bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Post-Procedural and 30-day Post-Implantation Transcatheter Aortic Valve Replacement Gradients with and without pre-implantation Balloon Valvuloplasty: A Real-World Analysis of Early Results using a Novel Balloon Expandable Transcatheter Aortic Valve
Authors: Chandrasekhar Mahesh , Zhao David , Richardson Karl
Published: July 2022

Objectives: This study describes a real-world experience of implanting a novel balloon expandable transcatheter aortic valve replacement (TAVR) compared to devices commonly used in clinical practice. As a secondary objective, the effect of balloon angioplasty (BAV) before TAVR on the transvalvular gradient 1 and 30 days after implantation was evaluated.

Background: For most commercial TAVR valves, the 30-day average mean aortic valve gradients have been reported. Our experience with the Lotus Valve System had indicated higher immediate post-implant gradients than those in the literature. We sought to evaluate both these valves, comparing them to other valves.

Methods: We analyzed discharge and 30-day echocardiograms of Lotus valves from 7/5/2019 to 8/27/2020. In response to higher-than-expected post-implant gradients, patients from 11/4/19 to 8/27/20 underwent BAV before the valve implantation, whereas patients from 7/5/19 to 10/18/19 did not (no-BAV). We compared these samples to each other and to a random sampling of TAVR valves implanted by the same interventionalist.

Results: At discharge, 27 patients received Lotus valves. The average mean aortic valve gradient was 16.7 mmHg (SD = 5.5 mmHg) for the no-BAV and 14.7 mmHg (SD = 3.7 mmHg) for the BAV (P = 0.177) cohorts. No-BAV Lotus valve mean gradients were significantly higher (P < 0.001) than those of the Sapien valve (M = 12 mmHg, SD = 4.3) and CoreValve (M = 9.18 mmHg, SD = 3.96). At the 30-day assessment, the mean gradients in the no-BAV and BAV groups were similar to those in the literature (M = 11 mmHg SD 3.5; M = 12 mmHg, SD 4.1 (P = 0.287)) and those of other valves.

Conclusions: The Lotus valve demonstrated higher post-implantation gradients than other valves. This effect was not attenuated by BAV. These elevated gradients were not significant at the 30-day follow-up.
The chance of transition: strategies for multidisciplinary collaboration
Authors: Gebauer J , Skinner R , Haupt R , Kremer L , van der Pal H , Michel G , Armstrong G T , Hudson M M , Hjorth L , Lehnert H , Langer T
Published: July 2022

Many long-term childhood cancer survivors suffer from treatment-related late effects, which may occur in any organ and include a wide spectrum of conditions. Long-term follow-up (LTFU) is recommended to facilitate early diagnosis and to ensure better health outcomes. Due to the heterogeneity of these sequelae, different specialists work together in the diagnosis and treatment of these conditions. Experts from both pediatric and internal medicine are involved in age-appropriate care by providing a transition process. Hence, LTFU of childhood cancer survivors is a prototypic example of multidisciplinary care for patients with complex needs treated in a specialized setting. International collaborations of healthcare professionals and scientists involved in LTFU of childhood cancer survivors, such as the International Guideline Harmonization Group, compile surveillance recommendations that can be clinically adopted all over the world. These global networks of clinicians and researchers make a joint effort to address gaps in knowledge, increase visibility and awareness of cancer survivorship and provide an excellent example of how progress in clinical care and scientific research may be achieved by international and multidisciplinary collaboration.
A Pilot Study for Development of a Gender Variable Model for Health Research in Korea
Authors: Woo Soojung , Kim Sue , Lee Heisook , Kang Minji , Shin Seungbae , Paik Hee Young
Published: July 2022

Background: For gendered innovations to be streamlined in health research, researchers need tools to measure gender variables quantitatively. Because gender is a sociocultural concept which varies by culture, it is important to check feasibility of using tools developed in western countries before using them in Korea. The objective of this study is to conduct a pilot study for adapting a questionnaire measuring gender variables from the literature for the Korean population.Methods: The research was conducted in two steps: 1) modification of questionnaire by an expert group, and 2) an on-line survey of 3,000 adults, in three age groups, balanced in sex. The questionnaire was composed of 7 gender variables with 2 to 6 items, constituting a total of 24 5-point Likert scale items. Gender variable scores were calculated as the average of Z-scores of items pertaining to each variable.Results: Participants were 45.6% men, 43.9% women, and 10.5% other gender. Scores of five gender variables-caregiver tension, work tension, independence, emotional intelligence, and discrimination-were significantly different among sex and gender groups. Among gender variables, work strain, caregiver strain, and discrimination had notable influences on health status and health-related behaviors among survey participants.Conclusions: Several gender variables were related to health status and health behaviors in Korean adults. This is the first attempt in Korea to quantify gender characteristics to be used for health research. Further studies are needed to verify the questionnaire and methods developed in this study for use with diagnosed disease outcomes.
Evaluation of COVID-19 Biokit IgG/IgM Clinical Effectiveness in COVID-19 Vaccinated Individuals
Authors: Kim Min Ji , Sun HwaYeon , Yoo Byung Wook
Published: July 2022

