bluuebunny/crossref_metadata_2025_split huggingface dataset:
Editorial
Authors: Santos Gildenir Carolino 
Published: September 2017

Estamos lançando mais uma edição da ETD – Educação Temática Digital, (v.12, n.1, 2010), composta por sete ARTIGOS, oito DOSSIÊS e por um ENSAIO. Agradecemos ao Prof. Dr. Alexandre Filordi de Carvalho da UNIFESP por sua disponibilidade em organizar este número com grande empenho e dedicação trazendo como temática: “Foucault e a educação: é preciso pensar e agir de outros modos”.
Using a three-tier model to optimize the allocation of river water resources to meet eco-environmental water requirement targets
Authors: Wu Ze-ning , Cao Qian-qian , Lv Cui-mei , Wang Hui-liang , Jiang Zi-hao 
Published: September 2017

Abstract
It is difficult to simultaneously manage the dynamic demands for river water quality and quantity, and reconcile the contradiction between socio-economic and eco-environmental water consumption. As a solution, we proposed a three-tier model to optimize the distribution of river water resources. Using three constraint conditions, namely the ratio of wastewater to clean water, the eco-environmental water requirements of each node and the use of wetland projects, we determined various water quantity and quality allocation scenarios. We tested the model on the Qingyi River, and found that, for the recommended scenario that involved enhanced water-saving, a wastewater/clean water ratio and wetlands, more than 80% of the eco-environmental water requirements of each node except for the Luma section were achieved for each month. While the water quality in some individual river sections did not meet the standards for a few months of the year, the water quality of the remaining sections could be improved from class V, the current state, to class IV, and ammonia nitrogen and chemical oxygen demand (COD) standards could be achieved 82% and 96% of the time, respectively. These results show that the proposed model is effective and fit for purpose.
Estimation and evaluation of auto-flocculated algae harvesting efficiency using the population balance in turbulence model in flotation process
Authors: Kwak Dong-Heui , Kim Mi-Sug 
Published: September 2017

Abstract
Algae are considered water pollutants because they form algal blooms in stagnant water. Algae harvesting technology, however, can help convert them into a useful industrial material like biomass. The core technique (flocculation) separates microalgae from other flocculants, allowing for the harvest of clean and pure algal biomass. This study aims to estimate and evaluate algal separation (removal or harvesting) efficiency (X) to concurrently obtain the objectives of algal bloom management and algal particle collection. To simulate algal separation by auto-flocculation (no flocculants) related flotation, the population balance in turbulence (PBT) model is used. Model simulations are conducted under optimal conditions provided by previous studies about the biological impact factors of algae, operating parameters of the flotation process, and so on. This modeling study determines the efficiency (X) of separating algae from the water body in the separation zone after forming auto-flocculated bubble–floc agglomerates by making them collide and attach to each other in the contact zone of the flotation tank. The X is examined as a function of size distribution of agglomerates and bubbles and of the number of initially injected bubbles. Optimal conditions for forming and harvesting the agglomerates may be found through further modeling studies.
IMPACTO DO PET-SAÚDE NA FORMAÇÃO PROFISSIONAL: UMA REVISÃO INTEGRATIVA
Authors: Mira Quitéria Lívia Muniz , Barreto Raissa Mont' Alverne , Vasconcelos Maristela Inês Osawa 
Published: September 2017

O Programa de Educação pelo Trabalho para a Saúde é uma ação intersetorial direcionada para o fortalecimento de áreas estratégicas para o Sistema Único de Saúde. O objetivo da pesquisa foi identificar as contribuições e limitações do Programa de Educação pelo Trabalho para a Saúde na formação de estudantes da área da saúde. Realizou-se revisão integrativa da literatura nas bases de dados Literatura Latino-Americano e do Caribe em Ciências da Saúde, Scientific Electronic Library Online e Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. A limitação temporal compreendeu os anos de 2008 a 2014. Do levantamento, resultaram 14 artigos, sendo estabelecidas três categorias temáticas mediante análise de conteúdo. Os resultados apontaram que o Programa de Educação pelo Trabalho para a Saúde é ferramenta transformadora da formação profissional por possibilitar a integração ensino-serviço-comunidade pautada na interdisciplinaridade e por propiciar um preparo profissional voltado para as necessidades do Sistema Único de Saúde. Algumas limitações foram apontadas, como a indisponibilidade de tempo acadêmico para a atuação no Programa, a não colaboração dos profissionais, o insuficiente engajamento dos preceptores nas atividades propostas e a atuação multiprofissional fragmentada. Concluiu-se que o Programa de Educação pelo Trabalho para a Saúde propôs uma ótica peculiar para a articulação ensino-serviço-comunidade, procurando integrar os estudantes dos cursos de graduação aos serviços públicos de saúde do Sistema Único de Saúde, principalmente aqueles relacionados à atenção primária, a fim de possibilitar a prática de novas experiências.
Palavras-chave: Educação superior. Sistema Único de Saúde. Serviços de integração docente-assistencial.
AVALIAÇÃO DO CONHECIMENTO DE ESTUDANTES UNIVERSITÁRIOS SOBRE MEDICINA ALTERNATIVA
Authors: Almeida Jackson Roberto Guedes da Silva , Damasceno Camila Mahara Dias , Dantas Milla Gabriela Belarmino , Saraiva Sarah Raquel Gomes de Lima , Teles Roxana Braga de Andrade , Faria Marcelo Domingues de 
Published: September 2017

