bluuebunny/crossref_metadata_2025 huggingface dataset:
Professionally perceived effectiveness of psychosocial interventions for existential suffering of terminally ill cancer patients
Authors: Hirai Kei , Morita Tatsuya , Kashiwagi Tetsuo
Published: December 2021

Background: Although integrated care for existential suffering is an essential part of palliative care, little is known about its concept and efficacy as perceived by professionals. A questionnaire survey was carried out to 1) explore the underlying structure of psychosocial interventions recommended by specialists, 2) identify the professionally perceived effectiveness of each intervention for specific existential distress, and 3) examine the effects of specialty on their recommendations. Methods: A questionnaire with three scenarios representing terminally ill cancer patients with uncertainty-related anxiety, guilt feelings, and dependency-related meaninglessness was mailed to 701 Japanese psychiatrists, 118 psychologists, and 372 palliative care nurses. Results: A total of 456 responses were obtained (response rate = 38%). Recommended psychosocial interventions were classified into six subcategories: ’a supportive-expressive approach,fl’providing comfortable environments,fl’meaning-centered approach,fl’being,fl’education and coping skills training,fland ’a religious approach.flA ’supportive-expressive approachflwas consistently recommended in all vignettes. On the other hand, ’providing comfortable environmentsflwas most recommended for patients with uncertainty-related anxiety, and a ’meaning-centered approachfland ’beingflwere most recommended for patients feeling dependency-related meaninglessness. Psychiatrists estimated the effectiveness of psychopharmacological treatment significantly higher than psychologists and nurses, while nurses evaluated efficacy of all other interventions significantly higher than psychiatrists and psychologists. Conclusions: Experts evaluated a variety of clinical interventions as effective in palliating existential suffering, although the perceived levels of efficacy of each intervention differed according to the nature of suffering and their specialties. To effectively alleviate existential suffering in terminally ill cancer patients, an integrated care by an interdisciplinary team is necessary.
Renal impairment: a challenge for opioid treatment? The role of buprenorphine
Authors: Böger Rainer H
Published: December 2021

Impairment of renal function is common among elderly patients due to an age-related decline in renal excretory function. In addition, many diseases such as hypertension and diabetes mellitus are associated with an accelerated decline in renal function. Renal dysfunction affects the metabolism of compounds and thus has important therapeutic consequences for drug safety. For pain patients who have reduced renal function such as those in palliative care, most opioids used for chronic pain treatment should be administered at reduced dosages, with increased dosage intervals, or not at all because of the risk of accumulation of the parent compound or its metabolites. For instance, for morphine or codeine, active metabolites are formed in the liver and cleared by the kidney and may therefore accumulate in cases of renal dysfunction. In contrast, buprenorphine can be administered at normal doses in patients with renal dysfunction because it is mainly excreted through the liver. In patients undergoing regular haemodialysis treatment, removal of an opioid during dialysis varies between individuals based upon a number of factors including the dialysis technique used. Morphine appears to be difficult to process in haemodialysis patients due to possible ‘rebound’ of metabolites between dialysis sessions. By contrast, the pharmacokinetics of buprenorphine are unchanged in haemodialysis patients, which means that there is no need for dose-reduction with this drug. Thus, in patients with reduced renal function, chronic renal insufficiency and haemodialysis, buprenorphine appears to be a safe choice when opioid treatment is initiated.
Early Outcomes of Elective Anterior Cervical Diskectomy and Fusion for Degenerative Spine Disease Correlate With the Specialty of the Surgeon Performing the Procedure
Authors: Alomari Safwan , Judy Brendan , Weingart Jon , Lo Sheng-Fu L. , Sciubba Daniel M. , Theodore Nicholas , Witham Timothy , Bydon Ali
Published: December 2021

BACKGROUND:

Comparative effectiveness research has a vital role in recent health reform and policies. Specialty training is one of these provider-side variables, and surgeons who were trained in different specialties may have different outcomes on performing the same procedure.

OBJECTIVE:

To investigate the impact of spine surgeon specialty (neurosurgery vs orthopedic surgery) on early perioperative outcome measures of elective anterior cervical diskectomy and fusion (ACDF) for degenerative spine diseases.

METHODS:

This was a retrospective, 1:1 propensity score-matched cohort study. In total, 21 211 patients were reviewed from the American College of Surgeons National Surgical Quality Improvement Program database. Propensity score matching and subgroup analysis were performed.

RESULTS:

In both groups (single-level/multilevel ACDF), patients operated on by neurosurgeons had longer operation time (133 vs 104 min/164 vs 138 min), shorter total hospital stay (24 vs 41 h/25 vs 46 h), and lower rates of return to operating room (0.7% vs 2.1%/0.6% vs 2.4%), nonhome discharge (1.2% vs 4.6%/1.0% vs 4.9%), discharge after postoperative day 1 (6.7% vs 11.9%/10.1% vs 18.9%), perioperative blood transfusion (0.4% vs 2.1%/0.6% vs 3.1%), and sepsis (0.2% vs 0.7%/0.1% vs 0.7%; P < .05). In the single-level ACDF group, patients operated on by neurosurgeons had lower readmission (1.9% vs 4.1%) and unplanned intubation rates (0.1% vs 1.1%; P < .05). Other outcome measures and mortality rates were similar among the 2 cohorts in both groups.

CONCLUSION:

Our analysis found significant differences in early perioperative outcomes of patients undergoing ACDF by neurosurgeons and orthopedic surgeons. These differences might have significant clinical and cost implications for patients, physicians, program directors, payers, and health systems.
Application of Color Doppler Ultrasound to Identify and Repair Postoperative Cerebrospinal Fluid Leak: A Technical Note
Authors: West James L. , Abode-Iyamah Kingsley , Chen Selby G. , Fox W. Christopher , Bydon Mohamad , Miller David A. , Clendenen Steven R.
Published: December 2021

BACKGROUND:

Incidental durotomy is a known complication of spinal surgery. Persistent cerebrospinal fluid (CSF) leak after unrecognized durotomy may lead to prolonged hospitalization and significant morbidity. If initial bed rest fails, the surgeon must choose between nontargeted methods such as oversewing the wound and lumbar drain placement or return to the operating room.

