bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTERVENÇÃO TERAPÊUTICA OCUPACIONAL EM UMA CRECHE DA CIDADE DO RECIFE
Authors: Almeida Bruna Chagas , Marcelino Juliana Fonsêca de Queiroz 
Published: September 2014

A atuação do terapeuta ocupacional na Educação se iniciou no sistema de educação especial, restringindo-se à criança com defi ciência. Com a expansão dos campos de atuação da Terapia Ocupacional, o objetivo de intervenção passou a ser a promoção do desenvolvimento integral, atendendo qualquer criança inserida neste contexto, de forma a incluir todos os atores do processo de aprendizagem. O objetivo deste artigo é descrever o processo terapêutico ocupacional de crianças com difi culdade na aprendizagem em idade pré-escolar, atendidas em uma creche da cidade do Recife, a partir da análise de documentos registrados de março a dezembro de 2011. A análise dos documentos inclusos na pesquisa mostrou que as ações envolveram intervenção com as crianças, individualmente e em grupo, e orientação aos familiares e educadores, buscando maior envolvimento de todos a fi m de alcançar um melhor desempenho escolar das crianças. Foram percebidas melhora no desempenho das crianças nos diversos aspectos que abrangem o contexto escolar, sendo observados, também, pelos próprios educadores, afi rmando a inclusão deste profissional na área da Educação como agente promotor do desenvolvimento integral da criança.
A utilização do brincar nas práticas de terapeutas ocupacionais da Baixada Santista
Authors: Silva Carla Cilene Baptista da , Pontes Fernando Vicente de 
Published: September 2014

O presente estudo teve por objetivo identificar e caracterizar as práticas desenvolvidas pelos terapeutas ocupacionais que atuam na região metropolitana da Baixada Santista, quanto à utilização do brincar. Para tanto, foi aplicado um questionário estruturado com 36 terapeutas ocupacionais que atuam na área da infância. Os principais referenciais teóricos utilizados pelos profissionais são a Terapia de Integração Sensorial e o Método Neuroevolutivo Bobath. Os profi ssionais caracterizam a utilização do brincar como um recurso facilitador do processo terapêutico ocupacional, utilizando-o durante todos os momentos do atendimento. Portanto, o brincar é visto como recurso terapêutico utilizado para a promoção do desenvolvimento infantil como um dos principais objetivos da clínica em Terapia Ocupacional. O estudo procurou contribuir na caracterização da prática profi ssional quanto à utilização do brincar.
Reflexões sobre a prática do residente Terapeuta Ocupacional na Estratégia Saúde da Família no município de São Carlos
Authors: Manho Flávia , Soares Léa Beatriz Teixeira , Nicolau Stella Maris 
Published: September 2014

O olhar dos residentes egressos de Terapia Ocupacional sobre suas práticas na Residência Multiprofissional em Saúde da Família e Comunidade da UFSCar foi o objetivo deste estudo. Durante o programa de pós-graduação “lato sensu”, de ensino em serviço, os residentes desenvolvem competências de cuidado individual e coletivo, gestão, educação permanente e pesquisa, na lógica do apoio matricial, inseridos em Unidades de Saúde da Família do município. Responderam a um questionário on-line, sete dos oito residentes formados de 2007 a 2011. O material empírico foi agrupado em blocos a partir de um entendimento da hermenêutica dialética em diálogo com o referencial teórico e o projeto pedagógico da residência. Embora com diferenças, todos os residentes puderam reconhecer, de forma ampliada, as práticas e os preceitos da Estratégia Saúde da Família. Nos relatos, associaram o cuidado individual e coletivo ao núcleo de saber da Terapia Ocupacional, e associaram as ações coletivas, de gestão e de educação permanente, ao campo de saber da Saúde Coletiva. Os egressos reconheceram a residência como fundamental para sua formação pessoal e profissional.
Respostas agudas da frequência cardíaca e da pressão arterial em uma sessão de jogos de vídeo game ativos em adultos saudáveis: um estudo piloto.
Authors: Melo Raphael José Perrier , Gomes Jorge Luiz Brito , Oliveira Saulo Fernandes Melo , Costa Manoel da Cunha 
Published: September 2014

