94 results on '"Wernet M"'
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2. New insights into particle image velocimetry data using fuzzy-logic-based correlation/particle tracking processing
- Author
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Wernet, M. P.
- Published
- 2001
- Full Text
- View/download PDF
3. Development of digital particle imaging velocimetry for use in turbomachinery
- Author
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Wernet, M. P.
- Published
- 2000
- Full Text
- View/download PDF
4. Determining Sizes of Particles in a Flow from DPIV Data
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Wernet, M. P, Mielke, A, and Cadambi, J. R
- Subjects
Man/System Technology And Life Support - Abstract
A proposed method of measuring the size of particles entrained in a flow of a liquid or gas would involve utilization of data from digital particle-image velocimetry (DPIV) of the flow. That is to say, with proper design and operation of a DPIV system, the DPIV data could be processed according to the proposed method to obtain particle sizes in addition to particle velocities. As an additional benefit, one could then compute the mass flux of the entrained particles from the particle sizes and velocities. As in DPIV as practiced heretofore, a pulsed laser beam would be formed into a thin sheet to illuminate a plane of interest in a flow field and the illuminated plane would be observed by means of a charge-coupled device (CCD) camera aimed along a line perpendicular to the illuminated plane. Unlike in DPIV as practiced heretofore, care would be taken to polarize the laser beam so that its electric field would lie in the illuminated plane, for the reason explained in the next paragraph. The proposed method applies, more specifically, to transparent or semitransparent spherical particles that have an index of refraction different from that of the fluid in which they are entrained. The method is based on the established Mie theory, which describes the scattering of light by diffraction, refraction, and specular reflection of light by such particles. In the case of a particle illuminated by polarized light and observed in the arrangement described in the preceding paragraph, the Mie theory shows that the image of the particle on the focal plane of the CCD camera includes two glare spots: one attributable to light reflected toward the camera and one attributable to light refracted toward the camera. The distance between the glare spots is a known function of the size of the particle, the indices of refraction of the particle material, and design parameters of the camera optics. Hence, the size of a particle can be determined from the distance between the glare spots. The proposed method would be implemented in an algorithm that would automatically identify, and measure the distance between, the glare spots for each particle for which a suitable image has been captured in a DPIV image frame. The algorithm (see figure) would begin with thresholding of data from the entire image frame to reduce noise, thereby facilitating discrimination of particle images from the background and aiding in the separation of overlapping particles. It is important not to pick a threshold level so high that the light intensity between a given pair of glare spots does not fall below the threshold value, leaving the glare spots disconnected. The image would then be scanned in a sequence of rows and columns of pixels to identify groups of adjacent pixels that contain nonzero brightnesses and that are surrounded by pixels of zero brightness. Each such group would be assumed to constitute the image of one particle. Each such group would be further analyzed to determine whether the image was saturated; saturated particle images must be rejected because the locations of glare spots in saturated images cannot accurately be determined. Within each unsaturated particle image, the centroids (deemed to be the locations) of the glare spots would be determined by means of gradients of brightness distributions and three-point horizontal and three-point vertical Gaussian estimates based on the brightness values of the brightest pixels and the pixels adjacent to them. If the brightness of a given particle image contained only one peak, then it would be assumed that a second glare spot did not exist and that image would be rejected.
- Published
- 2004
5. Field Effects of Buoyancy on Lean Premixed Turbulent Flames
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Cheng, R. K, Johnson, M. R, Greenberg, P. S, and Wernet, M. P
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Propellants And Fuels - Abstract
The study of field effects of buoyancy on premixed turbulent flames is directed towards the advancement of turbulent combustion theory and the development of cleaner combustion technologies. Turbulent combustion is considered the most important unsolved problem in combustion science and laboratory studies of turbulence flame processes are vital to theoretical development. Although buoyancy is dominant in laboratory flames, most combustion models are not yet capable to consider buoyancy effects. This inconsistency has impeded the validation of theories and numerical simulations with experiments. Conversely, the understanding of buoyancy effects is far too limited to help develop buoyant flame models. Our research is also relevant to combustion technology because lean premixed combustion is a proven method to reduce the formation of oxides of nitrogen (NOx). In industrial lean premixed combustion systems, their operating conditions make them susceptible to buoyancy thus affecting heat distribution, emissions, stability, flashback and blowoff. But little knowledge is available to guide combustion engineers as to how to avoid or overcome these problems. Our hypothesis is that through its influence on the mean pressure field, buoyancy has direct and indirect effects on local flame/turbulence interactions. Although buoyancy acts on the hot products in the farfield the effect is also felt in the nearfield region upstream of the flame. These changes also influence the generation and dissipation of turbulent kinetic energy inside the flame brush and throughout the flowfield. Moreover, the plume of an open flame is unstable and the periodic fluctuations make additional contributions to flame front dynamics in the farfield. Therefore, processes such as flame wrinkling, flow acceleration due to heat release and flame- generated vorticity are all affected. Other global flame properties (e.g. flame stabilization limits and flame speed) may all be coupled to buoyancy. This problem poses major challenges to combustion modeling due to its need for a computation domain extending into the farfield and full specifications of upstream, wall and downstream boundary conditions.
- Published
- 2003
6. Comparison of Particle Image Velocimetry and Laser Doppler Anemometry Measurements in Turbulent Fluid Flow
- Author
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Wernet, M. P., Subramanian, A., Mu, H., and Kadambi, J. R.
- Published
- 2000
- Full Text
- View/download PDF
7. Field Effects of Buoyancy on Lean Premixed Turbulent Flames
- Author
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Cheng, R. K, Dimalanta, R, Wernet, M. P, and Greenberg, P. S
- Subjects
Inorganic, Organic And Physical Chemistry - Abstract
Buoyancy affects the entire flowfield of steady turbulent flames and this aspect of flame buoyancy coupling is largely unexplored by experiments or by theory. Open flames and flames within large confinements are free to expand and interact with the surrounding environment. In addition to fluid and combustion conditions, their aerodynamic flowfields are determined by the flame brush orientation and geometry, wake of the stabilizer, enclosure size, and of course, the gravitational field. Because the flowfield consists mainly of cold reactants (mostly in the nearfield) and hot products (mostly in the farfield), buoyancy effects are manifested in the farfield region. In upward pointing flames, an obvious effect is a favorable axial pressure gradient that accelerates the products thereby increasing the axial aerodynamic stretch rate. Intrinsic to turbulent flows, changes in mean aerodynamic stretch also couple to the fluctuating pressure field. Consequently, buoyancy can influence the turbulence intensities upstream and downstream of the flame. Flame wrinkling process, and heat release rate are also directly affected. This backward coupling mechanism is the so-called elliptic problem. To resolve the field effects of buoyancy would require the solution of three-dimensional non-linear Navier Stokes equations with full specification of the upstream, wall and downstream boundary conditions.
