bluuebunny/crossref_metadata_2025 huggingface dataset:
Práticas integrativas, espirituais e qualidade de vida do paciente com câncer durante o tratamento
Authors: Mendes Amanda Silva , Arantes Taciana Cunha , Martins Vitória Eugênia , Nicolussi Adriana Cristina
Published: November 2020

Objetivou-se identificar o uso de práticas integrativas, espirituais e avaliar a qualidade de vida relacionada à saúde de pacientes adultos com câncer durante o tratamento quimioterápico. Pesquisa quantitativa e transversal realizada com 275 pacientes durante quimioterapia em um hospital de Minas Gerais. Instrumentos utilizados: questionário sociodemográfico e clínico e Quality of Life Questionnaire-Core30 (QLQ-C30) com análise de dados pelo software Statistical Package for the Social Sciences (SPSS) (for Windows). A maioria dos entrevistados era mulher, entre 40 a 79 anos, casadas, aposentadas, com baixo nível de escolaridade e baixa renda. Os cânceres mais prevalentes foram colorretal, mama e estômago. Apenas 13 (4,9%) pacientes utilizavam alguma prática integrativa como fitoterapia, homeopatia, meditação, floral e acupuntura. Cerca de 94 (34,2%) indivíduos realizavam terapia espiritual com predominância da oração, passes, água fluidificada e promessa. Houve nível adequado/satisfatório (escores entre 50 e 70) da qualidade de vida e das funções avaliadas.
Qualidade de vida de cuidadores de crianças com transtornos do neurodesenvolvimento
Authors: Reis Gislaine Alves , Zonta Jaqueline Brosso , Camilo Beatriz Helena Naddaf , Fumincelli Lais , Gonçalves Angélica Martins de Souza , Okido Aline Cristiane Caviccholi
Published: November 2020

Objetivo: Identificar a qualidade de vida relacionada à saúde de cuidadores de crianças com transtornos do neurodesenvolvimento e analisar os fatores associados. Método: Estudo com delineamento observacional, transversal de abordagem quantitativa. Aplicado instrumento de caracterização e The Medical Outcomes Study 36-Item Short em 25 cuidadores. Utilizou-se o teste de Mann-Whitney e Correlação de Spearman, com nível de significância de 5%. Dentre os domínios da qualidade de vida relacionada à saúde, vitalidade e dor apresentaram os menores escores. Houve diferença significativa entre crença religiosa e os domínios aspectos sociais (p=0,046) e saúde mental (p=0,008) e, entre estado marital e os domínios aspectos sociais (p=0,029) e aspectos emocionais (p=0,035). Observou-se correlação negativa entre capacidade funcional e idade do cuidador. Conclusão: Cuidadores de crianças com transtornos do neurodesenvolvimento se percebem cansados e pouco dispostos. Crença religiosa, estado marital e idade se constituíram em fatores relacionados.
A MÚSICA SERTANEJA NA PERSPECTIVA GEOGRÁFICA: A CIDADE, SUAS RAÍZES, FUSÕES CULTURAIS E O TEMPO DE LAZER
Authors: Santos Jean Carlos Vieira , Arantes Rodrigues Karina
Published: November 2020

Este manuscrito visa apresentar alguns conceitos e reflexões sobre a temática “música sertaneja” na perspectiva geográfica, associar a abordagem teórica à importância de artistas e músicos populares de Gouvelândia, Goiás, Brasil e destacar os conteúdos musicais de sujeitos de diferentes classes sociais para trazer, como resultado, um perfil social, econômico e cultural dos cidadãos que se envolvem com a música nesse lugar. Para a construção desse trabalho, foram fundamentais o levantamento de referencial teórico, os trabalhos de campo, a aplicação de questionários, as entrevistas informais e o trabalho de gabinete, ao adotar os métodos qualitativo e quantitativo de pesquisa. Dentre os principais resultados, notou-se que 80% dos músicos de Gouvelândia/GO que foram entrevistados são oriundos do campo; 70% são do sexo masculino; 40% têm entre 50 e 64 anos de idade; 47% tocam violão; e 50% aprenderam a cantar ou a tocar por incentivo dos familiares. Vale ressaltar que o grupo de músicos surgiu na cidade em 2010, com a criação da emissora de rádio FM para valorizar a musicalidade sertaneja e os músicos do lugar.
AVALIAÇÃO DO MEIO FÍSICO DE UMA ÁREA DE INTERESSE DE MATA ATLÂNTICA NO SUL DE GOIÁS
Authors: Wachholz Flavio , Rodrigues da Rocha Isabel , Oliveira de Souza Roberto , Cabral João Batista Pereira
Published: November 2020