Background: This study compared the neutralizing antibody kit using the Enzyme-Linked Immunosorbent Assay (ELISA) method with the rapid antibody diagnostic kit using the Lateral Flow Immunoassay (LFIA) method to evaluate the clinical effectiveness of the COVID-19 Biokit IgG/IgM regarding evaluation of antibody formation after COVID-19 vaccination.Methods: The neutralizing antibody test was performed with antibody detection kit of diagnostic medical devices for the qualitative method using the standard ELISA method. The rapid antibody diagnostic kit was measured with the COVID-19 Biokit IgG/IgM using the LFIA method. Based on the results of the neutralizing antibody measurement test of the standard test method, the test results of the rapid antibody diagnostic kit are compared and analyzed to confirm its the sensitivity and specificity.Results: When the consistency was determined as positive and negative for the two test results, 118 cases were matched and two cases were inconsistent, showing a 98.3% consistency rate. That is, sensitivity 98%, specificity 100% and correctly classified proportion 98%.Conclusions: Although the positive results of antibody formation of this kit would mean that individual has immunity to COVID-19, the result cannot be used to confirm or evaluate for re-infection. But the strong agreement between rapid antibody diagnostic kit results and ELISA results suggests that the kit used in this study is available as a screening test for antibody and neutralizing antibody responses, which could help evaluate the need for additional vaccinations, collect data quickly and cheaply and monitor individual immune responses.
Prioritization of Supply Chain Digital Transformation Strategies Using Multi-Expert Fermatean Fuzzy Analytic Hierarchy Process
Authors: Alkan Nursah , Kahraman Cengiz
Published: July 2022

Innovations in technology emerged with digitalization affect all sectors, including supply chain and logistics. The term “digital supply chain” has arisen as a relatively new concept in the manufacturing and service sectors. Organizations planning to utilize the benefits of digitalization, especially in the supply chain area, have uncertainties on how to adapt digitalization, which criteria they will evaluate, what kind of strategies should be developed, and which should be given more importance. Multi-criteria decision making (MCDM) approaches can be addressed to determine the best strategy under various criteria in digital transformation. Because of the need to capture this uncertainty, fermatean fuzzy sets (FFSs) have been preferred in the study to widen the definition domain of uncertainty parameters. Interval-valued fermatean fuzzy sets (IVFFSs) are one of the most often used fuzzy set extensions to cope with uncertainty. Therefore, a new interval-valued fermatean fuzzy analytic hierarchy process (IVFF-AHP) method has been developed. After determining the main criteria and sub-criteria, the IVFF-AHP method has been used for calculating the criteria weights and ranking the alternatives. By determining the most important strategy and criteria, the study provides a comprehensive framework of digital transformation in the supply chain.
Otosclerosis surgery: results of the last 5 years of the University Hospital of Jaén
Authors: Jurado-Anillo M.A.
Published: July 2022

Objectives: The main aim of our study is to know the percentage of success of otosclerosis surgery in our center. We have assessed it by calculating the post surgical air-bone gap from pure tone audiometries which were realised one year after the surgery. In addition, we have also estimated if there are differences between stapedectomy and stapedotomy procedures as well as possible complications such as new hearing loss at high frequencies or percentage of hearing aid needed after surgery.
Methods: A retrospective cohort study was carried out with a total of 45 ears. All of them were diagnosed with otosclerosis and treated at the ENT department of Hospital Universitario de Jaén from 2015 to 2019. In our study, we have considered two cohorts depending on the procedure used, either stapedotomy or stapedectomy. Afterwards, a pure tone audiometry was performed one year after the surgery and the post- surgical air-bone gap was calculated, estimating the pure tone average from both air and bone postsurgical conduction.
Results: Surgery success (air-bone gap <20dB) was achieved in 90.3% of the cases using stapedectomy technique while a 85.7% with stapedotomy technique. Altogether, considering both groups, the success of the surgery was 88.9%. There were no statistically significant differences between both techniques.
Conclusions: After the results of our study, we can affirm that stapedotomy and stapedectomy have similar success rates in terms of decreasing the post-surgical air-bone gap and achieving clinical improvement of hearing, showing no statistically significant differences between them.
3d morphometric analysis of colon applied to a laparoscopic surgical approach. Cadaver study
Authors: Trebollé J.F. , Escolar J.D. , Sánchez F.M. , García V.E. , Luesma M.J. , Cantarero I. , Fatás J.A. , Maestre J. , López C. , Usón J.
Published: July 2022

Objective: The aim of this study is to define the changes that occurred in certain segments of the colons of cadavers after subjecting them to the conditions that are used in laparoscopic surgery of the colon.
Methodology: Three cadavers were submitted to abdominal computerized tomography, first with no external, and then after the application of 15 mm of Hg of pneumoperitoneum and 15 degrees Trendelenburg, right or left lateral decubitus. Three-dimensional reconstruction of the images was performed for a morphological descriptive study of the pubic points, superior mesenteric artery, inferior mesenteric artery, hepatic flexure and splenic flexure.
Results: A total of 390 measurements were performed, 159 showed changes. The inferior mesenteric artery point modifications were the most strongly related to the other points. The transverse colon – pubic symphysis – descending colon angle depended on the pubic symphysis – descending colon distance, and the transverse colon – inferior mesenteric artery – descending colon angle depended on the inferior mesenteric artery – transverse colon distance.
Conclusions: The positional changes of the points studied were related to their attachment to the peritoneum, to the proximity of the neighboring viscera and to their location in the abdomen.
Mesenchymal stem cells differenciate to human corneal endothelium. A literature review of published data
Authors: Martínez-Castillo R. , González-Gallardo M.C. , Garzón-Bello I.J.
Published: July 2022