- Published
- 2001
8. Particle-Image Velocimetry in Microgravity Laminar Jet Diffusion Flames
- Author
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Sunderland, P. B, Greenberg, P. S, Urban, D. L, Wernet, M. P, and Yanis, W
- Subjects
Materials Processing - Abstract
This paper discusses planned velocity measurements in microgravity laminar jet diffusion flames. These measurements will be conducted using Particle-Image Velocimetry (PIV) in the NASA Glenn 2.2-second drop tower. The observations are of fundamental interest and may ultimately lead to improved efficiency and decreased emissions from practical combustors. The velocity measurements will support the evaluation of analytical and numerical combustion models. There is strong motivation for the proposed microgravity flame configuration. Laminar jet flames are fundamental to combustion and their study has contributed to myriad advances in combustion science, including the development of theoretical, computational and diagnostic combustion tools. Nonbuoyant laminar jet flames are pertinent to the turbulent flames of more practical interest via the laminar flamelet concept. The influence of gravity on these flames is deleterious: it complicates theoretical and numerical modeling, introduces hydrodynamic instabilities, decreases length scales and spatial resolution, and limits the variability of residence time. Whereas many normal-gravity laminar jet diffusion flames have been thoroughly examined (including measurements of velocities, temperatures, compositions, sooting behavior and emissive and absorptive properties), measurements in microgravity gas-jet flames have been less complete and, notably, have included only cursory velocity measurements. It is envisioned that our velocity measurements will fill an important gap in the understanding of nonbuoyant laminar jet flames.
- Published
- 1999
9. Laser Anemometer Measurements of the Flow Field in a 4:1 Pressure Ratio Centrifugal Impeller
- Author
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Skoch, G. J, Prahst, P. S, Wernet, M. P, Wood, J. R, and Strazisar, A. J
- Subjects
Aircraft Propulsion And Power - Abstract
A laser-doppler anemometer was used to obtain flow-field velocity measurements in a 4:1 pressure ratio, 4.54 kg/s (10 lbm/s), centrifugal impeller, with splitter blades and backsweep, which was configured with a vaneless diffuser. Measured through-flow velocities are reported for ten quasi-orthogonal survey planes at locations ranging from 1% to 99% of main blade chord. Measured through-flow velocities are compared to those predicted by a 3-D viscous steady flow analysis (Dawes) code. The measurements show the development and progression through the impeller and vaneless diffuser of a through-flow velocity deficit which results from the tip clearance flow and accumulation of low momentum fluid centrifuged from the blade and hub surfaces. Flow traces from the CFD analysis show the origin of this deficit which begins to grow in the inlet region of the impeller where it is first detected near the suction surface side of the passage. It then moves toward the pressure side of the channel, due to the movement of tip clearance flow across the impeller passage, where it is cut by the splitter blade leading edge. As blade loading increases toward the rear of the channel the deficit region is driven back toward the suction surface by the cross-passage pressure gradient. There is no evidence of a large wake region that might result from flow separation and the impeller efficiency is relatively high. The flow field in this impeller is quite similar to that documented previously by NASA Lewis in a large low-speed backswept impeller.
- Published
- 1997
10. Inclusion scolaire : dispositif pédagogique pour enfants dyslexiques et dysphasiques au sein d'une école spécialisée
- Author
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Leclerc, Céline, Piquard-Kipffer, Agnès, Rosin, C, Wernet, M, Ecole Primaire spécialisée Marcel Leroy, Speech Modeling for Facilitating Oral-Based Communication (MULTISPEECH), Inria Nancy - Grand Est, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-Department of Natural Language Processing & Knowledge Discovery (LORIA - NLPKD), Laboratoire Lorrain de Recherche en Informatique et ses Applications (LORIA), Institut National de Recherche en Informatique et en Automatique (Inria)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche en Informatique et en Automatique (Inria)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)-Laboratoire Lorrain de Recherche en Informatique et ses Applications (LORIA), Institut National de Recherche en Informatique et en Automatique (Inria)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL)-Institut National de Recherche en Informatique et en Automatique (Inria)-Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL)-Institut National de Recherche en Informatique et en Automatique (Inria)-Laboratoire Lorrain de Recherche en Informatique et ses Applications (LORIA), Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL)-Institut National de Recherche en Informatique et en Automatique (Inria)-Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL), and Piquard-Kipffer, Agnès
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[SCCO]Cognitive science ,Specific language disorders and learning disabilities ,Varied teaching approaches ,Disabilities ,Inclusion scolaire ,Adaptations pédagogiques ,Situation de handicap ,Inclusive education ,[SCCO] Cognitive science ,Troubles spécifiques du langage et des apprentissages ,[SCCO.LING] Cognitive science/Linguistics ,[SCCO.LING]Cognitive science/Linguistics - Abstract
In the first part of the article, we describe different types of schooling in France, for children withdisabilities. In the second part, we focus on a particular system of teaching - a local unit for inclusiveeducation - for children aged from 6 to 12 with specific language disorders and learning disabilities,in a specialised school. In the last part, we describe a few exemples of pedagogical accomodationsconceived for the local unit for inclusive education and other accomodations designed to be used inthe inclusion class in history and geography studies., Dans la première partie de l’article, nous décrivons les différents types de scolarisation, en France,pour des élèves en situation de handicap. Dans une deuxième partie, nous présentons un dispositifpédagogique - une Unité locale pour l’inclusion scolaire - mis en place pour l’accompagnementd’élèves âgés de 6 à 12 ans présentant des troubles spécifiques du langage et des apprentissages, cela,au sein d’une école spécialisée. Dans une dernière partie, nous décrivons quelques exemplesd’adaptations pédagogiques menées au sein de ce dispositif ainsi que d’autres adaptations menéesdans la classe de référence des élèves en histoire-géographie.
- Published
- 2017
11. Review of Planar Multiple-Component Velocimetry in High-Speed Flows
- Author
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Samimy, M. and Wernet, M. P.
- Subjects
Aeronautical research -- Analysis ,Aerodynamics, Supersonic -- Research ,Aerospace and defense industries ,Business - Abstract
High-speed flows encountered in most applications typically have very high Reynolds numbers and are often highly turbulent. Even in a laboratory-scale high subsonic or supersonic (high-speed) flow, velocities could vary over 3 orders of magnitude, and the turbulence spatial and temporal scales could span over 4-5 orders of magnitude. Exploring detailed physics of such flows presents major challenges to both experimental and computational researchers. An ultimate velocimetry technique would provide detailed, accurate, volumetric, real-time velocity data in such flows. With that being the goal, currently there are two planar velocimetry techniques that are developing rapidly into very useful tools with the potential of providing accurate velocity information in high-speed flows. The techniques are planar Doppler velocimetry (PDV) and particle imaging velocimetry (PIV). Whereas PDV has been under development for a relatively short period of time and is becoming a powerful technique, more accurate in high-speed flows, PIV is an established technique in low-speed flows and is now breaking ground in high-speed flows. The purpose of this review is to provide detailed background on these two techniques, to discuss the strengths and constraints of each technique, and to outline the areas in need of further improvement and development. The aims are to assist the novice users in their proper usage and to help those who are in the process of deciding which technique is more appropriate in their specific applications.
