bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aplicación de técnicas multivariadas en el análisis del Clima Organizacional de una Municipalidad en Costa Rica
Authors: Morera Vargas Ileana , Zúñiga Arias Guillermo , Ávila Artavia Alejandra 
Published: November 2016

Este artículo presenta un análisis; a partir de técnicas multivariadas; para determinar las variables prioritarias de intervención de un estudio de clima organizacional realizado en el 2013 en una Municipalidad en Costa Rica. El estudio inicial consistió en una descripción general de la percepción de variables que influyen en el clima organizacional de la misma, donde se analizaron 8 variables agrupadas en 3 dimensiones y recomendaciones para cada una de ellas.Los resultados del análisis con técnicas multivariadas mostraron que la Municipalidad en estudio, si desea mejorar su clima debe priorizar y fortalecer acciones y recursos en las dimensiones de “Estructura, Procedimientos y Funciones” y “Motivación y Compromiso”; específicamente en las variables “Comunicación” y “Compromiso e Identidad”. Además, debe considerar que los puestos de jefatura confieren mayor valor a la variable “Compromiso” que los otros puestos y el personal con más de cinco años de laborar en la institución a la variable “desafío y recompensa”.Se concluyó que el empleo de técnicas multivariadas muestra tendencias específicas que aportan al estudio inicial insumos para la definición de prioridades. En el caso de estudio los resultados del análisis multivariado indicaron que para el mejoramiento del clima organizacional, la Municipalidad debe orientarse, en primera instancia; a la planificación de estrategias para el mejoramiento organizacional según los hallazgos del análisis. Esto resulta fundamental para la definición y orientación presupuestaria e implementación de las acciones propuestas en el estudio primario.
Intravenous Versus Oral Antibiotics for Postdischarge Treatment of Complicated Pneumonia
Authors: Shah Samir S. , Srivastava Rajendu , Wu Susan , Colvin Jeffrey D. , Williams Derek J. , Rangel Shawn J. , Samady Waheeda , Rao Suchitra , Miller Christopher , Cross Cynthia , Clohessy Caitlin , Hall Matthew , Localio Russell , Bryan Matthew , Wu Gong , Keren Ron ,   for the Pediatric Research in Inpatient Settings Network
Published: November 2016

BACKGROUND AND OBJECTIVES:
Postdischarge treatment of complicated pneumonia includes antibiotics administered intravenously via a peripherally inserted central venous catheter (PICC) or orally. Antibiotics administered via PICC, although effective, may result in serious complications. We compared the effectiveness and treatment-related complications of postdischarge antibiotics delivered by these 2 routes.

METHODS:
This multicenter retrospective cohort study included children ≥2 months and &lt;18 years discharged with complicated pneumonia between 2009 and 2012. The main exposure was the route of postdischarge antibiotic administration, classified as PICC or oral. The primary outcome was treatment failure. Secondary outcomes included PICC complications, adverse drug reactions, other related revisits, and a composite of all 4 outcomes, termed “all related revisits.”

RESULTS:
Among 2123 children, 281 (13.2%) received antibiotics via PICC. Treatment failure rates were 3.2% among PICC and 2.6% among oral antibiotic recipients and were not significantly different between the groups in across-hospital-matched analysis (matched odds ratio [OR], 1.26; 95% confidence interval [CI], 0.54 to 2.94). PICC complications occurred in 7.1%. Adverse drug reactions occurred in 0.6% of children; PICC antibiotic recipients had greater odds of adverse drug reaction in across hospital matched analysis (matched OR, 19.1; 95% CI, 4.2 to 87.3). The high rate of PICC complications and differences in adverse drug reactions contributed to higher odds of the composite outcome of all related revisits among PICC antibiotic recipients (matched OR, 4.71; 95% CI, 2.97 to 7.46).