O objetivo do presente estudo foi verificar o conhecimento de estudantes universitários sobre medicina alternativa. A metodologia utilizada foi o estudo de cunho descritivo, com abordagem quali-quantitativa. Realizou-se um minicurso sobre medicina alternativa/complementar e suas terapias, com ênfase na fitoterapia, e aplicou-se um questionário antes e após as aulas. Um total de 17 alunos participaram da pesquisa. Os resultados apontaram que mais da metade dos alunos afirmou desconhecer a Política Nacional de Práticas Integrativas e Complementares no Sistema Único de Saúde; 35,29% afirmaram não conhecer nenhuma terapia alternativa/complementar; 11,76% relataram que conheciam alguma terapia, mas não exemplificaram; e apenas 17,64% disseram já ter utilizado alguma terapia alternativa. Após a realização do minicurso, foi perceptível a aprendizagem dos alunos com a aplicação de um novo questionário, no qual todos afirmaram conhecer alguma terapia alternativa, possibilitando ampliar o conhecimento dos estudantes sobre as práticas terapêuticas existentes. Todos aprenderam sobre etnofarmacologia e a diferença entre medicamento alopático e homeopático, dúvida que existia para alguns. No pré-teste, a maioria desconhecia o que era termalismo/crenoterapia, mas após o curso, todos afirmaram ter conhecimento sobre o tema. Concluiu-se que os estudantes universitários pouco conhecem sobre medicina alternativa, práticas integrativas e complementares, as quais, apesar de receberem incentivos do Ministério da Saúde, ainda são pouco contempladas nas universidades.
Palavras-chave: Terapias complementares. Medicina tradicional. Saúde holística.
PROBLEMÁTICAS ALIMENTARES NA INFÂNCIA: INTERVENÇÕES A PARTIR DO BRINCAR NA SAÚDE PÚBLICA
Authors: Maranhão Joyce Hilario , Martins Karla Patrícia Holanda 
Published: September 2017

O brincar, por meio de desenhos e jogos, é considerado uma produção narrativa necessária ao trabalho clínico e de intervenção, uma vez que, na brincadeira, há o deslocamento de sentidos, dando à criança a oportunidade de criação de modos de se posicionar no discurso parental, de simbolizar dificuldades, conflitos e angústias. O objetivo deste estudo foi identificar o lugar do brincar para a constituição do sujeito psíquico em crianças assistidas por uma instituição não governamental que oferece serviços de assistência e saúde a crianças que apresentam riscos nutricionais (desnutrição ou obesidade) e a suas famílias. Trata-se de pesquisa qualitativa que utilizou a entrevista como instrumento de coleta de dados, orientada pela Avaliação Psicanalítica aos três anos, que versa sobre sintomas clínicos concernentes a formações psíquicas inconscientes na primeira infância. Os resultados indicaram que as produções discursivas das crianças em suas brincadeiras e falas, bem como as narrativas dos pais, trouxeram indícios do modo como essas crianças estão organizando-se psiquicamente e também alguns apontamentos sobre dificuldades na relação cuidador-criança, quanto à posição da criança no discurso parental e ao sintoma alimentar. Concluiu-se que existe a necessidade de criação e sustentação de serviços públicos capazes de investir na intervenção a tempo com crianças pequenas que apresentem algum tipo de impasse no desenvolvimento.
Palavras-chave: Problemáticas alimentares. Infância. Saúde pública. Brincar. Psicanálise.
FATORES DE RISCO E USO DE MEDICAMENTOS EM DIABÉTICOS DE TRÊS MUNICÍPIOS DO RIO GRANDE DO SUL
Authors: Bobek Maira Lúcia , Bandeira Vanessa Adelina Casali , Heck Ritiele , Girardi Camila Ely , Schallemberger Janaína Barden , Colet Christiane de Fátima 
Published: September 2017