- Published
- 2000
12. Implementation of a new type of time-of-flight laser anemometer
- Author
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Wernet, M. P and Edwards, R. V
- Subjects
Instrumentation And Photography - Abstract
A new time-of-flight (TOF) laser anemometer system utilizing a spatial lead-lag filter for bipolar pulse generation has been constructed and tested. This new TOF has been modified to enable measurements in turbulent flows near walls. Good results have been obtained as close as 100 microns from a surface, with a 140-mm focal length final lens. Lading's theory for the behavior of the measurement variance has been confirmed for this configuration.
- Published
- 1986
13. EXPERIMENTAL INVESTIGATION OF FLOW IN A BLADELESS ROTARY BLOOD PUMP USING PARTICLE IMAGE VELOCIMETRY
- Author
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Sastry, S., primary, Kadambi, Jaikrishnan R., additional, Sankovic, J. M., additional, Wernet, M. P., additional, and Izraelev, V., additional
- Published
- 2008
- Full Text
- View/download PDF
14. Temporally resolved PIV for space–time correlations in both cold and hot jet flows
- Author
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Wernet, M P, primary
- Published
- 2007
- Full Text
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15. Particle Velocities in the Rotating Impeller of a Slurry Pump
- Author
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Mehta, M., primary, Kadambi, J. R., additional, Sastry, S., additional, Sankovic, J. M., additional, Wernet, M. P., additional, Addie, G., additional, and Visintainer, R., additional
- Published
- 2007
- Full Text
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16. Study of Particulate Flow in the Impeller of a Slurry Pump Using PIV
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Mehta, M., primary, Kadambi, J. R., additional, Sastry, S., additional, Sankovic, J., additional, Wernet, M., additional, Addie, G., additional, and Visintainer, R., additional
- Published
- 2004
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17. PIV Investigations of the Flow Field in the Volute of a Rotary Blood Pump
- Author
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Sankovic, J. M., primary, Kadambi, J. R., additional, Mehta, M., additional, Smith, W. A., additional, and Wernet, M. P., additional
- Published
- 2003
- Full Text
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18. Particulate Velocity Measurements in the Intra-Blade Passages of a Centrifugal Slurry Pump
- Author
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Kadambi, J. R., primary, Mehta, M., additional, Charoenngam, P., additional, Wernet, M. P., additional, Sankovic, J., additional, and Addie, G., additional
- Published
- 2003
- Full Text
- View/download PDF
19. Laser Anemometer Measurements of the Flow Field in a 4:1 Pressure Ratio Centrifugal Impeller.
- Author
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NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CLEVELAND OH LEWIS RESEARCH CEN TER, Skoch, G. J., Prahst, P. S., Wernet, M. P., Wood, J. R., Strazisar, A. J., NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CLEVELAND OH LEWIS RESEARCH CEN TER, Skoch, G. J., Prahst, P. S., Wernet, M. P., Wood, J. R., and Strazisar, A. J.
- Abstract
A laser-doppler anemometer was used to obtain flow-field velocity measurements in a 4:1 pressure ratio, 4.54 kg/s (10 lbm/s), centrifugal impeller, with splitter blades and backsweep, which was configured with a vaneless diffuser. Measured through-flow velocities are reported for ten quasi-orthogonal survey planes at locations ranging from 1% to 99% of main blade chord. Measured through-flow velocities are compared to those predicted by a 3-D viscous steady flow analysis (Dawes) code. The measurements show the development and progression through the impeller and vaneless diffuser of a through-flow velocity deficit which results from the tip clearance flow and accumulation of low momentum fluid centrifuged from the blade and hub surfaces. Flow traces from the CFD analysis show the origin of this deficit which begins to grow in the inlet region of the impeller where it is first detected near the suction surface side of the passage. It then moves toward the pressure side of the channel, due to the movement of tip clearance flow across the impeller passage, where it is cut by the splitter blade leading edge. As blade loading increases toward the rear of the channel the deficit region is driven back toward the suction surface by the cross-passage pressure gradient. There is no evidence of a large wake region that might result from flow separation and the impeller efficiency is relatively high. The flow field in this impeller is quite similar to that documented previously by NASA Lewis in a large low-speed backswept impeller.
- Published
- 1997
20. Application of DPIV to enhanced mixing heated nozzle flows
- Author
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Wernet, M., primary and Bridges, J., additional
- Published
- 2002
- Full Text
- View/download PDF
21. PIV Investigations of Particle Velocities in the Tongue Region of a Slurry Pump
- Author
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Charoenngam, P., primary, Subramanian, A., additional, Kadambi, J. R., additional, Wernet, M., additional, Sankovic, J., additional, Addie, G., additional, and Courtwright, R., additional
- Published
- 2002
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22. Analysis of the blind Drosophila mutant ninaB identifies the gene encoding the key enzyme for vitamin A formation in vivo
- Author
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von Lintig, J., primary, Dreher, A., additional, Kiefer, C., additional, Wernet, M. F., additional, and Vogt, K., additional
- Published
- 2001
- Full Text
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23. Laser Anemometer Measurements of the Flow Field in a 4:1 Pressure Ratio Centrifugal Impeller
- Author
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Skoch, G. J., primary, Prahst, P. S., additional, Wernet, M. P., additional, Wood, J. R., additional, and Strazisar, A. J., additional
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- 1997
- Full Text
- View/download PDF
24. Application of DPIV to study both steady state and transient turbomachinery flows
- Author
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Wernet, M. P.
- Published
- 2000
- Full Text
- View/download PDF
25. Particle sizing using Particle Imaging Velocimetry for two-phase flows
- Author
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Kadambi, J. R., Martin, W. T., Amirthaganesh, S., and Wernet, M. P.
