bluuebunny/crossref_metadata_2025_split huggingface dataset:
Percepção e o Conhecimento de uma Equipe Multiprofissional Intensivista em Cuidados Paliativos: Estudo transversal / Perception and Knowledge of a Multidisciplinary Intensive Care Team in Palliative Care: A cross-sectional study
Authors: Morais Wenderson Souza , Araújo Amaro Eduardo Tavares 
Published: May 2022

São grandes os riscos de pacientes internados em Unidades de Terapia Intensiva (UTI) evoluírem com óbito, sendo necessário a conduta antecipada em cuidados paliativos nessa população. Entretanto, muitos profissionais não estão preparados para essa realidade e se sentem inseguros. Com isso surgiu a necessidade de avaliar o conhecimento em cuidados paliativos de uma equipe multiprofissional em Terapia Intensiva. O objetivo deste estudo foi avaliar a percepção e nível de conhecimento em cuidados paliativos em profissionais da UTI. Trata-se de um estudo transversal, descritivo e unicêntrico, realizado por meio de um questionário online no período de dezembro de 2020 a janeiro de 2021. Constatou-se que mais de 87% tinham conhecimento em conceitos básicos, sendo que 15,6% fizeram capacitação que envolvia a temática: cuidados paliativos. 82,3% informaram que estavam preparados em lidar com esse perfil de paciente, porém 75,8% relataram que a equipe não estava. 28,2% afirmaram que estavam preparados em transmitir más notícias, enquanto uma maior porcentagem, 34,4%, relataram que a equipe estaria preparada. Apesar da incapacidade formal, os profissionais se autojulgavam preparados, enquanto que a equipe estaria menos preparada. Entretanto no momento que tinham que atuar, transmitindo más notícias, afirmavam que a equipe era mais preparada. There are great risks of patients hospitalized in Intensive Care Units (ICU) progressing to death, requiring early conduct in palliative care in this population. However, many professionals are not prepared for this reality and feel insecure. With this, the need to assess the knowledge in palliative care of a multiprofessional team in Intensive Care emerged. The aim of this study was to assess the perception and level of knowledge in palliative care in ICU professionals. This is a cross-sectional, descriptive, and single-center study, carried out through an online questionnaire from December 2020 to January 2021. It was found that more than 87% had knowledge of basic concepts, with 15.6% did training involving the theme: palliative care. 82.3% reported that they were prepared to deal with this patient profile, but 75.8% reported that the team was not. 28.2% stated that they were prepared to deliver bad news, while a higher percentage, 34.4%, reported that the team would be prepared. Despite the formal incapacity, the professionals considered themselves prepared, while the team would be less prepared. However, when they had to act, transmitting bad news, they said that the team was more prepared.
Pedofilia e responsabilização: uma análise da obra Lolita / Pedophilia and Accountability: an Analysis of the work Lolita
Authors: Barbosa Jéssica Leite , Santos Mara Aline De Campos dos 
Published: May 2022

Resumo: O presente trabalho tem o objetivo de analisar a luz da psicanálise o discurso perverso em um caso de pedofilia e a sua relação com a responsabilização do ato de abuso sexual. A análise é versada através da obra literária Lolita, que conta a história de Humbert que após ser preso, retrata seus desejos pedofílicos e momentos em que submete Lolita, à violência sexual. Em sua narrativa o personagem transita entre a desresponsabilização por seus atos e a culpabilização traumática, vivida na infância, apontando um possível tratamento através da responsabilização por seus atos e o contato com suas angústias.Palavras-chave: Pedofilia. Perversão. Responsabilização. Literatura. Abstract: This research aimed to analyze the perverse speech in a case of pedophilia and your connection with accountability for the act of sexual abuse based on psychoanalysis. The analysis is versed through the literary work Lolita, which tells the story of Humbert, who after being arrested portrays his pedophile desires and moments when he subjects Lolita, to sexual violence. The character transits between unaccountability for his acts and traumatic guilt lived in his childhood, indicating a possible treatment through accountability for his actions and the contact with his anxieties.Keywords: Pedophilia. Perversion. Accountability. Literature.
O uso da Extrafiscalidade dos Impostos Estaduais como Medida de Implementação de Políticas Pública Ambientais / The use of Steering taxes by the States as a Measure of Implementation of Public Environmental Policies
Authors: Cunha Felipe Gustavo Gomes , Albuquerque José De Lima , Paulo Felipe Luiz Lima de , Correia-Neto Jorge Da Silva , Vasconcelos Yumara Lúcia , Marinho Giovanni Giuseppe Da Nóbrega 
Published: May 2022