OBJECTIVE:

To report the novel use of color flow doppler (CFD) in conjunction with ultrasound (US) to localize the point of CSF leak, assist with aspiration of the pseudomeningocele, and direct the application of fibrin sealant or epidural blood patch.

METHODS:

This article includes a description of the technique as a technical note.

RESULTS:

A 72-year-old man underwent L2-5 laminectomies for spinal stenosis. During the index operation, a durotomy occurred and was repaired primarily. The patient subsequently developed leg weakness, back pain, and bulging of the incision. Using CFD, the site of durotomy was determined. Under direct visualization, 34 mL of CSF was aspirated from the pseudomeningocele and 20 mL of fibrin sealant was placed opposing the durotomy. At 2-month follow-up, CFD confirmed absent flow and MRI demonstrated pseudomeningocele resolution.

CONCLUSION:

This article represents the first report highlighting the utility of CFD US to guide epidural patch placement for postsurgical CSF leaks. CFD allows localization of the durotomy and direct application of blood or fibrin sealant, potentially increasing the success rate of epidural blood patch in postoperative patients. This approach is less invasive than revision surgery and does not require the prolonged hospitalization of lumbar drainage or other nontargeted interventions.
Encephaloduroarteriosynangiosis Operative Technique and Intraoperative Anesthesia Management: Treatment From Both Sides of the Curtain
Authors: Chan Julie L. , Quintero-Consuegra Miguel D. , Babadjouni Robin M. , Chang Daniel , Barnard Zachary R. , Martin Neil A. , Ziv Keren , Van de Wiele Barbara M. , Gonzalez Nestor R.
Published: December 2021

BACKGROUND:

Encephaloduroarteriosynangiosis (EDAS) is a form of indirect revascularization for cerebral arterial steno-occlusive disorders. EDAS has gained growing interest as a technique applicable to pediatric and adult populations for several types of ischemic cerebral steno-occlusive conditions.

OBJECTIVE:

To present a team-oriented, multidisciplinary update of the EDAS technique for application in challenging adult cases of cerebrovascular stenosis/occlusion, successfully implemented in more than 200 cases.

METHODS:

We describe and demonstrate step-by-step a multidisciplinary-modified EDAS technique, adapted to maintain uninterrupted intensive medical management of patients' stroke risk factors and anesthesia protocols to maintain strict hemodynamic control.

RESULTS:

A total of 216 EDAS surgeries were performed in 164 adult patients, including 65 surgeries for patients with intracranial atherosclerotic disease and 151 operations in 99 patients with moyamoya disease. Five patients with intracranial atherosclerotic disease had recurrent strokes (3%), and there was one perioperative death. The mean clinical follow-up was 32.9 mo with a standard deviation of 31.1. There was one deviation from the surgical protocol. There were deviations from the anesthesia protocol in 3 patients (0.01%), which were promptly corrected and did not have any clinical impact on the patients' condition.

CONCLUSION:

The EDAS protocol described here implements a team-oriented, multidisciplinary adaptation of the EDAS technique. This adaptation resides mainly in 3 points: (1) uninterrupted administration of intensive medical management, (2) strict hemodynamic control during anesthesia, and (3) meticulous standardized surgical technique.
Development of a MnOOH Mineral Electrocatalyst for Water Splitting by Controlling the Surface Defects of a Naturally Occurring Ore
Authors: Tsunekawa Shun , Sakai Arisu , Tamura Yoshiaki , Hatada Keisuke , Ina Toshiaki , Wang Ke-Hsuan , Kawai Takeshi , Yoshida Masaaki
Published: December 2021

A MnOOH-based mineral electrocatalyst for the oxygen evolution reaction was developed using a natural ore that is typically insulating, simply by applying a ball milling treatment. This material catalytically decomposed water molecules to generate oxygen. Mn K-edge X-ray absorption spectroscopy analyses in the bulk and surface sensitive modes indicated that structural distortion at the surface provided the catalytically active sites. The formation of oxygen vacancies on natural ore surfaces is likely to be the key to developing efficient mineral electrocatalysts.
Computer-aided genetic analysis of complex disease
Authors: Δημητροπούλου Πολυξένη
Published: December 2021