A Mata Atlântica apresenta remanescentes em relevos dissecados pelo território Brasileiro. No município de Itajá e Aporé, Sul de Goiás, a Mata Atlântica encontra-se preservada em um limite de 177,39km². Diante disso, foi avaliado o meio físico da área, com destaque para o uso da terra, vegetação, solos, relevo, clima e recursos hídricos. Imagens de satélite e documentos cartográficos foram utilizadas para a caracterização da área. Já o trabalho de campo foi realizado com a finalidade de subsidiar a análise da qualidade da água e validação dos mapas. O uso da terra predominante é de florestas que ocupam 48,2% (Relevo de Encostas) e os campos 51,6% (Relevo Plano). Os Neossolos Litolícos e Quartzarênicos são muito vulneráveis à erosão, especialmente nas áreas campestres com práticas pastoris sujeitas ao pisoteio de gado. As variáveis da água registraram influência da pecuária. Portanto, é necessária uma maior atenção do poder público nessa área e também a inserção de práticas conservacionistas pelos proprietários da terra.
ANÁLISE MORFOMÉTRICA DA BACIA HIDROGRÁFICA DA BARRAGEM DO RIO COCO (TO)
Authors: Souza Thiago Cabral , Lima Raphael Medeiros , Bitencourt Waldo Coelho
Published: November 2020

A análise dos aspectos morfométricos de bacias hidrográficas é importante para compreender a dinâmica ambiental presente, sendo importante ferramenta para determinação dos níveis de utilização e restrição dos recursos disponíveis. O presente estudo teve como foco o mapeamento e identificação das características da Bacia Hidrográfica da Barragem do Rio Coco, que tem importante papel no abastecimento de água da cidade de Paraíso do Tocantins. Foram utilizadas ferramentas de sistemas de informação geográfica para mapear e caracterizar a bacia. Os resultados mostraram que a bacia não é susceptível a enchentes por possuir forma mais alongada, o que faz com que a água precipitada atinja o exutório em tempos diferentes, que a bacia tem elevada aptidão para reflorestamento, o que impacta o uso e ocupação do solo, visto que cerca de 83% da bacia é coberta por Mata Ciliar e Vegetação Nativa.
RELAÇÃO ENTRE O USO DA TERRA E VARIÁVEIS LIMNOLÓGICAS DA BACIA HIDROGRÁFICA DO RIO IBICUÍ DA ARMADA-RS
Authors: Dal Osto Janderlei , Kramer Gisieli , Pereira Filho Waterloo
Published: November 2020

O presente trabalho teve como objetivo analisar a relação entre variáveis limnológicas e diferentes modelos de usos da terra na bacia hidrográfica do Rio Ibicuí da Armada, RS. A metodologia consistiu em utilizar imagens do sensor MSI a bordo do satélite SENTINEL 2 para gerar os mapas de uso da terra. As classes de uso da terra foram definidas como: Área Antrópica Agrícola, Área descoberta, Área Florestal, Vegetação Campestre, Água e Área urbana. As variáveis limnológicas analisadas foram: potencial hidrogeniônico, total de sólidos em suspensão e turbidez. Para a aquisição dos dados limnológicos foram realizadas 2 missões de campo nos meses de novembro de 2018 e março de 2019, em 2 pontos amostrais localizados no sistema hídrico da bacia hidrográfica do rio Ibicuí. Os mapas de uso da terra mostraram modificações entre os meses analisados, principalmente em áreas agrícolas pois a área de estudo tem na agropecuária sua base econômica. As fases agrícolas influenciaram nas variáveis limnológicas pH, TSS, Turbidez. Dessa forma, os resultados do presente trabalho ressaltam a importância de que a análise do ambiente hídrico considere o contexto do uso da terra na bacia hidrográfica.
Estado de Humor de atletas de categoria de base da modalidade Basquetebol
Authors: Prado Vivian Loietes de Oliveira , Dorneles Sthefannie Postal , Oliveira Fernanda Arantes de , Garcia Rosana Lopes da Silva , Machado Afonso Antonio , Tertuliano Ivan Wallan
Published: November 2020