CONCLUSIONS:
Treatment failure rates between PICC and oral antibiotics did not differ. Children with complicated pneumonia should preferentially receive oral antibiotics at discharge when effective oral options are available.
Actinic cheilitis: a case report and a review of the literature
Authors: Dutra Dasaiev M. , Nascimento Maria Auxiliadora G do , Soares Maria Sueli Marques 
Published: November 2016

Objective: This article presents a case report of actinic cheilitis with an acute inflammatory process and need for anti- inflammatory treatment.Case Report: Triamcinolone acetonide in Orabase was prescribed 3 times a day for 15 days, and the patient was advised to use sunscreen and hats. After 7 days, there was a significant improvement in the acute phase and the patient was kept under observation.Conclusion: It is emphasized that it is important to intervene in the evolution of the inflammatory process in premalignant lesions in order to prevent its long-term maintenance.
Microstructural and mechanical inhomogeneity in the narrow-gap weld seam of thick GMA welded Al–Zn–Mg alloy plates
Authors: Shu F.Y. , Sun Y.M. , Zhao H.Y. , Song X.G. , Sui Sh.H. , He W.X. , He P. , Liu B. , Xu B.Sh. 
Published: November 2016

Abstract
APLIKASI PROBIOTIK PADA BUDIDAYA UDANG WINDU SISTEM EKSTENSIF PLUS DI KABUPATEN INDRAMAYU, JAWA BARAT
Authors: Insan Irsyaphiani , Sinarni Dewi Raden Roro Sri Pudji 
Published: November 2016

Abstrak lengkap dapat dilihat pada Full PDF Udang windu merupakan salah satu komoditas budidaya unggulan di Indonesia, budidaya udang windu mengalami permasalahan antara lain disebabkan serangan penyakit.
KAJIAN PENGEMBANGAN BUDIDAYA RUMPUT LAUT DI KAWASAN MINAPOLITAN KABUPATEN SUMBAWA BARAT, NUSA TENGGARA BARAT
Authors: Erlania Erlania , Radiarta I Nyoman 
Published: November 2016

Abstrak lengkap dapat dilihat pada Full PDF Kabupaten Sumbawa Barat telah ditetapkan sebagai kawasan minapolitan untuk pengembangan komoditas rumput laut. pelaksanaan program minapolitan membutuhkan dukungan data dan informasi yang terbaru mengenai profi, potensi, dan kondisi daya dukung lingkungan.
An analytic homogenization model in traction and bending for orthotropic composite plates with the type of double corrugated cardboard
Authors: Minh Duong Pham Tuong , Khoa Ngo Nhu 
Published: November 2016

In this paper, an analytic homogenization model in traction and flexion for the double corrugated cardboard plates is presented. The proposed analytical homogenization model allows modelling the 3D double corrugated cardboard with a 2D homogenized plate. This model is essentially based on the theory of stratification and then improved by using the theory of sandwich. This model was validated by comparing the results of Abaqus-3D and H-2D model using "user's subroutine" "UGENS". The homogenization model can be used not only for corrugated cardboard plates, but also for naval and aeronautic composite structures
Formas, processos e padrões na erosão por ravinamento: para um enquadramento teórico coerente
Authors: Bergonse Rafaello Bergonse , Reis Eusébio 
Published: November 2016

Apesar de um vasto corpo de literatura, não há um enquadramento teórico coerente sobre a erosão por ravinamento. a sua variabilidade morfológica e processual não é compatível com as definições de ravina na literatura, nem com a noção prevalecente do ravinamento como um processo hídrico cujas fronteiras são arbitrariamente definidas entre canais de menor e maior dimensão. esta discrepância condiciona inevitavelmente as abordagens metodológicas de que o fenómeno é alvo, e portanto a objectividade dos resultados obtidos. O presente artigo assenta numa revisão extensa da literatura, com o fim de estabelecer uma comparação crítica entre as formas, processos e padrões de desenvolvimento descritos e o enquadramento conceptual dominante, e definir questões prioritárias de investigação. adicionalmente, é realizada uma revisão dos estudos dedicados em Portugal, até ao momento, a este processo morfogenético.
Aplicación de un índice de calidad ambiental a la región Pampeana Argentina (2010)
Authors: Velázquez Guillermo Ángel , Celemín Juan Pablo 
Published: November 2016

En este artículo aplicamos un Índice de Calidad ambiental a la región Pampeana (argentina) a escala departamental -219 unidades espaciales - sistematizando nuestro trabajo de campo y utilizando la última información disponible. el índice se compone de una combinación de 23 indicadores que incluyen: a) recursos recreativos de base natural, b) recursos socialmente construidos, y c) problemas ambientales. su aplicación muestra fuerte grado de diversidad en la zona de estudio al enfatizar los contrastes territoriales propios de la principal región de un país de américa Latina. el adecuado dimensionamiento del problema de la inequidad ambiental brinda elementos útiles para formular políticas de intervención que permitan mitigar estas asimetrías socio -territoriales, las cuales afectan significativamente las condiciones de vida de la población.
Notas sobre a industrialização no estado de São Paulo, Brasil
Authors: Silva Paulo Jurado 
Published: November 2016