Η παρούσα διατριβή αφορά στην ανάλυση σύνθετων ασθενειών και την παρουσίαση δύο αυτοματοποιημένων εργαλείων για την ενίσχυση των αναλύσεων αυτών. Παρουσιάζονται οι υπάρχουσες μέθοδοι ανίχνευσης της συσχέτισης και της σύνδεσης, συμπεριλαμβανομένης μιας επισκόπησης του ελέγχου Διαταραχής Ισορροπίας της Μετάδοσης (TDT). Το πρώτο εργαλείο, μια μέθοδος που ονομάζεται έλεγχος WHM, αναπτύχθηκε για την ανίχνευση συσχέτισης μεταξύ μιας ασθένειας και μιας χρωμοσωμικής περιοχής ως εργαλείο για τον εντοπισμό των γονιδίων της νόσου. Η μέθοδος αποδίδει σταθμά σε ολόκληρους απλότυπους (δηλ. αλληλόμορφα σε πολλούς κοντινούς τόπους) και εφαρμόζει έλεγχο TDT σε διάφορες συναρτήσεις των σταθμών. Αυτές οι συναρτήσεις περιγράφονται λεπτομερώς ως παραλλαγές του ελέγχου WHM. Ο έλεγχος WHM συγκρίνεται με το TDT ως προς τις ομοιότητες και τις διαφορές, και παρουσιάζεται μια σύντομη μαθηματική περιγραφή. Παρουσιάζονται τα αποτελέσματα των δοκιμών λογισμικού, καθώς και η εφαρμογή του αντίστοιχου λογισμικού για τον έλεγχο WHM σε δεδομένα ασθενών ρευματοειδούς αρθρίτιδας και σε προσομοιωμένα δεδομένα πληθυσμού. Τα αποτελέσματα εξετάζονται και εξηγούνται δίνοντας μια περιγραφή των πλεονεκτημάτων και των περιορισμών της νέας μεθόδου. Η ισχύς αυτής της μεθόδου σε σύγκριση με το TDT με διόρθωση Bonferroni λαμβάνεται υπόψη τόσο για τα δεδομένα ρευματοειδούς αρθρίτιδας όσο και για τα προσομοιωμένα δεδομένα. Έχει αναπτυχθεί ένα πρόγραμμα που ονομάζεται RECSIM, το οποίο προσομοιώνει τη διέλευση των χρωμοσωμάτων μέσω μιας γενεαλογίας, μαζί με ένα εργαλείο ανάλυσης (INDSTATS), ώστε να εξεταστούν ζητήματα που σχετίζονται με την «ταυτότητα λόγω καταγωγής» (IBD). Το κύριο πρόγραμμα καταγράφει την ακριβή θέση των συμβάντων επανασυνδυασμού και τη χρωμοσωμική σύνθεση των ατόμων σε μια δεδομένη γενεαλογία, ενώ το εργαλείο INDSTATS συγκρίνει έναν συγκεκριμένο αριθμό χρωμοσωμάτων ως προς το πλήθος και το μήκος των περιοχών όπου παρατηρούνται αλληλόμορφα κοινά IBD. Το εργαλείο συγκρίνεται με τις υπάρχουσες μεθόδους που χρησιμοποιούνται στην ανάλυση γενεαλογιών. Η λειτουργία του εξηγείται και περιγράφονται οι χρήσεις του. Τα κύρια συμπεράσματα αυτής της έρευνας είναι ότι η ισχύς των νέων ελέγχων WHM εξαρτάται από τη σχέση του μοντέλου της νόσου με την υποκείμενη διαταραχή ισορροπίας σύνδεσης των γόνων στον πληθυσμό. Παρουσιάζονται αποτελέσματα και εκτεταμένη ανάλυση και ερμηνεία και για τα δύο σενάρια που αποδίδουν υψηλή και χαμηλή ισχύ για τον WHM. Η νέα μέθοδος ευνοείται όταν το μοντέλο διαταραχής ισορροπίας σύνδεσης των γόνων δεν υπονομεύει τις συσχετίσεις των αλληλόμορφων της νόσου. Έχοντας αυτό κατά νου, απαιτείται περαιτέρω έρευνα για την εξεύρεση μηχανισμών προσαρμογής του WHM σύμφωνα με τα μοντέλα για τη διαταραχή ισορροπίας σύνδεσης των γόνων και τη νόσο.
The role of the media in disaster and crisis management
Authors: Καλογιαννίδης Σταύρος
Published: December 2021

Στη συγκεκριμένη διατριβή διερευνάται το ζήτημα του ρόλου των ΜΜΕ στις κρίσιμες καταστάσεις, σε καταστάσεις κινδύνου («Ο ρόλος των ΜΜΕ στη διαχείριση των καταστροφικών κρίσεων»). Απώτερος στόχος είναι, μέσα από τη βιβλιογραφική ανασκόπηση, να διαφανεί το κατά πόσο επηρεάζουν τα ΜΜΕ την γνώση του κοινού, πόσο αντικειμενική και αληθής είναι η πληροφορία που μεταδίδουν. Για το σκοπό αυτό δομήθηκε ανάλογα η διατριβή αυτή. Έτσι, αρχικά και μετά από την εισαγωγή όπου γίνεται μία περιεκτική καταγραφή σχετικά με τη καταστροφική κρίση ως έννοια, ως προς τα χαρακτηριστικά της, τα είδη της και τις χρονικές φάσεις και τους τύπους της. Ακολούθως, στο δεύτερο κεφάλαιο μελετώνται οι νέες τάσεις της ανάπτυξης της διαχείρισης των κρίσεων, των καταστροφών και των κινδύνων. Έτσι, η εστίαση γίνεται στην έννοια του κινδύνου, τη ταξινόμησή του, της διαχείριση της κρίσης, τα μοντέλα και τις ισχύουσες θεωρίες της διαχείρισης της κρίσης.Το τρίτο κεφάλαιο μελετά το ρόλο των ΜΜΕ στο σύστημα διαχείρισης των καταστροφών. Συγκεκριμένα, το κεφάλαιο αυτό περιλαμβάνει βιβλιογραφικό υλικό σχετικά με το ρόλο των ΜΜΕ γενικά, την άσκηση επιρροής των ΜΜΕ, τη διαχείριση της κρίσιμης κατάστασης από τα ΜΜΕ και τον τρόπο που τα ΜΜΕ την προσεγγίζουν, τη συμβολή των ΜΜΕ γενικά, την επικοινωνία μεταξύ του προσωπικού των ΜΜΕ με τους διαχειριστές της κρίσιμης κατάστασης και τη συνάντηση μεταξύ αυτών των δύο πλευρών, το ρόλο των ΜΜΕ στις κρίσιμες καταστάσεις εκτενέστερα.Το τέταρτο κεφάλαιο αφορά στα ευρωπαϊκά κέντρα, προγράμματα, σχέδια για τη διαχείριση κρίσεων, καταστροφών και κινδύνων, στο πέμπτο κεφάλαιο μελετάται η ανάλυση της εμπειρίας στον τομέα των επικοινωνιών και των μέσων μαζικής ενημέρωσης στην Ελλάδα και τις χώρες των Βαλκανίων κατά τη διάρκεια των καταστροφών, με το τελευταίο κεφάλαιο (κεφάλαιο 6) να είναι το συμπερασματικό κεφάλαιο.
Reuse of treated domestic wastewater on Mediterranean agricultural crops
Authors: Πετούση Ιωάννα
Published: December 2021