O estudo teve o objetivo de investigar o estado de humor de atletas de Basquetebol de um Clube de São Paulo no início e no final da temporada de 2018. Assim, foi utilizada a Escala de Humor de Brunel (BRUMS), aplicada numa amostra composta por 26 atletas (Sub-13 e Sub-15), voluntários, do sexo masculino, federados, com idades entre 13 e 15 anos. Os resultados demonstraram que os dois grupos de pesquisa apresentaram estado de humor similar no início e final da temporada, com o fator Vigor sendo superior aos demais. Além disso, o Sub-13 aumentou os escores dos fatores Vigor e Tensão entre o início e o final da temporada e o Sub-15 diminuiu os escores do fator Fadiga no decorrer da temporada. Pode-se concluir que os atletas apresentaram o perfil de humor denominado de iceberg.
A participação nas políticas públicas de esporte e lazer: análise de enfoques da produção acadêmica
Authors: Ignácio Mauro Castro , Myskiw Mauro
Published: November 2020

A participação popular nas políticas públicas é um tema crescente. Esse estudo de revisão tem por objetivo mostrar quais enfoques da política são recorrentes nos estudos que abordam as políticas públicas nas áreas de esporte e de lazer. Uma busca nas principais bases de dados encontrou diversos artigos sobre o tema, onde 14 foram escolhidos para ser a base desse trabalho de revisão. Para analisar os trabalhos selecionados, buscando determinar qual a abordagem dos autores em relação a três conceituações das políticas públicas: polity, politics e policy. Após analisar os artigos, foi possível constatar que existem avanços nas publicações sobre políticas públicas de esporte e de lazer, mas que ainda existem pontos importantes a se aprofundar.
UM MANIFESTO LATENTE: poiesis onirofílicas de escriler
Authors: Reis Marina dos
Published: November 2020

deslocado pela perspectiva da Filosofia da Diferença, este artigo-manifesto é também uma sonhografia. Banhado pela poética Bachelardiana, intenta turbilhonar a vontade de transcriação da Matéria, entendendo-a como um sonho manifesto do Arquivo da educação. Arquivo que é templo de intraduzíveis, ávidos pela captura do olho e da mão do docente artistador. Pensa sonhando e sonha pensando uma poesia curricular latente na docência em fabulação que, pela pressão onirofílica, explode sonhografias operacionalizando em labor de onírico. Além disso, este artigo é desejoso de provocar uma espécie de dobra no espírito, a fim de causar estranheza e sobressaltos ao pensamento. Convoca a aproximação máxima entre sonho e escrita em seus movimentos de fragmentários e disruptivos. O conteúdo e encadeamento deste manifesto esbarra em vãos e transforma em sustos, permitindo-se o empirismo estético, o qual se movimenta pela tensão entre o olho que impõe certos limites aos afectos que o corpo pode sentir. Advindo dessa vibração em instantes de não-lugares, espera-se potências a Aulas-sonho. Por fim, traz um inventário de clichês onirofílicos pela dramatização das citações bibliográficas, as quais funcionam como gatilhos de a-tradução ao labor onírico docente.
LATERAL PERIODONTAL CYST– A CASE REPORT AND LITERATURE REVIEW
Authors:   Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University- Sofia, Bulgaria., Deliverska Elitsa
Published: November 2020

Background: Lateral periodontal cyst (LPC) is a rare example of a developmental odontogenic cyst. LPC may clinically be diagnosed as a radicular cyst, keratocyst, ameloblastoma, odontogenic fibroma, odontogenic myxoma or as other types of odontogenic cysts and tumours. Purpose: The aim is to present an unusual two clinical cases of LPC of the upper and lower jaw. Material and methods: We present two cases with histologically proved LPC. The X-ray revealed radiolucent well-defined, circular in shape homogeneous formation around the root of the affected tooth. Results: The treatment of choice was surgery- enucleation of cyst formation. The complete removal of the cysts was successfully performed. The result of the pathophysiological examination of both cases showed LPC. Since after the operation regular follow up was perform and till now there was not any signs of recurrence. Conclusion: LPC is a rare odontogenic cyst of developmental origin, which should be timely diagnosed and surgically removed.
NUTRITION AS A BONES HEALTH FACTOR WITH SIGNIFICANT INFLUENCE
Authors:   Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University – Varna, Bulgaria., Chamova Rositsa , Panteleeva Maria ,   Department of Disaster Medicine and Maritime Medicine, Faculty of Public Health, Medical University – Varna, Bulgaria., Ivanova Eliyana ,   Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University – Varna, Bulgaria.
Published: November 2020

