scholarly journals Coverage, universal access and equity in health: a characterization of scientific production in nursing

Author(s):  
Sara Mendoza-Parra

Objectives: to characterize the scientific contribution nursing has made regarding coverage, universal access and equity in health, and to understand this production in terms of subjects and objects of study. Material and methods: this was cross-sectional, documentary research; the units of analysis were 97 journals and 410 documents, retrieved from the Web of Science in the category, "nursing". Descriptors associated to coverage, access and equity in health, and the Mesh thesaurus, were applied. We used bibliometric laws and indicators, and analyzed the most important articles according to amount of citations and collaboration. Results: the document retrieval allowed for 25 years of observation of production, an institutional and an international collaboration of 31% and 7%, respectively. The mean number of coauthors per article was 3.5, with a transience rate of 93%. The visibility index was 67.7%, and 24.6% of production was concentrated in four core journals. A review from the nursing category with 286 citations, and a Brazilian author who was the most productive, are issues worth highlighting. Conclusions: the nursing collective should strengthen future research on the subject, defining lines and sub-lines of research, increasing internationalization and building it with the joint participation of the academy and nursing community.

2017 ◽  
Vol 03 (02) ◽  
pp. E52-E59 ◽  
Author(s):  
Sikolia Wanyonyi ◽  
Charles Mariara ◽  
Sudhir Vinayak ◽  
William Stones

AbstractThe potential benefits of obstetric ultrasound have yet to be fully realized in sub-Saharan Africa (SSA), despite the region bearing the greatest burden of poor perinatal outcomes. We reviewed the literature for challenges and opportunities of universal access to obstetric ultrasound and explored what is needed to make such access an integral component of maternity care in order to address the massive burden of perinatal morbidity and mortality in SSA. Original peer-reviewed literature was searched in various electronic databases using a ‘realist’ approach. While the available data were inconclusive, they identify many opportunities for potential future research on the subject within the region that can help build a strong case to justify the provision of universal access to ultrasound as an integral component of comprehensive antenatal care.


Bionorte ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 9-19
Author(s):  
Jacina Santos Dias ◽  
Woochiton Ramos Lopes Pereira ◽  
Leonardo Augusto Couto Finelli

Objective: Identify the team's difficulties in dealing with the death process of patients under their care. Materials and Methods: the research carried out is classified as exploratory, qualitative, cross-sectional, with a field research design. We interviewed professionals from the health team of the oncology sector, then the data were analyzed from discourse analysisprocedures that sought connections between objects, strategies, concepts and enunciative types. To these data were verified systems of unity and coherence, reached by the analysis of the summary descriptions that were collected. Results: it was verified that there is no preparation offered by the institution so that the professionals learn the best deal with death. Therefore, it is urgent that the question of professional qualification be restored. Conclusion: the need for future research on the subject, which is suggestive of testingproposals and intervention models, such as the continuous training of professionals, is aimed at, among other purposes, the training of health professionals in dealing with process of death and death of its patients.


2021 ◽  
pp. 095042222110493
Author(s):  
Maria de Fátima Cruz ◽  
Mário Franco ◽  
Margarida Rodrigues

Recently, some authors have pointed out that the subject of university–firm collaboration (UFC) in the teaching context has been neglected. To fill this gap, and considering that educational provision is co-created with various stakeholders, this study aims to provide an exploratory characterization of the current state of UFC in the teaching context and to explore UFC as a mechanism for the co-creation of value. A qualitative approach was chosen, through a case study applied to one faculty at a Portuguese university. Data were obtained through documentary analysis and interviews with people in charge of this faculty. The results suggest that collaboration activities in this domain occur, albeit not systematically or in a planned way. The involvement of the current faculty direction in stimulating this collaboration is recognized, and the leaders see this phenomenon as a mechanism for co-creating value between firms and academia. As a practical contribution, the study proposes a set of recommendations to encourage such UFC. The scientific contribution arises from the presentation of a conceptual structure which explores the UFC phenomenon in the teaching context, bringing together the perspectives of collaboration and the co-creation of educational provision, as well as presenting a number of suggestions for future research.


2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Adélia Maria Sartori da Cunha ◽  
Vitória Eugênia Martins ◽  
Michele Lemos de Lourdes ◽  
Marina Carvalho Paschoini ◽  
Bibiane Dias Miranda Parreira ◽  
...  

Abstract Objectives: To estimate the prevalence of nipple traumas and to correlate this occurrence with socio-demographic and obstetric factors in a sample of assisted post-partum patients in a teaching hospital. Method: Cross-sectional, quantitative study of 320 post-partum patients assisted in the maternity from October 2015 to October 2016. Results: The prevalence of nipple trauma in the sample was 35.3%, and only previous experience with breastfeeding has behaved as a protective factor for trauma. No statistical associations were found with other variables. Conclusions and implications for practice: The data presented allowed us to delineate a profile of the post-partum patients assisted in a teaching hospital, as well as the characterization of the occurrence of nipple traumas. From this profile, guidelines can be established on the subject, both in the institution where the study was carried out and in other institutions, since from the literature, the need for this orientation in different contexts and institutions is identified.


