bluuebunny/crossref_metadata_2025 huggingface dataset:
Alexithymia and Insecure Attachment among Male Intimate Partner Violence Aggressors in the Dominican Republic
Authors: Vergés-Báez Luis , Lozano-Paniagua David , Requena-Mullor Mar , García-González Jessica , García-Álvarez Rafael , Alarcón-Rodríguez Raquel
Published: November 2021

The complexity of intimate partner violence and the impossibility of understanding it from single factors have been studied from different biological, psychological, and socio-cultural factors. A cross-sectional study was conducted on 187 men involved in legal proceedings for problems of violence in their intimate partner relationships in the Dominican Republic in order to explore whether insecure attachment represents a risk factor for alexithymia in men with violent behaviors. The attachment style was determinate by the Casullo and Fernández-Liporace Attachment Styles Scale, and alexithymia was assayed using the Latin American Consensual Toronto Alexithymia Scale (LAC TAS-20), a modification of the Toronto Alexithymia Scale (TAS-20). Chi-square test and multiple binary logistic regression analysis were performed to explore the phenomena of alexithymia and attachment styles in the context of a confinement center for male intimate partner offenders in the Dominican Republic. The results showed that insecure attachment represents a risk factor for alexithymia, being highest for avoidant attachment in the population studied. The results also highlight the influence of other factors such as education and maternal–familial relationships as a factor risk for alexithymia.
Effect of Community Education Program on Stroke Symptoms and Treatment on School and College Students from South India: A Longitudinal Observational Study
Authors: Khan Fayaz , Gaowgzeh Riziq Allah Mustafa , Saif Amer Al , Chevidikunnan Mohamed Faisal , Soman Ajith , Mazi Aseel , BinMulayh Ejlal , Sahu Kirti Sundar , Anjamparuthikal Haris
Published: November 2021

Community awareness regarding stroke signs, risk factors, and actions that help reduce the risk and complications of stroke is poorly addressed, as it is thought to be the best approach to control and prevent stroke. Aim: To establish the awareness of stroke and its management among high school and college students using an educational intervention. A questionnaire was administered to students from five high schools and four colleges with different areas of focus, (arts, science and commerce), types (public, semi-public and private), and economic locations before and after an educational lecture on stroke. The lecture covered the following elements: stroke definition, signs, risk factors, actions, time window for thrombolytic therapy, and types of rehabilitation interventions. This study included 1036 participants, of whom 36.3% were male and 56.4% were high school students, and the mean age was 17.15 ± 1.29 (15–22) years. Before the lecture, 147 participants were unaware of a single sign of stroke, and 124 did not know the risk factors. After the intervention, 439 participants knew four signs of stroke, and 196 knew 12 risk factors. Female students had better knowledge about stroke signs (odds ratio (OR), 3.08; 95% confidence interval (95% CI), 2.15–4.43). Hypertension (52.7%) and weakness (59.85%) were the most known signs and risk factors. The proportion of students who selected traditional medicine as the mode of treatment decreased from 34.75% to 8.59% after the lecture. Other rehabilitation methods (e.g., physical therapy, occupational therapy, speech therapy and counseling) were chosen by more than 80% of the students. The results of the current study showed that the awareness on stroke risk factors and management among the school and college students can be significantly improved with regular educational interventions, and therefore stroke can be prevented to some extent.
How Relevant Is the Place Where First-Year College Students Live in Relation to the Increase in Body Mass Index?
Authors: Viñuela Antonio , Criado-Álvarez Juan José , Aceituno-Gómez Javier , Durantez-Fernández Carlos , Martín-Conty José Luis , Martín-Rodríguez Francisco , Cano Martín Luis Miguel , Maestre Miquel Clara , Polonio-López Begoña , Mohedano-Moriano Alicia
Published: November 2021

(1) Objective: This study analyzes the evolution of the body mass index (BMI) throughout the academic year associated with changes in the lifestyle associated with the place where students live during the course, lifestyle design, and health strategies for the university community. (2) Methods: A total of 93 first-year nursing students participated in this study. Data were collected throughout the course by administering self-reported questionnaires about eating habits and lifestyles, weight, and height to calculate their BMI and place of residence throughout the course. Data were analyzed using statistical analysis (Mann–Whitney, chi-square, Student’s t-test, repeated-measures analysis of variance, and least significant difference tests). (3) Results: We found that the mean BMI increases significantly throughout the course among all students regardless of sex, age, eating habits, or where they live during the course. At the beginning of the course, the mean BMI was 22.10 ± 3.64. The mean difference between the beginning of the course and the middle has a value of p-value < 0.015 and between the middle of the course and the end a p-value < 0.009. The group that increased the most is found among students who continue to live in the family nucleus rather than those who live alone or in residence. Students significantly changed their eating and health habits, especially those who live alone or in residence. (4) Conclusions: There is an increase in BMI among students. It is necessary to carry out seminars or talks that can help students understand the importance of good eating practices and healthy habits to maintain their weight and, therefore, their health, in the short, medium, and long term and acquire a good quality of life.
The Relationship between the Infertility Specialist and the Patient during the COVID-19 Pandemic
Authors: Iordăchescu Diana Antonia , Golu Florinda Tinella , Paica Corina Ioana , Gorbănescu Adrian , Panaitescu Anca Maria , Gică Corina , Peltecu Gheorghe , Gică Nicolae
Published: November 2021