Η παρούσα διπλωματική εργασία αποτελεί διδακτορική διατριβή η οποία εκπονήθηκε στο Πανεπιστήμιο του Leeds. Η διατριβή χωρίζεται σε πέντε διαφορετικά κεφάλαια, όπου το κεφάλαιο 1 και το κεφάλαιο 2 περιέχουν μια γενική εισαγωγή και μια βιβλιογραφική ανασκόπηση σχετικά με την επεξεργασία και την επαναχρησιμοποίηση λυμάτων. Το Κεφάλαιο 3 περιέχει τα υλικά και τις μεθόδους που χρησιμοποιούνται για την παρακολούθηση των γεωργικών καλλιεργειών. Το Κεφάλαιο 4 πραγματεύεται τα αποτελέσματα που προέκυψαν από την εφαρμογή λυμάτων σε γεωργικές καλλιέργειες καθώς και τον σχολιασμό. Το Κεφάλαιο 5 περιέχει τα συνολικά συμπεράσματα από τη μελέτη και προτάσεις για περαιτέρω έρευνα. Τα πειράματα έγιναν στο νησί της Κρήτης στην Ελλάδα Τρεις διαφορετικές ποιότητες επεξεργασμένων λυμάτων εφαρμόστηκαν σε ένα ευρύ φάσμα Μεσογειακών καλλιέργειών συμπεριλαμβανομένων α) ελιών, β) αμπέλων, γ) λαχανικών (ραπανάκια) και δ) ανθέων (γαρύφαλλα) και σε σύγκριση με την εφαρμογή του νερού βρύσης και του νερού με λίπασμα. Η επίδραση των λυμάτων σε α) φυτά, β) έδαφος, γ) υγεία και ασφάλεια(παθογόνα) και δ) η ποιότητα των καρπών εξετάστηκε σε σύγκριση με το νερό της βρύσης και το νερό με λίπανση.
Case Report: Right paraduodenal hernia – a unique case of rare internal hernia presenting as acute small bowel obstruction
Authors: Joshi Brikha Raj , Gautam Swotantra , Yadav Saroj Adhikari , Gupta Rakesh Kumar
Published: December 2021

Paraduodenal hernia, a rare internal hernia, is an uncommon cause of small bowel obstruction. We present a case report of a 45-year-old male presenting to the emergency department with complaints suggestive of small bowel obstruction. Abdominal plain X-ray was also suggestive of small bowel obstruction. Emergency laparotomy showed intraoperative findings of right sided paraduodenal hernia with dilated small bowel. Postoperative hospital stay was uneventful and the patient was doing well during 24 months of follow up with no active complaints. Paraduodenal hernia should be considered as part of the differential diagnosis of small bowel obstruction in patients who have repeated attacks and no prior history of abdominal surgery. Surgeons need to have an astute clinical acumen in diagnosing internal hernias to avoid repercussions and fatal events.
The genome sequence of the bramble shoot moth, Notocelia uddmanniana (Linnaeus, 1758)
Authors: Boyes Douglas , Holland Peter W.H. ,   University of Oxford and Wytham Woods Genome Acquisition Lab,   Darwin Tree of Life Barcoding collective,   Wellcome Sanger Institute Tree of Life programme,   Wellcome Sanger Institute Scientific Operations: DNA Pipelines collective,   Tree of Life Core Informatics collective,   Darwin Tree of Life Consortium
Published: December 2021

We present a genome assembly from an individual male Notocelia uddmanniana (the bramble shoot moth; Arthropoda; Insecta; Lepidoptera; Tortricidae). The genome sequence is 794 megabases in span. The majority of the assembly, 99.96%, is scaffolded into 28 chromosomal pseudomolecules, with the Z sex chromosome assembled.
Pamięć historyczna miast
Authors: Ratajczak Magdalena , Ryniejska-Kiełdanowicz Marta
Published: December 2021

Historical Memory of Cities. The Concepts of City Diplomacy
Cities play a very important role in contemporary international relations. We introduce the concept of city diplomacy in this paper. Many important themes addressed by cities within the framework of city diplomacy are those related to history. Cities often build their promotional narratives around them. We look at selected contemporary cities and their policies in the area of cultural diversity, taking into account the historical perspective. For many cities, the building of a community of memories and the running of a coherent narrative using history are becoming very important elements in strengthening their identity and image. The article will point to museums as an example of such activity.
Odporność miast i nowe polityki miejskie
Authors: Kubicki Paweł
Published: December 2021

Urban Resilience and New Urban Policies
The article analyses new urban policies and the question of urban resilience. The author focus on two case studies: the examples of “superblocks” idea in Barcelona and the idea of “15-minute city” in Paris. Both initiatives are now becoming model solutions, providing inspiration for other cities adapting to the new challenges. Moreover, both cities in the middle of the 19th century, as a result of the revolutionary reconstruction of the urban fabric, have also become model examples for other cities and symbols of the new urban way of life. The analysis, based on such examples, allows the phenomena to be explained in a long-term perspective, indicating the role of the city and urbanity in the process of initiating social change processes.
Wybory parlamentarne w Serbii w 2020 roku – szczyt dominacji politycznej Serbskiej Partii Postępowej?
Authors: Hebda Wiktor
Published: December 2021

