Intraclass reliability of the Alberta Infant Motor Scale in the Brazilian version

This study had as its objective to analyze the intraclass reliability of the Alberta Infant Motor Scale (AIMS), in the Brazilian version, in preterm and term infants. It was a methodological study, conducted from November 2009 to April 2010, with 50 children receiving care in two public institutions in Fortaleza, Ceará, Brazil. Children were grouped according to gestational age as preterm and term, and evaluated by three evaluators in the communication laboratory of a public institution or at home. The intraclass correlation indices for the categories prone, supine, sitting and standing ranged from 0.553 to 0.952; most remained above 0.800, except for the standing category of the third evaluator, in which the index was 0.553. As for the total score and percentile, rates ranged from 0.843 to 0.954. The scale proved to be a reliable instrument for assessing gross motor performance of Brazilian children, particularly in Ceará, regardless of gestational age at birth.

Terms of international classification for Nursing Practice in motor and physical rehabilitation

OBJECTIVE To validate terms of nursing language especially for physical-motor rehabilitation and map them to the terms of ICNP® 2.0. METHOD A methodology research based on document analysis, with collection and analysis of terms from 1,425 records. RESULTS 825 terms were obtained after the methodological procedure, of which 226 had still not been included in the ICNP® 2.0. These terms were distributed as follows: 47 on the Focus axis; 15 on the Judgment axis; 31 on the Action axis; 25 on the Location axis; 102 on the Means axis; three on the Time axis; and three on the Client axis. All non-constant terms in ICNP® have been validated by experts, having reached an agreement index ≥0.80. CONCLUSION The ICNP® is applicable and used in nursing care for physical-motor rehabilitation.

Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep

OBJECTIVETo compare the total sleep time of premature infant in the presence or absence of reducing sensory and environmental stimuli in the neonatal unit.METHODLongitudinal study in a Neonatal Intermediate Care Unit of a public hospital in Sao Paulo. The sample consisted of 13 premature infants. We used polysomnograph and unstructured observation for data collection. We analyzed 240 and 1200 minutes corresponding to the periods of the presence and absence of environmental management, respectively. Data were compared in proportion to the total sleep time in the two moments proposed by the study.RESULTSThe total sleep time in periods without environmental management was on average 696.4 (± 112.1) minutes and with management 168.5 (± 27.9) minutes, proportionally premature infant slept an average of 70.2% during periods with no intervention and 58.0% without management (p=0.002).CONCLUSIONReducing stimulation and handling of premature infant environment periods was effective to provide greater total sleep time.

Conocimiento, aprendizaje y capital social como motor de desarrollo

Este paper analiza la aparición de la Sociedad del Conocimiento como una consecuencia del doble impacto del gran avanzo científico que caracteriza esta virada de siglo, el reciente surgimiento de tecnologías de información y comunicación, y el proceso de globalización que está transformando los mercados de producción y finanzas, y causando profundos cambios en los ambientes institucionales de la generación del concocimiento y su utilización. Se analiza también la importancia de redes y procesos de aprendizaje; la sinergia y tensiones que son simultáneamente generadas por la dinámica interacción que está ocurriendo entre la "apropiación social y privada del conocimiento"; y los retos en la formación de nueva estructura normativa para la generación y utilización del conocimiento en la solución de cuestiones de política de derechos de propiedad intelectual. Se hace referencia también a casos innovadores de promoción de redes de aprendizaje y desarrollo de diálogo entre depositarios. Se relatan también experiencias en foros sobre cuestiones estratégicas y otros mecanismos relacionados a la apropiación social del conocimiento, así como el surgimiento del Global Forum on Agricultural Research (GFAR), como una nueva expresión de globalización de la ciencia.