bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fatores desencadeantes de estresse do enfermeiro na unidade de urgência e emergência
Authors: Garçon Tatiana Aparecida Freitas , Aguiar Luiz Alegria , Nascimento Eliseu Santos do , Voltarelli4 Aline 
Published: September 2020

A unidade de Urgência e Emergência é uma unidade na qual chegam clientes com diversas doenças, e com necessidadesdiversificadas, sendo elas emergenciais ou não, cabendo aos profissionais que atuam dentro da unidade saber identificare atender os pacientes mediante suas necessidades. Trata-se de uma revisão integrativa, com recorte temporal entre2011 a 2016, acessíveis eletronicamente. Os conflitos de funções levam à insatisfação no trabalho e relações interpessoais, a desvalorização profissional pode levar à desmotivação e abandono do trabalho, ocasionando altas taxasde absenteísmo, também ao ambiente insalubre, o que gera, na maioria das vezes, sobrecarga de trabalho para uns epriorizando outros. O Profissional Enfermeiro no setor de emergência percebe os fatores de estresse nos quais estáenvolvido, e é de grande valia o estímulo como solução para melhor qualidade de vida do profissional de enfermagem,quando a instituição na qual está o trabalhador vinculado dispor de plano de carreira, aumento salarial adequado paraseu nível de estudo, liderança democrática e não punitiva, assim como um ambiente sustentável contribuindo para queeste profissional tenha qualidade de vida.Palavras-chave: Enfermeiro; Emergência; Estresse Profissional.
ABSTRACTThe Emergency and Emergency unit is a unit in which clients with different diseases arrive and with diverse needs,whether they are emergency or not, it is up to the professionals who work within the unit to know how to identify andattend to patients according to their needs. It is an integrative review, with a temporal cut between 2011 and 2016, accessible electronically. Conflicts of functions lead to job dissatisfaction and interpersonal relationships, professional devaluation can lead to demotivation and abandonment of work, causing high rates of absenteeism, also to the unhealthyenvironment, which generates, in most cases, work overload for some and prioritizing others. The Nursing Professionalin the emergency sector perceives the stress factors in which they are involved, and it is of great value the stimulus asa solution for a better quality of life of the nursing professional, when the institution in which the worker is linked hasa career plan, adequate salary for their level of study, democratic and non-punitive leadership, as well as a sustainableenvironment, contributing to the professional quality of life.Keywords: Nurse; Emergency; Professional stress.
Razões que levam os pacientes com tuberculose a abandonarem o tratamento: perspectivas do enfermeiro
Authors: Sackser Mirian Adriana , Borges Anelise Miritz 
Published: September 2020

Objetivo: Identificar os motivos que levam os pacientes a desistir do tratamento da tuberculose no município de SantaCruz do Sul, a partir da visão dos enfermeiros que atuam em unidades de atenção primária de saúde. Metodologia: Tratase de uma pesquisa descritiva, exploratória, com delineamento qualitativo, realizada em cinco Unidades Básicas de Saúde(UBS) e cinco Estratégias de Saúde da Família (ESF) vinculadas ao município de Santa Cruz do Sul/Rio Grande do Sul. Paraa coleta de dados foi realizada entrevista, utilizando um questionário semiestruturado, gravado, aplicado individualmente.A Análise foi conduzida pela análise de Conteúdo, temática de Bardin 2011. Principais resultados: Foram 10 enfermeirasentrevistadas, metade possuía menos de um ano de experiência na unidade, referiram dificuldades no manejo dos sintomáticos respiratórios como a falta de tempo, recursos humanos e dificuldades de envolver o usuário no tratamento. Naperspectiva das enfermeiras entre os motivos envolvidos no abandono, estão o tempo terapêutico elevado, fatores sociais,e os efeitos colaterais dos medicamentos. Conclusão: A qualificação contínua da equipe sobre o manejo frente a doença,fortalece a assistência em saúde, tornando o usuário mais seguro quanto ao seu autocuidado, reduzindo as chances deabandono do tratamento.Descritores: Tuberculose; Enfermagem; Saúde coletiva; Pacientes desistentes do tratamento
Objective: To identify the reasons that lead patients to give up tuberculosis treatment in the municipality of Santa Cruzdo Sul, based on the view of nurses working in primary health care units. Methodology: This is a descriptive, exploratory,qualitative study, carried out in five Basic Health Units (UBS in Portuguese) and five Family Health Strategies (ESF in Portuguese) linked to the municipality of Santa Cruz do Sul/Rio Grande do Sul. For the data collection, an interview was conducted using a semi-structured, recorded questionnaire, applied individually. The analysis was conducted by the analysis ofthe thematic content of Bardin 2011. Main results: Ten nurses were interviewed and half of them had less than one year ofexperience in the unit, they reported difficulties in the management of respiratory symptoms such as lack of time, humanresources and difficulties to involve the user in the treatment. From the perspective of nurses between the reasons involved in the abandonment, are the high therapeutic time, social factors, and the side effects of the medications. Conclusion:Continuous qualification of staff on the front handling the disease, strengthens health care, making the user more secureabout their self-care, reducing the chances of noncompliance.Keywords: Tuberculosis; Nursing; Public Health; Patient Dropouts
Mulheres e Álcool: padrão de consumo e fatores associados
Authors: Rocha Eukália Pereira da , De Souza Monteiro Claudete Ferreira , Sales Jaqueline Carvalho e Silva , Portela Veloso Lorena Uchoa , Da Silva Júnior Fernando José Guedes , Monteiro Thiago Alberto de Souza 
Published: September 2020