Serbia’s Parliamentary Elections in 2020: The Peak of Political Domination of the Serbian Progressive Party?
The Serbian parliamentary elections in 2020 were not groundbreaking in political terms, but their results directly determine the immediate future of Serbs. Taking into account the current geopolitical situation in Serbia, it should be emphasized that the next four years may prove critical for the international position of this country. The elections on June 21 were special due to the circumstances in which they were held. Among them, the global problem should be mentioned – the coronavirus pandemic, which paralyzed the functioning of many countries, including Serbia. The second important factor relates to the largest anti-government protests since 2000, which began in late 2018 and lasted until the state of emergency declaration due to the threat of COVID-19. The results of the parliamentary elections in 2020 should be interpreted as the strengthening of the Serbian Progressive Party and its leader Aleksandar Vučić. Moreover, it is a clear signal that the opposition still do not have adequate public support to compete effectively with the ruling party. Nowadays, there are no political conditions for an alternation of power in Serbia. Following the impressive victory in the parliamentary elections, the Serbian Progressive Party may continue the process of increasing influence in the most important state organs.
Periodic Analysis of the Relationship between Gold, Crude Oil, Exchange Rate and India’s Stock Market
Authors: Kanungo Anil Kumar , Dang Puneet
Published: December 2021

Purpose: The purpose of this paper is to find out the relationship between price of Gold, price of Crude Oil, Exchange Rate of India, and India’s stock market. The research has been done on Pre-COVID time periods to analyse the relationship in scenarios like pre-global financial crisis, during crisis and post crisis. The authors incorporate the data from pre-crisis phases i.e., 2005 to 2019, to find out the relationship between the variables using Granger causality test, Johansen’s Cointegration, and Vector Autoregression. To study the spill-over effect on India’s stock market, regression has been used. The empirical results indicate that for the Pre-Crisis and Post-Crisis periods, “Gold” does granger cause “USDINR”, for all three periods “Crude oil” does granger cause “Gold”, for the crisis and post crisis periods “Gold” does granger cause “Crude oil”, for the post crisis period “USDINR” does granger cause “Crude oil”. No other causality relationship was established with the help of this empirical analysis. Johansen’s cointegration test revealed that no cointegration exists amongst the three variables. The impact of exchange rate on India’s stock market has changed as compared to the previous time periods. Exchange rate was inversely related to the stock markets for the Pre-Crisis and Crisis periods and is directly related to the stock market for the Post-Crisis period. This study adds to the existing literature on the variables, by using phase wise data and performing empirical analysis to find out the relationship between the variables. Not many literature demonstrate together the relationship among these three variables in three different periods. This is a significant gap that the study aimed to address.
Crítica de arte para a expansão dos sentidos.
Authors: Rocha Rizzia
Published: December 2021

O presente artigo propõe examinar as mudanças na crítica de arte responsáveis por sua crise como atividade fundamentada no ajuizamento, na contextualização e teorização das produções artísticas. A partir dessa análise, o conceito de crítica poética é explorado como uma das atuações da crítica na produção artística contemporânea.
As mulheres no movimento de arte pornô
Authors: Dorneles Cynthia
Published: December 2021

A autora reflete sobre a contribuição das performers, artistas e poetas ao Movimento de Arte Pornô e descreve sua própria participação neste movimento de vanguarda brasileiro do início dos anos 80.
Iconoclastia e milagre: a Passio Imaginis na Península Ibérica (séculos XIII-XVII)
Authors: Amaral Debora Gomes Pereira
Published: December 2021

Neste artigo analisaremos, por meio de relatos sobre ataques a crucifixos milagrosos (séculos XIII-XVII) e de processos de Fé da Inquisição espanhola, como a lenda da Passio Imaginis de Beirute repercutiu na Península Ibérica e suas possíveis influências nas acusações de ataques iconoclastas à imagem considerada a mais importante para a fé cristã, o Cristo-Imagem.Palavras-chaves: Passio Imaginis; Iconoclastia, Crucifixo Milagroso, Inquisição Ibérica
Gerenciamento na Estratégia Saúde da Família: percepção de enfermeiros
Authors: Mateus Lharissa Cristina , Condeles Pedro César , Bracarense Carolina Feliciana , Parreira Bibiane Dias Miranda , Simões Ana Lúcia De Assis , Goulart Bethania Ferreira
Published: December 2021

Objetivo: investigar a visão dos enfermeiros sobre o gerenciamento na Estratégia Saúde da Família. Método: estudo qualitativo, descritivo. Participaram 31 enfermeiros atuantes em equipes da Estratégia Saúde da Família. Coletaram-se os dados por meio de um roteiro de entrevistas semiestruturado. A análise dos dados foi feita por meio da análise de conteúdo, modalidade temática. Resultados: emergiram três categorias temáticas: Concepção de gerenciamento; Cotidiano do gerenciamento e Desafios para o gerenciamento na enfermagem. O gerenciamento representa uma importante ferramenta de organização e administração da Estratégia Saúde da Família, e inclui planejamento das ações a serem implementadas, coordenação do trabalho da equipe, previsão e provisão de materiais, e gerenciamento de pessoal. Além disso, emergiu nos discursos a necessidade de rever a proposta curricular da formação do enfermeiro. Conclusão: quando o gerenciamento incentiva integração das ações e dos próprios profissionais, isto promove a assistência integrada e coerente com as demandas sociais.
Consumo abusivo de álcool por mulheres rurais: o atendimento na Atenção Primária à Saúde
Authors: Ebling Sandra Beatris Diniz , Silva Mara Regina Santos da , Farias Francisca Lucélia Ribeiro de
Published: December 2021

Objetivo:  analisar o atendimento a usuárias de álcool, em um serviço de Atenção Primária à Saúde, na percepção das mulheres rurais. Método: estudo qualitativo, descritivo, exploratório, cujos dados foram obtidos mediante entrevistas realizadas entre março e agosto de 2018, com 23 mulheres adultas em uso abusivo de álcool, moradoras em áreas rurais de um município da região Centro Ocidental do Rio Grande do Sul. Os dados foram submetidos à Análise Temática, balizada pela teoria Bioecológica de Desenvolvimento Humano. Resultados: as abordagens em saúde estão majoritariamente centradas na medicalização e na clínica ginecológica, sem reconhecer o consumo abusivo de álcool como um problema que também acometem as mulheres. Conclusão: se faz necessário a reorientação do modelo de atenção à saúde no contexto do consumo de álcool entre mulheres rurais, por meio da restruturação de abordagens à saúde que priorizam a clínica ampliada.
Comparação estrutural da representação de mulheres e homens acerca da violência
Authors: Vallejos Carolina Coutinho Costa , Gutmann Victoria Leslyê Rocha , Neutzling Aline Brum , Silva Camila Daiane , Acosta Daniele Ferreira , Mota Marina Soares
Published: December 2021