Osteoporosis is a global health problem with increasing importance. It is a chronic, debilitating disease characterized by low bone density and deterioration of the micro architectonics of bone tissue. Although genetic factors largely determine the bone size and density, factors such as healthy eating, good physical activity and avoiding alcohol and smoking also play a key role. At all ages, healthy eating is an important factor in bone health. Aim: To study the eating habits that are important for bone health in women from Varna. Methods: A cross-sectional study of the eating habits of 139 women in Varna was conducted between January 2018 and March 2019. Questions, giving information on diet, frequency of consumption of certain food groups and beverages, affecting bone density, physical activity, demographic indicators are included in the questionnaire. Descriptive analysis of the data is done with SPSS version 19. Results: The average age of the participants was 29.86 ± 13.60 years. Daily consumption of milk and dairy products was found among 36.7% and 32.4% of the respondents respectively. The relative share of respondents who consume fish 1-2 times a week is 33.1%. The daily consumption of fruits and vegetables is 47.5% and 56.8% respectively. Conclusion: Nutrition plays an important role in reducing the risk of osteoporosis by affecting the development and maintenance of bone mass.
Neurons of the Myenteric Plexus of the Rat Ileum Are Vulnerable to the Action of the Herbicide 2,4-Dichlorophenoxyacetic Acid
Authors: Germano Ricardo De Melo , Mari Renata De Britto , Favetta Paula Montanhini , Elias Marcelo Alberto , Trindade Wesley Alves , Marinsek Gabriela Pustiglione , De Miranda-Neto Marcílio Hübner
Published: November 2020

The herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) is widely used in several countries. Research on the neurotoxicity of 2,4-D has been focused on the central nervous system, and little is known about its effects on the myenteric plexus. Therefore, to elucidate the neurotoxicity of 2,4-D and the viability of its use, we investigated the effects of daily intake of 5 mg 2,4-D/kg for 60 days on the myenteric plexus neurons of the rat ileum using quantitative and morphometric analyses. Twenty male Wistar rats aged 60 days were divided into two groups (n=10 rats/group). The group E animals received daily 5 mg doses of 2,4-D/kg diluted in 1 mL of water, whereas the group C animals were not treated with the herbicide. The animals were euthanized with anesthetic after 60 days; subsequently, the ileum was dissected out, and procedures were performed to visualize the total population of neurons (Giemsa staining), the nitrergic neurons (NADPHd+), and the estimated population of cholinergic neurons (NADPHd-). The results were statistically analyzed and compared between groups. In group E, the densities of Giemsa-stained neurons and NADPHd- neurons decreased (p<0.05) by 7% and 10%, respectively, whereas the density of NADPHd+ neurons remained constant. The cell body area was 5.8% greater (p<0.05) for the NADPHd+ neurons but remained unchanged for the neurons stained with Giemsa. These results suggest that 2,4-D causes a reduction in neuronal density, particularly for cholinergic neurons, and promotes an increase in the cell body area of nitrergic neurons, leading to hypertrophy.
Quentin in Arthur Miller's After the Fall and Tennessee Williams's Small Craft Warnings
Authors: Shannon Elle
Published: November 2020

Arthur Miller's After the Fall and Tennessee Williams's Small Craft Warnings have many similarities as both plays appear to be semiautobiographical. However, where Miller writes through an optimistic lens, Williams does the opposite. The two plays address the difficulties of relationships—both platonic and romantic—regarding hope and despair. However, the perspectives of each of their protagonists, who are both named Quentin, process their lives and futures in contrasting ideologies. As Miller's Quentin seeks a new beginning, he must first process his past, which revolves around the women in his life. Williams's Quentin grapples with the reality of being gay in a homophobic society. The importance of each playwright choosing the name Quentin and the meaning of the name, “the fifth,” includes the religious connotations of the number five. Miller and Williams use their plays to explore their futures, with each breaking the fourth wall, like a confessional.
Factivity from pre-existence: Evidence from Barguzin Buryat
Authors: Bondarenko Tatiana
Published: November 2020