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- 1998
- Full Text
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26. Approaching the family: presenting a new definition of family and care,Mobilizando-se para a família: dando um novo sentido à família e ao cuidar
- Author
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Wernet, M. and Margareth Angelo
27. Four spot laser anemometer and optical access techniques for turbine applications
- Author
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Wernet, M
- Published
- 1987
28. Safe care for premature babies at home: Parenting and stimulating development.
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Pancieri L, Silva RMM, Wernet M, Fonseca LMM, Hameed S, and Mello DF
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- Infant, Newborn, Infant, Humans, Infant, Premature, Parents, Qualitative Research, Parenting, Home Care Services
- Abstract
Parental daily care and adequate stimuli are extremely important for development and safety of premature babies at home. This study aimed to analyze safe home care for babies born under 32 weeks from parents' perspectives, with a view to a longitudinal promotion of baby development. A qualitative study, based on philosophical hermeneutic approach proposed by Hans-Georg Gadamer, in which dialogue as a principle provides understanding and fusion of experiences and knowledge. Semi-structured interviews were conducted with 18 parents of premature babies under 1 year of age. Thematic analysis proposed by Braun and Clarke was applied using an inductive approach. Elements related to safe care were identified: home arrival, safe home care: preserving baby health and development, support for safe home care, and development of parental care to promote baby safety. These elements can provide a basis for safe home care that needs to be reinforced longitudinally to increase particularities of baby protection, avoid accidents and illnesses, and improve appropriate developmental stimuli and positive parenting., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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29. Home visit to premature and low birth weight newborns: nurse's experience report.
- Author
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Oliveira AIB, Wernet M, Petruccelli G, Silveira AO, and Ruiz MT
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- Infant, Newborn, Humans, Female, Brazil, Mothers, Parents, House Calls, Premature Birth
- Abstract
Objective: To report the structures of the experience of nurse's home visits to premature and low birth weight newborns., Method: This is a descriptive study of the experience report type, structured on the experience of the nurse authors in the development of 48 home visits in a city in the state of São Paulo and its microregion between August 2020 and 2021 with eight mothers of premature and low weight newborns., Results: The guiding documents "Home visit for families with preterm and low birth weight newborns" and "Strategy of guiding questions for home visits" were created and used to promote open narratives from parental caregivers about caring for at-risk newborns, creating a relational space aimed at joint construction., Conclusion: The documents used have favored home visits, helping nurses to establish professional bonds and build relational space through dialogue when conducting their activities in the home environment.
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- 2024
- Full Text
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30. Factors intervening in the childbirth experience: a mixed-methods study.
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de Oliveira Paes LB, Fabbro MRC, de Oliveira Toso BRG, de Castro Bussadori JC, Ruiz MT, Salim NR, Wernet M, Silveira AO, and de Abreu D Agostini FCP
- Subjects
- Female, Pregnancy, Humans, Brazil, Delivery, Obstetric, Postpartum Period, Pain, Parturition, Maternal Health Services
- Abstract
Objective: To analyze the childbirth experience focusing on the intervening factors and on the delivery method., Method: A sequential and explanatory mixed-methods study guided by the World Health Organization document for positive childbirth experiences. The participants were puerperal women in a maternity teaching hospital from inland São Paulo (Brazil). The first quantitative stage involved descriptive analysis with Poisson regression of 265 answers to the "Termômetro da Iniciativa Hospital Amigo da Mulher e da Criança" ("Women- and Baby-Friendly Hospital Initiative Thermometer") questionnaire. The second stage, qualitative, thematically analyzed the interviews conducted with 44 puerperal women who took part in the first stage. Data integration was by connection., The Results and Discussion: The analysis by connection showed that among the factors that restricted the positive experience, C-section was predominant (61.9%), understood as an option due to fear of pain, the treatment modality and previous traumas. Restrictions referring to the presence of a companion (99.6%), not having privacy (83%), disrespectful situations (69.5%), too many touches (56.9%) and the absence of skin-to-skin contact (55%), among others, potentiated fear, loneliness, concern, shame, the perception of disrespect and insecurity with the assistance provided. The promoting factors were as follows: choosing the companion (95.4%) for collaborating in the safety perception, not having infections (83.9%), having continuous team monitoring (82.2%) and pain relief methods (78.9%), which were valued by the women., Conclusion: The intervening factors that promoted positive experiences were related to clinical and protocol-related issues and to service availability. The restrictive factors were associated with excess interventions, deprivation of rights and of choice, absence of privacy and restriction referring to the presence of a companion. Women with a normal postpartum period felt more insecure and disrespected when compared to those subjected to C-sections, whose choices were considered, although they had lower prevalence of skin-to-skin contact. There is an urgent need to apprehend women's experiences and turn them into actions that guarantee their lives in a safe and respectful way., (© 2024. The Author(s).)
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- 2024
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31. Parents' hope in perinatal and neonatal palliative care: a scoping review.
- Author
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Silveira AO, Wernet M, Franco LF, Dias PLM, and Charepe Z
- Subjects
- Female, Humans, Infant, Newborn, Pregnancy, Interpersonal Relations, Parents psychology, Uncertainty, Palliative Care psychology, Quality of Life
- Abstract
Background: The diagnosis of a life-limiting condition of a child in the perinatal or neonatal period is a threat to parental hopes. Hope is an interactional and multidimensional construct, and in palliative care, it is a determinant of quality of life, survival, acceptance and peaceful death., Objective: To map scientific evidence on parents' hope in perinatal and neonatal palliative care contexts., Method: a scoping review theoretically grounded on Dufault and Martocchio's Framework, following the Joanna Briggs Institute methodological recommendations. Searches were performed until May 2023 in the MEDLINE, CINAHL and PsycINFO databases. The searches returned 1341 studies., Results: Eligible papers included 27 studies, most of which were carried out in the United States under a phenomenological or literature review approach. The centrality of women's perspectives in the context of pregnancy and perinatal palliative care was identified. The parental hope experience is articulated in dealing with the uncertainty of information and diagnosis, an approach to which interaction with health professionals is a determinant and potentially distressful element. Hope was identified as one of the determinants of coping and, consequently, linked to autonomy and parenthood. Cognitive and affiliative dimensions were the hope dimensions that predominated in the results, which corresponded to the parents' ability to formulate realistic goals and meaningful interpersonal relationships, respectively., Conclusion: Hope is a force capable of guiding parents along the path of uncertainties experienced through the diagnosis of a condition that compromises their child's life. Health professionals can manage the family's hope by establishing sensitive therapeutic relationships that focus on the dimension of hope. The need for advanced research and intervention in parental and family hope are some of the points made in this study., Protocol Registration: https://osf.io/u9xr5/ ., (© 2023. The Author(s).)
- Published
- 2023
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32. Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
- Author
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Paula AJ, Condeles PC, Silva JAD, Santos LMD, Fonseca LMM, Ruiz MT, and Wernet M
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- Female, Pregnancy, Infant, Newborn, Humans, Cross-Sectional Studies, Prospective Studies, Parturition psychology, Pregnant Women psychology, Fear psychology, Surveys and Questionnaires, Pandemics, COVID-19 epidemiology
- Abstract
Objective: to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic., Methods: a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis., Results: of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016)., Conclusion: among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women's mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
- Published
- 2023
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33. Quantification of blood loss for the diagnosis of postpartum hemorrhage: a systematic review and meta-analysis.