The doctor–patient relationship is fundamental in the treatment of infertility, due to the emotional implications of fertilization procedures. However, insufficient data are available specifically for this relationship. The general objective of the study is to establish the associations between the fundamental concepts that define the doctor–patient relationship: communication, empathy, trust, collaboration, compliance and satisfaction. A cross-sectional study was conducted between May and June 2020 and followed the methods of a quantitative analysis, collecting the data using questionnaires. The research plan was specific to path analysis with the mediation effect, in which the hypotheses were tested. The research group consisted of 151 women diagnosed with infertility, voluntarily recruited through online support communities. Findings demonstrate that affective empathy mediates the relationship between communication and trust in the doctor. In conclusion, this study draws attention to the importance of basic concepts in the relationship of infertility specialists with infertile patients. Thus, it is necessary for health care providers in assisted human reproduction to participate in programs for the continuous training of empathic communication skills, given the sensitivity of this diagnosis.
Volatile Profile Characterization of Commercial Peach (Prunus persica) Cultivars Grown in Georgia, USA
Authors: Mohammed Jamal , Belisle Catherine E. , Wang Shangci , Itle Rachel A. , Adhikari Koushik , Chavez Dario J.
Published: November 2021

Peach production in Georgia, USA, extends from mid-May to mid-August. Multiple cultivars are commercially grown in the U.S., and each cultivar has unique fruit quality characteristics, which could influence consumer perception and acceptability. Among those, peach flavor has been minimally characterized among cultivars. Headspace-solid phase microextraction (HS–SPME) combined with gas chromatography–mass spectrometry (GC–MS) was used to characterize the volatile profile of 42 peach cultivars commercially grown in 2016. The goal of this research was to understand the aroma composition and content of peach cultivars grown in Georgia, USA. Thirty-six volatile compounds were identified. Significant differences (p ≤ 0.0001) were observed for all the flavor volatiles across all cultivars being evaluated. Esters were the major compounds isolated from the 42 peach cultivars, followed by lactones, alcohols, aldehydes, and terpenoids, in that order. Lactones, benzaldehyde, and linalool, which are known to be peach aroma compounds, exhibited the highest mean concentrations among the cultivars with ɣ- and δ-decalactones having a concentration of approximately 180 ng·g−1 and 60 ng·g−1, respectively. Among the cultivars, “Majestic” had the highest mean concentration of ɣ-decalactone, followed by “Southern Pearl” with approximately 503 ng·g−1 and 443 ng·g−1, respectively. “Southern Pearl” and “Fairtime” also exhibited the highest average concentration of δ-decalactone. The results obtained will help provide an understanding of the distribution of the various volatile organic compounds found in Georgia-grown peach cultivars.
Optical Properties and Antioxidant Activity of Water-Ethanolic Extracts from Sempervivum tectorum L. from Bulgaria
Authors: Gentscheva Galia , Karadjova Irina , Minkova Stefka , Nikolova Krastena , Andonova Velichka , Petkova Nadezhda , Milkova-Tomova Iliana
Published: November 2021

Sempervivum tectorum L. is an evergreen plant belonging to a large family of the Crassulaceae. The fresh juice of the plant is used as a folk remedy almost exclusively for external purposes. The combination of several instrumental methods—transmission and fluorescence spectroscopy, ICP-MS spectrometry, and assays for the assessment of antioxidant activities were used for the characterization of water-ethanolic extracts from the leaves of Sempervivum tectorum L. with different polarities (ethanol content in the extracts varied between 10% and 95%). The highest total phenolic content was found in the 50% ethanol extract—0.84 ± 0.08 mg GAE/mL. Furthermore, this extract also possessed the highest antioxidant potential evaluated by DPPH and FRAP assays—7.02 ± 0.71 mM TE/mL and 6.15 ± 0.25 mM TE/mL, respectively. High correlation coefficients were found between the total phenolic contents and the antioxidant activities of water-ethanolic extracts from Sempervivum tectorum L. The same is true for the strong relationship between the phenolic contents and the concentrations of Na and K. Most likely, the bioavailable species of elements such as Fe, Zn, Ca, and Mg are mostly aqueous soluble. For all the studied extracts, the toxic element (As, Cd, Pb, Tl, Hg) contents are very much below the permissible limits for pharmaceutical products. On the contrary, the concentrations of compounds such as β-carotene and chlorophyll increase with the increase in ethanol in the extract. Results from this study may be used for the preliminary prognosis of pharmaceutical applications of extracts from Sempervivum tectorum L.
Mortality in Inflammatory Rheumatic Diseases: Lithuanian National Registry Data and Systematic Review
Authors: Dadonienė Jolanta , Charukevič Greta , Jasionytė Gabija , Staškuvienė Karolina , Miltinienė Dalia
Published: November 2021