Resumo:Trata-se de pesquisa de como os estados federativos estão aplicando a extrafiscalidade dos impostos estaduais - Imposto sobre Operações relativas à Circulação de Mercadorias e sobre Prestações de Serviços de Transporte Interestadual e Intermunicipal e de Comunicação (ICMS), Imposto sobre a Propriedade de Veículos Automotores (IPVA) e Imposto sobre Transmissão Causa Mortis e Doação de quaisquer Bens ou Direitos (ITCMD) - na adoção e incentivo de políticas públicas ambientais. A pesquisa quanto aos objetivos caracteriza-se como exploratório-descritiva e quanto à abordagem, qualitativa. Foram realizadas também pesquisa bibliográfica e documental nas legislações estaduais relacionadas aos impostos ambientais. Em relação ao IPVA, há a adoção de critérios ambientais nas alíquotas de veículos utilizados no transporte de passageiros, em veículos menos poluentes (elétricos, híbridos e movidos à álcool) e em veículos com menor potência automotiva (menos poluentes). Já em relação ao ITCMD, verificou-se que a adoção de critérios ambientais se dá apenas de forma indireta, através da desconsideração de áreas protegidas da base de cálculo do imposto. Quanto ao ICMS, observou-se a adoção de critérios ecológicos no repasse do produto arrecadado do ICMS pelos estados aos municípios (o ICMS Ecológico).Palavras-chave: ICMS Ecológico, IPVA Verde, ITCMD, Meio Ambiente, Políticas Públicas Abstract: This is a research on how the federative states are applying the extrafiscality of state taxes - Tax on Operations related to the Circulation of Goods and on Provision of Interstate and Intermunicipal Transport and Communication Services (ICMS), Tax on Property of Motor Vehicles (IPVA) and Tax on Transmission Causa Mortis and Donation of any Goods or Rights (ITCMD) - in the adoption and encouragement of environmental public policies. The research in terms of objectives is characterized as exploratory-descriptive and in terms of approach, qualitative. Bibliographic and documentary research was also carried out on state legislation related to environmental taxes. Regarding the IPVA, there is the adoption of environmental criteria in the rates of vehicles used in the transport of passengers, in less polluting vehicles (electric, hybrid and alcohol-powered) and in vehicles with lower automotive power (less polluting). In relation to the ITCMD, it was found that the adoption of environmental criteria occurs only indirectly, through the disregard of protected areas from the tax calculation basis. As for the ICMS, it was observed the adoption of ecological criteria in the transfer of the product collected from the ICMS by the states to the municipalities (the Ecological ICMS).Keywords: Ecological ICMS, Green IPVA, ITCMD, Environment, Public Policies.
A Influência da Liderança e Motivação nas Organizações / The Influence of Leadership and Motivation in Organizations
Authors: Cunha Luana Da Silva , Rodrigues Luciana Da Luz 
Published: May 2022