2019 ◽  
Author(s):  
Nelly Matorina ◽  
Jordan Poppenk

AbstractHuman memory for recent events is believed to undergo reactivation during sleep. This process is thought to be relevant for the consolidation of both individual episodic memories and gist extraction, the formation of generalized memory representations from multiple, related memories. Which kinds of gist are actually enhanced, however, is the subject of less consensus. To address this question, we focused our design on four types of gist: inferential gist (relations extracted across non-contiguous events), statistical learning (regularities extracted from a series), summary gist (a theme abstracted from a temporally contiguous series of items), and category gist (characterization of a stimulus at a higher level in the semantic hierarchy). Sixty-nine participants (30 men, 38 women, and 1 other) completed memory encoding tasks addressing these types of gist and corresponding retrieval tasks the same evening, the morning after, and one week later. Inferential gist was retained over a week, whereas memory for category gist, summary gist, and statistical learning decayed. Higher proportions of REM were associated with worse performance in a statistical learning task controlling for time. Our results support that REM sleep is involved in schema disintegration, which works against participants’ ability to identify regularities within temporal series.SIGNIFICANCE STATEMENTTo gain the most from our experiences, we extract from them the most important elements, or “gist”, with sleep believed to facilitate this process. However, what is referred to as gist varies considerably across studies. We report categorically different mnemonic trajectories of two classes of gist. In particular, we show that gist involving synthesis across relational memories is retained over time, whereas other gists were subject to substantial decay. Moreover, our evidence supports the idea that REM works to discretize, rather than synthesize experiences. Future research should test similar constructs in different tasks to determine whether these findings are generalizable. Our research suggests that patients with reduced REM sleep may experience more interference between similar memories.


2017 ◽  
Vol 1 ◽  
pp. 168
Author(s):  
Liliane Flávia Guimarães da Silva ◽  
Jessica Viana Ferreira ◽  
Marília Reis Nunes da Silva

<p>Esse artigo é fruto de dois projetos de iniciação científica do curso de Engenharia Civil do Instituto Federal de Educação, Ciência e Tecnologia do Tocantins. Tem como objetivo avaliar a aplicação de dois índices de conforto térmico, PET e UTCI, em espaços urbanos externos na cidade de Palmas–TO. A escolha do tema deve-se à carência de pesquisas com conforto térmico em áreas externas na cidade, bem como devido à impossibilidade de controle artificial desses espaços. A estação seca é o período foco da pesquisa, tendo em vista que é a estação de maiores temperaturas máximas do ano, nos meses de agosto e setembro. A pesquisa buscou determinar a eficiência dos índices de conforto térmico selecionados com as respostas das pessoas, utilizando proposta comparativa de recentes estudos brasileiros. Percebeu-se que o índice UTCI tem maior aproximação da sensação térmica real dos entrevistados, apesar de, da mesma forma que o PET, superestimar a percepção de conforto. O presente estudo abre mais uma possibilidade na caracterização do conforto térmico, contribuindo para futuras pesquisas sobre o tema em climas semelhantes. Sugere-se a continuidade dos estudos destes índices com a sua respectiva calibração para a região em estudo.</p><p align="justify"><span style="color: #00000a;"><span style="font-family: 'Times New Roman', serif;"><span><strong>Termos para indexação: </strong></span></span></span><span style="color: #00000a;"><span style="font-family: 'Times New Roman', serif;"><span>c</span></span></span><span style="color: #00000a;"><span style="font-family: 'Times New Roman', serif;"><span><span lang="pt"><span>onforto t</span></span></span></span></span><span style="color: #00000a;"><span style="font-family: 'Times New Roman', serif;"><span><span lang="pt">érmico</span></span></span></span><span style="color: #00000a;"><span style="font-family: 'Times New Roman', serif;"><span><span lang="pt">, espaços abertos, índices de conforto térmico </span></span></span></span></p><p lang="en-US" align="center"><span style="color: #000000;"><span style="font-family: 'Times New Roman', serif;"><span><strong>Assessment of indices PET and UTCI in central public spaces, Palmas, Tocantins</strong></span></span></span></p><p lang="en-US" align="justify"><span><span style="color: #000000;"><span style="font-family: 'Times New Roman', serif;">This paper is the result of two scientific initiation projects of Civil Engineering Course at the Federal Institute of Education, Science and Technology of Tocantins. It has as its objective to evaluate the application of two thermal comfort indices, PET and UTCI, in outdoor urban spaces in Palmas–TO. The choice of topic is due to the lack of research on thermal comfort in outdoor areas in this city. Also, its due to the impossibility of artificial control of these spaces. The dry season is the focus of this research, considering that is the season with higher values of temperature, in months August and September. The research quested to determine the application efficiency of the selected thermal comfort indexes with responses of the inhabitants, using comparative proposal of recent brazilian researches. It is perceived that the UTCI index is nearer the real thermal sensation of respondents, though, it overestimates the perception of comfort just as the PET. This study gives one more possibility for the characterization of thermal comfort, contributing to future research on the subject in similar climates. It is suggested continuing studies of these indices with calibration of them for the region studied.</span></span></span></p><p><span style="color: #000000;"><span style="font-family: 'Times New Roman', serif;"><span><span lang="en-US"><strong>Index terms</strong></span></span></span></span><span style="font-family: 'Times New Roman', serif;"><span><span lang="en-US"><strong>: </strong></span></span></span><span style="font-family: 'Times New Roman', serif;"><span><span lang="en-US">t</span></span></span><span style="font-family: 'Times New Roman', serif;"><span><span lang="en-US">hermal comfort, open spaces, thermal comfort indices</span></span></span></p>