- Author
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Ruiz MT, Azevedo NF, Resende CV, Rodrigues WF, Meneguci J, Contim D, Wernet M, and Oliveira CJF
- Subjects
- Pregnancy, Female, Humans, Postpartum Hemorrhage diagnosis
- Abstract
Objective: to compare the effectiveness of different diagnostic methods to estimate postpartum blood volume loss., Methods: a systematic review of effectiveness according to PRISMA and JBI Protocol. Searches in PubMed/MEDLINE, LILACS, Scopus, Embase, Web of Science and CINAHL, with descriptor "Postpartum Hemorrhage" associated with keyword "Quantification of Blood Loss". Tabulated extracted data, presented in metasynthesis and meta-analysis was applied to quantitative data. To assess risk of bias, JBI Appraisal Tools were applied., Results: fourteen studies were included, published between 2006 and 2021. Quantification of loss by any method was superior to visual estimation and is highly recommended, however the studies' high heterogeneity did not allow estimating this association., Conclusion: the studies' high heterogeneity, with a probable margin of error given the uncontrolled factors, indicates the need for further studies, however quantification proved to be effective in relation to visual estimate. PROSPERO registration CRD 42021234486.
- Published
- 2023
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34. Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review.
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Ruiz MT, Oliveira KF, Azevedo NF, Paschoini MC, Rodrigues WF, Oliveira CJF, Oliveira JF, Fonseca LMM, and Wernet M
- Subjects
- Female, Humans, Infant, Newborn, Cross-Sectional Studies, Mothers, Prevalence, Breast Feeding, COVID-19 epidemiology
- Abstract
Objectives: to compare exclusive breastfeeding prevalence versus artificial feeding in newborns of mothers with COVID-19., Methods: a systematic review of prevalence, according to JBI. Searches in PubMed®, Embase, CINAHL, LILACS and Web of Science™ databases in August 2021. Cross-sectional, longitudinal or cohort studies were selected, without language and time limitations that showed breastfeeding prevalence or that allowed calculation., Results: fifteen articles published in 2020 and 2021, cohort (60%) or cross-sectional (40%) were analyzed. The average of exclusive breastfeeding in mothers with COVID-19 was 56.76% (CI=39.90-72.88), and artificial breastfeeding, 43.23% (CI = 30.99 - 55.88), without statistically significant differences., Conclusions: despite the recommendations for maintaining breastfeeding, there was a reduction worldwide, when compared to periods prior to the pandemic. With advances in science, these rates have improved, showing the impact of evidence on practices. As limitations, study sources are cited. It is recommended to carry out new studies. PROSPERO registration CRD42021234486.
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- 2023
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35. Effectiveness of individualized counseling on the duration of exclusive breastfeeding: study protocol for a multicenter, randomized, parallel, and open clinical trial.
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Ruiz MT, Rodrigues EDC, da Silva KEPO, de Resende CV, Cavalcanti MC, Dos Santos LM, Wernet M, Gomes ALM, Christoffel MM, Raponi MBG, da Silva JA, de Oliveira JF, Contim D, and Linares AM
- Subjects
- Pregnancy, Child, Humans, Female, Adult, Middle Aged, Infant, Parturition, Parity, Counseling, Randomized Controlled Trials as Topic, Multicenter Studies as Topic, Breast Feeding, Hospitals
- Abstract
Background: Despite the benefits of breastfeeding, early weaning is a reality, so less than 50% of children worldwide and in Brazil are on exclusive breastfeeding in the sixth month of life. A strategy to counteract this scenario is breastfeeding counseling. This study aims to verify the effectiveness of individualized counseling by nurses trained in breastfeeding counseling, on the duration of exclusive breastfeeding, compared to standard care., Methods: Multicenter, randomized, parallel, and open clinical trial, with primiparous women aged over 18 years, hospitalized in rooming-in wards at participating centers and hemodynamically stable, aware, and oriented, who had a single-fetus pregnancy and gave birth, regardless of the type of delivery, with live child, gestational age of 37 to 42 weeks and birth weight greater than 2500 g. The women will be initially approached in rooming-in wards and, upon consent to participate in the study, will be allocated through randomization by blocks composed of eight participants in two groups: intervention and control. The randomization lists will be organized by a central without involvement with the study, which will manage the allocation groups and be prepared in the Randon® program. Women allocated to the intervention group will receive breastfeeding counseling by trained nurses, and those in the control group will receive standard care at the center participating in the study., Discussion: The results can contribute to breastfeeding by evidencing possible exclusivity and duration of the counseling trained nurses provide., Trial Registration: REBEC RBR-4w9v5rq (UTN: U1111-1284-3559) ( https://ensaiosclinicos.gov.br/rg/RBR-4w9v5rq ). Posted on March 20, 2023., (© 2023. The Author(s).)
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- 2023
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36. Searching for human connection to transcend symbolisms in pediatric palliative care.
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Moreira-Dias PL, Franco LF, Bonelli MA, Ferreira EAL, and Wernet M
- Subjects
- Adolescent, Humans, Child, Qualitative Research, Health Personnel, Symbolism, Palliative Care methods, Empathy
- Abstract
Objectives: to present a theoretical model for the interactional context of health professionals and families of children and adolescents under palliative care., Methods: qualitative study based on the theoretical frameworks of Grounded Theory and Symbolic Interactionism. Ten palliative care professionals took part in this study through semi-structured interviews employing snowball technique from 2020 to 2021., Results: the comparative data analysis resulted in the theoretical model "Searching for human connection to transcend symbolisms in pediatric palliative care". It reveals symbolic elements that substantiate the construction of a collaborative context integrating two phenomena: "Overcoming boundaries and intertwining paths" and "Embracing suffering to weave meaningful experiences". Symbolisms in palliative care guide the behavior of families and professionals, which makes them the key factor to be managed., Final Considerations: symbolisms and suffering continually integrate the interactional experience of professionals. Empathy and compassion are fundamental elements to enable their connection with families.
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- 2023
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37. Circle of culture in supporting the identity process of adolescents: an action research.
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Bonelli MA, Petruccelli G, Sudário Melo L, Felice MDSBS, Carlos DM, and Wernet M
- Subjects
- Humans, Adolescent, Brazil, Photography, Schools, Health Services Research
- Abstract
Objective: To report and discuss the experience of the Circle of Culture in a school space, with attention to the social identity of adolescents., Method: Action research, conducted under the assumptions of the Circle of Culture, from August to December 2019. Participants were 16 adolescents, enrolled in Elementary School, in a state public school, in the rural district of a city of São Paulo. Data collection took place through photographic records, participant observation and field diary., Results: The relations of friendship were the central agenda of the Circles of Culture when dialogues about their structuring and influence on the identity construction were developed., Conclusion: Circles of Culture mediated by health professionals in the school setting have the power to problematize the reality of each adolescent's life and, simultaneously, dialogue about the common, an aspect that empowers identity projects.