Esta nota tem como objetivo discutir a questão industrial no contexto paulista. aborda, nesse sentido, pela perspectiva histórica e geográfica a visão da industrialização, em suas diferentes leituras. Para tanto, procura periodizar o entendimento da dimensão industrial à luz de seus distintos momentos, relacionando, quando possível, as variáveis concernentes às transformações na dinâmica territorial paulista tanto pretéritas quanto recentes.
Mujeres, vida cotidiana y espacios públicos en la región metropolitana de Barcelona. El caso de Ca n’Anglada de Terrassa
Authors: Diaz-Cortés Fabia , Garcia-Ramon Maria Dolors 
Published: November 2016

El objetivo del artículo es analizar la vida cotidiana a través del uso de espacios públicos por parte de las mujeres residentes en un barrio obrero de la Región Metropolitana de Barcelona – Ca n’Anglada, en la ciudad de Terrassa. La primera parte reflexiona sobre la conceptualización del espacio público desde la perspectiva de género y la segunda parte describe brevemente la metodología utilizada e introduce también el contexto histórico y social del estudio de caso que presentamos. La tercera parte se centra en el estudio empírico de la vida cotidiana de las mujeres en los espacios públicos del barrio escogido. Finalmente elaboramos unas conclusiones y propuestas. La metodología utilizada es cualitativa, básicamente la observación participante y no participante y las entrevistas en profundidad.
Creación de imagen, visibilidad y turismo como estrategias de crecimiento económico de la ciudad
Authors: Casellas Antònia , Jutgla Esteve Dot , Pallares-Barbera Montserrat 
Published: November 2016

El objetivo de este artículo es analizar como el crecimiento econó-mico de Barcelona desde mediados de los años noventa se ha basado en la producción de una economía de servicios avanzados, en el que las estrategias de creación de imagen y el turismo han jugado un papel primordial. En este proceso destaca el papel promotor de macro-eventos como los Juegos Olímpicos de 1992, los cuales han sido herramientas de cambio del modelo económico de Barcelona; y se identifica la importancia de la colaboración público-privada y la planificación estratégica. Se analiza el impacto económico del turismo para la ciudad en el periodo 1990-2010, y se concluye con una reflexión en torno a las implicaciones sobre el espacio público que esta estrategia de crecimiento conlleva.
Revitalização urbana integrada em Montreal: lições da iniciativa de desenvolvimento local
Authors: Queirós Margarida 
Published: November 2016

This paper reflects upon an integrated territorial initiative known as RUI (Integrated Urban Revitalization), which has been implemented in a number of Montreal neighbourhoods that have been particularly afflicted by poverty and social exclusion. In these areas, a series of Integrated Urban Revitalization pilot-projects have been implemented with a view to creating new development opportunities. The inter-sectoral RUI approach (health, education, crime prevention, housing, employment, transportation, environment...) advances governance, gives rise to a new generation of networks and partnerships and exposes structures to participative democracy. The RUI initiative also purports to contribute to rebuilding the identity and culture of disadvantaged people, strengthening territorial bonds (the neighbourhood as a place of belonging and social interaction) and reinforcing territorial cohesion. The RUIincorporates a bottom-up logic and constitutes a stimulus to the social economy by reinforcing the networks and institutional capacity of Montreal’s society and economy, but the State cannot afford not to participate in the quest for a fairer and more sustainable urban development model. Some of the lessons from this experience can be usefully transferred and adapted to other territories subject to exclusion and poverty
Comportamentos e percepções sobre os espaços verdes da cidade de Brangança
Authors: Fonseca Fernando , Gonçalves Artur , Rodrigues Orlando 
Published: November 2016

Numa época de forte urbanização, os espaços verdes ganham importância enquanto elementos estruturantes, criando amenidades ambientais nos espaços urbanos. Como percepcionam os cidadãos estes espaços? Que padrões de frequência evidenciam? Que pontos fortes reconhecem e que carências notam? Neste texto apresentam-se os resultados de um estudo que visou avaliar a frequência e as percepções dos residentes da cidade de Bragança (Portugal) face aos espaços verdes públicos. As conclusões evidenciam padrões de frequência distintos, consoante os grupos sociais e fortemente marcados por variações sazonais, bem como preferências diferenciadas quanto a equipamentos e elementos naturais em função da idade. Salienta-se igualmente uma avaliação globalmente positiva quanto ao contributo dos espaços verdes para a melhoria da qualidade urbana, ainda que variável de acordo com as funções ambientais em apreço.
Processos de separação e recolha selectiva de resíduos nos organismos públicos – o caso português
Authors: Madureira César , Martins Margarida Quintela , Rodrigues Miguel 
Published: November 2016