Background and purpose: The main sources of mesenchymal stem cells used for the creation of artificial corneal endothelium or their uses such as regenerative therapy will be exposed in this review. Moreover, the different models of differentiation suggested by authors throughout the history just as cellular or physiological markers which have been used to typify defined cells will be described. Finally, it will also be described the translational potential of these cells to corneal endothelium diseases through the techniques which have been used to its implantation or transplant.
Material and methods: Narrative review of publications on the differentiation of mesenchymal stem cells to human corneal endothelium or other applications of these cells as regenerative therapy in models of corneal endothelial damage.
Results: A total of six studies used mesenchymal stem cells in differentiation or regeneration of corneal endothelium, of which four used cells from the umbilical cord. In four of these studies a different differentiation protocol was designed. The authors agreed on the differentiation markers ATP1A1, COL8A2, PITX2 and ZO-1.
Conclusions: Although there are few published clinical trials on human corneal endothelium that use these cells; The regeneration and differentiation potential of MSCs and the development that Tissue Engineering has undergone, makes them postulate as the future of replacement therapy.
Educational technology to promote father involvement in childbirth and birth
Authors: Nour Guilherme Frederico Abdul , Silva Maria Adelane Monteiro da , Sousa Ana Jessyca Campos , Moreira Andréa Carvalho Araújo , Freitas Cibelly Aliny Siqueira Lima , Coelho Tatiane da Silva , Brito Juliana Oliveira , Damasceno Ana Kelve de Castro
Published: July 2022

ABSTRACT Objectives: to build and validate an educational booklet to promote the involvement of parents in labor and birth. Methods: methodological study developed in five stages: situational diagnosis; bibliographic survey; construction of illustrations, layout, design and texts; content and appearance validation by judges (25 experts) and calculation of the Flesch Readability Index; and validation with the target audience (12 parents). A minimum Content Validity Index of 0.80 was considered. Results: the booklet was entitled “Father Presence” and was developed in 11 topics. In Content and Appearance Validation, the Validity Index obtained an overall score of 0.97. Cronbach’s alpha was 0.92, indicating excellent reliability of its content. A global score of 74% for readability was obtained, considered easy to understand. Conclusions: the material was successful in the validation process, and it can be recommended for parents to use it during the prenatal period, promoting the inclusion of the partner and preparing them for labor and birth.
THE DEMOCRATIC AND POPULAR IDEALS AND THE STRUGGLE FOR THE DEMOCRATIZATION OF EDUCATION: THEORETICAL, STRATEGIC AND TACTICAL CONTROVERSIES
Authors: KATAOKA EMYLY KATHYURY , MARCASSA LUCIANA PEDROSA
Published: July 2022

ABSTRACT: The article inquires some of the scope and limits of the Democratic and Popular Strategy (DPS) and its influence in the educational field made explicit through the struggles for the democratization of education. To understand the struggles for the democratization of education we recall: the production of educational research between the 1980s and early 2000s; the establishment of the Brazilian National Forum in Defense of Public Schools (BNFDPS), as it encompasses significant representation in the area; the construction of the National Plan for Education - The Brazilian Society Proposal o(1997), a document that synthesized in a unique way the struggle flags of the educational field; and the resolutions and government programs of the Workers' Party (WP) dealing with education, produced between the late 1970s and 2002, as they were the main working class' party in this period. The objective was to show how the proposals oriented by democratic and popular strategy were assimilated by the movements that fought for the democratization of education and in defense of the public school, which were the flags raised, tactics used and the consequences for the political organization. This is a bibliographic study that uses historical, conceptual, and documentary analysis. In our conclusions, we point out that there is a certain convergence between the educational research productions, the explicit demands in the National Plan for Education (1997), the organization of the BNFDPS, the WP resolutions and the democratic and popular ideals. The educational field, as part of the totality, expressed in a particular way the working class' practical consciousness.
Performance and meat quality of Label Rouge chickens at different slaughter ages
Authors: Faria Peter Bitencourt , Geraldo Adriano , Oliveira Giulia Piva , Marçal Joanna Oliveira , Miranda José Rafael , Moreira Larissa Faria Silveira , Almeida Alexander Alexandre de , Camargos Rosiane de Souza
Published: July 2022

ABSTRACT: This study evaluated the performance parameters, carcass characteristics, and meat quality of Label Rouge chickens raised under an alternative system as a function of age at slaughter. The design was completely randomized with a 5×2 factorial arrangement, with slaughtering at five ages (70, 90, 120, 150, and 180 days) and two sexes. A total of 240 birds (Pescoço Pelado strain) were used, including 120 females and 120 males. Performance, carcass, physicochemical, proximate composition, and muscle fiber traits were evaluated. Rearing time and sex had significant effects on performance-related traits, with better results for males. The interaction between slaughter age and sex had a significant effect on the carcass and physicochemical parameters, which cause different responses in males and females with increasing slaughter age. For the proximate composition and muscle fiber analysis, the interaction between the parameters studied only had a significant effect on ether extract in the breast. The increase in age resulted in chickens with higher live and carcass weight at slaughter but lower performance indices. Females had lower carcass yield and greater deposition of abdominal fat. Females had lower tenderness in the drumstick and males in the breast with increasing slaughter age, and both cuts had more intense color and redness and reduced lightness starting at the slaughter age of 90 days.
Workers’ health policies in Brazil: historical contradictions and possibilities for development
Authors: Hurtado Sandra Lorena Beltran , Simonelli Angela Paula , Mininel Vivian Aline , Esteves Thaís Vieira , Vilela Rodolfo Andrade de Gouveia , Nascimento Adelaide
Published: July 2022