Author(s):  
M.A. Parker ◽  
K.E. Johnson ◽  
C. Hwang ◽  
A. Bermea

We have reported the dependence of the magnetic and recording properties of CoPtCr recording media on the thickness of the Cr underlayer. It was inferred from XRD data that grain-to-grain epitaxy of the Cr with the CoPtCr was responsible for the interaction observed between these layers. However, no cross-sectional TEM (XTEM) work was performed to confirm this inference. In this paper, we report the application of new techniques for preparing XTEM specimens from actual magnetic recording disks, and for layer-by-layer micro-diffraction with an electron probe elongated parallel to the surface of the deposited structure which elucidate the effect of the crystallographic structure of the Cr on that of the CoPtCr.XTEM specimens were prepared from magnetic recording disks by modifying a technique used to prepare semiconductor specimens. After 3mm disks were prepared per the standard XTEM procedure, these disks were then lapped using a tripod polishing device. A grid with a single 1mmx2mm hole was then glued with M-bond 610 to the polished side of the disk.


Author(s):  
C.M. Sung ◽  
M. Levinson ◽  
M. Tabasky ◽  
K. Ostreicher ◽  
B.M. Ditchek

Directionally solidified Si/TaSi2 eutectic composites for the development of electronic devices (e.g. photodiodes and field-emission cathodes) were made using a Czochralski growth technique. High quality epitaxial growth of silicon on the eutectic composite substrates requires a clean silicon substrate surface prior to the growth process. Hence a preepitaxial surface cleaning step is highly desirable. The purpose of this paper is to investigate the effect of surface cleaning methods on the epilayer/substrate interface and the characterization of silicon epilayers grown on Si/TaSi2 substrates by TEM.Wafers were cut normal to the <111> growth axis of the silicon matrix from an approximately 1 cm diameter Si/TaSi2 composite boule. Four pre-treatments were employed to remove native oxide and other contaminants: 1) No treatment, 2) HF only; 3) HC1 only; and 4) both HF and HCl. The cross-sectional specimens for TEM study were prepared by cutting the bulk sample into sheets perpendicular to the TaSi2 fiber axes. The material was then prepared in the usual manner to produce samples having a thickness of 10μm. The final step was ion milling in Ar+ until breakthrough occurred. The TEM samples were then analyzed at 120 keV using the Philips EM400T.


Author(s):  
Y. Cheng ◽  
J. Liu ◽  
M.B. Stearns ◽  
D.G. Steams

The Rh/Si multilayer (ML) thin films are promising optical elements for soft x-rays since they have a calculated normal incidence reflectivity of ∼60% at a x-ray wavelength of ∼13 nm. However, a reflectivity of only 28% has been attained to date for ML fabricated by dc magnetron sputtering. In order to determine the cause of this degraded reflectivity the microstructure of this ML was examined on cross-sectional specimens with two high-resolution electron microscopy (HREM and HAADF) techniques.Cross-sectional specimens were made from an as-prepared ML sample and from the same ML annealed at 298 °C for 1 and 100 hours. The specimens were imaged using a JEM-4000EX TEM operating at 400 kV with a point-to-point resolution of better than 0.17 nm. The specimens were viewed along Si [110] projection of the substrate, with the (001) Si surface plane parallel to the beam direction.


Author(s):  
Julia T. Luck ◽  
C. W. Boggs ◽  
S. J. Pennycook

The use of cross-sectional Transmission Electron Microscopy (TEM) has become invaluable for the characterization of the near-surface regions of semiconductors following ion-implantation and/or transient thermal processing. A fast and reliable technique is required which produces a large thin region while preserving the original sample surface. New analytical techniques, particularly the direct imaging of dopant distributions, also require good thickness uniformity. Two methods of ion milling are commonly used, and are compared below. The older method involves milling with a single gun from each side in turn, whereas a newer method uses two guns to mill from both sides simultaneously.


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