Objetivo: Analisar o padrão de consumo do álcool e fatores associados em mulheres. Método: Estudo transversal, com 305 mulheres na faixa de 20 a 59 anos, atendidas em unidades básicas de saúde em Teresina/Piauí/Brasil. Utilizou-se Escala Alcohol Use Desorders Identification Test para identificar o padrão de consumo do álcool e questionário para variáveis sociodemográficas, de saúde e hábitos de vida, com coleta de maio a junho de 2019 e analisados pelo software Statistical Package for the Social Science, versão 20.0. Resultados: A prevalência de álcool foi 34,4%, índice de binge drink de 63,8%. O padrão de consumo mostrou que 84,9% apresentaram baixo risco/ abstinentes, 11,1% uso de risco, 1,3% uso nocivo e 2,6% possível dependência. Houve associação entre o consumo de álcool com escolaridade, violência e discriminação. Conclusão: Alta prevalência associada a fatores como violência, discriminação e escolaridade, requer maior atenção às mulheres usuárias de álcool.
Percepções de enfermeiros no cuidado aos pacientes com transtornos psicóticos
Authors: Dos Santos Luciana Rodrigues , Bezerra Maria Luiza Rêgo , De Araújo Andrey Hudson Interaminense Mendes , De Oliveira Thais Martins Gomes , Leonhardt Valéria 
Published: September 2020

Objetivo: apresentar as percepções de enfermeiros no cuidado aos transtornos psicóticos por meio da literatura cientifica. Método: trata-se de uma revisão integrativa de caráter descritiva e exploratória em artigos publicados entre 2015 e 2019 na biblioteca eletrônica SciELO e na base de dados LILACS com os descritores Transtornos Psicóticos, Cuidados de Enfermagem, Saúde Mental, Enfermagem psiquiátrica. Analisaram-se os dados pela técnica de Análise de Conteúdo. Resultados: selecionaram-se 14 artigos, dos quais melhor se adequa ao objetivo da pesquisa para posterior discussão, sendo 13 artigos do tipo pesquisa de campo e 1 do tipo reflexão teórica. Conclusão: constaram-se que pelas percepções dos enfermeiros, a angustia, o medo, o estresse, a insegurança, a comodidade e o esgotamento, são sofrimentos que estão presentes no decorrer da assistência e que os profissionais utilizam da empatia, escuta ativa, preocupação com o paciente, olhar holístico e tentativa de reinserção do doente mental na sociedade.
Ação educativa para atualização de agentes comunitários de saúde sobre SARS-CoV-2/COVID-19
Authors: Santos da Rosa Jéssica , Ferrony Rivas Claudia Maria , Siepmann Soccol Keity Lais , Caino Teixeira Marchiori Mara Regina , Oliveira dos Santos Naiana 
Published: September 2020