Abstract The Workers’ Health (WH) approach understands that it is necessary to expand the object of public policies to transform the work processes that determine the health-disease relationship. This broadening brings challenges that drive the development of the formulation and implementation of policies for the surveillance and prevention of diseases. This article aimed to analyze the development of Brazilian policies on WH from the perspective of historical contradictions. To this end, the analytical concept of contradiction from Cultural-Historical Activity Theory was used. This is a scoping review, including 64 theoretical and empirical studies and gray literature published between 1991 and 2019. The results of the analysis showed that: from the change of the object of prevention inserted by the WH approach, five new contradictions emerged that are related to the predominance of instruments of the previous activity model, normative and training instruments, division of labor for assistance and surveillance actions, intra and intersectoral articulations. and social control. These contradictions have driven some changes, but some limitations persist around a challenging object.
Impact and future of telemedicine amidst the COVID-19 pandemic: a systematic review of the state-of-the-art in Latin America
Authors: Nieblas Bianca , Okoye Kingsley , Carrión Belinda , Mehta Neil , Mehta Seysha
Published: July 2022

Abstract Significant progress has been made in using information and communication technologies in medicine, by impacting the quality of health-care delivery system and patient care, and paving the way for ground-breaking tools for e-health and clinical decision-support systems. This study investigates the extent to which the evolution of telemedicine applications has been used to support patient care in Latin America (LATAM) amidst the pandemic. Theoretically, the study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to identify the impact of telemedicine in the region. Practically, the paper provides a systematic mapping study of the different domain areas and methodological progress in Telemedicine that occurred during the pandemic, and applied a text mining technique to understand the intensities of the terms expressed by the analyzed studies. The results show that while telemedicine has not been extensively used, a greater percentage of the studies report that telemedicine was effective. Approximately 70% positive emotional valence score was found. The paper also provides an empirical discussion and recommendations for the next steps in ample adoption of telemedicine.
Predominant approaches in studies on health-related quality of life of young survivors of childhood or adolescent cancer: an integrative literature review
Authors: Majdalani María Pía , Alazraqui Marcio
Published: July 2022

Abstract Survivors of childhood cancer constitute a growing population. The disease experienced, its treatment or the occurrence of late complications may affect survivors’ health-related quality of life (HRQOL). Understanding HRQOL is a challenge due to its conceptual complexity and the mode in which it is studied. Objective: To identify the predominant lines of research in the study of HRQOL in this population. Methods: An integrative literature review was carried out, involving a systematic search of primary articles indexed in the Scopus and PubMed databases. Results: In the 48 publications selected, four main lines of research were identified: HRQOL in survivors in general; HRQOL in long-term survivors; the study of determinants of HRQOL; and the study of methodological aspects of HRQOL measurement. A quantitative approach using generic measurement instruments predominates, and the conceptual model of HRQOL based on function emphasizes the importance of physical, psychological, and social functionality and the impact of the disease and treatment on these aspects. Conclusions: incorporating a qualitative, meaning-based approach to the understanding of lived experiences from a subjective and holistic perspective is indispensable.
Práticas de promoção da saúde como resistência e contraconduta à governamentalidade neoliberal
Authors: Mattioni Fernanda Carlise , Silveira Roberta de Pinho , Souza Camilo Darsie de , Rocha Cristianne Maria Famer
Published: July 2022

Resumo Esse artigo tem como objetivo analisar as práticas de Promoção da Saúde (PS), realizadas na Atenção Primária em Saúde (APS), capazes de se constituírem como ações de resistência e contraconduta à governamentalidade neoliberal. Realizamos uma pesquisa de campo, descritiva e exploratória, de abordagem qualitativa, no contexto da APS de um município do sul do Brasil. Foram entrevistados 23 trabalhadores. Os resultados apontam possibilidades a serem exploradas para potencializar a PS na APS: o fortalecimento das atividades formativas no âmbito das unidades de saúde; a problematização dos Determinantes Sociais da Saúde; os métodos de fomento à participação; a coletivização das demandas em saúde; a valorização e reforço das conquistas e das ações coletivas; o resgate da cultura e de hábitos comunitários locais; e, o advocacy pela PS na APS.
Tecnologias educativas para orientação da coleta de escarro da tuberculose pulmonar: revisão sistemática
Authors: da Silva Karine Nascimento , Santos Paula Suene Pereira dos , Barbosa Rayanne de Sousa , Lopes Maria do Socorro Vieira , Pinto Antonio Germane Alves , Cavalcante Edilma Gomes Rocha
Published: July 2022