Objetivo: comparar a estrutura e o conteúdo da representação social de mulheres e homens sobre a violência. Método: estudo qualitativo fundamentado na Teoria das Representações Sociais. Participaram 150 usuários das Estratégias de Saúde da Família da cidade de Rio Grande/RS em 2019. Utilizou-se a técnica de evocações livres e entrevistas gravadas, aprovado pelo Comitê de Ética. Realizou-se análise prototípica pelo software EVOC e de similitude pelo IRAMUTEQ. Resultados: na centralidade da representação de mulheres e homens o elemento em comum foi violência. A representação das mulheres foi permeada pela violência física e verbal no ambiente doméstico. A dos homens foi destacada pela violência urbana em espaços públicos. Considerações finais: a representação social de mulheres e homens acerca da violência tem, em sua estrutura e conteúdo, como elemento em comum a violência, porém há nuances quanto ao local de ocorrência e os tipos de violência que cada sexo está sujeito.
Adaptação pós-operatória de pessoas com estomia com e sem complicação: estudo comparativo
Authors: Peixoto Hugo De Andrade , Silva Priscila Maria Sumas da , Souza Priscilla Alfradique de , Guimarães Nathalia De Paula Albuquerque , Pinto Ana Cristina Silva
Published: December 2021

Objetivo: analisar as adaptações pós-operatórias de pessoas com estomias intestinais de eliminação com e sem complicação a partir da Escala de Adaptação a Ostomia de Eliminação. Método: estudo de abordagem quantitativa, prospectiva, com 56 pessoas com estomia em pós-operatório tardio. Utilizou-se questionário semiestruturado. Os dados foram analisados a partir de testes estatísticos não-paramétricos. Resultados: a maioria dos participantes possuía entre 54 e 69 anos (58,9%), ensino fundamental completo (41%), casados (53,6%), aposentados (66%) e colostomizados (71,4%). Do total, 48,2% apresentaram complicações relacionadas a estomia, como dermatites (19,6%). Na escala de adaptação, a média geral foi 144,7. As dimensões que apresentaram maior pontuação foram autocuidado (18,8) e autoconceito (42,5); e menor pontuação, interação sexual (15,1). O domínio suporte social/religioso mostrou-se significativamente diferente entre os grupos (p=0,031). Conclusão: Um quantitativo relevante da população possuía complicações e mostrou-se menos adaptado a estomia.  Avaliação precoce pode ser uma estratégia para prevenção de complicações.
Capacitação em rede social: avaliação e aplicabilidade na atenção à criança com doença crônica
Authors: Souza Maria Helena Nascimento , Vasconcellos Rayssa Nascimento , Vaz Elenice Maria Cecchetti , Reichert Altamira Pereira da Silva , Motta Maria Catarina Salvador da , Collet Neusa
Published: December 2021

Objetivos: avaliar o impacto de uma oficina de capacitação sobre o uso do referencial metodológico de rede social junto a profissionais de saúde e identificar os limites e possibilidades para a aplicabilidade desse referencial no cuidado às crianças com condição e/ou doença crônica. Método: estudo qualitativo, com profissionais de equipes saúde da família que participaram de oficinas de capacitação em rede social. A coleta de dados transcorreu de outubro a novembro de 2017, sendo interpretado pela análise temática de conteúdo. Estudo aprovado pelo Comitê de Ética. Resultados: o conhecimento acerca do referencial metodológico significou satisfação e uma novidade que auxilia a prática assistencial no atendimento de crianças, bem como aos usuários de outras faixas etárias. Conclusão: a apropriação do referencial de rede social se constitui em um desafio para o cuidado nas unidades de saúde da família. Ainda assim, os profissionais veem o referencial como uma possibilidade de otimizar cuidado às crianças com doenças crônicas.
Avaliação do estado cognitivo e capacidade funcional em pessoas idosas institucionalizadas
Authors: Soares Jefferson Da Silva , Ferreira José Soleniel da Costa , Araújo-Monteiro Gleicy Karine Nascimento , Souto Rafaella Queiroga , Braga João Euclides Fernandes
Published: December 2021

Objetivo: analisar a relação entre o estado cognitivo, o nível de capacidade funcional e os fatores socioeconômicos entre pessoas idosas institucionalizadas. Métodos: estudo quantitativo, transversal, desenvolvido com pessoas idosas em Instituição de Longa Permanência para Idosos (ILPI). Os instrumentos utilizados: questionário Brazil Old Age Schedule; Mini exame do Estado Mental; escalas de Atividades Avançadas de Vida Diária, Atividades Instrumentais de Vida Diária e Atividades Básicas de Vida Diária. A análise foi realizada através de estatística descritiva e estatística inferencial. Resultados: predominou o déficit cognitivo entre pessoas idosas do sexo masculino (50,0%), até 70 anos (57,1%), alfabetizados (58,6%), em um relacionamento (66,7%), sem filhos (60,5%) e com renda superior a um salário mínimo (66,7%). A maioria das pessoas idosas com déficit tem menor nível nas atividades avançadas (71,9%), independência nas atividades instrumentais (55,6%) e dependência nas atividades básicas (71,1%). Conclusão: o déficit cognitivo relaciona-se com a capacidade funcional, sendo menor em pessoas idosas com maior nível de independência e mais ativos.
Anorexia nervosa and pancreatitis
Authors: Hudson-Phillips Sarah , Mayo Kate , Cox Kofi , Sharif Zeynab , Burns Joshua
Published: December 2021

Acute pancreatitis is a condition whereby erroneous activation of trypsin and zymogen results in pancreatic autodigestion. There are many aetiologies, with alcohol intake and gallstones being the most common. Anorexia nervosa is an eating disorder in which patients' reduced food intake and psychological aversion of weight gain can result in low body weight and malnourishment. The link between pancreatitis and anorexia nervosa is not well understood; this article explores the theorised pathophysiology connecting the two conditions, as well as the optimal management of patients when the conditions co-exist based on current literature.