Despite significant improvement in survival, rheumatic diseases (RD) are associated with premature mortality rates comparable to cardiovascular and neoplastic disorders. The aim of our study was to assess mortality, causes of death, and life expectancy in an inflammatory RD retrospective cohort and compare those with the general population as well as with the results of previously published studies in a systematic literature review. Patients with the first-time diagnosis of inflammatory RD during 2012–2019 were identified and cross-checked for their vital status and the date of death. Sex- and age-standardized mortality ratios (SMR) as well as life expectancy for patients with inflammatory RDs were calculated. The results of a systematic literature review were included in meta-standardized mortality ratio calculations. 11,636 patients with newly diagnosed RD were identified. During a total of 43,064.34 person-years of follow-up, 950 death cases occurred. The prevailing causes of death for the total cohort were cardiovascular diseases and neoplasms. The age- and sex-adjusted SMR for the total cohort was calculated to be 1.32 (1.23; 1.40). Patients with rheumatoid arthritis if diagnosed at age 18–19 tend to live for 1.63 years less than the general population, patients with spondyloarthritis—for 2.7 years less, patients with connective tissue diseases—for almost nine years less than the general population. The findings of our study support the hypothesis that patients with RD have a higher risk of mortality and lower life expectancy than the general population.
The Quantity and Quality of Anxiety Are Mediating Variables between Motivation, Burnout and Fear of Failing in Sport
Authors: Sánchez-Romero Elisa I. , Ponseti Verdaguer Francisco J. , Cantallops Ramón Jaume , García-Mas Alejandro
Published: November 2021

The purpose of this study was to examine the effect mediated by self-determined motivation on an athlete’s burnout, anxiety and fear of failure. To this end, the sample group consisting of 235 semi-professional yachtsmen and women was asked to answer four questionnaires which set out to assess each of the study’s variables: Behavioural Regulation in Sport Questionnaire, Performance Failure Appraisal Inventory, Sport Anxiety Scale-2 and Athlete Burnout Questionnaire. The ex-post facto research was designed to analyse a single group based on structural equation modelling (SEM) between the constructs under analysis. The results illustrate that behavioural regulation could be used to positively predict burnout and fear of failure mediated by sport anxiety. Moreover, behavioural regulation has a significant, positive and moderate bearing on burnout and is wholly mediated by sport anxiety. It concludes by underscoring the point that there is no relationship either between behavioural regulation and burnout or between behavioural regulation and fear of failure, unless the athlete in question experiences anxiety.
The Paradox of Political Accountability and Deficits in the Preconditions for Service Delivery in Elderly Care: A Qualitative Study of Swedish Politicians
Authors: Porter Susann , Muhonen Tuija
Published: November 2021

The aims of this qualitative grounded theory study were to explore how politicians accountable for Swedish elderly care viewed their assignment, their beliefs and knowledge regarding the psychosocial work environment for elderly care employees, the factors affecting their work environment, and how these politicians regarded elderly care during the COVID-19 pandemic. This study consisted of 41 interviews with politicians in municipalities across Sweden. Three categories emerged from the analysis: (1) interpretation of the assignment directs the focus; (2) recognizing shortfalls in the employees’ work environment; and (3) exposing deficiencies due to the COVID-19 pandemic. The strongest category was identified as interpretation of the assignment directs the focus and was described as the delivery of good and quality care. Nevertheless, this study highlights shortfalls in the delivery of care services where the employees’ work environment, especially in the home care sector, was frequently described as stressful. The COVID-19 pandemic adversely affected the work situation for staff in elderly care. In that setting, staff shortage and lack of competency were common. Nurses were particularly affected by high workload and responsibility. Further research should explore civil servant roles in the elderly care sector and how these actors view their collaboration with municipality politicians.
Influence of Admission Time on Health Care Quality and Utilization in Patients with Stroke: Analysis for a Possible July Effect and Weekend Effect
Authors: Liu Chun-Yi , Kung Pei-Tseng , Chang Hui-Yun , Hsu Yueh-Han , Tsai Wen-Chen
Published: November 2021

(1) Purpose: Undesirable health care outcomes could conceivably increase as a result of the entry of new, less experienced health care personnel into patient care during the month of July (the July effect) or as a result of the less balanced allocation of health care resources on weekends (the weekend effect). Whether these two effects were present in Taiwan’s National Health Insurance (NHI) system was investigated. (2) Methods: The current study data were acquired from the NHI Research Database. The research sample comprised ≥18-year-old patients diagnosed as having a stroke for the first time from 1 January 2006 to 30 September 2012. The mortality rate within 30 days after hospitalization and readmission rate within 14 days after hospital discharge were used as health care quality indicators, whereas health care utilization indicators were the total length and cost of initial hospitalization. (3) Results: The results revealed no sample-wide July effect with regard to the four indicators among patients with stroke. However, an unexpected July effect was present among in-patients in regional and public hospitals, in which the total lengths and costs of initial hospitalization for non-July admissions were higher than those for July admissions. Furthermore, the total hospitalization length for weekend admissions was 1.06–1.07 times higher than that for non-weekend admissions; the total hospitalization length for weekend admissions was also higher than that for weekday admissions during non-July months. Thus, weekend admission did not affect the health care quality of patients with stroke but extended their total hospitalization length. (4) Conclusions: Consistent with the NHI’s general effectiveness in ensuring fair, universally accessible, and high-quality health care services in Taiwan, the health care quality of patients examined in this study did not vary significantly overall between July and non-July months. However, a longer hospitalization length was observed for weekend admissions, possibly due to limitations in personnel and resource allocations during weekends. These results highlight the health care efficiency of hospitals during weekends as an area for further improvement.
The Influence of Individual Set-Pieces in Elite Rink Hockey Match Outcomes
Authors: Arboix-Alió Jordi , Trabal Guillem , Hileno Raúl , Aguilera-Castells Joan , Fort-Vanmeerhaeghe Azahara , Buscà Bernat
Published: November 2021