RESUMO Objetivo: Avaliar as contribuições das tecnologias educativas utilizadas durante as orientações para coleta de escarro da tuberculose pulmonar. Método: Revisão sistemática guiada pelo Preferred Reporting items for Systematic Reviews com protocolo registrado na base International Prospective Register of Systematic Reviews, sob o número CRD42020208162. A busca foi realizada nas bases de dados Cinahl, Scopus, PubMed, Web of Science, Embase, Lilacs, CENTRAL, CAPES, Proquest, OpenGrey e busca manual na lista de referências. A busca, seleção dos estudos, extração dos dados e avaliação metodológica pela ferramenta do Risco de Viés da Cochrane foram realizadas por dois revisores independentes. Resultados: Evidenciaram-se 2488 estudos, sendo sete selecionados e analisados, dos quais quatro utilizaram palestras estruturadas; três, folder educativo; e um, vídeo educativo. Todos foram utilizados de forma isolada ou em conjunto, impactando na confirmação bacteriológica da tuberculose. Os estudos apresentaram baixo risco de viés. Conclusão: As evidências científicas demonstraram que as tecnologias educativas apresentam como contribuições o aumento da qualidade, volume e aspecto da amostra de escarro, o que proporciona a melhoria da confirmação bacteriológica da doença.
Controle de partículas aéreas nos procedimentos cirúrgicos durante a pandemia da Covid-19: revisão de escopo
Authors: Laguardia Giovana Caetano de Araújo , Püschel Vilanice Alves de Araújo , Oliveira Patrícia Peres de , Faria Luciane Ribeiro de , Cavalcante Ricardo Bezerra , Coelho Angélica da Conceição Oliveira , Santos Kelli Borges dos , Carbogim Fábio da Costa
Published: July 2022

RESUMO Objetivo: Mapear as estratégias técnicas e gerenciais para o manejo e a redução da produção de partículas aéreas em ambientes de procedimentos cirúrgicos durante a pandemia da Covid-19. Método: Revisão de escopo, de acordo com metodologia do Joana Briggs Institute, a partir de documentos indexados nas bases MEDLINE, BVS, CINAHL Cochrane, Embase, Scopus, Web of Science e literatura cinza, publicados em português, inglês ou espanhol. Foram considerados todos os estudos provenientes de periódicos científicos indexados e recomendações publicadas por órgãos internacionais ou associações acadêmicas, de 2019 a janeiro de 2022. Os achados foram sumarizados e analisados por estatística descritiva e síntese narrativa. Resultados: Foram selecionados 22 estudos, sendo 19 publicados em inglês, dois em espanhol, um em português, com predominância de revisões da literatura. Os achados foram categorizados em recomendações para o ambiente, a equipe e a técnica cirúrgica. Conclusão: a revisão mapeou as estratégias técnicas e gerenciais para o manejo e a redução da produção de partículas aéreas nos ambientes de procedimentos cirúrgicos. Envolvem desde o uso de equipamentos de proteção individual, treinamentos, modalidade anestésica, manipulação de vias aéreas, até a execução da técnica cirúrgica.
GRUPOS DE PESQUISA E FORMAÇÃO DE ORIENTADORES: DEPOIMENTOS DE PESQUISADORES
Authors: Bianchetti Lucídio
Published: July 2022

Resumo Neste artigo, discutem-se as possibilidades dos grupos de pesquisa como espaços-tempos formativos para a consolidação da práxis orientadora na pós-graduação em educação. Constatam-se iniciativas e novas estratégias de orientação em um cenário de exigências internas e induções externas aos programas e seus orientadores. Em pesquisa realizada junto a 562 líderes de grupos de pesquisa que atuam como docentes em cursos de doutorado em educação, coletaram-se dados sobre a organização, o funcionamento e as práticas de orientação nos seus grupos. Os dados evidenciam as estratégias de pesquisa em geral e de orientação em particular, e as percepções dos respondentes sobre o potencial do grupo de pesquisa para a formação de pesquisadores e orientadores.
Sintomas depressivos e fatores associados à pessoa idosa durante a pandemia da covid-19 na cidade de São Paulo-SP
Authors: Fhon Jack Roberto Silva , Costa Priscila Conceição da , Cardoso Tatiane Santos , Lima Eveline Fontes Costa , Püschel Vilanice Alves de Araújo
Published: July 2022

Resumo Objetivo Determinar a presença de sintomas depressivos e seus fatores associados no idoso que vive na cidade de São Paulo durante o isolamento da pandemia da covid-19. Método Trata-se de um estudo quantitativo, descritivo e transversal realizado com 411 idosos, que vivem na cidade de São Paulo. Foram utilizados os instrumentos de perfil demográfico, Escala de Depressão Geriátrica e listagem de sintomas físicos, psicológicos e uso de substâncias. Resultados Identificou-se predomínio do sexo feminino, entre 60 e 69 anos, com companheiro, estudo superior, e sem alteração da renda. Ademais, não ter companheiro (p=0,02), sintomas psicológicos como falta de esperança (p=0,001), medo (p=0,008) e vontade de morrer (p=0,003), e sintomas físicos como tremor (p=0,003) e cansaço (p<0,001) foram associados com sintomas depressivos. Por outro lado, não usar substâncias ilegais (p=0,03) foi considerado um fator protetor à presença desses sintomas. Conclusão É necessário estar alerta a quaisquer sinais ou sintomas que possam indicar algum sofrimento mental, sugerindo-se a adoção de medidas de socialização.
Homens nas fronteiras das prisões femininas: um estudo etnográfico em dias de visita
Authors: Lermen Helena Salgueiro , Silva Martinho Braga Batista e
Published: July 2022