Objetivos: analisar as respostas da frequência cardíaca e da pressão arterial durante e após uma sessão de vídeo games ativos (VGA’s). Procedimento Metodológico:oito sujeitos do gênero masculino (idade: 21±1,6 anos; peso: 71,0±4,2; estatura:1,77±4 cm; % de gordura: 23±5,78). A sessão: 72 minutos com o VGA Xbox360º Kinect® em 4 diferentes jogos (Dance Central 3 e Kinect Sports: boxe, vôlei e tênis de mesa). Resultados: as respostas da frequência cardíaca e pressão arterial em VGA´s, mostram que os jogos são capazes de alterar o sistema cardiovascular. Conclusão: Através da FCmáx, os VGA’s atingiram níveis de intensidade moderada.
Revisão das propriedades psicométricas de testes de coordenação motora dos membros superiores em hemiparéticos
Authors: Avelino Patrick Roberto , Kiefer Kênia , Cesinando Augusto , Hirochi Tânia Lúcia , Fuscaldi Luci 
Published: September 2014

Objetivo: Sumarisar as propriedades psicométricas e a utilidade clínica de instrumentos de coordenação motora (CM) dos membros superiores, que consideram a velocidade e aqualidade dos movimentos, para hemiparéticos. Procedimentos Metodológicos: Foi realizada uma busca computadorizada nas bases de dados Medline, EMBASE, PsynINFO, CINAHL, Web of Science, LILACS, SciELO, PEDro, Cochrane e OT Seeker e uma busca manual. Dois autores independentes realizaram a extração dos dados. Resultados: A estratégia de busca inicial retornou 2.152 estudos, sendo que 2.116 foram excluídos. A busca manual retornou sete estudos e assim, o número total de estudos incluídos foi 43. As propriedades psicométricas dos 16 instrumentos encontrados apresentaram, no geral, valores adequados, no entanto somente seis reportaram valores para todas. A utilidade clínica revelou que nem todos os testes são rápidos, baratos e práticos para serem utilizados. Conclusões: A deficiência na literatura deestudos que investiguem as propriedades psicométricas de teste de CM dos MMSS pode limitar a interpretação e utilização destes intrumentos na prática clínica e pesquisa. Além disso, a utilidade é um importante fator que deve interferir na escolha do instrumento.
Patient Access and 1-Year Outcomes of Percutaneous Coronary Intervention Facilities With and Without On-Site Cardiothoracic Surgery
Authors: Maddox Thomas M. , Stanislawski Maggie A. , O’Donnell Colin , Plomondon Mary E. , Bradley Steven M. , Ho P. Michael , Tsai Thomas T. , Shroff Adhir R. , Speiser Bernadette , Jesse Robert J. , Rumsfeld John S. 
Published: September 2014

Background—
The safety of percutaneous coronary intervention (PCI) at medical facilities without on-site cardiothoracic (CT) surgery has been established in clinical trials. However, the comparative effectiveness of this strategy in real-world practice, including impact on patient access and outcomes, is uncertain. The Veterans Affairs (VA) health care system has used this strategy, with strict quality oversight, since 2005, and can provide insight into this question.

Methods and Results—

Among 24 387 patients receiving PCI at VA facilities between October 2007 and September 2010, 6616 (27.1%) patients underwent PCI at facilities (n=18) without on-site CT surgery. Patient drive time (as a proxy for access), procedural complications, 1-year mortality, myocardial infarction, and rates of subsequent revascularization procedures were compared by facility. Results were stratified by procedural indication (ST–segment-elevation myocardial infarction versus non–ST–segment-elevation myocardial infarction/unstable angina versus elective) and PCI volume. With the inclusion of PCI facilities without on-site CT surgery, median drive time for patients treated at those facilities decreased by 90.8 minutes (
P
<0.001). Procedural need for emergent coronary artery bypass graft and mortality rates were low and similar between facilities. Adjusted 1-year mortality and myocardial infarction rates were similar between facilities (hazard ratio in PCI facilities without relative to those with on-site CT surgery, 1.02; 95% confidence interval, 0.87–1.2), and not modified by either PCI indication or PCI volume. Subsequent revascularization rates were higher at sites without on-site CT surgery facilities (hazard ratio, 1.21; 95% confidence interval, 1.03–1.42).

Conclusions—
This study suggests that providing PCI facilities without on-site CT surgery in an integrated health care system with quality oversight improves patient access without compromising procedural or 1-year outcomes.
Heart Failure, Saxagliptin, and Diabetes Mellitus: Observations from the SAVOR-TIMI 53 Randomized Trial
Authors: Scirica Benjamin M. , Braunwald Eugene , Raz Itamar , Cavender Matthew A. , Morrow David A. , Jarolim Petr , Udell Jacob A. , Mosenzon Ofri , Im KyungAh , Umez-Eronini Amarachi A. , Pollack Pia S. , Hirshberg Boaz , Frederich Robert , Lewis Basil S. , McGuire Darren K. , Davidson Jaime , Steg Ph. Gabriel , Bhatt Deepak L. 
Published: September 2014

Background—
Diabetes mellitus and heart failure frequently coexist. However, few diabetes mellitus trials have prospectively evaluated and adjudicated heart failure as an end point.