This paper examines a factivity alternation in Barguzin Buryat (Mongolic) with the verb hanaxa, whose meaning depends on its complement. When hanaxa combines with CPs, it behaves like a non-factive verb meaning ‘think’. However, when it takes nominalized clauses as its complement, it exhibits a factive inference and is naturally translated as ‘remember’. I assume the decompositional approach to the semantics of attitude reports (Kratzer 2016; Bogal-Allbritten 2017; Elliott 2017) and argue that the factivity alternation arises because CPs and nominalized expressions combine with the verb in different ways: while CPs modify the verb’s event argument and provide the content of thoughts, nominalized clauses saturate the internal argument, which for the verb meaning ‘think’ denotes the topic of thoughts — what the thinking is about. I propose that there is a pre-existence presupposition associated with this about-argument: an entity that is the topic of thoughts is presupposed to have started existing before the time of the thinking eventuality. I argue that this presupposition is what gives rise to the factive inference with nominalized expressions and what the ‘remember’ translation is trying to convey.
Medial Ankle Stability Evaluation With Dynamic Ultrasound: Establishing Natural Variations in the Healthy Cohort
Authors: Saengsin Jirawat , Hagemeijer Noortje C. , Ho Chang Song , Lubberts Bart , Waryasz Gregory , Guss Daniel , DiGiovanni Christopher W.
Published: November 2020

Introduction:

Destabilizing injuries to the deltoid ligament have relied on radiographic stress examination for diagnosis, with a focus on medial clear space (MCS) widening. Recently, studies have demonstrated the use of ultrasonography to assess deltoid ligament injury, but not the medial ankle stability. The purpose of this study was to assess the MCS via ultrasonography while weight-bearing and with a gravity stress test (GST) in the uninjured ankle as a means of establishing normative values for future comparison.

Methods:

Twenty-six participants with no reported ankle injury in their premedical history were included. The MCS was examined using ultrasonography with the patient lying in a lateral decubitus position to replicate a GST with the ankle held in a neutral and plantarflexed position as well as while weight-bearing. The MCS was assessed in mm at the anteromedial and inferomedial aspect of the ankle joint.

Results:

With weight-bearing, the average anterior MCS and inferior MCS were 3.6 and 3.3 mm, respectively. During the GST in neutral ankle position, the average anterior MCS was 4.1 mm, whereas the average inferior MCS was 4.0 mm. When measured during the GST in plantarflexed ankle position, the averages anterior MCS and inferior MCS increased to 4.4 mm. MCS values were notably higher with GST than with weight-bearing measurements (P < 0.001). MCS values were notably higher with the foot in a plantarflexed compared with a neutral position when doing GST (P < 0.001). No notable differences in MCS distance were found when comparing laterality (P > 0.05). Height had a notable effect on all MCS values (P < 0.05). Inter- and intra-rater reliabilities for ultrasonographic MCS measurements were all excellent (interclass correlation coefficient >0.75).

Discussion:

Ultrasound can reliably measure the MCS of the ankle while doing dynamic stress manoeuvres. With the deltoid ligament intact, a GST increases MCS widening more than weight-bearing, and holding the ankle in plantarflexion while doing a gravity stress view, further increases this difference.

Levels of evidence:

Diagnostic studies—investigating a diagnostic test: Level III
Receiving and Action Oriented Attitude of the Youth Towards Mobile Marketing: A Transitional Economy Perspective
Authors: Iddrisu Mustapha , Adugudaa Akolaa Andrews , Martins Albert
Published: November 2020

The advancement in technology is influencing the ways in which organizations conduct business and marketing activities. Mobile Marketing has become one of the most widespread media to communicate with potential and existing customers mainly in the form of text advertisements through the internet. This study is aimed at finding out the receiving and action-oriented attitudes of the youth towards mobile marketing, particularly the rate at which the youth use mobile marketing to determine the propensity to be influenced in their actions. The study also investigated the factors affecting consumer attitudes and their relationship with mobile marketing. The study employed descriptive and exploratory research methodology design and the data were collected using a structured questionnaire. Four hundred (400) questionnaires were administered to young people between the ages of 18 and 35 years in Accra and Three hundred and fifty 350 were used. We found a high rate of youth’s preference for mobile marketing messages and a relationship between youth attitude and mobile marketing messages and/or the youth’s attitude being influenced by mobile marketing messages. Finally, it revealed that there is a relationship between the youth’s receiving and action-oriented attitude and consumer factors that influence the use of mobile marketing.
Idade avançada e sexo são fatores de risco para falha na extubação em UTI adulto
Authors: Da Silva Marilia Lambrecht , Sonza Anelise , Montemezzo Dayane , Dal Lago Pedro
Published: November 2020

