Wise stones: an interactive accessible circuit designed to enhance the experiences of visitors with disabilities

Museums, now more than ever before, are committed to the inclusion of all members of society, aiming to promote similar visitor experiences for their various patrons. With the challenging mission of exhibiting and communicating humanity's common heritage, while also preserving it, the creation of an inclusive museum experience is a complex task with multiple dimensions. This article aims to contribute to the field of accessibility in museums by discussing the three main stages of designing the Wise Stones Accessible Circuit, a five-year project which aimed to enhance access at the MM Gerdau Museum in Brazil by creating an interactive tactile exhibit displaying original artifacts from the museum's collection. A participatory methodology was adopted throughout the project in which 37 professionals from multidisciplinary fields at various institutions, and 151 visitors, who performed a formal evaluation of the digital interactives, were involved. Conclusions and implications of designing accessible digital interactives, with feedback from as wide range a of visitors as possible, are presented. Although the project's main goal was to enhance the museum experience for persons with disabilities, it ended up benefitting all visitors.info:eu-repo/semantics/publishedVersio

Proposal of a tangible user interface to increase accessibility in geological exhibitions and the experience of museums

Currently, the museums use different interactive technologies to communicate their exhibitions; however, it turns out that in most cases, information is not accessible to all members of the public. In this paper, we present the design of a tangible user interface to enhance accessibility in geological exhibitions, specifically for the case of visitors with visual impairments, and we also present the study’s results about how to improve the experience of those who visit museums, using this tangible media technology as an exhibitor for samples. The results showed that the interaction with the interface pleased the visitors and that it has application space ithin geological exhibitions.info:eu-repo/semantics/publishedVersio

Designing an interactive exhibitor for assisting blind and visually impaired visitors in tactile exploration of original museum pieces

Blind and visually impaired visitors experience a lot of constraints when visiting museums exhibitions, giving the ocular centricity of these institutions, the lack of cognitive, physical and sensorial access to exhibits or replicas, increased by the inaccessibility to use the digital media technologies designed to provide different experiences, among other constraints. This paper aims to present the design and implementation of an exhibitor to communicate original museum samples to blind and visually impaired patrons, without the need to be replicated, that interactively "tell stories about their lives" whenever picked up. Tests performed with 13 partially sighted and blind participants at the main exhibition museum space, demonstrated very positive evaluations regarding pragmatic and hedonic qualities of the interaction, a positive capacity to mentally conceptualize the exhibits according to the audio descriptions, and how to enhance the experience of using more exhibitors like this one during a future visit to the museum.info:eu-repo/semantics/publishedVersio

Interactive accessible circuit wise stones: expanding the museological experience of impaired visitors

O Circuito Acessível Pedras Sabidas, em exposição permanente no Museu das Minas e do Metal – MM Gerdau, é fruto de um convênio internacional de pesquisa entre instituições brasileiras e portuguesas. O projeto foi premiado pelo Programa Ibermuseus e selecionado entre as melhores práticas mundiais para publicação pelo Access Smithsonian. Gerou interfaces interativas, que permitem aos visitantes tocarem amostras minerais da coleção e acionarem conteúdos inclusivos, tais como vídeos com imagens ampliadas, áudios, textos e interpretação em Libras. Neste artigo, são apresentadas as três etapas de desenvolvimento da pesquisa: Protótipo, Piloto e Consolidação. Por fim, temos uma breve avaliação dos impactos da pandemia da COVID-19 na relação entre o público com deficiência e os museus, concluindo com as lições aprendidas ao longo dos cinco anos nos quais este projeto tomou curso.The Interactive Accessible Circuit Wise Stones, in the permanent exhibition of the MM Gerdau – Mines and Metal Museum, resulted from an international research project between Brazilian and Portuguese institutions. The project received an award from the Ibermuseums Program and was selected for publication by the Access Smithsonian among the best global practices in museums. It consists of interactive interfaces, which allow visitors to touch mineral samples from the collection while presenting inclusive contents like videos with amplified images, audios, texts, and gestural language interpretation. This article focuses on the three main research development phases: Prototype, Pilot, and Consolidation. A brief evaluation of the impacts of the COVID-19 pandemics regarding the relationship between impaired publics and the museums is presented, concluding with some lessons learned during the five years of the project.info:eu-repo/semantics/publishedVersio

CONCEPÇÃO DE MULHERES SOBRE VIVÊNCIA COM VÍRUS DA IMUNODEFICIÊNCIA HUMANA E IMPOSSIBILIDADE DE AMAMENTAR

Objetivos: discutir a concepção de mulheres sobre a vivência com o vírus da imunodeficiência humana e a impossibilidade de amamentar. Método: estudo descritivo, exploratório, com abordagem qualitativa, realizado com 12 mulheres em um hospital universitário no Rio de Janeiro, Brasil. A coleta de dados, por meio de entrevista individual e semiestruturada, ocorreu entre junho de 2017 e março de 2018. Os dados foram analisados mediante a utilização do referencial metodológico da análise de conteúdo. Resultados: a maioria das participantes foi diagnosticada no pré-natal e no parto. Elas reconheceram os benefícios da amamentação e seguiram a recomendação de não amamentar. Conclusão: as participantes reconheceram os benefícios da amamentação e, mesmo que tristes e frustradas diante da impossibilidade de amamentar, transcenderam esses sentimentos, por proteção ao filho, reafirmando o papel atribuído pela sociedade e pela cultura e as assimetrias de gênero relacionadas à reprodução e maternidade.Descritores: Enfermagem. Saúde da Mulher. Aleitamento Materno. Período Pós-parto. Sorodiagnóstico da Aids

