bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tendências de reformas na atenção primária à saúde em países europeus
Authors: Giovanella Ligia , Stegmüller Klaus 
Published: July 2019

A atenção primária à saúde como base para a construção de redes coordenadas de atenção e para garantia do acesso universal enfrenta os novos desafios demográficos e epidemiológicos com o envelhecimento populacional, as mudanças nas estruturas familiares e prevalência de agravos crônicos que exigem intervenções de diversos serviços com interdependência organizacional e demandam coordenação. O objetivo deste artigo é apresentar um panorama e tendências das reformas APS na Europa ocidental a partir de três casos exemplares: Alemanha, Espanha e Inglaterra (Reino Unido-RU). Para tanto, inicia com breve panorama dos sistemas de saúde em seguida descreve a organização da APS e analisa as principais reformas nos três países. Após a descrição das tendências nos sistemas apresentados é possível perceber que a APS adquire também importância no debate da universalidade. A garantia da universalidade tem alcançado proeminência no debate internacional (OMS) e tem sido reiterada como estratégia para alcance da cobertura universal.
O Desafio do Conhecimento: pesquisa qualitativa em saúde
Authors: Ferreira Vanessa Nolasco , Pereira Ingrid D'Avilla Freira 
Published: July 2019

A presente resenha pretende explorar a décima segunda edição do livro "O Desafio do Conhecimento: pesquisa qualitativa em saúde". Especificalmente objetiva-se colocar como a metodologia é colocada para área da saúde; o conceito de "Ciclo de Pesquisa"; a importância da fase exploratória da pesquisa; a relevância da entrevista e observação em estudos empíricos. Além disto destaca-se em que consiste a fase da análise qualitativa e as duas principais modalidades de análise dos dados: análise de conteúde e análise de discurso.
Integralidade da consulta de Enfermagem em hipertensão arterial: discutindo possibilidades
Authors: Da Silva Tarciso Feijó 
Published: July 2019

A hipertensão arterial é o principal fator de risco para doença cardiovascular e produz grandes repercussões no usuário, família e sociedade quando não controlada. O enfermeiro como integrante da equipe de saúde da família é responsável pelo atendimento dos usuários nesta linha de cuidado e desenvolve ações específicas, dentre elas a consulta de enfermagem. O objetivo deste artigo foi identificar nas principais bases de dados como a consulta de enfermagem na linha de cuidado em hipertensão arterial é realizada e apresentar possibilidades para a integralidade da mesma na Atenção Primária. Resultados: Foi possível observar com o estudo consulta de enfermagem pouco orientada para longitudinalidade do cuidado e frágil orientação para atendimento voltado somente para controle dos casos já diagnosticados. Conclusão: Desta forma, procuramos destacar possibilidades de atuação do profissional enfermeiro durante a consulta de enfermagem na linha de cuidado em hipertensão tendo como referência o caderno de atenção básica n° 37 do Ministério da Saúde.
Atenção à saúde materno-infantil e saúde bucal nos ciclos do PMAQ-AB
Authors: Moimaz Suzely Adas Saliba , Saliba Tânia Adas , Arcieri Renato Moreira , Lofego Léa , Saliba Nemre Adas 
Published: July 2019

As ações de Vigilância em Saúde são essenciais para se garantir a resolutividade da assistência e aplicabilidade dos princípios e diretrizes do Sistema Único de Saúde. O objetivo nesta pesquisa foi avaliar o acesso e a qualidade dos serviços de saúde maternoinfantil e saúde bucal de um município do estado de São Paulo. Realizou-se uma pesquisa descritiva, de caráter exploratório, com uma abordagem quantitativa dos dados do Programa Nacional de Melhoria do Acesso e Qualidade da Atenção Básica. Foram analisadas as seguintes variáveis: Atendimentos de pré-natal por gestante cadastrada; Consultas de puericultura por criança cadastrada; Crianças menores de 04 meses com aleitamento exclusivo; Crianças menores de 01 ano com vacina em dia; Ação coletiva de escovação dental supervisionada; primeira consulta odontológica programática; primeira consulta de atendimento odontológico à gestante; Razão entre tratamentos concluídos e primeiras consultas odontológicas programáticas. O município apresentou média de atendimentos de pré-natal de 5,79; média de consultas por criança de 0,48; proporção de 96,30% das crianças com aleitamento exclusivo e 100% com vacina em dia. Quanto à saúde bucal a cobertura de escovação supervisionada foi de 2,33%; de primeira consulta programática de 0,73%; primeira consulta à gestante de 3,85%. A taxa de resolutividade foi de 12,22%. Conclui-se que o acesso e a qualidade das ações e serviços em saúde foram garantidos, entretanto, especificamente na área de saúde bucal é necessário ampliar o acesso às gestantes e aumentar a resolutividade dos serviços prestados.
Diagnóstico precoce das cardiopatias congênitas: Uma revisão integrativa
Authors: Silva Líscia Divana Cravalho , Pavão Taynar da Costa Almeida , Souza Joseildes Castelo Branco , Frias Luzinéa de Maria Pastor 
Published: July 2019