Methods and Results—

A total of 16 492 patients with type 2 diabetes mellitus and a history of, or at risk of, cardiovascular events were randomized to saxagliptin or placebo (mean follow-up, 2.1 years). The primary end point was the composite of cardiovascular death, myocardial infarction, or ischemic stroke. Hospitalization for heart failure was a predefined component of the secondary end point. Baseline N-terminal pro B-type natriuretic peptide was measured in 12 301 patients. More patients treated with saxagliptin (289, 3.5%) were hospitalized for heart failure compared with placebo (228, 2.8%; hazard ratio, 1.27; 95% confidence intercal, 1.07–1.51;
P
=0.007). Corresponding rates at 12 months were 1.9% versus 1.3% (hazard ratio, 1.46; 95% confidence interval, 1.15–1.88;
P
=0.002), with no significant difference thereafter (time-varying interaction,
P
=0.017). Subjects at greatest risk of hospitalization for heart failure had previous heart failure, an estimated glomerular filtration rate ≤60 mL/min, or elevated baseline levels of N-terminal pro B-type natriuretic peptide. There was no evidence of heterogeneity between N-terminal pro B-type natriuretic peptide and saxagliptin (
P
for interaction=0.46), although the absolute risk excess for heart failure with saxagliptin was greatest in the highest N-terminal pro B-type natriuretic peptide quartile (2.1%). Even in patients at high risk of hospitalization for heart failure, the risk of the primary and secondary end points were similar between treatment groups.

Conclusions—
In the context of balanced primary and secondary end points, saxagliptin treatment was associated with an increased risk or hospitalization for heart failure. This increase in risk was highest among patients with elevated levels of natriuretic peptides, previous heart failure, or chronic kidney disease.

Clinical Trial Registration—

URL:
http://www.clinicaltrials.gov
. Unique identifier: NCT01107886.
Time and Diffusion Lesion Size in Major Anterior Circulation Ischemic Strokes
Authors: Hakimelahi Reza , Vachha Behroze A. , Copen William A. , Papini Giacomo D.E. , He Julian , Higazi Mahmoud M. , Lev Michael H. , Schaefer Pamela W. , Yoo Albert J. , Schwamm Lee H. , González R. Gilberto 
Published: September 2014

Background and Purpose—
Major anterior circulation ischemic strokes caused by occlusion of the distal internal carotid artery or proximal middle cerebral artery or both account for about one third of ischemic strokes with mostly poor outcomes. These strokes are treatable by intravenous tissue-type plasminogen activator and endovascular methods. However, dynamics of infarct growth in these strokes are poorly documented. The purpose was to help understand infarct growth dynamics by measuring acute infarct size with diffusion-weighted imaging (DWI) at known times after stroke onset in patients with documented internal carotid artery/middle cerebral artery occlusions.

Methods—
Retrospectively, we included 47 consecutive patients with documented internal carotid artery/middle cerebral artery occlusions who underwent DWI within 30 hours of stroke onset. Prospectively, 139 patients were identified using the same inclusion criteria. DWI lesion volumes were measured and correlated to time since stroke onset. Perfusion data were reviewed in those who underwent perfusion imaging.

Results—

Acute infarct volumes ranged from 0.41 to 318.3 mL. Infarct size and time did not correlate (
R
2
=0.001). The majority of patients had DWI lesions that were <25% the territory at risk (<70 mL) whether they were imaged <8 or >8 hours after stroke onset. DWI lesions corresponded to areas of greatly reduced perfusion.

Conclusions—
Poor correlation between infarct volume and time after stroke onset suggests that there are factors more powerful than time in determining infarct size within the first 30 hours. The observations suggest that highly variable cerebral perfusion via the collateral circulation may primarily determine infarct growth dynamics. If verified, clinical implications include the possibility of treating many patients outside traditional time windows.
Cost-Effectiveness of Recombinant Tissue-Type Plasminogen Activator Within 3 Hours of Acute Ischemic Stroke
Authors: Boudreau Denise M. , Guzauskas Gregory F. , Chen Er , Lalla Deepa , Tayama Darren , Fagan Susan C. , Veenstra David L. 
Published: September 2014

Background and Purpose—
Despite the availability of results from multiple newer clinical trials and changing healthcare costs, the cost-effectiveness of recombinant tissue-type plasminogen activator (r-tPA) for treatment of acute ischemic stroke within 0 to 3 hours of symptom onset was last evaluated in 1998 for the United States Using current evidence, we evaluate the long-term cost-effectiveness of r-tPA administered 0 to 3 hours after acute ischemic stroke onset versus no r-tPA.