Introdução: A falha no processo de retirada da ventilação mecânica invasiva (VMI) está associada a desfechos adversos, como alta mortalidade hospitalar e custos elevados. Objetivo: Conhecer os fatores de risco para falha na extubação em adultos internados em UTI submetidos à VMI. Secundariamente, conhecer a taxa de reintubação orotraqueal (Re-TOT). Métodos: Estudo prospectivo, observacional, realizado em prontuários eletrônicos em um período de 11 meses em uma UTI adulto. Os testes Qui-quadrado ou Exato de Fischer compararam a Re-TOT, sexo e faixas etárias. Resultados: Prontuários de 224 adultos foram analisados, com média de idade 61,9±16,9 anos e 48,2% do sexo masculino. O principal motivo de internação foi por insuficiência respiratória aguda (33%). Mulheres foram susceptíveis à falha na extubação comparadas aos homens (21,5% vs. 10%, p= 0,019; respectivamente), e idade avançada. A Re-TOT foi de 31,5%. Conclusão: Sexo feminino e idade avançada foram fatores de risco para falha na extubação. A Re-TOT foi mais elevada que outros índices da literatura.
Habilidades funcionais e qualidade de vida em crianças com Leucemia Linfoblástica Aguda
Authors: Weber Meyene Duque , Merey Leila Simone Foerster , Soares-Marangoni Daniele De Almeida
Published: November 2020

Objetivo: Comparar as capacidades funcionais e a qualidade de vida entre crianças com leucemia linfoblástica aguda em tratamento com quimioterapia e/ou radioterapia e crianças sem o tratamento, de 4 a 7 anos de idade.Método:  Participaram do estudo 50 crianças, sendo 25 em tratamento (grupo experimental) e 25 que já terminaram o tratamento (grupo controle), avaliados por meio do Inventário de Avaliação Pediátrica de Incapacidade (PEDI) e da Escala de Qualidade de Vida da Criança (AUQEI).Resultados: Não houve diferença entre os grupos nos escores brutos do PEDI e na pontuação do AUQEI. Os escores normativos do PEDI apresentaram-se predominantemente abaixo do esperado para a idade em ambos os grupos. A pontuação do AUQEI demonstrou uma qualidade de vida prejudicada no grupo experimental e no controle.Conclusão: Sugere-se que a leucemia linfoblástica aguda e seus tratamentos (quimio e radioterápicos) geram prejuízos funcionais e psicossociais, tanto no momento do tratamento oncológico como após sua conclusão e remissão da doença. É relevante que haja promoção de um acompanhamento longitudinal e multiprofissional da criança com câncer, a fim de minimizar os danos e reinseri-la na comunidade efetivamente.
Análise ultrassonográfica do quadríceps femoral de pacientes críticos sob ventilação mecânica
Authors: De Lima Roberta Virginia Silva Alves , Fernandes Júlia Sales , Lucena de Sousa Auriwerton Santos , Tavares de Lima Dyego , Ferreira Rodrigues Anderson , Pedrosa Rafaela , Heriston de Morais Lima José , França Eduardo Eriko Tenório de
Published: November 2020