As cardiopatias congênitas constituem uma das principais causas de morbimortalidade neonatal; possuem manifestações clínicas distintas e necessitam de diagnóstico precoce. Estudo com objetivo de analisar o diagnóstico precoce das cardiopatias congênitas. Os critérios de inclusão foram artigos disponíveis nos idiomas português, inglês e espanhol, publicados entre os anos de 2005 a 2015 no PUBMED (National Center for Biotechnology Information and National Library of Medicine), BVS (Biblioteca Virtual em Saúde), o portal da Coordenação de Aperfeiçoamento de Pessoal de Ensino Superior (CAPES) e LILACS (Literatura Latino-Americana de Ciências da Saúde). Seguiu-se o modelo descrito por Mendes, Silveira e Galvão (2008), que sugere a divisão da revisão em seis etapas. Os artigos foram submetidos a uma avaliação de rigor metodológico da Critical Appraisal Skills Programme-CASP. Obteve-se uma amostra de 11 artigos. Os métodos diagnósticos mais utilizados são a ultrassonografia e o ecocardiograma fetais. O rastreamento ultrassonográfico na gestante constitui a melhor forma de detecção das malformações no primeiro trimestre e o ecocardiograma fetal um método importante utilizado para análise mais acurada. Outros métodos são o exame físico criterioso, a oximetria de pulso e o ecocardiograma do recém-nascido. A avaliação do recém-nascido com suspeita de cardiopatia deve ser realizada de maneira criteriosa e rotineira, destaca-se a inclusão de outros profissionais para a realização da oximetria de pulso arterial (enfermagem) e do ecocardiograma do recém-nascido (neonatologistas). Constata-se a importância do diagnóstico precoce para um tratamento adequado, prevenção de agravos e sequelas oportunizando a melhora do prognóstico e permitindo a sobrevida prolongada à saúde da criança.
Intervenções de Enfermagem em pacientes submetidos à cirurgia cardíaca
Authors: Silva Líscia Divana , Pereira de Melo Maria Virgínia , Palmeira Rolim Isaura Letícia Tavares , Dias Rosilda Silva 
Published: July 2019

A cirurgia cardíaca é um procedimento complexo que tem repercussões orgânicas levando a um estado crítico pós-operatório. A elaboração do raciocínio clínico, reconhecimento de sinais e sintomas, identificação dos diagnósticos, resultados e intervenções de enfermagem, tornam-se fundamental. Descrever as intervenções de enfermagem realizadas em pacientes submetidos a cirurgia de revascularização do miocárdio e analisar a sua similaridade com a Nursing Interventions Classification (NIC). Estudo retrospectivo, transversal, realizado na Unidade de Terapia Intensa Cardiológica do Hospital Universitário da Universidade Federal do Maranhão. Amostra constituída por 65 prontuários de pacientes submetidos a cirurgia de revascularização do miocárdio. Análise dos dados foi embasada na avaliação do instrumento e nas leituras referentes às temáticas relacionadas. Projeto aprovado pelo Comitê de Ética e Pesquisa do Hospital Universitário sob o número 1.385.926. Identificou-se 72 atividades de enfermagem registradas pelos enfermeiros. A similaridade entre as atividades prescritas pelos enfermeiros e as intervenções/atividades propostas pela NIC permitiu identificar 11 intervenções. As atividades com maior frequência -11 atividades 41 (56,9%) domínio fisiológico complexo predomínio da classe K (controle de perfusão tissular); 9 atividades 19 (26,4%) domínio fisiológico básico, predomínio da classe B (controle de eliminações). Em menor quantidade identificou-se os domínios segurança - 6 atividades (8,3%); comportamental - 5 atividades (6,9%), sistema de saúde- 1 atividade (1,4%). As intervenções pertencentes a mais de uma classe não foram repetidas. A similaridade das atividades prescritas pelos enfermeiros da unidade investigada com as atividades propostas pela NIC aponta para a exequidade e qualidade do cuidado prestado.
Collection, transport and storage procedures for blood culture specimens in adult patients: recommendations from a board of Italian experts
Authors: De Plato Francesca , Fontana Carla , Gherardi Giovanni , Privitera Gaetano Pierpaolo , Puro Vincenzo , Rigoli Roberto , Viaggi Bruno , Viale Pierluigi 
Published: July 2019