Resumo: Os estudos sobre dias de visitas no cárcere são focados quase exclusivamente nas mulheres que realizam essa atividade em instituições prisionais masculinas. Com o objetivo de ampliar as análises sobre tema, procuramos, no presente manuscrito, investigar diferentes parcelas de frequentadores do cárcere feminino que performatizam o gênero masculino. Por meio de uma pesquisa etnográfica conduzida nas fronteiras externas de duas prisões de mulheres, 50 homens se tornaram interlocutores, a maioria deles familiares das privadas de liberdade. Como resultados, observamos a produção discursiva dos visitantes acerca da conjugalidade e do cuidado carcerários, como também o exercício do apoio masculino nas margens das cadeias. Tais achados permitiram análises comparativas com estabelecimentos penais masculinos, apontando para novas questões de gênero envolvidas no fenômeno das visitas em prisões.
Compondo temporalidades: o colonial e a ditadura nas narrativas brasileiras do século XXI
Authors: Cruz Lua Gill da
Published: July 2022

Resumo Contar um período histórico está diretamente relacionado a questões políticas, sociais, históricas, culturais e temporais. No caso da ditadura militar brasileira, “o que foi” (ou o que é) ainda está sendo produzido, seja na historiografia ou na literatura. Muitas dessas histórias, entretanto, ainda não foram contadas e permanecem esquecidas, excluídas e/ou ignoradas. Neste artigo, atentaremos para os pontos cegos da história, observando a relação e composição das temporalidades coloniais e ditatoriais e discutindo quais histórias de violência e de resistência foram contadas, como foram escritas e mobilizadas, mesmo anos depois dos processos de justiça de transição e de reparação, no presente e na literatura, a partir das narrativas Nem tudo é silêncio (2010), de Sonia Bischain, a chamada Trilogia infernal, composta pelos livros Aqui, no coração do inferno (2016), O peso do coração do homem (2017), e O amor, esse obstáculo (2018), de Micheliny Verunschk, em maior medida, e, em menor medida, as obras Ainda estou aqui (2015), de Marcelo Rubens Paiva, e Antes do passado (2012), de Liniane Brum.
Fronteiras da alteridade: os animots de Milton Hatoum em Relato de um certo Oriente
Authors: Leal Fábio Antônio Dias
Published: July 2022

Resumo Publicado em 1989, o romance de estreia de Milton Hatoum, Relato de um certo Oriente, marca-se por diversos descentramentos que se revelam no enredo da obra. Este artigo tem o objetivo de examinar esses descentramentos, especialmente no que respeita às relações entre o ambiente urbano e o ambiente selvagem, como representadas em Manaus, cenário do livro. Em um aprofundamento do exame das relações de fronteiras, serão investigadas, mais especificamente, as relações entre humanos e animais, bem como a própria animalidade expressa na obra. O episódio do arbusto humano, personagem que teve lugar no sexto capítulo do romance de Hatoum e despertou controvérsias entre os críticos, será analisado segundo uma perspectiva que reconheça a importância estrutural do personagem e sua adequada integração à obra. Por fim, à luz do pensamento de Jacques Derrida, em seu ensaio O animal que logo sou, propõe-se um novo questionamento das fronteiras da individuação, sugerindo um complexo entrelaçamento entre os personagens e retomando as noções de alteridade.
Efeito imediato de diferentes exercícios no espaço vocálico de mulheres com e sem nódulos vocais
Authors: França Fernanda Pereira , Almeida Anna Alice , Lopes Leonardo Wanderley
Published: July 2022

RESUMO Objetivo Investigar o efeito imediato da vibração sonorizada de língua (VSL), do canudo de alta resistência no ar (CAR) e da sobrearticulação (SA) sobre o espaço vocálico de mulheres vocalmente saudáveis (MVS) e com nódulos vocais (MNV). Método Participaram 12 mulheres no MNV e 12 mulheres no MVS, alocadas para execução dos exercícios vocais de VSL, CAR e AS. Cada participante realizou apenas um dos três exercícios propostos, durante 5 minutos, antecedidos e sucedidos pela gravação de uma sequência de frases-veículo para extração dos formantes (F1 e F2) dos segmentos vocálicos [a, i, u]. O espaço vocálico foi analisado por meio das diferenças entre as medidas dos formantes das vogais. Resultados houve redução de F1 no intervalo [a]-[i] e [i]-[u] e de F2 entre as vogais [a]-[u] e [i]-[u] no MVS, após realização do CAR. No MNV, observou-se redução de F2 no intervalo [a]-[i] após VSL. Na análise intergrupo, houve maiores valores de F1 entre os intervalos das vogais [a]-[i] e [i]-[u] no MVS, antes da realização do CAR, e após exercício apenas no intervalo [a]-[i]. Observou-se maior valor de F1 e F2 no intervalo entre as vogais [i]-[u] no MNV após VSL. Conclusão O exercício de VSL diminuiu o espaço vocálico em mulheres do MNV. O CAR reduziu o espaço vocálico de mulheres do MVS. O MNV apresentou menor espaço vocálico em relação ao MVS, antes e após a realização do CAR. Houve redução do espaço vocálico no MNV em relação ao MNV após o exercício de VSL.
INCLUSÃO DE ALUNOS COM AUTISMO NO ENSINO REGULAR: ANÁLISE EM UMA ESCOLA DE ENSINO FUNDAMENTAL
Authors: Santos Ana Alice Sousa dos , Leite Daniela Soares
Published: July 2022