The main objective of this study was to analyze the influence of individual set-pieces (Free Direct Hits and Penalties) in elite rink hockey match outcomes in different game situations. A sample of 161 matches played between high-standard teams during ten consecutive seasons (2009–2010 to 2018–2019) were analyzed using a binary logistic regression. The full evaluated model was composed of an explanatory variable (set-pieces scored) and five potential confounding and interaction variables (match location, match level, match importance, extra time, and balanced score). However, the final model only included one significant interaction variable (balanced score). The results showed that scoring more individual set-pieces than the opponent was associated with victory (OR = 6.1; 95% CI: 3.7, 10.0) and was more relevant in unbalanced matches (OR = 19.5; 95% CI: 8.6, 44.3) than in balanced matches (OR = 2.3; 95% CI: 1.2, 4.5). These findings indicate that individual set-pieces are strongly associated with match outcomes in matches played between high-standard teams. Therefore, it is important for teams to excel in this aspect, and it is suggested that these data can encourage coaches to reinforce the systematic practice of individual set-pieces in their training programs. Additionally, it is suggested that teams have specialist players in this kind of action to mainly participate in these specific match moments.
Association of Grip Strength with Quality of Life in the Chinese Oldest Old
Authors: Xie Boqin , Ma Chenjuan
Published: November 2021

Emerging studies have suggested an association between grip strength and health-related quality of life (QOL). However, evidence for which specific domains of QOL are associated with grip strength remains limited and inconsistent. Particularly, such evidence is scarce in the oldest old, who constitute one of the most vulnerable populations. This cross-sectional study aimed to examine the association between grip strength and overall QOL as well as specific domains in the oldest old. It included 400 community-dwelling older adults aged 80 years or older from Shanghai, China. QOL was assessed using the WHO Quality of Life of Older Adults instrument, and grip strength was measured using a digital spring-type dynamometer. On average, the overall QOL score was 54.68 (SD = 12.05). Estimates of risk-adjusted linear regressions indicated that higher grip strength was associated with better overall QOL (β = 4.40, p < 0.001) as well as the domains of autonomy (β = 6.74, p < 0.001); fulfillment with past, present, and future activities and achievements (β = 3.52, p = 0.004); and satisfaction with social participation (β = 6.72, p < 0.001). Our findings highlight the importance of maintaining or improving grip strength in delaying or reducing the decline in QOL among the community-dwelling oldest old. Also noteworthy is that the associations between grip strength and specific domains of QOL in the oldest old vary.
Sustained Effects of Government Response on the COVID-19 Infection Rate in China: A Multiple Mediation Analysis
Authors: Duan Taixiang , Sun Zhonggen , Shi Guoqing
Published: November 2021

Many scholars have considered the relationship between the government response to COVID-19, an important social intervention strategy, and the COVID-19 infection rate. However, few have examined the sustained impact of an early government response on the COVID-19 infection rate. The current paper fills this gap by investigating a national survey performed in February 2020 and infection data from Chinese cities surveyed 1.5 years after the outbreak of COVID-19. The results suggest that the Chinese government’s early response to COVID-19 significantly and sustainedly reduced China’s COVID-19 infection rate, and that this impact worked through risk perception, the adoption of protective action recommendations (PARs), and the chain-mediating effects of risk perception and the adoption of PARs, respectively. These findings have important practical value. In demonstrating how government response and infection rate at the macro level are connected to the behaviour of individuals at the micro level, they suggest feasible directions for curbing the spread of diseases such as COVID-19. When facing such public health emergencies, the focus should be on increasing the public’s risk perception and adoption of PARs.
Bridging Knowledge Systems: A Community-Participatory Approach to EcoHealth
Authors: Crosse Ann Marie , Barry Margaret M. , Lavelle Mary Jo , Sixsmith Jane
Published: November 2021

Earth’s life-supporting ecosystems are integral to human and planetary health. Ecosystem services connect ecosystem functions to human wellbeing. The complex, multifaceted socio-ecological challenges of ecosystem decline necessitate a transdisciplinary approach, including the active and meaningful engagement and participation of local communities. Communities uniquely possess expert local knowledge, which, when integrated into policy development and community planning, has the potential to enhance and sustain ecosystem benefits for health and wellbeing. Community-informed mapping tools provide an opportunity for integrating science, policy, and public participation in data collection. However, there is a dearth of community-informed mapping tools demonstrating the interconnection of the ecological and social determinants of health at a place-based level. This paper presents a study that employs a community-based participatory research approach to mapping local knowledge systems on EcoHealth. The study seeks to develop a community mapping tool for shared dialogue and decision-making on EcoHealth between local communities and policymakers. The participatory research methods used to explore community awareness and knowledge regarding ecosystem services, health, and sustainability in the local area are described. The process of co-producing a Community EcoHealth Toolkit, based on the integration of different knowledge systems into local policy and planning, is discussed.
Application of Artificial Neural Network (ANN) for Prediction and Optimization of Blast-Induced Impacts
Authors: Al-Bakri Ali Y. , Sazid Mohammed
Published: November 2021