Objetivo: Relatar a experiência de uma ação de educação permanente em saúde para a formação de agentes comunitários de saúde no cenário do COVID-19.
Método: Trata-se de um relato de experiência vivenciado por uma acadêmica do curso de enfermagem que realizou uma ação de educação permanente em saúde para agentes comunitários de saúde por meio do uso de tecnologia virtual.
Resultados: A educação permanente em saúde na modalidade virtual, durante a pandemia do COVID-19, constitui uma estratégia de qualificação de saberes e práticas no cenário da atenção básica em saúde para o enfrentamento do COVID-19 e promove a melhoria da qualidade do cuidado em saúde.
Conclusão: A educação permanente em saúde por meio tecnologias virtuais mostrou-se como uma possibilidade de ensino-aprendizagem significativa e facilita a atuação dos agentes comunitários de saúde junto à comunidade.
Cotidiano do Enfermeiro no Aprazamento de Medicamentos
Authors: FERREIRA CÉLIA REGINA GONÇALVES , DE OLIVEIRA SABRINE SILVA VAZ , PACHECO PATRÍCIA QUINTANS CUNDINES , DE SOUZA SONIA REGINA , DA SILVA LEILA RANGEL , OLIVEIRA JESSICA LOPES 
Published: September 2020

Objetivou-se analisar o cotidiano dos enfermeiros frente ao aprazamento de medicamentos e suas implicações com a segurança do paciente. Refere-se sobre um estudo exploratório com abordagem qualitativa, que foi realizado nas enfermarias de clínica médica cirúrgica de um hospital federal no Rio de Janeiro, os participantes deste estudo foram enfermeiros responsáveis pelo aprazamento medicamentoso. A coleta de dados foi realizada entre setembro e outubro de 2019. A análise de dados foi fundamentada em Bardin. Com base na análise dos dados coletados, emergiu do material de análise uma categoria analítica denominada: Cotidiano do Aprazamento e duas subcategorias analíticas a saber: Fluxo das Prescrições e Rotina Hospitalar. Concluiu-se que os enfermeiros devem ser estimulados a discutir a melhor conduta farmacológica durante o aprazamento de medicações com os demais membros da equipe multiprofissional, uma vez que suas diferentes habilidades devem ser compartilhadas para garantir uma assistência segura ao paciente.
Analisis Independensi Pemeriksa di Lingkungan Inspektorat Kabupaten Aceh Singkil
Authors: Meiniara Poppy Amalia , Kusmanto Heri , Isnaini Isnaini 
Published: September 2020

The aim of this research is to know the effect of personal disturbance, external disturbance and organization disturbance on the auditor’s independence in Inspectorate Aceh Singkil district. The research of variable in this research are personal disturbance, external disturbance, and organization disturbance. The data was collect by the interview to auditor in Inspectorate Aceh Singkil District and the persons in Dinas Lingkungan Hidup Aceh Singkil District. The research proves that personal disturbance, external disturbance, and organization disturbance give effect on the auditor’s independence in Inspectorate Aceh Singkil district.
KAJIAN PENDEKATAN PEMBELAJARAN STEM DENGAN MODEL PJBL DALAM MENGASAH KEMAMPUAN BERPIKIR KREATIF MATEMATIS SISWA
Authors: Anindayati Arista Tri , Wahyudi Wahyudi 
Published: September 2020