A literature search was performed using MEDLINE, EMBASE and CINAHL databases for all journal articles on the topic of presentations of acute or chronic pancreatitis in adults with anorexia nervosa.

The literature proposes various links between anorexia nervosa and pancreatitis. It is theorised that pancreatitis may arise as a result of malnourishment itself or secondary to the refeeding process. Some explanations focus on the histopathological changes to the pancreas that malnourishment induces, while others focus on the enzymatic changes and oxidative damage that arise in the malnourished state. More mechanical mechanisms such as gastric dilatation, gastrointestinal ileus and compartmental fluid shift during refeeding have also been proposed as explanations for the link between the conditions. Some medications used in the management of anorexia nervosa have also been linked to pancreatitis.
Outcomes of primary total hip arthroplasty using 3D image-based custom stems in unselected patients: a systematic review
Authors: Nogier Alexis , Tourabaly Idriss , Ramos-Pascual Sonia , Müller Jacobus H. , Saffarini Mo , Courtin Cyril
Published: December 2021

To report clinical and radiographic outcomes of primary THA using three-dimensional (3D) image-based custom stems.

This systematic review was performed according to PRISMA guidelines and registered with PROSPERO (CRD42020216079). A search was conducted using MEDLINE, Embase and Cochrane. Clinical studies were included if they reported clinical or radiographic outcomes of primary THA using 3D image-based custom stems. Studies were excluded if specific to patients with major hip anatomical deformities, or if not written in English.

Fourteen studies were eligible for inclusion (n = 1936 hips). There was considerable heterogeneity in terms of manufacturer, proximal geometry, coating and length of custom stems. Revision rates ranged from 0% to 1% in the short-term, 0% to 20% in the mid-term, and 4% to 10% in the long-term, while complication rates ranged from 3% in the short-term, 0% to 11% in the mid-term and 0% to 4% in the long-term. Post-operative Harris hip scores ranged from 95 to 96 in the short-term, 80 to 99 in the mid-term, and 87 to 94 in the long-term. Radiographic outcomes were reported in eleven studies, although none reported 3D implant sizing or positioning, nor compared planned and postoperative hip architecture.

Primary THA using 3D image-based custom stems in unselected patients provides limited but promising clinical and radiographic outcomes. Despite excellent survival, the evidence available in the literature remains insufficient to recommend their routine use. Future studies should specify proximal geometry, length, fixation, material and coating, as well as management of femoral offset and anteversion. The authors propose a classification system to help distinguish between custom stem designs based primarily on their proximal geometry and length.

Cite this article:EFORT Open Rev2021;6:1166-1180. DOI: 10.1302/2058-5241.6.210053
Outcomes of revision anterior cruciate ligament reconstruction in soccer players
Authors:   MARS Group
Published: December 2021

Aims

There is limited information on outcomes of revision ACL reconstruction (rACLR) in soccer (association football) athletes, particularly on return to sport and the rate of additional knee surgery. The purpose of this study was to report return to soccer after rACLR, and to test the hypothesis that patient sex and graft choice are associated with return to play and the likelihood of future knee surgery in soccer players undergoing rACLR.

Methods

Soccer athletes enrolled in a prospective multicentre cohort were contacted to collect ancillary data on their participation in soccer and their return to play following rACLR. Information regarding if and when they returned to play and their current playing status was recorded. If they were not currently playing soccer, they were asked the primary reason they stopped playing. Information on any subsequent knee surgery following their index rACLR was also collected. Player demographic data and graft choice were collected from their baseline enrolment data at rACLR.

Results

Soccer-specific follow-up was collected on 76% (33 male, 39 female) of 95 soccer athletes. Subsequent surgery information was collected on 95% (44 male, 46 female). Overall, 63% of athletes returned to soccer a mean 9.6 months (SD 5.8) after index revision surgery but participation in soccer decreased to 19% at a mean of 6.4 years (SD 1.3) after surgery. There was no significant association of patient sex or graft choice with return to play, time of return to play, or long-term return to play. Females were more likely than males to have subsequent knee surgery following rACLR (20% (9/46) vs 5% (2/44); p = 0.050). The rate of recurrent graft tear (5.6%; 5/90) was similar between males and females.

Conclusion

Approximately two-thirds of soccer players return to sport after rACLR, but the rate of participation drops significantly over time. Neither patient sex nor graft choice at the time of rACLR were associated with return to play. Female soccer players face a higher risk for additional knee surgery after rACLR than male soccer players. Cite this article: Bone Jt Open 2021;2(12):1043–1048.
Extracting Brillouin frequency shift accurately based on particle swarm
optimization and a cross-correlation method
Authors: Wang Tao , Zhao Jieru , Zhang Qian , Liu Jingyang , Chen Huan , Zhang Jianzhong , Zhang Mingjiang
Published: December 2021