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- 2023
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38. Skin-to-Skin Contact in the Third Stage of Labor and Postpartum Hemorrhage Prevention: A Scoping Review.
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Ruiz MT, Azevedo NF, Raponi MBG, Fonseca LMM, Wernet M, Silva MPC, and Contim D
- Subjects
- Pregnancy, Female, Humans, Oxytocin, Ergonovine, Delivery, Obstetric, Postpartum Period, Randomized Controlled Trials as Topic, Postpartum Hemorrhage prevention & control, Oxytocics
- Abstract
Introduction: Literature supports numerous benefits of skin-to-skin contact for neonatal adaptation to extrauterine life and bonding/attachment, but few studies explore the effects of skin-to-skin contact on maternal outcomes. This review aims to map the evidence on skin-to-skin contact in the third stage of labor for postpartum hemorrhage prevention., Methods: Scoping review, which covered stages recommended by the Institute Joanna Briggs, including studies from the PubMed, EMBASE, CINAHL, LILACS, Web of Science, and Scopus databases, using the descriptors "Postpartum hemorrhage", "Labor stages, third", "Prevention" and "Kangaroo care/Skin-to-skin"., Results: 100 publications on the subject found, 13 articles met the inclusion criteria, with 10,169 dyads were assessed in all studies. Publications from 2008 to 2021 were mostly written in English and designed as a randomized controlled trial. Skin-to-skin contact was effective and significant in: reducing the duration of the third stage of labor; placenta delivery; uterine contractility and physiological involution; absence of atony, decreasing blood loss with lower rates of erythrocyte and hemoglobin drop; reducing the need for synthetic oxytocin and/or ergometrine to control bleeding; and reducing changing pads per period and length of stay., Discussion: Skin-to-skin contact was considered an effective, low-cost, and safe strategy, with positive effects already established in the literature for infants and extremely favorable results in postpartum hemorrhage prevention cases, being highly recommended in assistance for the dyad. Open Science Framework Registry ( https://osf.io/n3685 )., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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- 2023
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39. Nurses and health care for gay adolescents.
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Melo LS, Bonelli MA, Ayres JRCM, Silva GWDS, Borges FA, and Wernet M
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- Adolescent, Humans, Attitude of Health Personnel, Qualitative Research, Health Facilities, Sexual and Gender Minorities, Sexually Transmitted Diseases, Nurses
- Abstract
Objective: to analyze nurses' statements about health care for gay adolescents., Method: qualitative study, anchored on the Thematic Analysis of Clarke and Braun, with adoption of Symbolic Interactionism as a theoretical framework, since it favors the understanding of the relationship between behaviors, interactions, and social meanings. Twelve nurses recruited using the snowball sampling technique were remotely interviewed via the Google Meet® video-conferencing app., Results: four themes were elaborated throughout the comprehensive-interpretative process: "Gay adolescents, agendas, and relation with health;" "The gay adolescent's family and care;" "Relationship with gay adolescents in care," and "Limits to nursing care for gay adolescents.", Conclusion: the statements denounce stigmas and symbols derived from cisheteronormativity as intervening in the relationship and indicate the urgency of investing in the intersubjective encounter with gay adolescents and their families in a horizontal, affective, and empathic relationship, with chances of favoring public defense of the right to health. There are comments on the nurses' attitude and qualification of care for this population., Keypoints: (1) Tendency towards "de-subjectifying" objectification in health practices. (2) Hegemony of cisheteronormative logic as a limitation to care. (3) Sex and sexually transmitted infections (STIs) as stigmas attached to gay adolescents. (4) Family and health care for homosexual adolescents: opportunities and obstacles. (5) The limits and powers of nursing to enable equity in care for gay adolescents.
- Published
- 2022
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40. Adolescent pregnancies and adherence to puerperal consultation.
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Pinto IR, Silva JAD, Parra PC, Wernet M, Fonseca LMM, and Ruiz MT
- Subjects
- Adolescent, Cross-Sectional Studies, Delivery, Obstetric, Female, Humans, Infant, Newborn, Postpartum Period, Pregnancy, Referral and Consultation, Pregnancy in Adolescence
- Abstract
Objective: to determine the profile of pregnancies and prevalence of adherence to puerperal consultation among adolescent puerperal women compared to non-adolescent puerperal women served in an outpatient clinic of a teaching hospital in the rural area of Minas Gerais., Method: cross-sectional study nested in a cohort of puerperal women; non-probabilistic sample, by convenience; adolescent pregnancy - dependent variable; sociodemographic, clinical and obstetric - independent variables. It employed its own instrument, tested by means of a pilot test. Prevalence ratios and confidence intervals were calculated; chi-square and Fisher's exact tests were applied, considering a significance level of 5%, and Poisson regression with robust variance., Results: we interviewed 121 puerperal women, of which 18.2% (22) were adolescents, and observed among them low educational level (p<0.001); fewer pregnancies with pathologies (p=0.016); predominance of primiparous women (p<0.001), and higher rates of normal delivery (p=0.032). The prevalence of adherence to puerperal consultation was 34.7% and 31.8% for adolescents. There were no differences regarding adherence and age of puerperal women., Conclusion: adolescents did not present negative obstetric and neonatal outcomes, although a lower educational level was observed. Association was found between early age and absence of diseases during pregnancy and higher rates of normal vaginal deliveries. Adherence to puerperal return visit was slightly lower, but without statistical significance., (1) Adolescent puerperal women had low educational level. (2) Association between early age and absence of diseases during pregnancy. (3) There were higher rates of normal vaginal deliveries among adolescents. (4) Adolescents did not present negative obstetric and neonatal outcomes. (5) There were no differences regarding adherence and age of puerperal women.
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- 2022
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41. Antenatal care as a risk factor for caesarean section: a case study in Brazil.
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Fabbro MRC, Wernet M, Baraldi NG, de Castro Bussadori JC, Salim NR, Souto BGA, and Dos Reis Fermiano A
- Subjects
- Brazil epidemiology, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Pregnancy, Risk Factors, Cesarean Section, Prenatal Care methods
- Abstract
Background: Antenatal care is an important tool to prevent complications and decrease the incidence of maternal and antenatal morbidity and mortality. In Brazil, quality, access, and coverage of antenatal care are described as insufficient. Consequently, high rates of caesarean section, congenital morbidities such as syphilis, maternal and early neonatal mortality occur, as well as obstetric violence and dissatisfaction with healthcare. It is important to reflect on health disparities in antenatal care. This study aimed to carry out a critical analysis of antenatal care in one city of São Paulo state in Brazil., Methods: A case study was performed, structured in a descriptive cross-sectional epidemiological study and two qualitative studies. Data for the epidemiological study was obtained from the Informatics Department of the Unified Health System (DATASUS) of Brazil, which was processed in the Epi-info v software 7.2. and treated descriptively and by the Mantel-Haenszel or Fisher's exact tests. Qualitative data was collected through semi-structured interviews with 30 pregnant women and 8 nurses in the primary healthcare service of one city in São Paulo. The qualitative data analysis was based on thematic content analysis., Results: The data revealed a limited quality of antenatal care. More than six antenatal visits increased the probability of a caesarean section by 47% and babies born vaginally had a lower Apgar score. There was little participation of nurses in antenatal care and women described it as "a quick medical appointment", limited by protocols, based on procedures and insufficient in dialogue. Antenatal care appeared to be fragmented and permeated by challenges that involve the need for change in management, performance, and ongoing training of professionals, as well as in the guarantee of women's rights., Conclusions: Caesarean section was statistically related to the number of antenatal care visits. Interactions between professionals and pregnant women were poor and resulted in dissatisfaction. There is an urgent need to connect health indicators with the findings from professionals and women's experiences to improve the quality of antenatal care., (© 2022. The Author(s).)