O monitoramento dos fatores de risco e o uso de medicamentos em diabéticos tipo 2 vem sendo analisado devido ao crescimento da doença. O presente estudo teve como objetivo identificar o perfil de medicamentos usados por diabéticos tipo 2 e a prevalência de fatores de risco associados à doença. Para tanto, realizou-se um estudo transversal, descritivo e analítico, por meio de entrevistas com diabéticos participantes de grupos de convivência em Estratégias Saúde da Família de três municípios do estado do Rio Grande do Sul, buscando a identificação de características socioeconômicas, condições de saúde, hábitos de vida, uso de medicamento e medida da pressão arterial, glicemia capilar e avaliação antropométrica. A amostragem foi de 141 usuários, com idade média de 68±11,22 anos, predomínio do sexo feminino e renda de um a dois salários mínimos. Os fatores de risco mais encontrados foram: sobrepeso, hipertensão e hereditariedade. Em relação ao uso de medicamentos, a média por entrevistado foi de 4,29 e 96,5% retiram seus medicamentos em serviços públicos de saúde. Assim, concluiu-se que a educação em saúde, por meio de atendimentos individuais ou de grupos, auxilia na efetividade do tratamento do diabete tipo 2, pois promove mudanças de estilo de vida, conhecimento da doença e das medidas terapêuticas adequadas ao cotidiano paciente, o que pode favorecer sua autonomia e a capacidade de cuidar de si.
Palavras-chave: Diabetes mellitus tipo 2. Estratégia de saúde da família. Fatores de risco. Uso de medicamentos.
¿Actualizar ó vender su máquina antigua?
Authors: Guiza Amaya José Seiggubar 
Published: September 2017

Se cuenta la experiencia que tuvo el Centro ASTIN en la actualización de la máquina inyectora alemana marca DEMAG, de 150 Ton, que no la usaba por obsolescencia de elementos de control que no eran producidos por el fabricante. Se hizo una evaluación de los diferentes sistemas: eléctrico, mecánico, hidráulico, de PLC, entre otros. Se trabajó con un equipo multidisciplinario para incorporarar la inyectora a la producción. Se logró la apropiación del know-how en software de control y monitoreo, control de caudal y presión hidráulica, todo esto solo con el cambio del PLC y un mínimo cambio de elementos eléctricos, sin cambios mecánicos.
Nuevos cabezales con distribuidor en espiral
Authors: Wortberg Johannes 
Published: September 2017

En el presente artículo se mencionan las características que deben cumplir los diseños modernos de los cabezales con distribuidor en espiral con el fin de que puedan satisfacer un flujo uniforme de la masa fundida y, en consecuencia, un producto con gran uniformidad de espesores de pared, sin líneas de unión. Además, deben cumplir con importantes requisitos adicionales, sobre todo en la coextrusión.
El subsector de los plásticos en Cali y Yumbo
Authors: Villarreal Mesa Marco Antonio 
Published: September 2017

Se presenta el estudio realizado el CDT ASTIN, en lo relacionado con las necesidades de los clientes, la evolución de las tecnologías relacionadas con el nicho de mercado y la competencia existente en el medio con el fin de ajustar la oferta de Formación Profesional y Servicios Tecnológicos hacia la generación de soluciones pertinentes para las cadenas productivas "metalmecánica", e "hidrocarburos - plástico - caucho- fibras sintéticas”.
El nuevo papel del productor de plásticos: Decisiones estratégicas a comienzos del siglo XXI
Authors: Hensel Thomas L. , Main Frankfurt Am 
Published: September 2017

Se presentaron opciones estratégicas para los productores de plástico, basado en un análisis del estado de la industria y su prospectiva, incluyendo opciones en la búsqueda de ventajas para el cliente, diferenciación y solidez (rentabilidad persistente).
Concurrent Reactivation of VZV and HSV-2 in a Patient with Uncontrolled Diabetes Mellitus: A Case Report
Authors: McDonald Philip J. , Krishnan-Natesan Suganthini 
Published: September 2017

Background:
Herpes simplex virus 1 and 2 (HSV-1 and HSV-2) and varicella zoster virus (VZV) are neurotropic herpesviruses that cause vesicular mucocutaneous eruptions. They both establish latency in peripheral ganglia and can reactivate to cause episodic outbreaks. HSV occurs more often in the young and may reactivate frequently. VZV reactivation is associated with advancing age due to a decline in the VZV-specific T cell population. While both viruses have been isolated from the same sensory ganglia, they rarely cause simultaneous disease. In most of these cases the viruses have been isolated at different body sites in immunocompromised hosts. However, clinical disease with concurrent detection of both HSV and VZV from the same anatomic location has been described. In a prior study of dual positive specimens, a lower PCR cycle threshold (Ct) was consistently observed for VZV, suggesting that zoster caused subsequent reactivation of HSV.