Introdução: Devido aos diversos danos gerados pela imobilidade no leito, faz-se necessária uma avaliação precoce do estado muscular dos pacientes críticos. Objetivo: Comparar as imagens ultrassonográficas e correlacionar a espessura muscular com a ecointensidade do músculo reto femoral (RF) e vasto intermédio (VI) em 48 horas e com 7 dias de ventilação mecânica invasiva (VMI). Métodos: Trata-se de um estudo observacional prospectivo, com 53 imagens obtidas numa Unidade de Terapia Intensiva. Resultados: Houve redução na espessura muscular de RF, VI e espessura total. Observamos uma correlação negativa entre a espessura muscular e ecointensidade do RF nas primeiras 48 horas e 7 dias após a VMI. Já em relação ao VI, não observamos associação da espessura do VI com a ecointensidade nesse mesmo período. Conclusão: Evidenciamos uma relevante redução na espessura muscular do RF, VI e espessura total do quadríceps. Observamos uma alteração na composição da fibra muscular do RF, entretanto este comportamento não foi evidenciado no músculo VI.
Clinical perspectives on treatment of rifampicin-resistant/multidrug-resistant TB
Authors: Cox V. , McKenna L. , Acquah R. , Reuter A. , Wasserman S. , Vambe D. , Ustero P. , Udwadia Z. , Triviño-Duran L. , Tommasi M. , Skrahina A. , Seddon J. A. , Rodolfo R. , Rich M. , Padanilam X. , Oyewusi L. , Ohler L. , Lungu P. , Loveday M. , Khan U. , Khan P. , Hughes J. , Hewison C. , Guglielmetti L. , Furin J.
Published: November 2020

Rapid diagnostics, newer drugs, repurposed medications, and shorter regimens have radically altered the landscape for treating rifampicin-resistant TB (RR-TB) and multidrug-resistant TB (MDR-TB). There are multiple ongoing clinical trials aiming to build a robust evidence base to guide
RR/MDR-TB treatment, and both observational studies and programmatic data have contributed to advancing the treatment field. In December 2019, the WHO issued their second ‘Rapid Communication´ related to RR-TB management. This reiterated their prior recommendation that a majority
of people with RR/MDR-TB receive all-oral treatment regimens, and now allow for specific shorter duration regimens to be used programmatically as well. Many TB programs need clinical advice as they seek to roll out such regimens in their specific setting. In this Perspective, we highlight
our early experiences and lessons learned from working with National TB Programs, adult and pediatric clinicians and civil society, in optimizing treatment of RR/MDR-TB, using shorter, highly-effective, oral regimens for the majority of people with RR/MDR-TB.
Exposure to Stressful Life Events among Patients with Chronic Obstructive Pulmonary Disease: A Prospective Study
Authors: Zohal Mohammad Ali , Rafiei Sima , Rastgoo Nafise , Jamshidi Sanaz
Published: November 2020

Introduction: Although depression and anxiety have been widely investigated among patients with chronic obstructive pulmonary disease (COPD), experiencing stressful life events and its effect on increasing risk of exacerbations was rarely assessed. This study aimed to clarify the association between facing with stressful events among COPD patients and their disease severity leading to hospitalization. Material and methods: A prospective study was conducted among 128 COPD patients from the population of Qazvin, a north-west, industrialized city of Iran from December 2017 to December 2018. Patients were followed up for one-year and their related measures were gathered. To compare variables among patients stratified by reporting stressful life conditions, Pearson’s chi-square and Fisher’s exact tests were used. Furthermore, to assess the effect of several covariates on the response variable, a logistic regression modelling was applied. Results were reported in form of odds ratios and their 95% confidence intervals. Results: Study findings affirmed that patients who had experienced stressful situation had lower BMI, were retired, experienced more frequent exacerbations, and reported higher levels of anxiety/ depression. Moreover, those with stressful conditions were among current or former smokers (p < 0.05). Logistic regression analysis revealed that facing with stressful situations was significantly associated with the severity of COPD disease (OR 1.9; 95% CI 2.5 to 5.6), smoking habit (OR 2.8; 95% CI 1.6 to 4.2; OR 1.5; 95% CI 1.4 to 2.2), and hospitalization during one-year follow up (OR 1.2; 95% CI 1 to 3.3). Conclusions: To improve health outcomes of COPD patients, close attention should be given to their psychological disorder and appropriate strategies should be applied to reduce patients’ exposure to stressful life events and subsequent anxieties.
A Rare Initial Presentation of Miliary Tuberculosis
Authors: Ish Somya , Rathi Vidushi , Ish Pranav , Garkoti Himanshu , Sharma Deepa
Published: November 2020

A sixteen-year-old female presented with a gradual decrease of vision in the left eye for two weeks [...]
Longitudinal Changes in Exercise Capacity among Adult Cystic Fibrosis Patients
Authors: Boutou Afroditi , Manika Katerina , Hajimitrova Marija , Pitsiou Georgia , Giannakopoulou Pinelopi , Sourla Evdokia , Kioumis Ioannis
Published: November 2020