Abstract
Bloodstream infections (BSIs) remain a potentially life-threatening condition. The gold standard for the diagnosis of BSI is still blood cultures (BCs), and the diagnostic yield depends on clinical and technical factors that have an impact on collection and transportation. Hence, monitoring of the entire pre-analytical process from blood collection to transportation to the microbiology laboratory is critical. To optimize the clinical impact of the diagnostic and therapeutic procedures, a multidisciplinary approach and univocal protocols are mandatory. A board of specialists discussed the available evidence on the pre-analytical process and produced the present document to guide physicians and nurses on the ideal execution of BC: (1) timing and preparation for blood collection; (2) skin antisepsis; (3) blood volume; (4) sampling method and safety; (5) medium to be used; (6) time to BC transportation; and (7) quality assurance and quality management.
Lexicon geupdated: New German anglicisms in a social media corpus
Authors: Coats Steven 
Published: July 2019

AbstractThe German verbal lexicon has been enriched by numerous English borrowings, particularly within the past 100 years, but while many verbal anglicisms are frequently used and sanctioned by language authorities, the status of new, non-standard, and rare verbal anglicisms in German has not been subject to extensive research attention. In this study, a new method is used to analyze non-standard German verbal anglicisms in a large and novel corpus compiled from the social media platform Twitter. After a review of previous work, the methods used to create a corpus of German-language tweets and to automatically extract new verbal anglicisms are described, and the semantics of some of their most frequent types are analyzed, including forms with separable and inseparable prefixes. Then, present and past participles are considered according to assimilation to standard German orthography, use as participle or attributive adjective, and stem vowel quality. In the final set of results, the focus is on the productivity of the verbalizing morpheme -ier-, a historically important element for the integration of foreign word material into German. The study demonstrates that non-standard verbal anglicisms are widely used, and that their morphological behavior is mediated by frequency effects as well as phonological, pragmatic, and semantic considerations.
Discrete Littlewood–Paley–Stein characterization of multi-parameter local Hardy spaces
Authors: Ding Wei , Lu Guozhen , Zhu Yueping 
Published: July 2019

Abstract
In our recent work [W. Ding, G. Lu and Y. Zhu,
Multi-parameter local Hardy spaces,
Nonlinear Anal. 184 2019, 352–380], the multi-parameter local Hardy space

h
p

⁢

(

ℝ

n
1

×

ℝ

n
2

)

{h^{p}(\mathbb{R}^{n_{1}}\times\mathbb{R}^{n_{2}})}

has been introduced by using the continuous inhomogeneous Littlewood–Paley–Stein square functions. In this paper, we will first establish the new discrete
multi-parameter local Calderón’s identity. Based on this identity, we will define the local multi-parameter Hardy space

h
dis
p

⁢

(

ℝ

n
1

×

ℝ

n
2

)

{h_{\mathrm{dis}}^{p}(\mathbb{R}^{n_{1}}\times\mathbb{R}^{n_{2}})}

by
using the discrete inhomogeneous Littlewood–Paley–Stein square functions. Then we prove that these two multi-parameter local Hardy spaces are actually the same. Moreover, the norms of the multi-parameter local Hardy spaces under the continuous and discrete Littlewood–Paley–Stein square functions are equivalent. This discrete version of the multi-parameter local Hardy space is also critical in establishing the duality theory of the multi-parameter local Hardy spaces.
Food safety knowledge and self-reported practices among adolescents in rural secondary schools in Nigeria
Authors: Aluh Deborah Oyine , Nworie Kelechi Martins , Aluh Francis Owoicho 
Published: July 2019

Abstract

Background
Severe foodborne disease outbreaks have occurred in different continents of the globe in recent decades, particularly due to ineffective food laws, regulatory systems and inadequate food handling knowledge among food handlers and consumers. The purpose of the present study was to assess the food safety knowledge and practices among secondary school students in rural parts of Kogi State, Nigeria.