Resumo: A liderança é apresentada como um dos fatores com maior impacto no sucesso de uma empresa, destacando o importante papel que ela desempenha na motivação das pessoas no trabalho. Este estudo teve como objetivo geral, compreender o papel da liderança como fator de mudança e influência na motivação dos colaboradores dentro de uma organização. A metodologia adotada nesta pesquisa representa um estudo de cunho bibliográfico e exploratório fundamentado em sites, livros, artigos e revista. Os resultados demonstraram que as pessoas são a chave para um bom desenvolvimento organizacional, o estudo da relação entre liderança e motivação é particularmente relevante. O objetivo é lançar luz sobre este tema e, acima de tudo, estimular a pesquisa e a inovação. Diante disso, conclui-se que que o grande desafio dos líderes de hoje é administrar toda essa diversidade de ideias, criatividade e pessoas únicas com diferentes percepções dentro de uma organização.Palavras-chave: Organização; Liderança; Influência; Motivação. Abstract: Leadership is presented as one of the factors with the greatest impact on the success of a company, highlighting the important role it plays in motivating people at work. This study had the general objective of understanding the role of leadership as a factor of change and influence on the motivation of employees within an organization. The methodology adopted in this research represents a bibliographic and exploratory study based on websites, books, articles, and magazines. The results showed that people are the key to good organizational development, and the study of the relationship between leadership and motivation is particularly relevant. The aim is to shed light on this subject and, above all, to stimulate research and innovation. Given this, it is concluded that the great challenge for today's leaders is to manage all this diversity of ideas, creativity, and unique people with different perceptions within an organization.Keywords: Organization; Leadership; Influence; Motivation.
A Fisiofarmacologia da Melatonina no Desenvolvimento e Terapêutica do Câncer / The physiopharmacology of melatonin in cancer development and therapy
Authors: Souza Elisberto Nogueira de , Feitosa Pedro Walisson Gomes , Rodrigues Marcos Ryan Barbosa , Teles Rian Brito , Silva Melina Maria Batista , Ribeiro Caroline De Almeida Cabral 
Published: May 2022

Resumo:Hodiernamente, umas das patologias com maior índice de mortalidade e morbidade prevalente em todo o mundo é o câncer, um dos maiores desafios da saúde pública no Brasil e no mundo. A melatonina é um hormônio natural regulador do sono produzido de forma endógena no organismo e secretado majoritariamente pela glândula pineal cujos efeitos possuem diversas relações intrínsecas no mecanismo fisiopatológico do desenvolvimento de neoplasias celulares. Este artigo trata-se de uma revisão bibliográfica realizada a partir da literatura médica online disponível na base de dados Public Medline (PUBMED) e pelo banco de dados da Biblioteca Virtual em Saúde (BVS), onde foram aplicados os descritores em saúde “Melatonin” e “Cancer”. No decorrer da pesquisa, foram abordados 3 temas principais: a fisiopatologia do câncer, a farmacologia da melatonina e as ações antineoplásicas desse hormônio no organismo. Resumidamente, agrupamos estas ações antitumorais em 5 grandes áreas: efeito antioxidante, efeito antiproliferativo, efeito imunomodulador, potencial como coadjuvante quimiorradioterápico e potencial como marcador biológico. Em síntese, portanto, nossa pesquisa busca evidenciar a importância da inserção desse hormônio natural em densas pesquisas científicas que devem ser realizadas com o intuito de beneficiar não somente os portadores de câncer como também a humanidade em geral.Palavras-chave: Câncer. Melatonina. Fisiofarmacologia. Tratamento. Abstract:Today, one of the pathologies with the highest mortality and morbidity rates prevalent worldwide is cancer, one of the greatest public health challenges in Brazil and worldwide. Melatonin is a natural sleep regulating hormone produced endogenously in the body and secreted mainly by the pineal gland. Common effects have several intrinsic relationships in the pathophysiological mechanism of the development of cell neoplasms. This article is a bibliographic review based on the online medical literature available in the Public Medline database (PUBMED) and in the database of the brazilian Virtual Health Library (VHL), where the health descriptors “Melatonin” and "Cancer" were applied. During the research, the three main themes were: the pathophysiology of cancer, the pharmacology of melatonin and the antineoplastic actions of this hormone in the body. Briefly, we have grouped these antitumor actions into 5 major areas: antioxidant effect, antiproliferative effect, immunomodulatory effect, potential as a chemoradiotherapeutic adjunct and potential as a biological marker. In summary, therefore, our research seeks to highlight the importance of inserting this natural hormone in dense scientific research that must be carried out in order to benefit not only cancer patients but also humanity in general.Keywords: Cancer. Melatonin. Physiopharmacology. Treatment.
Dos documentos e aparatos institucionais às mudanças culturais: qual institucionalização das políticas públicas de educação ambiental se quer?
Authors: Biasoli Semiramis Albuquerque , Brianezi Thais da Silva , Sorrentino Marcos marcos 
Published: May 2022