Methods—
A disease-based decision model to project lifetime outcomes of patients after acute ischemic stroke by r-tPA treatment status from the US payer perspective was developed. Model inputs were derived from a recent meta-analysis of r-tPA trials, cohort studies, and health state preference studies. Cost data, inflated to 2013 dollars, were based on drug wholesale acquisition cost and the literature. To compare r-tPA to no r-tPA, we calculated incremental total direct costs, incremental quality-adjusted life years, and incremental cost-effectiveness ratios. We performed 1-way and probabilistic sensitivity analyses to evaluate uncertainty in the results.

Results—
r-tPA resulted in a gain of 0.39 quality-adjusted life years (95% confidence range, 0.16–0.66) on average per patient and a lifetime cost-saving of $25 000 (95% confidence range, −$42 500 to −$11 000) compared with no r-tPA. In probabilistic sensitivity analyses, r-tPA was dominant compared with no r-tPA in ≈100% of simulations. The model was sensitive to inputs for r-tPA efficacy, healthcare costs for disabled patients, mortality rates for disabled and nondisabled patients, and quality of life estimates.

Conclusions—
Our analysis supports earlier economic evaluations that r-tPA is a cost-effective method to treat stroke. Appropriate use of r-tPA should be prioritized nationally.
Acute Ischemic Stroke and Long-Term Outcome After Thrombolysis
Authors: Schmitz Marie Louise , Simonsen Claus Z. , Hundborg Heidi , Christensen Hanne , Ellemann Karsten , Geisler Karin , Iversen Helle , Madsen Charlotte , Rasmussen Mary-Jette , Vestergaard Karsten , Andersen Grethe , Johnsen Soeren P. 
Published: September 2014

Background and Purpose—
Data on long-term outcome after intravenous tissue-type plasminogen activator (tPA) in ischemic stroke are limited. We examined the risk of long-term mortality, recurrent ischemic stroke, and major bleeding, including intracranial and gastrointestinal bleeding, in intravenous tPA-treated patients when compared with intravenous tPA eligible but nontreated patients with ischemic stroke.

Methods—
We conducted a register-based nationwide propensity score–matched follow-up study among patients with ischemic stroke in Denmark (2004–2011). Cox regression analysis was used to compute adjusted hazard ratios for all outcomes.

Results—
Among 4292 ischemic strokes (2146 intravenous tPA-treated and 2146 propensity score–matched nonintravenous tPA-treated patients), with a follow-up for a median of 1.4 years, treatment with intravenous tPA was associated with a lower risk of long-term mortality (adjusted hazard ratio, 0.66; 95% confidence interval, 0.49–0.88). The long-term risk of recurrent ischemic stroke (adjusted hazard ratio, 1.05; 95% confidence interval, 0.68–1.64) and major bleeding (adjusted hazard ratio, 0.59; 95% confidence interval, 0.24–1.47) did not differ significantly between the intravenous tPA-treated and nontreated patients.

Conclusions—
Treatment with intravenous tPA in patients with ischemic stroke was associated with improved long-term survival.
Eubostrichus fertilis sp. n., a new marine nematode (Desmodoridae: Stilbonematinae) with an extraordinary reproductive potential from Belize, Central America
Authors: Ott Jörg A. , Leisch Nikolaus , Gruber-Vodicka Harald R. 
Published: September 2014

Eubostrichus fertilissp. n. is described from fine subtidal sands in the Belize Barrier Reef system using LM and SEM illustrations and the sequence of the 18S rRNA gene. The new species is one of the smallest (mature specimens ranging from 1.88 to 3.03 mm) and the stoutest (a = 36-80) of all previously describedEubostrichusspecies. The closest relatives areE. parasitiferusandE. hopperi. It differs from the former in the more posterior position of the vulva and the postanal porids, and from the latter in the smaller size of the amphids, the shorter cephalic setae and the shape of the tail. Furthermore, it is remarkable for the prominent extent of the female genital system. Females have up to 18 eggs of similar size in their uteri. The body of the worm is covered by large (up to 45 μm long) crescent-shaped bacteria attached with both poles to the cuticle of the worm in a spiral pattern. The genusEubostrichusis phylogenetically well supported on the basis of the 18S rRNA gene sequence.Eubostrichus gerlachinom. nov. (= E. parasitiferusapudGerlach, 1963necChitwood, 1936) is proposed.
Plant-parasitic nematodes in sugarcane fields in Kitadaito Island (Okinawa), Japan, as a potential sugarcane growth inhibitor
Authors: Kawanobe Masanori , Miyamaru Naoko , Yoshida Koichi , Kawanaka Takeshi , Toyota Koki 
Published: September 2014