Science, Technology, Engineering, and Mathematics (STEM) is an active learning approach to improve (mathematics) students' creative thinking abilities in mathematics learning. In the learning process, STEM combines four main areas, namely knowledge, technology, engineering, and mathematics. Project-Based Learning (PjBL) is a learning model that teaches concepts through a student-centered project so students can work creatively and collaboratively. The purpose of this article is to describe and provide many things related to STEM as an approach that can integrate knowledge, technology, techniques, and mathematics as well as design the implementation of STEM learning approaches with PjBL models to enhance students' creative thinking in mathematics learning. The method used is a literature review. The results of the study show that some essential competencies in mathematics learning can integrate with the STEM approach in the form of routine activity of the STEM approach in the classroom and the provision of projects to students. Thus, the implementation of the STEM approach to mathematics learning can be done in Indonesia to prepare quality human resources and be ready to face challenges and competitions in the industrial revolution era 4.0 in the 21st century.
Fetal surgery for occipital encephalocele
Authors: Cavalheiro Sergio , Silva da Costa Marcos Devanir , Nicácio Jardel Mendonça , Dastoli Patricia Alessandra , Capraro Suriano Italo , Barbosa Mauricio Mendes , Milani Hérbene Jose , Pereira Sarmento Stéphanno Gomes , Carbonari de Faria Tereza Cristina , Moron Antonio Fernandes 
Published: September 2020

OBJECTIVEIn this study, the authors retrospectively reviewed two cohorts of patients with occipital encephalocele (OE) and demonstrate the technical aspects of an innovative and unprecedented method for fetal OE correction.METHODSThis was a cross-sectional retrospective study of 22 patients who underwent surgery from July 2012 to July 2018. The inclusion criteria for participants were a gestational age between 19 weeks and 27 weeks, a maternal age ≥ 18 years, a normal fetal karyotype, the presence of microcephaly, and a cystic hernial sac with the cystic component accounting for more than 80% of the total volume, which was larger than 10 ml. The fetuses with OE and microcephaly underwent intrauterine repair. The exclusion criteria were the presence of a fetal anomaly not associated with OE, chromosomopathy, presence of the brainstem inside the hernial sac or venous sinuses inside the herniated content, the risk of premature birth, placenta previa, and maternal conditions that would constitute an additional risk for fetal and maternal health, as well as refusal for fetal surgery. The authors reviewed the potential for microcephaly reversal and the long-term neurocognitive development.RESULTSThe authors report the cases of 9 fetuses with OE and microcephaly who underwent intrauterine OE repair at gestational ages of less than 27 weeks (fetal group). One case selected for fetal surgery also presented with placental abruption. All patients who underwent the fetal operation had microcephaly reversal, and 3 patients required ventriculoperitoneal shunting in the 1st year of life. The authors reviewed the cases of 12 patients who underwent postnatal repair. In 10 cases, fetal surgery was refused (postnatal group), and in 2 cases, the inclusion criteria for fetal surgery were not met. The authors evaluated the neurocognitive development of the patients with the Bayley Scales of Infant Development II. The median score for the fetal group was 98.7, and that for the postnatal group was 27.8.CONCLUSIONSThe intrauterine repair of OE may stop the progression of encephalocele sac herniation and result in microcephaly reversal. The fetal group had a better cognitive outcome than the postnatal group. The technique required to correct this defect is feasible for those with previous experience in the correction of fetal myelomeningocele. However, more studies are needed to ensure the efficacy of this procedure.
Alignment of Alzheimer’s Disease Amyloid-β Peptide and Herpes Simplex Virus-1 pUL15 C-Terminal Nuclease Domain
Authors: Lehrer Steven , Rheinstein Peter H. 
Published: September 2020

Background: The cause of Alzheimer’s disease (AD) is poorly understood. Neurotropic microbes, particularly herpesviruses, might set off chronic neuroinflammation. Amyloid-β (Aβ) has antimicrobial properties and could represent a brain defense against infection. Objective: We searched for protein sequence alignment between herpes simplex virus type I (HSV-1) HSV-2, and Aβ. Methods: Protein data bank (pdb) structures for Aβ, HSV-1, and HSV-2 were searched on the RCSB Protein Data Bank. The protein structures were superimposed and aligned on PYMOL v 2.3.4. Results: For HSV-1 and Aβ, amino acid residues ser549 – his569 of HSV-1 aligned closely with residues asp7 - asn27 of Aβ. For HSV-2 and Aβ, amino acid residues of HSV-2 aligned less closely than those of HSV-1 with residues of Aβ. Conclusion: Conjugating and binding to the same alpha helix in the HSV-1 protease, Aβ could be marking HSV-1 for attack by the immune system, providing a rapid inherited immune response to a destructive neurotropic virus that would otherwise require the more time-consuming involvement of T-cells, B-cells, and the adaptive immune system. But older people do not respond to viral infections as well as younger individuals. When HSV-1 infection advances in an old person, more and more amyloid is produced, forming an adhesive web. As the brain tries to hold the pathologic process in check, neuroinflammation increases and spreads. Progressive neurodegeneration and cognitive decline are the outcome.
Development of one-axis controlled bearingless motor and its application to a centrifugal pump for extremely low temperature
Authors: Kato Hirohisa , Komori Mochimitsu , Asami Ken-ichi , Sakai Nobuo 
Published: September 2020