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- 2022
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42. Tight Complex Formation of the Fumarate Sensing DcuS-DcuR Two-Component System at the Membrane and Target Promoter Search by Free DcuR Diffusion.
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Gencheva S, Dersch S, Surmann K, Wernet M, Antelo L, Hammer E, Graumann PL, Hellmann N, and Unden G
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- DNA, Bacterial, Dicarboxylic Acid Transporters genetics, Dicarboxylic Acid Transporters metabolism, Escherichia coli genetics, Fumarates metabolism, Gene Expression Regulation, Bacterial, Promoter Regions, Genetic, DNA-Binding Proteins genetics, Escherichia coli Proteins genetics, Protein Kinases metabolism, Transcription Factors genetics
- Abstract
Signaling of two-component systems by phosphoryl transfer requires interaction of the sensor kinase with the response regulator. Interaction of the C4-dicarboxylate-responsive and membrane-integral sensor kinase DcuS with the response regulator DcuR was studied. In vitro , the cytoplasmic part of DcuS (PAS
C -Kin) was employed. Stable complexes were formed, when either DcuS or DcuR were phosphorylated ( Kd 22 ± 11 and 28 ± 7 nM, respectively). The unphosphorylated proteins produced a more labile complex ( Kd 1380 ± 395 nM). Bacterial two-hybrid studies confirm interaction of DcuR with DcuS (and PASC -Kin) in vivo . The absolute contents of DcuR (197-979 pmol mg-1 protein) in the bacteria exceeded those of DcuS by more than 1 order of magnitude. According to the Kd values, DcuS exists in complex, with phosphorylated but also unphosphorylated DcuR. In live cell imaging, the predominantly freely diffusing DcuR becomes markedly less mobile after phosphorylation and activation of DcuS by fumarate. Portions of the low mobility fraction accumulated at the cell poles, the preferred location of DcuS, and other portions within the cell, representing phosphorylated DcuR bound to promoters. In the model, acitvation of DcuS increases the affinity toward DcuR, leading to DcuS-P × DcuR formation and phosphorylation of DcuR. The complex is stable enough for phosphate-transfer, but labile enough to allow exchange between DcuR from the cytosol and DcuR-P of the complex. Released DcuR-P diffuses to target promoters and binds. Uncomplexed DcuR-P in the cytosol binds to nonactivated DcuS and becomes dephosphorylated. The lower affinity between DcuR and DcuS avoids blocking of DcuS and allows rapid exchange of DcuR. IMPORTANCE Complex formation of membrane-bound sensor kinases with the response regulators represents an inherent step of signaling from the membrane to the promoters on the DNA. In the C4-dicarboxylate-sensing DcuS-DcuR two-component system, complex formation is strengthened by activation (phosphorylation) in vitro and in vivo , with trapping of the response regulator DcuR at the membrane. Single-molecule tracking of DcuR in the bacterial cell demonstrates two populations of DcuR with decreased mobility in the bacteria after activation: one at the membrane, but a second in the cytosol, likely representing DNA-bound DcuR. The data suggest a model with binding of DcuR to DcuS-P for phosphorylation, and of DcuR-P to DcuS for dephosphorylation, allowing rapid adaptation of the DcuR phosphorylation state. DcuR-P is released and transferred to DNA by 3D diffusion.- Published
- 2022
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43. Childbirth experience of women in a maternity hospital signatory of the Adequate Childbirth Project: mixed study.
- Author
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Barbosa LC, Wernet M, Baraldi NG, Fabbro MRC, Polido CBA, and Bussadori JCC
- Subjects
- Child, Delivery, Obstetric, Female, Humans, Infant, Newborn, Perinatal Care, Pregnancy, Pregnant Women, Qualitative Research, Hospitals, Maternity, Parturition
- Abstract
Objective: To understand the childbirth experience of women assisted in a maternity hospital signatory of the Adequate Childbirth Project., Methodology: Mixed study, carried out in 2018. Applied the Free Word Association Test in 62 pregnant women and then conducted an open interview with 18 of them, then puerperal women, and, for analysis, the Central Nucleus Theory, Word Cloud, and thematic Categories, respectively., Results: The predominant words revealed in the quantitative stage were: pain, wonderful, recovery, anxiety, and desires. The qualitative analysis is presented by thematic categories "Women's insecurities in the PPA model" and "New perspectives from experience in the PPA model"., Conclusions: The women's experiences demonstrated that the model favored the remodeling of childbirth care. However, they still experience pain, dissatisfaction, and lack of autonomy. The impossibility of choosing a trusted professional was a source of insecurity, and nurses had no voice in decisions and actions in care.
- Published
- 2021
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44. COVID-19 and pregnancy: A scoping review on pregnancy characteristics and outcomes.
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de Oliveira KF, de Oliveira JF, Wernet M, Carvalho Paschoini M, and Ruiz MT
- Subjects
- Adult, Cesarean Section, Female, Humans, Infectious Disease Transmission, Vertical, Pregnancy, Pregnancy Outcome, SARS-CoV-2, COVID-19, Pregnancy Complications, Infectious diagnosis, Pregnancy Complications, Infectious epidemiology
- Abstract
Aim: The study aim was to map clinical characteristics and the evolution of pregnancies in pregnant women with confirmed diagnosis of SARS-CoV-2 infection., Methods: Searching four databases, studies were investigated that described the evolution of pregnancies in women diagnosed with SARS-CoV-2 infection through laboratory tests. A scoping review was undertaken, including 35 articles published in English. Two pairs of independent researchers synthesized the data., Results: Most studies were case studies or case series and had a low risk of bias. A predominance of cases was found in women over the age of 30 years who got infected in the third term of pregnancy and who had comorbidities. The prematurity index varied with the heterogeneity of the samples, and the cases of abortion occurred in combination with severe forms of infection. Caesarean section deliveries predominated, indicated mainly by respiratory decompensation caused by infection. Most women were discharged., Conclusion: Based on the reviewed studies, the profile and evolution of pregnant women infected with COVID-19 could be evaluated., (© 2021 John Wiley & Sons Australia, Ltd.)