Methods
A cross-sectional study using self-administered questionnaires was carried out between October and December, 2017. The study was carried out in two public secondary schools located in a rural area in Kogi State, North-central Nigeria. All consenting students in both schools were recruited for the study. Descriptive analysis and chi-square (χ2) tests were carried out using Statistical Package for Service Solutions v.20.

Results
A total of 259 out of 300 survey questionnaires were completed and returned (86.33%). The mean age of the study participants was 15.9 ± 2.5 years. There were more males than females (55.2%, n = 143). The mean percent knowledge score was 75.79%. The mean percent practice score was 82.48%. More than half (n = 143, 55.2%) respondents had a good knowledge level, and 54.4% (n = 141) had a good practice level. A significant association was found only between food hygiene knowledge and mothers’ education (χ2 = 9.49, p = 0.023).

Conclusion
The overall food safety knowledge and practice among the secondary school students surveyed was good. Targeted educational interventions on food safety can be made to improve knowledge and practice of food hygiene among students.
Transmission Reliability of Wireless Communication System-Based on Optical Fiber Signal Processing
Authors: Qin Yuxin 
Published: July 2019

Abstract
With the continuous progress of society, people’s requirements for communication technology are getting higher and higher, and the traditional communication system has not been able to meet the growing data needs of society. Therefore, it is of practical significance and guiding significance to study the transmission reliability of communication system. In this study, the wireless communication system-based on optical fiber and Class-AB technology and non-linear distortion model used for improving communication quality were briefly introduced, and then simulation analysis was carried out on the traditional simulation system and communication system designed in this study using VPI TransmissionMaker software. The results demonstrated that the proposed system had better stability than the traditional system. The comparison of the electricity frequency spectrum between the two systems showed that the proposed system could effectively suppress the third-order distortion current, and 28.6  dBm distortion current was suppressed. The Spurious Free Dynamic Range (SFDR) of the proposed system was higher, and the fit line slope of the distortion current was 5, differing from that of the traditional system, 3. which further demonstrated that the distortion current was inhibited. In conclusion, the optical communication system designed in this study can effectively improve the communication quality and increase the reliability of wireless communication.
Do Weak Institutions Affect Recording of Terror Incidents? Evidence from the United States
Authors: Goel Rajeev K. 
Published: July 2019

Abstract
Recording of crimes as terror incidents often falls in an unclear/fuzzy area due to overlaps with other crimes such as hate crimes, drug or mental health-related crimes, etc. This paper addresses the recording of crimes as terror crimes across US states, alternately considering both the prevalence and intensity of such crimes. Placing the explanatory variables under institutional, economic, social, political and enforcement categories, results show that weak institutions, ceteris paribus, undermine the recording of terror crimes. In other significant influences, states with greater ethnic homogeneity were less likely to have recorded terror crimes and more populous states had greater incidence (but not greater intensity) of recorded terror activity. Some implications for policy are discussed.
Role of SNPs of CPTIA and CROT genes in the carnitine-shuttle in coronary artery disease: a case-control study
Authors: Demircan Aslihan , Coskunpinar Ender , Kanca Deniz , Ozkara Gulcin , Yanar Fatih , Kurnaz-Gomleksiz Ozlem , Bugra Zehra , Ozturk Oguz , Aydogan Hulya Yilmaz 
Published: July 2019

Abstract

Objective
Fatty acid β-oxidation defects can lead to difficulties at covering energy requirement of heart. The carnitine-shuttle is responsible for the transfering of long-chain fatty acids from the internal mitochondrial membrane. The role of genetic variants of the enzymes in the carnitine shuttle in coronary artery disease (CAD) has not been studied. Therefore, we performed a case-control study investigating the possible relation between the CPTIA-rs3019613 and CROT-rs2214930 gene variations located carnitine shuttle and CAD risk.

Materials and methods
Study groups were comprised of 96 CAD patients and 85 controls. CPTIA-rs3019613 G > A and CROT-rs2214930 T > C polymorphisms were determined by real-time-PCR.

Results
The CROT-rs2214930-CC genotype was found to be associated with decreased HDL-cholesterol (HDL-C) in controls (p = 0.029). In patients with CPTIA-rs3019613-A allele, body mass index (BMI) (p = 0.016) and BMI threshold-value (p = 0.030) were found be higher compared to those with GG-genotype, while HDL-C threshold-value (HDL-C ≤ 0.90 mmol/L) was found to be lower (p = 0.015). Regression analysis confirmed CPTIA-rs3019613-A allele has a significant relationship with decreased HDL-C (p = 0.009) in patients.