O presente artigo trata-se de uma pesquisa de abordagem quali-quantitativa, cujo objetivo é verificar como ocorre a inclusão de alunos com Transtorno do Espectro do Autismo (TEA) no ensino comum em uma escola pública do município de Marabá (PA). O trabalho parte inicialmente de um referencial teórico a respeito da inclusão da criança autista, além do papel da escola e da família para o desenvolvimento desta, bem como os desafios e a necessidade de uma formação adequada dos professores, a fim de que a inclusão se efetive. Metodologicamente, fez-se a aplicação de um formulário com perguntas mistas, aplicado via Google Forms, direcionado a 10 (dez) profissionais da educação, tendo como participantes professores, gestores e coordenadores de uma escola de Ensino Fundamental do município de Marabá/PA. A escolha por formulário via Google Forms deu-se por ter sido realizada em período pandêmico pelo Covid-19. Os participantes demostraram conhecer a temática proposta, porém ainda necessitam de cursos de capacitação e formação específica no trato com alunos autistas. Independentemente deste fato, para que haja a inclusão destes alunos no ensino comum, deve-se atrelar o respeito aos limites impostos pelo transtorno à utilização de recursos e estratégias para o atendimento do aluno com TEA, até porque os benefícios de um diagnóstico precoce e de parcerias com outros atores no ambiente escolar, assim como a família, são fundamentais para que os mesmos se sintam parte da sociedade em que vivem e agentes de direitos, como educação, atendimento prioritário, assistência social, cultura, esporte, dentre outros.
Importance of the use of pre- and intra-operative imaging as a tool for planning foreign body removal in the floor of the mouth: A Case Report.
Authors:   Hospital General del Oeste. Caracas, Venezuela., Viloria Veronica , Millán-Golindano Carlos ,   Hospital General del Oeste. Caracas, Venezuela., García Josmar ,   Hospital General del Oeste. Caracas, Venezuela., Molina Laura ,   Hospital General del Oeste. Caracas, Venezuela., Melillove Jose Gregorio ,   Universidad de Buenos Aires, Argentina.,   School Hospital Militar Dr Carlos Arvelo. Caracas, Venezuela., Palma Ramses ,   Universidad de Chile. Santiago, Chile.
Published: July 2022

Introduction: Body piercings consist of small holes made with a needle in different parts of the skin or body to introduce a jewel or decorative element. In the oral cavity, most piercings are placed in the tongue. However, some complications may occur, and surgical techniques must be used for their removal. These complications present a certain degree of difficulty due to their position and may challenge the ability of the clinician to access the specific anatomical location. The different imaging techniques, from simple radiography to intraoperative techniques such as image intensifiers, have become an extremely useful tool for locating an object in the three dimensions of space, allowing safe location and extraction. Objective: The aim of this study is to report the case of a complication of a body piercing in the oral cavity and how the use of imaging was decisive for surgical planning and for the quick and effective resolution of the case. Material and Methods: A 14-year-old female patient came looking for treatment. Her mother reported the onset of the condition after the insertion of a needle-like metallic object while performing an artistic perforation in the lingual region. Since the girl was unable to extract the object, she sought medical advice at the Carlos Arvelo Military Hospital in Caracas, Venezuela. Subsequently, an imaging study was performed by means of a Computed Tomography to locate the metallic object. It was observed that the foreign body had migrated to the floor of the mouth/sublingual region, requiring the area to be surgically approached. It was also decided to use an intraoperative image intensifier. The removal of the object was performed satisfactorily. Conclusion: The extraction of foreign bodies placed in the lingual and sublingual region represents a challenge for the clinician due to the number of important anatomical structures that pass through that area. This makes clinicians plan their surgical removal using pre- and intraoperative imaging, to find a less traumatic location, reduce surgical time as well as the risk of damaging adjacent anatomical structures.
Prevalence of incidental pathologies in the maxillary sinus among a sample of asymptomatic dental patients using CBCT—a retrospective analysis
Authors:   Department of Oral & Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, King Faisal University, Al Ahsa, Kingdom of Saudi Arabia., Mahabob Nazargi
Published: July 2022

Background: The incidence of abnormalities in asymptomatic people varies between 10.9% and 69.1%. The aim of this study was to assess the prevalence of pathologies in the maxillary sinuses using CBCT as a diagnostic tool in asymptomatic patients at King Faisal University’s dental clinical complex in Al Hasa, Saudi Arabia. Material and Methods: This retrospective cross-sectional study evaluated the CBCT images of 600 patients (male and female) and consisted of 1200 maxillary sinuses. The included patients ranged from 14–75 years old and were grouped into three age groups: (1) 14–30; (2) 31–60; (3) 61–75. The maxillary sinuses were observed for increased mucosal thickening, polypoidal mucosal thickening, polyps, and opacification changes. A correlation of these pathologic findings with age and gender was analyzed. Statistical analyses included a chi-square test and the significance level was p< 0.05. Results: The incidence of the pathological findings in maxillary sinuses observed was 27.7%. The most common abnormality observed was mucosal thickening (63.3%), followed by polypoidal mucosal thickening (18.4%), opacification (10.2%) and sinus polyps (8.1%). However, there was no significant correlation between different age groups or gender. Conclusion: The prevalence of pathologies in the maxillary sinuses is high in asymptomatic dental patients in this study; hence, dentists should be aware of them and evaluate the entire CBCT images comprehensively, as it will help with early diagnosis and treatment.
Berufliche Hautmittel – kurz und prägnant
Authors:   Bereich für klinische und experimentelle Berufsdermatologie, Institut für Prävention und Arbeitsmedizin der DGUV, Institut der Ruhr-Universität Bochum (IPA), Bochum, Gina Michal , Fartasch Manigé ,   Bereich für klinische und experimentelle Berufsdermatologie, Institut für Prävention und Arbeitsmedizin der DGUV, Institut der Ruhr-Universität Bochum (IPA), Bochum
Published: July 2022