Sugarcane is the main industrial crop in Kitadaito Island (Okinawa), Japan, and the objective of this study was to estimate potential damage to sugarcane by plant-parasitic nematodes (PPN). We selected 15 sugarcane fields with the same cultivar and cropping type in Kitadaito Island. Various kinds of PPN were found in all the fields and the proportion of PPN to the total nematode number was ca 50%, which is relatively high compared to other Japanese upland fields. Lesion (Pratylenchus sp.), stunt (Tylenchorhynchus sp.) and spiral (Helicotylenchus sp.) nematodes were detected at mean densities of 48, 22 and 6 (20 g soil)−1, respectively, from all the fields, and lance (Hoplolaimus sp.) and ring nematodes from half of the fields. The results suggested that sugarcane fields in Kitadaito Island were ubiquitously infested with a variety of PPN with a relatively high abundance. One of the fields was studied further to examine the potential relationship between PPN and sugarcane plant growth. Since no nematicide is registered for sugarcane fields in Japan, an appropriate agrochemical was selected by testing its efficacy against PPN before evaluating the relationship between a PPN community and sugarcane growth. The results of a 10-week pot experiment for sugarcane growth showed that the number of PPN decreased by applying a nematicide fosthiazate, and that sugarcane seedling biomass was significantly greater by 34-63% in soils with applied nematicide than in non-applied control soils, suggesting that PPN may suppress sugarcane growth in Kitadaito Island.
Phylogenetic position of the diatom genus Geissleria Lange-Bertalot &amp; Metzeltin and description of two new species from Siberian mountain lakes
Authors: Kulikovskiy Maxim Sergeevich , Gusev Evgeniy , Andreeva Svetlana , Annenkova Natalia 
Published: September 2014

Two new Geissleria species from Siberian mountain lakes Baikal and Frolikha are described based on molecular and morphological data. The two new species are Geissleria baicalosimilis Kulikovskiy, Gusev, Andreeva & Annenkova sp. nov. and G. frolikhiensis Kulikovskiy, Gusev, Andreeva & Annenkova sp. nov. According to partial 18S rDNA and rbcL gene fragment analyses, Geissleria does not belong to the large catch-all genus Navicula as it was previously thought. Morphological features such as slit like areolae without hymenes, presence of one isolated pore near the central nodule and presence of props in areolae and an annulus structure support this conclusion. Plastid morphology of Geissleria species is typical for the Cymbellales, with one large chloroplast divided into two plates lying one against each valve, connected by a broad column. All of our data show that Geissleria is most closely to the genus Placoneis, with which they share naviculoid symmetry. Given these results, Geissleria should be included in the order Cymbellales.
Aerosol Effects on Idealized Supercell Thunderstorms in Different Environments
Authors: Kalina Evan A. , Friedrich Katja , Morrison Hugh , Bryan George H. 
Published: September 2014

Abstract
Idealized supercell thunderstorms are simulated with the Weather Research and Forecasting (WRF) Model at 15 cloud condensation nuclei (CCN) concentrations (100–10 000 cm−3) using four environmental soundings with different low-level relative humidity (RH) and vertical wind shear values. The Morrison microphysics scheme is used with explicit prediction of cloud droplet number concentration and a variable shape parameter for the raindrop size distribution (results from simulations with a fixed shape parameter are also presented). Changes in the microphysical process rates with CCN concentration are negligible beyond CCN ≈ 3000 cm−3. Changes in cold pool characteristics with CCN concentration are nonmonotonic and highly dependent on the environmental conditions. In moist conditions with moderate vertical wind shear, the cold pool area is nearly constant with respect to CCN concentration, while the area is reduced by 84% and 22% in the soundings with dry RH and large vertical wind shear, respectively. With the exception of the dry RH sounding, domain-averaged precipitation peaks between 500 and 5000 cm−3, after which it remains constant or slowly decreases. For the dry RH sounding, the domain-averaged precipitation monotonically decreases with CCN concentration. Accumulated precipitation is enhanced (by up to 25 mm) in the most polluted cases near the updrafts, except for the dry RH sounding. The different responses for moist and dry soundings are mostly due to increased (decreased) low-level latent cooling from melting hail (evaporating rain) with increasing CCN concentration in the moist soundings. This compensating effect does not exist when the low-level RH is dry.