Parte-se da experiência dos Coletivos Educadores para Territórios Sustentáveis, estratégia metodológica do Programa Nacional de Formação de Educadoras(es) Ambientais (ProFEA, 2006), para investigar os desafios e estratégias de institucionalização das políticas públicas de educação ambiental. Trabalha-se aqui com as três dimensões das políticas públicas indicadas por Frey (2000) - polity, policy e politcs – e com a proposição de uma quarta dimensão, a política do cotidiano (BIASOLI, 2015), tentando entender como elas se relacionam com os pilares do instituído e do instituinte e com os processos de regulação e emancipação (SANTOS, 2002, 2008). Os resultados apontam que apostar na institucionalização a partir de processos descentralizados e participativos é algo que enfrenta barreiras históricas do campo do instituído (como a falta de continuidade das políticas e de apoio institucional à participação), mas que apresenta resultados concretos e duradouros de enraizamento.
Palavras-chave – educação ambiental – políticas públicas – institucionalização – Coletivos Educadores Ambientais.
The Impact of Information Sources and Access to Health Facilities on the Continuity of Contraceptive Use
Authors: Agushybana Farid , Siramaneerat Issara , Islakhiyah Islakhiyah , Nisa Rofifatun 
Published: May 2022

Background: The family planning program (Keluarga Berencana or KB) is one of the Indonesian government’s efforts to suppress population growth. The program focuses on contraceptive usage. However, in practice, the level of continuity of contraceptive use are still low. The purpose of this study is to analyze the effect of sources of information and access to health facilities on the continuity of contraceptive use.Method: This quantitative study with a cross-sectional design had 1,195 respondents with an age range of <20 years to >35 years. Data were collected through structured interviews and questionnaires. Univariate data analysis was conducted with frequency distribution; bivariate data analysis utilized crosstabs, and the multivariate analysis used logistic regression.Results: The continuity of contraceptive use was 91.9% among respondents who received information about the family planning program, either orally, on mass media, or electronically, and it was 82.8% among respondents who accessed family planning services. This study found that factors that influence the continuity of contraceptive use were sources of electronic media information (OR = 0.6633; 95% CI = 0.4852 – 0.9067; p = 0.010) and access to family planning services (OR = 2.677; 95% CI = 1.652 – 4.337; p = 0.001). These findings suggest that the sources of information and access to health facilities affect the continuity of contraceptive use.
Health Literacy and Utilization of Reproductive Health Services Among High School Students
Authors: Arifah Izzatul , Safari Afrin Linda Dewi , Fieryanjodi Diella 
Published: May 2022

Background: Utilization of reproductive health service may improve adolescent health and prevent reproductive health problems in adulthood. However, the proportion of adolescents who uses the available services remains low. Many factors influenced the services use among adolescents. The relation of adolescents’ health literacy and reproductive health service use was not fully understood. This study intended to examine the relationship between health literacy and use of reproductive health counseling service among high school students in one school in Banyumas Regency, controlling other variables (knowledge, acceptability, age, and sex). Method: A cross-sectional study was conducted in March-April 2021 in one high school (SMA Negeri 4 Purwokerto), Banyumas regency, Central Java Province. Samples were 170 students purposively chosen from the first and second grade who were willing to fill the self-administered online questionnaire. Data of health literacy were collected using eHEALS questionnaire. Other data were obtained using valid and reliable self-design questionnaires. Multiple logistic regression was deployed to analyze the relationship between variables. Results: Health literacy had a significant relationship with the use of reproductive health services among adolescents. The probability of the reproductive health counseling service was doubled if they had a good health literacy level among students who had high acceptability toward the service and were female with an OR value of 2.1 (95% CI 1.01-4.49). In conclusion, adolescent’s health literacy level is associated with the utilization of reproductive health services. Further research is needed to confirm the association between the variables in more extensive settings.
Influence of ammonium octamolybdate on flame retardancy and smoke suppression of PVC matrix flame retardant composites
Authors: Xu Jianlin , Li Chengsi , Ren Shibo , Niu Lei , Bai Qingwen , Li Xiang 
Published: May 2022