Irritative Handekzeme gehören zu den häufigsten berufsbedingten Hauterkrankungen. Berufliche „Hautmittel“, also Hautschutz-, Hautpflege- und Hautreinigungsprodukte, sind effektive und sehr wichtige Präventionsmaßnahmen, die gegen beziehungsweise zur Reduktion der Hautirritation eingesetzt werden können. Das Wissen über eine gezielte und richtige Anwendung ist entscheidend, um eine erfolgreiche Anwendung der Schutzmaßnahmen am Arbeitsplatz zu erreichen.
Hautreinigung, -schutz und -pflege in der Pandemie
Authors:   Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) und Abt. Dermatologie, Umweltmedizin und Gesundheitstheorie an der Universität Osnabrück, Symanzik Cara , Skudlik Christoph ,   Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) an der Universität Osnabrück und Abteilung Dermatologie, Umweltmedizin und Gesundheitstheorie, Universität Osnabrück, John Swen Malte ,   Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) an der Universität Osnabrück und Abteilung Dermatologie, Umweltmedizin und Gesundheitstheorie, Universität Osnabrück
Published: July 2022

Im Zuge von COVID-19-assoziierten Hygienemaßnahmen wurde ein vermehrtes Auftreten von beruflich bedingten Handekzemen und Gesichtsdermatosen verzeichnet. Da in der näheren Zukunft nicht mit einem Rückgang der Hygienemaßnahmen zu rechnen ist, müssen umso mehr adäquate, situationsangepasste Präventionsmaßnahmen etabliert werden.
Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review
Authors: Keller M , Barnes R , Brandt C , Hepworth L
Published: July 2022

BACKGROUND: The second to fifth metacarpal fractures are immobilised with splints, plaster of Paris (POP) or buddy strapping for a period of time. However, no recent evidence-based splinting and immobilisation programme exists for the management thereof, leaving a gap in the literature to inform clinical practice. This review aimed to review, appraise and collate the literature on splints and immobilisation approaches used for second to fifth metacarpal fractures after surgical and conservative management in adults aged 20 to 59 years. METHODS: The review included experimental study designs, quasi-experimental studies, cohort studies and case-control studies from January 2008 to September 2018. Two reviewers independently screened, selected, appraised and extracted data from the included studies. Preferred reporting items for systematic reviews and meta-analysis (PRISMA) guided the reporting. Joanna Briggs Institute (jBl) critical appraisal tools were used to assess the risk of bias for each included study. RESULTS: Database searches generated 1 005 articles with ten additional articles found on Google Scholar. Ten articles were included: two randomised controlled trials (RCTs), one quasi-RCT, four prospective studies, one retrospective record review, one retrospective study and one comparative study with descriptive reporting of the results. CONCLUSION: High level 1b evidence suggests that no reduction, a soft wrap and buddy strapping for three weeks with early active finger and wrist mobilisation are effective for individuals who sustained boxer's fractures with < 70° angulation. To guide clinical practice, high-level research is needed to determine the immobilisation of second to fifth metacarpal fracture types. Level of evidence: Level 2
Modular prosthetic reconstruction for primary bone tumours of the distal tibia in ten patients
Authors: Mugla W , Bauer H , Vogel J , Hosking K , Campbell N , Hilton T
Published: July 2022

BACKGROUND: Below-knee amputation (BKA) is the safest treatment for benign aggressive and malignant bone tumours of the distal tibia, yielding good oncological and functional results. However, in selected patients where limb salvage is feasible and amputation unacceptable to the patient, limb salvage using a distal tibial replacement (DTR) can be considered. This study aims to present the oncological and functional results of the use of the latter treatment method in our unit. METHODS: A retrospective folder review was performed for all ten patients who received a modular DTR between 1 January 2005 and 31 January 2019 for a primary bone tumour, either benign aggressive or malignant. Six were female and the mean age was 31 (12-75) years. There were five patients with giant cell tumour of bone, four with osteosarcoma and one with a low-grade chondrosarcoma. The patients with osteosarcoma had neoadjuvant chemotherapy before surgery. Function was assessed by the Musculoskeletal Tumor Society (MSTS) score. RESULTS: Two patients had local recurrence treated with a BKA and one other patient died of metastases three years postoperatively. At a mean follow-up of three years, the remaining eight patients had a mean MSTS score of 83% (67-93%). There were no radiological signs of loosening, and no revision surgeries. CONCLUSION: Endoprosthetic replacement of the distal tibia for primary bone tumours can be a safe treatment option in very selected cases. Level of evidence: Level 4