O presente texto apresenta um estudo sobre os níveis de desenvolvimento de diferentes organismos da administração pública central portuguesa relativamente às práticas de separação e recolha selectiva de resíduos em contexto de trabalho, com vista a efectuar um diagnóstico que possa fundamentar medidas a tomar para incrementar boas práticas de recolha e separação selectiva de resíduos. Foi também tratada a questão da mudança de comportamentos de dirigentes e funcionários no que concerne à separação dos resíduos no local de trabalho.
Thermal extremes mortality risk assessment in urban areas
Authors: Canário Paulo 
Published: November 2016

The impact of heat waves on mortality has been the subject of numerous studies and the focus of attention of various national and international governmental bodies. In the summer of 2003 alone, which was exceptionally hot, the number of deaths in 12 European countries increased by 70,000. The overall trend of warming will lead to an increase in frequency, duration and intensity of heat waves and to an increase in heat related mortality. The need to assess the risk of death due to extreme heat, at a detailed spatial scale, has determined the implementation of a research project based on a general model of risk for potentially destructive natural phenomena; the model uses the relationship between hazard and vulnerability and was designed primarily for urban areas. The major hazardous meteorological variables are those that determine the thermal complex (air temperature, radiative temperature, wind and humidity) and the variables related to air quality (mainly ozone and Particulate matter). Vulnerability takes into account the population sensitivity (at various spatial scales) and their exposure to thermal extremes.
El registro periglaciar en la Sierra del Barco (Sistema Central) y su relación con el sistema glaciar pleistoceno
Authors: Ramos Raquel Cruz , Goy Jose Luis , Cardeña Caridad Zazo 
Published: November 2016

El estudio geomorfológico llevado a cabo en la Sierra del barco ha permitido reconstruir un número importante de formas y depósitos superficiales periglaciares, en relación con los procesos que las han originado y los dominios geomorfológicos en donde se han formado, obteniendo un inventario de formas específicas de este tipo de sistema. Se analiza su posible actividad actual y pasada y los ambientes de permafrost, nivación y ciclos de hielo/deshielo durante las etapas de formación. También se señala la secuencia cronológica relativa de estas formas en relación con el último ciclo glaciar, resaltando el efecto de los procesos periglaciares durante las fases glaciares de montera, máximo, valle, ladera y circo, así como la secuencia correspondiente al penúltimo ciclo glaciar y actualidad.
Little Ice Age glacial geomorphology and sedimentology of Portage Glacier, South-Central Alaska
Authors: Santos João , Córdova Carlos 
Published: November 2016

The study of glacial landforms and deposits is important, as it is difficult to observe processes under modern glaciers and ice-sheets. Thus landscapes and sediments that are the product of present glaciation can give insight into processes that occurred during pleistocene times. This study investigates the genesis of little ice age glacial landforms present in portage Glacier, South-central Alaska. The present day moraine morphology and sedimentology in portage Glacier valley reveals the presence of two types of till and moraines. The clast-rich sandy diamicton present on the 1852 moraine is interpreted to be a basal till indicating this feature is a push moraine representing an advance or a standstill position of portage Glacier in 1852. The moderately sorted gray sandy boulder gravel present on the 1900 and 1922 moraines is interpreted to be an ice-marginal deposit (ablation till) with a mixture of supraglacial and glaciofluvial sediments deposited by slumping and stream sorting processes. All of these features are interpreted to be ablation moraines representing glacier retreat and moraine building in 1900 and1922.
O desenvolvimento territorial para a avaliação de políticas públicas. Exemplo do assentamento de uma fazenda em Tocantins (Brasil)
Authors: Miranda José Carlos 
Published: November 2016