- Published
- 2021
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45. Vertical transmission and COVID-19: a scoping review.
- Author
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Oliveira KF, Oliveira JF, Wernet M, Paschoini MC, and Ruiz MT
- Subjects
- C-Reactive Protein analysis, COVID-19 diagnosis, DNA, Viral analysis, Female, Humans, Infant, Newborn, Pandemics, Pregnancy, Real-Time Polymerase Chain Reaction, SARS-CoV-2, COVID-19 transmission, Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious virology
- Abstract
Objective: Analyze available evidence related to SARS-CoV-2 infection and vertical transmission., Methods: Scoping review, according to the Joanna Briggs Institute and PRISMA-ScR. Searches were conducted in five electronic databases to find publications about coronavirus infection and vertical transmission. Data were extracted, analyzed and synthesized by three independent researchers using a descriptive approach., Results: The search resulted in 76 publications. After selective steps, 15 articles - retrospective descriptive or case studies - were analyzed, all in English. In order to track the infection, specimens were collected from neonates through nasal swabs and C-reactive protein from breast milk, cord blood, amniotic fluid, placenta and vaginal secretion was analyzed. A small percentage of neonates tested positive for COVID-19, but these cases were not attributed to vertical transmission., Conclusion: Vertical transmission could not be demonstrated. Research protocol registered with the Open Science Framework (https://osf.io/fawmv).
- Published
- 2021
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46. Online information related to childhood cancer and COVID-19 pandemic: a thematic analysis.
- Author
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Wernet M, Silveira AO, Cunha MLR, Dias PLM, Cossul MU, and Vieira AC
- Subjects
- Access to Information, Child, Humans, Language, Pandemics, SARS-CoV-2, COVID-19, Internet, Neoplasms
- Abstract
Objective: To analyze online information available on the internet about COVID-19 and childhood cancer and discuss its reach potential with regard to supporting family functioning., Method: Documentary research supported by thematic analysis and the concept of family functioning and support. A total of 27 publications available on the websites of reference institutions in pediatric oncology, from March 1 to May 31, 2020, were analyzed., Results: Two themes guided the presentation of results with emphasis on language and sustainability assumptions to content, and to conveyed meanings and intentionality. The publications prospect families/people with basic knowledge about COVID-19 and have little information specific to the relationship with childhood cancer., Final Considerations: Threatening circumstances require informational support. This study revealed incipient of specificity and a prescriptive tone in the online information available in early times of the pandemic, questioning the scope of support for family functioning.
- Published
- 2021
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47. Motivation for vocational training: significance to nurses in neonatal intensive care.
- Author
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Oliveira AIB, Wernet M, Facio BC, Dias PLM, and Fabbro MRC
- Subjects
- Female, Humans, Infant, Newborn, Male, Qualitative Research, Education, Nursing, Graduate, Intensive Care, Neonatal, Motivation, Nurses psychology, Vocational Education
- Abstract
Objectives: To analyze the motivation of neonatal intensive care nurses and the meanings attributed to the continuity of professional training., Methods: qualitative study, developed between August and December 2018, based on interviews with 16 nurses working in Neonatal Intensive Care in cities in seven Health Regions in the State of São Paulo. The theory of self-determination and narrative analysis supported this study., Results: the search for specialization and qualification of care is the plot, with the motivation for training initially based on the specialization and qualification of care. Over time, they revisit understandings carried out about care, making considerations about training, factors that influence motivation., Final Considerations: the motivation expressed by the nurse in the search for training is shown through movements marked by the limitations apprehended in practice on the care of the risk neonate and the acquisition of knowledge to act with quality in this specific health scenario.
- Published
- 2021
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48. Childhood colic management under the optics of mothers and of the family health team.
- Author
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Abreu-D'Agostini FCP, Vieira JB, Facio BC, Fracolli LA, Fabbro MRC, Carmona EV, and Wernet M
- Subjects
- Child, Family Health, Female, Focus Groups, Humans, Male, Social Support, Colic therapy, Mothers
- Abstract
Objective: to unveil the interrelation of childhood colic management by mothers and Family Health Strategy professional., Methods: a qualitative, exploratory and descriptive research carried out with 4 Family Health Strategy teams and 31 mothers who experienced childhood colic. Data collection included, respectively, focus group and individual unstructured interview. Symbolic Interactionism was adopted as the theoretical framework, and Narrative Research as methodological., Results: two themes emerged: "Colic approach" and "Social support and care". Professional childhood colic management is based on diagnosis and drug interventions. For mothers, the child's suffering and impotence in the face of the disease stand out., Final Considerations: childhood colic is socially widespread because it is a physiological and self-limiting event. Mothers felt helpless in the face of childhood colic. Professionals felt the need to expand their care, with a view to achieving maternal suffering and alleviating it.
- Published
- 2020
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49. A neurodevelopmental origin of behavioral individuality in the Drosophila visual system.
- Author
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Linneweber GA, Andriatsilavo M, Dutta SB, Bengochea M, Hellbruegge L, Liu G, Ejsmont RK, Straw AD, Wernet M, Hiesinger PR, and Hassan BA
- Subjects
- Animals, Brain anatomy & histology, Drosophila melanogaster genetics, Genetic Variation, Orientation physiology, Visual Pathways anatomy & histology, Brain growth & development, Drosophila melanogaster growth & development, Individuality, Neurogenesis, Visual Fields physiology, Visual Pathways growth & development
- Abstract
The genome versus experience dichotomy has dominated understanding of behavioral individuality. By contrast, the role of nonheritable noise during brain development in behavioral variation is understudied. Using Drosophila melanogaster , we demonstrate a link between stochastic variation in brain wiring and behavioral individuality. A visual system circuit called the dorsal cluster neurons (DCN) shows nonheritable, interindividual variation in right/left wiring asymmetry and controls object orientation in freely walking flies. We show that DCN wiring asymmetry instructs an individual's object responses: The greater the asymmetry, the better the individual orients toward a visual object. Silencing DCNs abolishes correlations between anatomy and behavior, whereas inducing DCN asymmetry suffices to improve object responses., (Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)
- Published
- 2020
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50. Patient safety: perception of family members of hospitalized children.
- Author
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Franco LF, Bonelli MA, Wernet M, Barbieri MC, and Dupas G
- Subjects
- Child, Child, Preschool, Female, Hospitalization statistics & numerical data, Humans, Infant, Male, Qualitative Research, Child, Hospitalized psychology, Family psychology, Patient Safety standards, Perception
- Abstract
Objectives: to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration., Methods: this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method., Results: child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members. Final Considerations: family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.
- Published
- 2020
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