Drilling and blasting remain the preferred technique used for rock mass breaking in mining and construction projects compared to other methods from an economic and productivity point of view. However, rock mass breaking utilizes only a maximum of 30% of the blast explosive energy, and around 70% is lost as waste, thus creating negative impacts on the safety and surrounding environment. Blast-induced impact prediction has become very demonstrated in recent research as a recommended solution to optimize blasting operation, increase efficiency, and mitigate safety and environmental concerns. Artificial neural networks (ANN) were recently introduced as a computing approach to design the computational model of blast-induced fragmentation and other impacts with proven superior capability. This paper highlights and discusses the research articles conducted and published in this field among the literature. The prediction models of rock fragmentation and some blast-induced effects, including flyrock, ground vibration, and back-break, were detailed investigated in this review. The literature showed that applying the artificial neural network for blast events prediction is a practical way to achieve optimized blasting operation with reduced undesirable effects. At the same time, the examined papers indicate a lack of articles focused on blast-induced fragmentation prediction using the ANN technique despite its significant importance in the overall economy of whole mining operations. As well, the investigation revealed some lack of research that predicted more than one blast-induced impact.
Changes in Adherence to the 24-Hour Movement Guidelines and Overweight and Obesity among Children in Northeastern Japan: A Longitudinal Study before and during the COVID-19 Pandemic
Authors: Kim Hyunshik , Ma Jiameng , Kim Junghoon , Xu Daolin , Lee Sunkyoung
Published: November 2021

There are few studies comparing adherence to Canadian 24-hour Movement Guidelines (24-h MG) before and during the COVID-19 pandemic and exploring the pandemic’s effect on childhood obesity. This survey-based 2-year study investigated changes in obesity and adherence to the 24-h MG in children before and during the COVID-19 pandemic. Data were collected at two points in time: pre-COVID-19 (May 2019; T1; n = 247) and during-COVID-19 (May 2021; T2; n = 171). Participants were healthy elementary school children aged between 6–12 years in northeastern Japan. The questionnaire comprised items on physical activity, screen time, sleep duration, adherence to the 24-h MG, and anthropometric and demographic characteristics. Among all participants, a statistically significant difference (p < 0.001) between the average body mass index at T1 (M = 16.06 kg/m2, SD = 2.08 kg/m2) and T2 (M = 18.01 kg/m2, SD = 3.21 kg/m2) was observed, where 17.8% were overweight and obese at T1 and 24% at T2, and 10.9% adhered to all 24 h MG at T1 and 4.1% at T2. To prevent obesity in children during the COVID-19 pandemic, environmental changes should be evaluated and appropriate preventive measures taken, including pro-community health programs that encourage parent-children outdoor activities.
Commodity assessment of sunflower oil produced in the Donetsk People's Republic
Authors: Molokanova L.V. , Kudinova O.V.
Published: November 2021

The article presents the results of the commodity assessment of sunflower oil producers of the Donetsk People's Republic in terms of organoleptic and physicochemical indicators.
Features of the modern classification of macaroni products
Authors: Krishtafovich D.V. , Krishtafovich V.I.
Published: November 2021

The article analyzes the features of the Russian classification of macaroni products on the basis of the analysis of the current regulatory documents, as well as on the Commodity Nomenclature of Foreign Economic Activity of the Eurasian Economic Union. It is shown that in the interstate standard GOST 31743-2017, the detailing of the classification of tubular, threadlike and ribbon pasta by subtypes was unjustifiably not included. The article reveals the lack of harmonization of the classification of macaroni products in domestic trade and for customs purposes, as well as differences in the terminology used.
Ensinar exige colaboração: uma interface entre Paulo Freire e a educação inclusiva na perspectiva do ensino colaborativo
Authors: Leme Erika Souza , Silva Jaqueline Luzia da , Carmo Desirée Ramos
Published: November 2021

O presente artigo se relaciona às experiências de formação docente inclusiva na perspectiva do Ensino Colaborativo desenvolvidas pelo LaIFE – Laboratório de Inclusão, Formação Cultural e Educação, vinculado à Universidade Federal Fluminense - UFF. Trata-se de um recorte do projeto de pesquisa e extensão, que ocorreu na modalidade remota, em razão da pandemia da Covid-19, que ascende a formação de professores fundada na relação com a práxis, contextualizada e dialógica, que articula saberes científicos, pedagógicos e da experiência. Embasadas pelo referencial da Teoria Crítica e da pedagogia freiriana, neste texto, nos lançamos ao desafio de elaborar tessituras com os conceitos de ensino colaborativo e inédito viável, almejando o fortalecimento do processo de ruptura com as práticas pedagógicas excludentes, rumo à inclusão. Sustentadas pelo aporte teórico, privilegiamos narrativas abrindo espaço às experiências vividas registradas no caderno memorial, que toma por corpus os relatos de experiências registrados ao longo do curso de formação. A análise dos dados visa destacar os vínculos que se entretecem entre a compreensão do ensino colaborativo com o inédito viável e, assim, apreender e problematizar seus sentidos, bem como iluminar suas potencialidades no contexto da inclusão escolar. Os resultados apontam que precisamos avançar na formação inicial e continuada na perspectiva do ensino colaborativo como um inédito viável, buscando os enredamentos de formação humana calcada na sensibilidade e no tensionamento da cultura em prol do direito de todos à educação.
O uso da telereabilitação para melhora do equilíbrio nas disfunções neurológicas
Authors: Sambe Angélica Yumi , Silva Joyce Karla Machado da , Pellizzari Camila Costa de Araujo , Mello Luana Franklin , Valenciano Paola Janeiro
Published: November 2021