Conclusion
Our study indicated that the polymorphisms of the CROT and CPTIA genes related to β-oxidation of long-chain fatty acids had an important effect on serum HDL-C levels and may be a potential risk for CAD.
Simulation and Detection Leakage of Underground Water Pipeline by Ground Penetrating Radar
Authors: Shen Yupeng , Lin Yuanrong , Li Ping , Fu Yujie , Wang Yaqiong 
Published: July 2019

Abstract
In recent years, a series of leakage accidents have been caused by the destruction of water leakage of water supply pipelines in urban areas. In order to determine the leakage characteristics of underground pipelines, GeoStudio was used to simulate the leakage areas in different pipeline diameters. Based on the finite difference method and the Maxwell equation of the electromagnetic wave propagation, signal characteristics of the ground penetrating radar (GPR) wave were analyzed for different ground conditions through forward simulation. Additionally, the properties of the data were analyzed by applying the technology of trace integration and frequency dividing on S-transform to fully determine the location and extent of the leakage. The correctness of the forward simulation results as well as the validity of attribute analysis were verified by field experiments where the different characteristics of morphological and moisture content distribution are proposed in different soils, pipeline diameters, and damage points. The relationship between soil moisture content and dielectric constant showed a three-dimensional function through Topp model, thereby establishing a standard electromagnetic wave reflection of the GPR for pipeline leakage. The trace integration and frequency dividing on S-transformation are used to improve the accuracy of detection. The results would provide a reference for an accurate evaluation of pipeline leakage in the future.
The Effectiveness of Problem Based Learning Model Aided with Concept Mapping on the Analysis of Senior High School Students' Ability in Learning Material of Immune System
Authors: Saraswati Ifah , Saptono Sigit , Susanti R 
Published: July 2019

Problem based learning is learning model suitable for 21st Century’s educational purpose. Concepts of learning material can be built using concept mapping. The objective of this research is to analyse the effectiveness of problem based learning model aided with concept mapping on the analysis of Senior High School students' ability (differentiating, organizing, and attributing aspect) in learning material of Immune System. The subject of this research is eleven grade students of SMA Negeri 12 Semarang and SMA Kesatrian 1 Semarang, each of these senior high schools provided two experimental classes. The design of this research is pre-experimental, with one group pretest-posttest design. The method of gathering data was used in this research is test and observation. Instruments that were analyzed in this research are multiple choice, students discussion’s worksheet, product of learning outcomes, and learning implementation. The snalysis ability of students from SMA Negeri 12 Semarang showed average of 80% with classical content mastering for XI-MIPA 4 and XI-MIPA 5 are 84,2% and 76,4% respectively. Average of N-gain is 0,4706 which categorized in medium criteria. The analysis ability of students from SMA Kesatrian 1 Semarang showed average of 73% with classical content mastering for XI-MIPA 1 and XI-MIPA 2 are 76,4% and 81% respectively. Average of N-gain is 0,4426 which categorized in medium criteria. Based on the research result can be drawn a conclusion that implementation of problem based learning aided with concept mapping is effective for increasing students’ analysis ability in SMA Negeri 12 Semarang and SMA Kesatrian 1 Semarang.
The Development of Nervous Problem Based Modulewith Character Conservation for Nervous System Materials in the Senior High School
Authors: Qudsiya Reefa , Lisdiana Lisdiana , WH Nugrahaningsih 
Published: July 2019

Nervous system teaching materials available in schools do not contain scientific-related content as mandated by the 2013 curriculum. In addition, teaching materials also do not contain student character reinforcement content. The purpose of this study is to develop “Nervous Problem Based Module with a Conservation Character” as a nervous system learning supplement. This type of research is Research and Development (R&D) using ten steps, namely identification of potential and problems, data collection, product design, product design validation, product design revisions, small scale trials, product revision I, large scale trials, product revision II, and final products. The research subjects were students of class XI of SMA N 1 Bae Kudus. Nervous Problem Based Module with a Conservation Character tested the feasibility, readability, and effectiveness. Feasibility tests obtained very valid results. Readability test results were very valid. Test effectiveness by applying Nervous Problem Based Module with a Conservation Character in learning, obtained effective results and can be used in learning. The insertion of the conservation character reinforcement in the module gives positive results on the character of students. It can be concluded that “Nervous Problem Based Module with a Conservation Character” is decent and effectively applied in the nervous system learning.