A fitting algorithm based on particle swarm optimization (PSO) and the
cross-correlation method (XCM) was proposed to accurately extract
features of the Brillouin scattering spectrum. Both the simulation and
experiment were conducted to verify the validity of the proposed
algorithm. The results show that the algorithm achieves high
demodulation accuracy and is suitable for Brillouin scattering spectra
with different signal-to-noise ratios, full width at half-maximums,
frequency sweep intervals, and spectral symmetries. Compared with the
Lorenz curve fitting and XCM algorithm, the extraction error of the
PSO-XCM can be optimized up to 99.98% and 99.93%, and the fitting
degree can be improved by 98%. Moreover, based on the proposed
algorithm, the minimum temperature measurement error can reach 0.06°C
and the Brillouin frequency shift measurement error is 0.07 MHz in
10 km sensing fiber for the Brillouin optical time domain analysis
(BOTDA) sensing system.
Effects of low pH on the coral reef cryptic invertebrate communities near CO2 vents in Papua New Guinea
Authors: Plaisance Laetitia , Matterson Kenan , Fabricius Katharina , Drovetski Sergei , Meyer Chris , Knowlton Nancy
Published: December 2021

Small cryptic invertebrates (the cryptofauna) are extremely abundant, ecologically important, and species rich on coral reefs. Ongoing ocean acidification is likely to have both direct effects on the biology of these organisms, as well as indirect effects through cascading impacts on their habitats and trophic relationships. Naturally acidified habitats have been important model systems for studying these complex interactions because entire communities that are adapted to these environmental conditions can be analyzed. However, few studies have examined the cryptofauna because they are difficult to census quantitatively in topographically complex habitats and are challenging to identify. We addressed these challenges by using Autonomous Reef Monitoring Structures (ARMS) for sampling reef-dwelling invertebrates >2 mm in size and by using DNA barcoding for taxonomic identifications. The study took place in Papua New Guinea at two reef localities, each with three sites at varying distances from carbon dioxide seeps, thereby sampling across a natural gradient in acidification. We observed sharp overall declines in both the abundance (34–56%) and diversity (42–45%) of organisms in ARMS under the lowest pH conditions sampled (7.64–7.75). However, the overall abundance of gastropods increased slightly in lower pH conditions, and crustacean and gastropod families exhibited varying patterns. There was also variability in response between the two localities, despite their close proximity, as one control pH site displayed unusually low diversity and abundances for all invertebrate groups. The data illustrate the complexity of responses of the reef fauna to pH conditions, and the role of additional factors that influence the diversity and abundance of cryptic reef invertebrates.
Contributions of park constructions to residents’ demands of ecosystem services consumption: A case study of urban public parks in Beijing
Authors: Wang Sibo , Li Tingwei , Li Dongdong , Cheng Hong
Published: December 2021

Urban public parks can provide convenience for residents to get close to nature and provide places for daily ecosystem services. It is of practical and theoretical significance to choose urban public parks as the entry point to explore the changing trends and supply paths of urban residents’ daily ecosystem service consumption. Based on the government ‘s research? of urban public parks in Beijing from 1993 to 2018, this study explores the residents’ ecosystem services consumption demands and the contributions of park constructions to these demands. The results show that: (1) in the past 25 years, the frequency, duration, participation rate, and evaluation of people’s daily ecosystem service consumption have increased significantly. In other words, the ecosystem services demands are increasing. (2) different constructions of a park have distinct contributions to the increasing demands of ecosystem service consumption. The contributions from constructions of the natural landscape and the infrastructure have been in decline since 1993, yet they contribute the most to the demands of residents’ ecosystem services consumption until 2018. The contributions made by constructions of management and maintenance, and transportation around urban public parks have been on the rise and the significant points occurring after the 2008 Olympic Games. Our research proposes a method to determine the relation between the demands of residents’ ecosystem services consumption and the contributions of park constructions to these demands, which has significant implications for optimizing the constructions of urban public parks to better meet the demands of ecosystem services consumption.
Holistic processing of faces and words predicts reading accuracy and speed in dyslexic readers
Authors: Brady Nuala , Darmody Kate , Newell Fiona N. , Cooney Sarah M.
Published: December 2021

We compared the performance of dyslexic and typical readers on two perceptual tasks, the Vanderbilt Holistic Face Processing Task and the Holistic Word Processing Task. Both yield a metric of holistic processing that captures the extent to which participants automatically attend to information that is spatially nearby but irrelevant to the task at hand. Our results show, for the first time, that holistic processing of faces is comparable in dyslexic and typical readers but that dyslexic readers show greater holistic processing of words. Remarkably, we show that these metrics predict the performance of dyslexic readers on a standardized reading task, with more holistic processing inbothtasks associated with higher accuracy and speed. In contrast, a more holistic style on the words task predicts less accurate reading of both words and pseudowords for typical readers. We discuss how these findings may guide our conceptualization of the visual deficit in dyslexia.
Comparison of methodologies for modeling directional deep brain stimulation electrodes
Authors: Frankemolle-Gilbert Anneke M. , Howell Bryan , Bower Kelsey L. , Veltink Peter H. , Heida Tjitske , McIntyre Cameron C.
Published: December 2021

Deep brain stimulation (DBS) is an established clinical therapy, and directional DBS electrode designs are now commonly used in clinical practice. Directional DBS leads have the ability to increase the therapeutic window of stimulation, but they also increase the complexity of clinical programming. Therefore, computational models of DBS have become available in clinical software tools that are designed to assist in the identification of therapeutic settings. However, the details of how the DBS model is implemented can influence the predictions of the software. The goal of this study was to compare different methods for representing directional DBS electrodes within finite element volume conductor (VC) models. We evaluated 15 different DBS VC model variants and quantified how their differences influenced estimates on the spatial extent of axonal activation from DBS. Each DBS VC model included the same representation of the brain and head, but the details of the current source and electrode contact were different for each model variant. The more complex VC models explicitly represented the DBS electrode contacts, while the more simple VC models used boundary condition approximations. The more complex VC models required 2–3 times longer to mesh, build, and solve for the DBS voltage distribution than the more simple VC models. Differences in individual axonal activation thresholds across the VC model variants were substantial (-24% to +47%). However, when comparing total activation of an axon population, or estimates of an activation volume, the differences between model variants decreased (-7% to +8%). Nonetheless, the technical details of how the electrode contact and current source are represented in the DBS VC model can directly affect estimates of the voltage distribution and electric field in the brain tissue.