Introdução. Distúrbios neurológicos são capazes de causar comprometimento no desempenho funcional, como a dificuldade da manutenção do equilíbrio, exigindo um tratamento a longo prazo, e a telereabilitação favorece a continuidade do tratamento à distância. Objetivo. Verificar se a telereabilitação é efetiva no treino de equilíbrio de pacientes com disfunção neurológica. Método. Trata-se de uma revisão de literatura, em que foi realizado busca nas bases de dados PubMed, Cochrane Library, Biblioteca Virtual de Saúde, Scielo e PEDro, no mês de setembro de 2020, sendo a busca atualizada em março de 2021. Resultados. Foram incluídos 7 ensaios clínicos controlados realizados entre 2004 e 2020. Para os desfechos de equilíbrio estático e dinâmico, dois estudos mostraram que o grupo de telereabilitação apresentou melhora superior do que o grupo controle, enquanto, os demais obtiveram efeitos semelhantes. Quando avaliado o nível de confiança de equilíbrio, apenas um de dois estudos apresentou melhoras significativas. Para a adesão e satisfação avaliada em três estudos, um obteve boa satisfação e dois não tiveram diferenças quanto ao grupo controle.  Conclusões. Telereabilitação é uma forma eficaz para o treinamento de equilíbrio de pacientes com disfunção neurológica, sendo uma opção viável, capaz de gerar benefícios similares ao da fisioterapia convencional.
Produtividade de genótipos de mandioca em função de dose de fósforo no município de Gurupi-TO / Productivity of cassava genotypes as a function of phosphorus dose in the municipality of Gurupi-TO
Authors: Dos Santos Manoel Mota , Dos Santos Mauro Gomes , Souza Artur Costa , Montelo André Buarque , Da Silva Daniel Lisboa , Araújo Lidiane Cruz , Ribeiro Rafaela Rodrigues , Santos Lucas Lima dos
Published: November 2021

O objetivo do trabalho foi avaliar o desempenho de produtividade em função de doses de fósforos em duas cultivares de mandioca, de mesa  “Pão” e “Cacau melhorada”, O modelo adotado foi em blocos casualizados, em esquema fatorial 2 x 4 em quatro repetições, sendo o primeiro fator cultivares e o segundo fator, doses de P2O5 ( 0, 60, 120, 180, 240 kg ha-1 ), na forma de Super Simples, colocado no plantio. Plantando as variedades em parcelas de 5 X 5 metros em sistema de plantio convencional (SPC). O plantio foi em cova com espaçamento de 0,90 m e 1,0 m. Os dados gerados a partir do sistema computacional sisvar. Os parâmetros analisados foram Altura de plantas, produtividade de raízes tuberosas, produção da parte aérea, produtividade de raízes é quantidade de raízes tuberosas Percentagem de matéria seca (MS) nas raízes tuberosas, determinado pelo método da balança hidrostática, e índice de colheita (IC%) As doses de fosforo influenciou positivamente e diferentemente nas características avaliadas das cultivares Pão e Cacau.
Análise epidemiologica de pacientes acometidos por acidente vascular encafálico (ave) em Alagoas / Epidemiological analysis of pacients affected by stroke in Alagoas
Authors: Firmino Iole Guimarães , Gaia Lorena Sampaio Monteiro Malta , -Fachin Laércio Pol
Published: November 2021

Segundo a organização mundial se saúde (OMS), O acidente vascular encefálico (AVE), em países desenvolvidos é a segunda maior causa de morte no mundo, atrás somente das doenças cardíacas isquêmicas, sendo a principal causa de morte no país. Sua incidência depende diretamente do estilo de vida seguido pela população e de doenças previamente estabelecidas, tendo como fator de risco o sedentarismo, alimentação, obesidade, estresse, hipertensão arterial sistêmica, aneurisma, diabetes melitus, dislipidemia, aterosclerose, uso de drogas ilícitas, dentre outros. Objetivo do trabalho é conhecer o perfil de Alagoas, mediante a incidência de AVE, para que a partir dos dados coletados, este estudo possa servir de instrumento para o desenho de novas estratégias e ações principalmente na porta de entrada do sistema de saúde voltadas a patologia; Afim de promover a prevenção da doença e melhorar a qualidade de vida dos acometidos por ela. Metodologia: Dados serão coletados do DATASUS no estado de ALAGOAS durante o período de 2008 e 2018, tendo como base variáveis: sexo, faixa etária, ano de atendimento e taxa de mortalidade. Resultados e discussão: A partir de uma observação geral, nota-se um aumento da incidência de AVE na população alagoana, além de altas taxas de mortalidade pela doença. A taxa de mortalidade de pessoas abaixo de 50 anos diminuiu ao longo dos anos, divergindo a da realidade nacional que apresenta dados contrários. Bem como uma discreta predominância de gravidade em pacientes do sexo masculino. Conclusão: Dessa forma, se faz necessário medidas de prevenção e de mudança dos hábitos de vida, a fim de reduzir os fatores de risco para patologias cardiovasculares. Além da necessidade de otimizar o atendimento precoce ainda na janela terapêutica com o objetivo de reduzir agravos da doença.
Síndrome de mccune albright, neoplasia papilar mucinosa intraductal e carcinoma colóide: Um relato de caso de apresentação concomitante / Mccune albright syndrome, intraductal mucin papillary neoplasia and colloid carcinoma: A concomiting presentation case report
Authors: Junior José Luiz Bravin , Siqueira Leandro Correa , Ribeiro Edson Augusto Pracchia , De Rezende Adymila Salim Moreira , Boechat Victoria Tinoco , Silva Ádria Camila , Tolentino Nataly Gomes , Nunes Nathalia Ferreira , De Sousa Thaís Regina Valente
Published: November 2021