MEWS score evaluation as severity predictor in admitted patients of internal medicine

abstrac

Tuberculosis among HIV-1-infected subjects in a tertiary out-patient service in São Paulo city, Brazil

Atualmente, a tuberculose (TB) é considerada a doença infecciosa mais importante entre os pacientes infectados pelo HIV-1 nos países em desenvolvimento, como o Brasil. Análise retrospectiva dos casos de tuberculose ocorridos a partir de janeiro 1995 até dezembro de 2010 foi realizada em nossa coorte de 599 pacientes HIV positivos. O desfecho primário foi a ocorrência de TB ativa, e 41 casos da doença foram diagnosticados durante este período de 16 anos. As contagens médias do nadir de células T CD4 e ao momento do diagnóstico de TB foram de 146 e 217 células/mm³, respectivamente. A carga viral média de HIV foi de 5,19 log10 cópias/mL, e 59% dos pacientes estavam em tratamento com ART. A incidência de TB foi de 1,47 casos por 100 pessoas-ano, para um tempo total de seguimento da coorte de 2775 pessoas-ano. A probabilidade de sobreviver até 10 anos após o diagnóstico foi de 75% para pacientes com TB, em oposição a 96% para pacientes com outras doenças oportunistas não-TB (p = 0,03). A tuberculose pode ser considerada problema de saúde pública entre as pessoas que vivem com HIV no Brasil, apesar da ampla utilização de anti-retrovirais para o tratamento da infecção pelo HIV / AIDS.TB is currently considered to be the most important infectious disease among HIV-1-infected subjects in developing countries, such as Brazil. A retrospective analysis of TB cases was performed, occurring from January 1995 to December 2010 in our cohort of 599 HIV positive patients. The primary outcome was the occurrence of active TB. Forty-one TB cases were diagnosed over this period of 16 years, among 599 HIV positive patients in an open cohort setting in the city of Sao Paulo, Brazil. All-time lowest mean CD4 T cell count at the time of TB diagnosis was 146 and 186 cells/mm³, respectively. The mean HIV viral load was 5.19 log10 copies/mL, and 59% of the patients were on HAART. TB incidence was 1.47 per 100 person-years, for a total follow-up time of 2775 person-years. The probability of surviving up to 10 years after diagnosis was 75% for TB patients as opposed to 96% for patients with other, non-TB opportunistic diseases (p = 0.03). TB can be considered a public health problem among people living with HIV in Brazil despite of the widespread use of antiretrovirals for the treatment of HIV infection/AIDS

Relação entre exame clínico e radiográfico no diagnóstico da osteoartrite equina

oint disease, specifically osteoarthritis, is one of the most prevalent and debilitating diseases affecting athletic horses. Despite technological advances in recent decades, clinical and radiographic examinations are still the most commonly used methods for diagnosis of equine osteoarthritis. Clinical data of 2872 horses were compiled and compared for this study, it were evaluated 146 cases of osteoarthritis and radiographies of 259 affected joints were reviewed in order to verify how far radiographic examination is consistent with the clinical examination, and to correlate the clinical changes with physical activity performed by horses. Records showed that osteoarthritis in the fetlock and pastern joints (digit) when displaying radiographic changes makes horses more prone to show lameness, compared to others who also have osteoarthritis with radiographic evidence, but in the tarsocrural joint. However, radiographic scores do not correlate the radiographic image with the presence or absence of lameness. The type of physical activity performed by the horses had no influence on the frequency of clinical signs of osteoarthritis. The horses with osteoarthritis had an average of 8.4 ± 3.9 years old and were used for ride, western and work with cattle. Among the breeds studied, those that most frequently had horses with osteoarthritis were Mangalarga Marchador, Crioulo and Quarter Horse.A doença articular, especificamente osteoartrite, é uma das afecções mais prevalentes e debilitantes que acometem os equinos atletas. Apesar dos avanços tecnológicos nas últimas décadas, os exames clínico e radiográfico ainda são os meios mais comumente utilizados para o diagnóstico da osteoartrite equina. Neste estudo foram compilados e confrontados dados clínicos de 2872 equinos. Foram avaliados 146 casos de osteoartrite e analisadas radiograficamente 259 articulações com osteoartrite, para verificar quanto o exame radiográfico é condizente com o exame físico, e relacionar alterações clínicas com a modalidade de atividade física executada pelos cavalos. Pode-se constatar que a osteoartrite interfalangeana e metacarpo/metatarso falangeana (dígito) quando exibe alterações radiográficas faz com que os cavalos sejam mais propensos a claudicar, comparativamente a outros que também apresentam osteoartrite evidenciada radiograficamente, porém na articulação do tarso. Contudo, os escores radiográficos não correlacionaram a imagem radiográfica com a presença ou não de claudicação. A modalidade de atividade física não interferiu na frequência dos sinais clínicos de osteoartrite. Os equinos que mais apresentaram osteoartrite possuíam idade média de 8,4 ± 3,9 anos e eram utilizados para romaria, provas de quarto de milha e trabalho com o gado. Dentre as raças estudadas, as que mais frequentemente apresentaram equinos com osteoartrite foram Mangalarga Marchador, Crioulo e Quarto de Milha