriculum for their students.

Objective
To explore athletic training students' thoughts and knowledge when learning through a distance education platform.

Design
Cross-sectional, mixed-methods survey.

Setting
Six professional postbaccalaureate athletic training programs.

Patients or Other Participants
A total of 55 second-year athletic training students.

Intervention(s)
One-week asynchronous eLearning module focused on the background and use of telemedicine in health care.

Main Outcome Measure(s)
Participants completed the technology acceptance model tool before and after the module to gather their perspectives about online learning. During the eLearning module, knowledge acquisition was assessed with quizzes. Finally, a transactional distance theory tool including 2 open-ended response items was delivered at the end of the eLearning module.

Results
We identified that participants had a low acceptance for technology at the onset of the study that improved after the eLearning intervention for the constructs of self-efficacy (P = .010) and perceived ease of use (P ≤ .001) of eLearning technologies. The transactional distance tool highlighted that the facilitator and readings were helpful, which was also indicative of the scores on the module quizzes. We also identified benefits to eLearning from the student perspective, which included previous experiences, learning on their own time, and feelings that the module was productive to their growth as students. Some participants stated that the eLearning module presented too much work and was missing interaction, whereas others were neutral relative to the comparison between traditional and online learning.

Conclusions
Overall, the results of this study identified that technology acceptance and transactional distance are important components of online learning. Athletic training educators should educate learners regarding the differences in online education requirements.
İLKOKUL ÖĞRENCİLERİNİN STEM ETKİNLİKLERİ HAKKINDA GÖRÜŞLERİNİN BELİRLENMESİ: 4.SINIF ÖRNEĞİ
Authors: KARAKAYA Ferhat , YANTIRI Hatice , YILMAZ Göknil , YILMAZ Mehmet 
Published: June 2020

Bu araştırmada, ilkokul 4. sınıf öğrencilerinin STEM etkinlikleri
hakkındaki görüşlerinin belirlenmesi amaçlanmıştır. Nitel araştırma
desenlerinden durum çalışmasının kullanıldığı araştırma, 2018-2019 eğitim öğretim yılında
gerçekleştirilmiştir. Araştırma Türkiye'deki bir özel okulun 4.sınıfında
öğrenim gören 16 öğrenci ile gerçekleştirilmiştir. Verilerin toplanmasında,
araştırmacılar tarafından hazırlanan yarı yapılandırılmış görüşme formları
kullanılmıştır. Yarı yapılandırılmış görüş formu, beş sorudan oluşmaktadır.
Elde edilen veriler içerik analiz basamaklarına uygun olarak iki farklı
araştırmacı tarafından analiz edilmiştir. Verilerin güvenirliği 0.90 olarak
belirlenmiştir. Araştırma bulgularına
göre STEM etkinliklerinin, günlük yaşam problemleriyle ilgili olduğu,
öğrencilerin derslerini, meslek tercihlerini ve iletişim becerilerini
etkilediği belirlenmiştir. Ayrıca zaman ve malzeme yetersizliği ile bilgi
eksikliğinin STEM etkinliklerinin gerçekleşmesinde sorunların olduğu da tespit
edilmiştir. Araştırma sonuçları doğrultusunda, derslerde STEM etkinliklerine
daha çok yer verilmesi gerektiği önerilmektedir. Ayrıca yapılan etkinliklerin
amacına ulaşabilmesi için gerekli zaman, materyal ve bilgi alt yapısının
öğrencilere kazandırılması gerekmektedir.
Mitigation of Ionospheric Scintillation on Global Positioning System (GPS) Using Hamming and Convolutional Coding Techniques
Authors: Ojo Festus K , Akande Damilare O , Daniel Babatunde S 
Published: June 2020

The Global Positioning System (GPS) is a satellite-based system that can be used to locate positions anywhere on the earth surface. Any person with a GPS receiver can access the system, and it can be used for application that requires location coordinates. Currently, ionospheric scintillation is the largest error source in GPS. Scintillation causes some effects such as degradation of receiver tracking performance and in extreme cases, total loss of navigation capabilities. Ionospheric scintillation is a problem for satellite communication because it affects the amplitude and phase of radio signals. A decrease in the amplitude of a radio signal reduces its power level which directly affects the signal to noise ratio, thus affecting a base station's ability to detect and receive the signal. Error correction codes techniques are applied in almost all digital systems as they provide better performance for dealing with the unwanted signal (noise). This research work has investigated the performance of hamming and convolutional coding techniques in mitigating error in GPS signal modeled in MATLAB/Simulink by transmitting randomly generated data through a Rayleigh fading channel. The performance metric employed in evaluating the system is Bit Error Rate (BER). The simulation results showed a comparison of the BER performance of the uncoded and coded signals (using Hamming and Convolutional coding techniques).