Introdução: A Síndrome de Mccune Albright associada à neoplasia papilar mucinosa intraductal e carcinoma coloide é uma patologia rara. Apresentamos esse caso clínico ocorrido no Hospital do Câncer de Muriaé da Fundação Cristiano Varella. Caso Clínico: Paciente do sexo feminino 31 anos, portadora da Síndrome de McCune-Albright, com história de lesão tumoral sólido-cística irressecável em ducto principal pancreático associada à síndrome colestática e realização de derivação bileodigestiva externa e interna. Após os exames de imagem, mediante alta suspeição de neoplasia pancreática, paciente foi submetida a gastroduodenopancreatectomia total, esplenectomia total, colecistectomia, linfadenectomia retroperitoneal e reconstrução com hepatoenteroanastomose e gastroenteroanastomose em Y de Roux. O anatomopatológico demonstrou Neoplasia Intraductal Papilar Mucinosa difusa em ducto pancreático principal associada à neoplasia maligna amplamente mucinosa, compatível com Carcinoma Coloide, além de presença de neoplasia em mucosa gástrica associada à área de fístula. Conclusão: Como resultado do imunohistoquímico foi constatado o diagnóstico de adenocarcinoma coloide, além de neoplasia mucinosa papilífera intraductal do pâncreas associado a síndrome de Mccune Albright.
A ata notarial na perspectiva de um processualista civil / The notarial act from a civil proceduralist's perspective
Authors: Guedes Fabio Tadeu Ferreira
Published: November 2021

A ata notarial é um importante meio de prova. Mas seria a ata notarial a solução para qualquer situação? Para utilizá-la corretamente, o processualista civil precisa conhecê-la. Estas breves considerações buscam esclarecer as aplicações da ata notarial.
Saúde da mulher quilombola no brasil: Uma revisão de literatura / health of quilombola women in brazil: A literature review
Authors: De Oliveira Valéria Mirla , De Lira Conceição Beatriz Costa , Bernardes-Oliveira Emanuelly , Costa Érika Rodrigues Guimarães , Gomes Madson Ralide Fonseca , Crispim Janaína Cristiana de Oliveira , Dantas Deyse de Souza , De Souza Mylner Olveira Fermiano , De Souza Mylner Olveira Fermiano
Published: November 2021

Este estudo compete a um levantamento de literatura que tem como finalidade explorar trabalhos publicados no intervalo dos anos de 2015 a 2020, que façam explanação sobre a saúde da mulher em comunidades quilombolas e, com isso, mencionar os questionamentos frequentes aos artigos, proporcionando argumentação e reflexão para melhorar o acesso a saúde, a essas comunidades. Como ferramenta de pesquisa foi utilizado as bases de dados SCIELO, LILACS, PUBMED, GOOGLE ACADÊMICO, e o portal periódicos CAPES. Foram encontrados 93 artigos, todavia apenas 10 estavam de acordo com os critérios de inclusão; sendo 3 artigos no SCIELO, 3 artigos no LILACS, 2 artigos no PUBMED, 1 artigos no GOOGLE ACADÊMICO e 1 artigo no portal periódicos CAPES. A revisão de literatura formulada possui um apuramento limitado em virtude da privação de conteúdo relacionados à saúde da mulher quilombola. Por isso é extremamente necessário trabalhar sobre esses assuntos, tema e sua aplicabilidade nas comunidades quilombolas. Com o andamento da análise foram observadas indagações comuns aos artigos, entre elas percebe-se a deficiência na promoção em saúde para essas mulheres, questões raciais, fragilidade na assistência à educação e à informação em saúde, a falta de profissionais de saúde capacitados para atender nessas comunidades, falta de entendimento cultural por parte desses profissionais e dos governantes. Desencadeando, assim, um fenômeno multicausal sobre a saúde da mulher quilombola. Isso causa problemáticas decorrentes ao acesso dos serviços de saúde, revelando a necessidade do investimento em pesquisas e na assistência à saúde dessas mulheres que sofrem vulnerabilidade social.
Isfahan Thyroid Cohort Study (ITCS)
Authors: Shahrokh Esfahani Samaneh , Tabatabaee Aliye , Aminorroaya Ashraf , Amini Masoud , Feizi Awat , Janghorbani Mohsen , Tabatabaei Azamosadat , Meamar Rokhsareh , Adibi Atoosa , Abyar Majid , Karimifar Mozhgan , Sajad Raheleh , Salehidoost Rezvan , Faghih Imani Elham , Hovsepian Silva , Sirous Mehri , Aminorroaya Yamini Sima
Published: November 2021