O objetivo desta nota é discutir o desenvolvimento territorial como alternativa metodológica para a avaliação das políticas públicas que tiveram como palco o desmembramento de uma fazenda, de nome Coqueirinho, comprada pelo Governo do Estado, no município de Palmas/TO, na qual uma parte foi doada para a instalação de um assentamento de ocupação agrária, a partir de 1993. Esta apresentação faz parte de uma pesquisa sobre o sistema organizacional da produção agrícola, tendo como foco de observação a experiência vivida no meio destes trabalhadores rurais.Para elaboração deste texto utilizámos os dados das fontes citadas no decorrer da dissertação, bem como as informações levantadas pela pesquisa. Neste texto apresentamos as características gerais das políticas públicas da década de noventa até hoje, focalizando duas posições essencialmente diferentes uma da outra, que tiveram lugar em duas conjunturas igualmente diversas, tanto do ponto de vista econômico como político. Por ﬁm apresentamos alguns elementos metodológicos que, associados à discussão do tema do desenvolvimento territorial, poderão dar consistência aos argumentos apresentados.
Evidence-Based Guideline for When to Transfuse Neonates and How to Feed with the Transfusion
Authors: Jollett Erin , Huffman Penni Coates 
Published: November 2016

AbstractBlood transfusions are common in the NICU. Although blood transfusions can be lifesaving, they are not without risks such as necrotizing enterocolitis (NEC). NEC is an inflammation in the bowel that can lead to perforation, bowel loss, and death. Research indicates that there is a correlation between NEC and blood transfusions. There is no agreed-upon cause of NEC, but most of the research supports the need for holding feedings while being transfused. This article provides an evidence-based protocol, based on retrospective chart reviews of 24 neonates, for how long to hold the feedings before, during, and after the transfusion. This protocol was implemented in an NICU where the NEC cases related to blood transfusions were as high as 25 percent and decreased to as low as 4 percent after the protocol was implemented.
Trauma-Informed Care in the NICU: Implications for Early Childhood Development
Authors: Marcellus Lenora , Cross Shannon 
Published: November 2016

AbstractInfants and families who have received care through NICUs experience multiple prolonged physiological, social, and emotional challenges. In addition to their NICU experiences, many families are presenting with increasingly diverse family structures and complex social conditions. In this article, the current state of knowledge on the concept of trauma-informed care will be reviewed from the perspective of infant and early childhood mental health development. This is the second part of a two-part series on trauma-informed care. The first part addressed this approach from a woman-centered care perspective. Recognizing the impact of trauma and implementing trauma-informed practices in the NICU holds potential for improving outcomes for infants.
New Technology in the NICU: Challenges to Parents and Clinicians
Authors: Joseph Rachel A. 
Published: November 2016

AbstractTechnology has revolutionized all aspects of care in the NICU—design, monitoring, diagnosis, documentation, and home care. Efforts to improve outcome in high-risk infants foster the emergence and integration of new technology in NICUs. Some of them include amplitude-integrated electroencephalogram (aEEG), therapeutic hypothermia, and devices for communication and remote viewing, to name a few. As more technology is integrated into the clinical arena, parents and clinicians face technological, moral, and ethical challenges. Learning to use and interpreting technology and making it meaningful for families can increase the workload of clinicians. Enabling families to participate in care and facilitate bonding requires skill, motivation, and confidence from a compassionate care team. Judicious use of technology may offer hope and comfort to families, although it will not replace human caring.
“Spleen Baby”: A Case Presentation of Pyruvate Kinase Deficiency in an Amish Neonate
Authors: Hackman Pamela S. 
Published: November 2016

AbstractPyruvate kinase deficiency (PKD) is an autosomal recessive trait in which there is a lack of the enzyme pyruvate kinase. Because of this lack of pyruvate kinase, red blood cells are broken down more freely, thereby causing hemolytic anemia. The degree to which the hemolysis occurs varies from mild-to-severe to life-threatening neonatal anemia and kernicterus necessitating an exchange transfusion. The purpose of this article is to introduce the reader to PKD through a case presentation of severe hyperbilirubinemia necessitating the need for an exchange transfusion. This article also includes the prevalence, clinical features and diagnosis, treatment, and nursing considerations in caring for this type of infant.
Congenital Diaphragmatic Hernia: Interprofessional Care of the Neonate and Family Grounded in Swanson’s Theory of Caring
Authors: Register Craig H. , Jnah Amy J. , Newberry Desi 
Published: November 2016

AbstractCongenital diaphragmatic hernia (CDH), a major congenital defect, occurs in 3.3–5 per 10,000 live births. It is associated with significant morbidity and mortality risks, with lifelong implications imposed on survivors. The pathophysiology, diagnostic tools, and treatment modalities for CDH must be understood to provide timely, holistic care to the infant and family. Swanson’s theory of caring can effectively guide the interprofessional perinatal/neonatal team in the prenatal and postnatal care of the infant and family.