Case presentation:
Here we describe the case of a 64-year-old patient with uncontrolled diabetes who presented with painful penile ulcers and a dermatomal, crusted, left lower abdominal rash. His penile ulcers were positive for both HSV-2 and VZV by PCR. Ct data suggested that primary zoster led to secondary genital HSV-2. Hyperglycemia is known to cause reversible T cell dysfunction and was the likely precipitating factor for the patient’s illness, which responded to oral valacyclovir.

Conclusion:
To our knowledge this is the first report of diabetes-related concurrent herpesvirus reactivation. Clinicians should consider the possibility of simultaneous HSV and VZV infection in patients who present with dermatomal zosteriform lesions since higher antiviral doses are recommended for herpes zoster as compared to herpes simplex.
Linezolid induced optic neuropathy, a serious yet reversible adverse effect: a case report
Authors: Shah Ritesh Kumar , Lamichhane Samir 
Published: September 2017

Background:
Linezolid like many other systemic drugs can cause reversible sight threatening adverse reaction. A proper causality assessment tool can aid a decision to discontinue a drug when an adverse event is suspected.

Case presentation:
We describe a case of progressive visual loss in a 28-year-old lady undergoing long term linezolid for extensively drug resistant tuberculosis. A marked improvement in vision was seen on discontinuation of linezolid.

Conclusion:
A knowledge of visual monitoring in patients undergoing long-term linezolid therapy among physicians and ophthalmologists is important, especially in developing countries where infectious disease is still a problem and use of antimicrobials is hardly monitored.
Thin corpus callosum as a diagnostic marker for hereditary spastic paraparesis due to mutations in the SPG11 gene: a case report
Authors: Murugan Archana , Mallick Andrew Ashok , Dibble Laraine , Babiker Mohamed Osman Eltahir 
Published: September 2017

Background:
Hereditary spastic paraparesis (HSP) is a rare neurodegenerative condition that results in gradual deterioration of lower limb function due to spastic weakness. It can manifest at any age and predominantly presents as gait abnormalities especially tip toe walking. They are classified as simple or complicated based on additional clinical/neurological symptoms apart from lower limb involvement. These are genetically heterogeneous disorders with mutations discovered in more than 50 genes. The association of thin corpus callosum (TCC) along with clinical features of spastic paraplegia is particularly described in mutations of SPG11 gene.

Case presentation:
We describe two unrelated cases of childhood onset HSP-TCC associated with mutations in exon16 and exon 28: exon 30 respectively. Both these patients also have associated learning difficulties.

Conclusion:
The constellation of clinical symptoms and MRI findings led to targeted genetic testing and subsequent identification of their diagnosis.
Pseudo-lipomas or a camouflage of metastatic differentiated papillary thyroid cancer: a case report
Authors: Rasheed Rashid , Gillani Jawad A. , Naqvi Syed Ali Raza , Rasheed Shahid , Murtaza Ghulam , Fatima Tatheer 
Published: September 2017

Background:
Papillary thyroid carcinoma is a type of well differentiated cancer showing fair response to iodine ablation therapy. Mainly it spreads into nodes and mediastinum however other areas of metastases include lungs and bone.

Case presentation:
A 54 year old female presented with soft partially mobile lumps in skull and back, associated with chronic pain. These painless lumps were declared lipomas due to their soft consistency on clinical examination by the local practitioners for last three years. But detailed radiological investigations by tertiary care hospital, followed by FNAC, showed papillary variant of thyroid cancer with metastatic lytic deposits.

Conclusion:
Clinical examination of all suspicious lumps should be followed by radiological correlation and tissue diagnosis so that patients may avoid future complications.
The impact of temporary clipping during aneurysm surgery on the incidence of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage
Authors: Malinova Vesna , Schatlo Bawarjan , Voit Martin , Suntheim Patricia , Rohde Veit , Mielke Dorothee 
Published: September 2017