Background: The Isfahan Thyroid Cohort Study (ITCS) is one of the few population-based epidemiological studies in Iran that investigates the prevalence and incidence of thyroid disorders including hypothyroidism, hyperthyroidism, goiter, nodule, and iodine status. Methods: This cohort is located in Isfahan, Iran. The first phase was initiated in 2006 with 2523 participants (1275 males, 1248 females). The participants were selected using multi-stage cluster sampling from the general residents of Isfahan, Iran. The study had two phases (2006 and 2011) and its third stage is planned for 2020–2021. Results: The prevalence of thyroid function states was euthyroid (89.3%, 95% CI: 88%–90%), overt hypothyroidism (2.8%, 95% CI: 2%‒3%), subclinical hypothyroidism (5.8%, 95% CI: 4%–6%), overt hyperthyroidism (0.8%, 95% CI: 0.4%‒1%), and subclinical hyperthyroidism (0.99%, 95% CI: 0.6%–1%). Hypothyroidism and hyperthyroidism were significantly associated with goiter. The incidence of thyroid dysfunction was reported as follows: overt hypothyroidism (2.7, 95% CI: 1.6–3.7), subclinical hypothyroidism (20.6, 95% CI: 18–23), overt hyperthyroidism (1.9, 95% CI: 1–2.7) and subclinical hyperthyroidism (2.7, 95% CI: 1.6–3.7) per 1000 (person-year). Conclusion: We assessed the prevalence and incidence of thyroid disorders in Isfahan in the first and second phase, respectively. We are conducting the third phase of the ITCS in order to study the associations between thyroid peroxidase antibody (TPOAb) level and environmental factors such as infection.
Reperfusion Therapy and Predictors of 30-Day Mortality after ST-Segment Elevation Myocardial Infarction in a University Medical Center in Western Iran
Authors: Salehi Nahid , Motevaseli Sayeh , Janjani Parisa , Bahremand Mostafa , Heidari Moghadam Reza , Rouzbahani Mohammad , Siabani Soraya , Tadbiri Hooman , Nalini Mahdi
Published: November 2021

Background: Considerable variability in survival rate after ST-segment elevation myocardial infarction (STEMI) is present and outcomes remain suboptimal, especially in low- and middle-income contraries. This study aimed to investigate predictors of 30- day mortality after STEMI, including reperfusion therapy, in a tertiary hospital in western Iran. Methods: In this registry-based cohort study (2016–2019), we investigated reperfusion therapies – primary percutaneous coronary intervention (PPCI), pharmaco-invasive (thrombolysis followed by angiography/percutaneous coronary intervention), and thrombolysis alone – used in Imam-Ali hospital, the only hospital with a PPCI capability in the Kermanshah Province. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs), using Cox proportional-hazard models, to investigate the potential predictors of 30-day mortality including reperfusion therapy, admission types (direct admission/referral from non-PPCI-capable hospitals), demographic variables, coronary risk factors, vital signs on admission, medical history, and laboratory tests. Results: Data of 2428 STEMI patients (mean age: 60.73; 22.9% female) were available. Reperfusion therapy was performed in 84% of patients (58% PPCI, 10% pharmaco-invasive, 16% thrombolysis alone). Only 17% of the referred patients had received thrombolysis at non-PPCI-capable hospitals. Among patients with thrombolysis, only 38.2% underwent coronary angiography/ percutaneous coronary intervention. The independent predictors of mortality were: no reperfusion therapy (HR: 2.01, 95% CI: 1.36–2.97), referral from non-PPCI-capable hospitals (1.73, 1.22–2.46), age (1.03, 1.01–1.04), glomerular filtration rate (0.97, 0.96–0.97), heart rate>100 bpm (1.94, 1.22–3.08), and systolic blood pressure<100 mm Hg (4.92, 3.43–7.04). Mortality was lower with the pharmaco-invasive approach, although statistically non-significant, than other reperfusion therapies. Conclusion: Reperfusion therapy, admission types, age, glomerular filtration rate, heart rate, and blood pressure were independently associated with 30-day mortality. Using a comprehensive STEMI network to increase reperfusion therapy, especially pharmaco-invasive therapy, is recommended.
Age-adjusted Reference Values and Z-scores of the Coronary Sinus Diameter among Healthy Children and Adolescents in Southern Iran
Authors: Amoozgar Hamid , Bazyari Vahid , Edraki Mohammadreza , Mehdizadegan Nima , Mohammadi Hamid , Naghshzan Amir , Ajami Gholamhossein , Moradi Puoria , Dehghani Elham , Hajian Tahere
Published: November 2021

Background: Coronary sinus dimension is an important factor for diagnosing some types of cyanosis as well as congenital heart diseases and insertion of some devices into the coronary sinus if required. This study was designed to access the diameter and Z-score of the coronary sinus among children under 18 years of age. Methods: In this cross-sectional study on 95 individuals, the coronary sinus diameter was measured by transthoracic echocardiography in the four-chamber view at the connection to the right atrium, middle part, and distal end. The linear regression equation was utilized to determine age-adjust reference values, Z-scores, and the relationship between the individuals’ coronary sinus diameter age, height, and body surface area. The study was conducted from March to July 2020 in Namazi hospital clinic of Shiraz University of Medical Sciences, Shiraz, Iran. Results: The mean age of the persons who entered this study was 5.87±4.25 years. The mean coronary sinus diameter was 4.91±1.29 mm at the site of connection to the right atrium, 4.50±1.44 mm at the middle part, and 3.74±1.32 mm at the distal end. Coronary sinus diameter correlates positively with the participants’ age, weight, height, and body surface area (P<0.001). Conclusion: Coronary sinus diameter significantly correlates with the age, height, and body surface area of the cases. These features are useful in diagnosing some congenital heart diseases and insertion of suitable devices through it.