Abstract
In order to improve the flame retardancy and smoke suppression of polyvinyl chloride (PVC), ammonium octamolybdate (AOM)/nano-antimony trioxide (nano-Sb2O3)/dioctyl Phthalate (DOP)/PVC composites were prepared by high energy ball milling and melt blending methods using AOM as the smoke suppressant. The effects of AOM on the flame retardancy and smoke suppression of the PVC composites were studied by means of vertical burning tests (UL-94), limiting oxygen index (LOI), thermogravimetric analysis (TGA), scanning electron microscopy (SEM) and cone calorimetry (CCT). The results showed that the flame retardancy of PVC composites containing AOM was improved, namely the UL-94 grade of the composites reached the V-0 grade and the LOI increased from 22.3% to 30.6%, whilst the heat release rate (HRR), total heat release (THR), smoke production rate (SPR), total smoke production (TSR) and smoke factor (SF) decreased significantly. In addition, AOM could promote the dehydrochlorination reaction of the PVC composites at lower temperature, resulting in more compact and continuous char residues. Therefore, AOM is an effective smoke suppressant and has a good synergistic flame retardant effect with nano-Sb2O3 in flame retardant PVC matrix composites.
Die Bewertung betrieblicher Maßnahmen im COVID-19-Modul des COPSOQ
Authors: Häberle Nicola , Lindner Alexandra , Vomstein Martin , Nolle Inga , Haug Ariane , Nübling Matthias , Lincke Hans-Joachim 
Published: May 2022

Zusammenfassung
Die COVID-19-Pandemie hat Organisationen vor große Herausforderungen gestellt. Durch Befragungen mit dem COVID-19 Zusatzmodul zum COPSOQ liegen die Angaben von 30.754 Beschäftigten zur Bewertung von betrieblichen Maßnahmen vor. Insgesamt fühlen sich die Befragten durch die Schutzmaßnahmen in Bezug auf das Virus gut geschützt (M = 72,9; Skala 0-100) und über die betrieblichen Maßnahmen gut informiert (M = 71,9). Unter dem Aspekt der organisationalen Gesundheitskompetenz sind allerdings zielgruppengerechte Informationsmaterialien von Bedeutung.
Förderung der digitalen Gesundheitskompetenz durch das Programm „KundiG“
Authors: Seidel Gabriele , Danner Martin , Hundertmark-Mayser Jutta , Krug Jens , Dierks Marie-Luise 
Published: May 2022

Zusammenfassung
Die Förderung der digitalen Gesundheitskompetenz ist Ziel des partizipativ entwickelten Kursprogramms „KundiG – Klug und digital durch das Gesundheitswesen“. Unter Nutzung interaktiver Lernelemente werden Teilnehmende (TN) darin unterstützt, digitale Gesundheitsinformationen, -angebote und -anwendungen zu finden, zu verstehen, kritisch zu bewerten und ggf. anzuwenden. Erste Erfahrungen zeigen, dass TN einen Wissenszuwachs erleben und ihre Zuversicht im Umgang mit digitalen Angeboten ansteigt.
Coronaspezifische Gesundheitskompetenz zu drei Messzeitpunkten
Authors: Okan Orkan , Bollweg Torsten Michael , Bauer Ullrich , Hurrelmann Klaus , Schaeffer Doris 
Published: May 2022

Zusammenfassung
Die coronaspezifische Gesundheitskompetenz der Bevölkerung in Deutschland lag im Jahr 2020 zwischen 34,8% und 50,1%, wobei sie sich im Jahresverlauf signifikant verbessert hatte. Einem großen Teil der Bevölkerung fällt es nicht immer leicht, mit Gesundheitsinformationen zu Covid-19 umzugehen, so wie es die hier beschriebene HLS-Covid-19 Studie zur coronaspezifischen Gesundheitskompetenz aufzeigt. Die größte Herausforderung stellt das Beurteilen von Informationen dar. Die Ergebnisse deuten zudem auf einen sozialen Gradienten für niedrige coronaspezifische Gesundheitskompetenz hin.
Gesundheitskompetenz in der Allgemeinbevölkerung im Kontext der COVID-19 Pandemie
Authors: Matterne Uwe , Apfelbacher Christian , Hasenpusch Claudia 
Published: May 2022

Zusammenfassung
Zur Bewältigung der COVID-19 Pandemie wird der Gesundheitskompetenz (GK) der Bevölkerung eine entscheidende Rolle zugeschrieben. Surveys zur Erfassung der subjektiven COVID-19 bezogenen GK belegen eine unzureichende GK in der Bevölkerung. Interventionen sollten diese stärken.