OBJECTIVEClipping of a ruptured intracranial aneurysm requires some degree of vessel manipulation, which in turn is believed to contribute to vasoconstriction. One of the techniques used during surgery is temporary clipping of the parent vessel. Temporary clipping may either be mandatory in cases of premature rupture (rescue) or represent a precautionary or facilitating surgical step (elective). The aim of this study was to study the association between temporary clipping during aneurysm surgery and the incidence of vasospasm and delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage (aSAH) in a large clinical series.METHODSSeven hundred seventy-eight patients who underwent surgical aneurysm treatment after aSAH were retrospectively included in the study. In addition to surgical parameters, the authors recorded transcranial Doppler (TCD) sonography–documented vasospasm (TCD-vasospasm, blood flow acceleration > 120 cm/sec), delayed ischemic neurological deficits (DINDs), and delayed cerebral infarction (DCI). Multivariate binary logistic regression analysis was applied to assess the association between temporary clipping, vasospasm, DIND, and DCI.RESULTSTemporary clipping was performed in 338 (43.4%) of 778 patients during aneurysm surgery. TCD sonographic flow acceleration developed in 370 (47.6%), DINDs in 123 (15.8%), and DCI in 97 (12.5%). Patients with temporary clipping showed no significant increase in the incidence of TCD-vasospasm compared with patients without temporary clipping (49% vs 48%, respectively; p = 0.60). DINDs developed in 12% of patients with temporary clipping and 18% of those without temporary clipping (p = 0.01). DCI occurred in 9% of patients with temporary clipping and 15% of those without temporary clipping (p = 0.02). The need for rescue temporary clipping was a predictor for DCI; 19.5% of patients in the rescue temporary clipping group but only 11.3% in the elective temporary clipping group had infarcts (p = 0.02). Elective temporary clipping was not associated with TCD-vasospasm (p = 0.31), DIND (p = 0.18), or DCI (p = 0.06).CONCLUSIONSTemporary clipping did not contribute to a higher rate of TCD-vasospasm, DIND, or DCI in comparison with rates in patients without temporary clipping. In contrast, there was an association between temporary clipping and a lower incidence of DINDs and DCI. There is no reason to be hesitant in using elective temporary clipping if deemed appropriate.
Glaciological Investigations in the Crête Area, Central Greenland: A Search for a new Deep-Drilling Site
Authors: Clausen H.B. , Gundestrup N.S. , Johnsen S.J. , Bindschadler R. , Zwally J. 
Published: September 2017

The results of the 1984-85 post-GISP campaigns in central Greenland are presented. Eight ice cores were obtained, some spanning up to 360 years. We present:
I.Geographical positions and elevations at the drill sites,II.Density and temperature in the bore holes,III.Filtered δ18O profiles and accumulation-rate variations along the ice cores.The δ18O and accumulation profiles, along with those from the 400 m Crête ice core obtained in 1974, are compared.The accumulation-rate series over a large region have a very high coherence. This indicates that a single bore hole in this region would give a representative accumulation time series over a long period. Further, it appears that for this region there is a linear relation between the measured annual accumulation rate and the mean annual δ18O values. Thus the area between Crête and Summit, just west of the ice divide, seems to be favorable for a deep-drilling operation.
Stable-Isotope Ratios and Concentration of CO2 in Air from Polar Ice Cores
Authors: Siegenthaler U. , Friedli H. , Loetscher H. , Moor E. , Neftel A. , Oeschger H. , Stauffer B. 
Published: September 2017

Analyses of air trapped in an ice core from the South Pole indicate that the CO2 concentration may have increased by about 10 ppm and that the 13C/12C ratio decreased slightly in the thirteenth century. These changes, if really of atmospheric origin, must be due to a significant input into the atmosphere of CO2, either of biogenic or of oceanic origin.18O/16O ratios in CO2 from different ice cores are much lower than those which have been observed in atmospheric carbon dioxide. A possible explanation is that the CO2 has equilibrated isotopically with the ice. We have calculated equilibrium isotope-fractionation factors between ice and carbon dioxide and found that the observed 18O/16O ratios of CO2 are indeed near isotopic equilibrium with the ice. This indicates that an exchange of oxygen atoms probably occurs between ice and included CO2.
Co-Isotopic Signature of Two Mechanisms of Basal-Ice Formation in Arctic Outlet Glaciers
Authors: Souchez R. , Lorrain R. , Tison J.L. , Jouzel J. 
Published: September 2017

Basal ice is formed by regelation as a consequence of both pressure-melting and freezing-on at the glacier sole.A study of D/H and 18O/16O ratios in basal ice from five Arctic outlet glaciers indicates that a co-isotopic signature exists for these two mechanisms of formation.The dispersed and stratified facies of basal ice present in these glaciers are related respectively to the occurrence of regelation and to freezing-on at the glacier base. Their origin is tentatively connected with the onset of basal sliding and the zone of bed decoupling due to basal water pressure in these Arctic outlet glaciers.