In this paper, a centrifugal pump for for extremely low temperature was fabricated and evaluated by experiments in liquid nitrogen. The pump is using a bearingless motor and permanent magnet bearings to levitate and rotate the rotor without lubricating oil. The difference from the conventional study is that a one-axis controlled bearingless motor is used to reduce the magnetic bearing cost and that the bearings are installed in the liquid to eliminate a shaft-seal. Stable levitation and rotation of the rotor were confirmed in the rotation and pump experiments in liquid nitrogen. In pump experiment, the flow rate of liquid nitrogen was measured at 1 cm in a pumping height. The maximum flow rate was 1.3 L/min when the rotation speed is 1,800 rpm.
DeepReturn: A deep neural network can learn how to detect previously-unseen ROP payloads without using any heuristics
Authors: Li Xusheng , Hu Zhisheng , Wang Haizhou , Fu Yiwei , Chen Ping , Zhu Minghui , Liu Peng 
Published: September 2020

Return-oriented programming (ROP) is a code reuse attack that chains short snippets of existing code to perform arbitrary operations on target machines. Existing detection methods against ROP exhibit unsatisfactory detection accuracy and/or have high runtime overhead. In this paper, we present DeepReturn, which innovatively combines address space layout guided disassembly and deep neural networks to detect ROP payloads. The disassembler treats application input data as code pointers and aims to find any potential gadget chains, which are then classified by a deep neural network as benign or malicious. Our experiments show that DeepReturn has high detection rate (99.3%) and a very low false positive rate (0.01%). DeepReturn successfully detects all of the 100 real-world ROP exploits that are collected in-the-wild, created manually or created by ROP exploit generation tools. DeepReturn is non-intrusive and does not incur any runtime overhead to the protected program.
Sensor-based technology for upper limb rehabilitation in patients with multiple sclerosis: A randomized controlled trial
Authors: Tramontano Marco , Morone Giovanni , De Angelis Sara , Casagrande Conti Laura , Galeoto Giovanni , Grasso Maria Grazia 
Published: September 2020

Background: Sensor-based technological therapy devices may be good candidates for neuromotor rehabilitation of people with Multiple Sclerosis (MS), especially for treating upper extremities function limitations. The sensor-based device rehabilitation is characterized by interactive therapy games with audio-visual feedback that allows training the movement of shoulders, elbows, and wrist, measuring the strength and the active range of motion of upper limb, registering data in an electronic database to quantitatively monitoring measures and therapy progress. Objective: This study aimed to investigate the effects of sensor-based motor rehabilitation in add-on to the conventional neurorehabilitation, on increasing the upper limb functions of patients with MS. Methods: Thirty patients were enrolled in the study and randomly assigned to the experimental group and the control group. The training consisting of twelve sessions of upper limb training was compared with twelve sessions of upper limb sensory-motor training, without robotic support. Both rehabilitation programs were performed for 40 minutes three times a week, for 4 weeks, in addition to conventional therapy. All patients were evaluated at the baseline (T0) and after 4 weeks of training (T1). Results: The within-subject analysis showed a statistically significant improvement in both groups, in the Modified Barthel Index and in the Rivermead Mobility Index scores and a significant improvement in Multiple Sclerosis Quality of Life-54 in the experimental. The analysis of effectiveness revealed that, compared with baseline (T0), the improvement percentage in all clinical scale scores was greater in the experimental group than the control group. Conclusions: Proposed training provides an intensive and functional-oriented rehabilitation that objectively evaluates achieved progress through exercises. Therefore, it can represent a good complementary strategy for hand rehabilitation in MS patients.