Introduction: Longitudinal data regarding changes in exercise capacity among adult cystic fibrosis (CF) patients are currently scarce. The aim of this brief report was to assess changes in exercise capacity among adult CF patients with stable and mild-to-moderate disease eight years after their initial evaluation. Material and methods: Maximum cardiopulmonary exercise testing (CPET) was utilized. Other assessments included Doppler echocardiography, the 6-minute walking test, spirometry, and lung volume evaluation. Results: Eleven (6 male, 5 female) patients completed both evaluations (initial and after eight years). During follow-up, indices of ventilatory impairment (such as ventilatory reserve; p=0.019, and ventilatory equivalent for carbon dioxide; p = 0.047) deterio-rated significantly following a decline in respiratory function measurements. Peak oxygen uptake (VO2), both as an absolute (26.6 ± 8.46 vs 23.89 ± 6.16 mL/kg/min; p = 0.098) and as a % of predicted value (71.21 ± 16.54 vs 70.60 ± 15.45; p = 0.872), did not deteriorate. This is also true for oxygen pulse (p = 0.743), left heart ejection fraction (p = 0.574), and pulmonary artery systolic pressure (p = 0.441). However, the anaerobic threshold, both as an absolute (p = 0.009) and as a % of predicted value (p = 0.047), was significantly lower during follow-up. Conclusion: In adult CF patients with stable, mild-to-moderate disease, a peak VO2 may be preserved for several years. However, even in these patients, deconditioning is present.
Echocardiographic Assessment of the Right Ventricle and Its Correlation with Patient Outcome in Acute Respiratory Distress Syndrome
Authors: Taha Ahmed , Zaytoun Tayseer , Eid Hany , Baess Ayman , Elreweny Ehab
Published: November 2020

Introduction: Acute respiratory distress syndrome (ARDS) is a life-threatening chest disease associated with a poor outcome and increased mortality. It may lead to pulmonary hypertension and, eventually, right ventricular failure. These changes can be investigated by transthoracic echocardiography (TTE) which is considered a non-invasive and cost-effective modality. We studied the role of right ventricular function in the prediction of the severity and mortality in ARDS. Material and methods: In this observational study, 94 patients suffering from ARDS were subjected to TTE to evaluate the parameters of right ventricular function by measuring tricuspid annular plane systolic excursion (TAPSE), right ventricular fractional area change (RV-FAC), myocardial performance index (Tei index), and systolic pulmonary artery pressure (SPAP) to assess their relation to the severity and mortality in ARDS. Results: TAPSE, SPAP, Tei index, and RV-FAC showed significant differences between survivors and non-survivors after 30 days (all p < 0.001). An increased length of intensive care unit stay was significantly correlated with TAPSE, Tei index, and RV-FAC (p = 0.002‚ 0.007‚ and 0.013, respectively). Meanwhile, the length of mechanical ventilation days was significantly correlated with the Tei index only (p < 0.001). Multivariate regression analysis found that TAPSE and the Tei index were independent factors affecting mortality (p = 0.004‚ and 0.006, respectively). RV-FAC, with a cut-off point ≤ 57%, had the highest sensitivity‚ while TAPSE, with a cut-off point ≤ 17 mm, had the highest specificity to predict mortality. Conclusions: Transthoracic echocardiographic parameters of the right ventricle could be used to predict severity and mortality in patients with ARDS with high sensitivity and specificity.
The environmental aspect of recycling end-of-life vehicles
Authors: Kamińska Ewa Sylwia
Published: November 2020

In Poland every year, about 600,000 cars are processed by the vehicle dismantling stations, which entails the necessity of utilizing a significant mass of the waste. Entrepreneurs running the disassembling stations are required to obtain a 95% recovery rate and 85% recycling of the weight of vehicles brought into the company during the year. The article presents the results of the eco-balance analysis of utilizing waste from end-of-life vehicles (ELV). The calculations were carried out following the assumptions of the LCA method, based on the ReCiPe2016 procedure. The potential level of environmental impacts is analyzed in 23 environmental categories, included in three groups, defining effects on human health, ecosystems, and resources. The results were presented as environmental points [Pt], which reflect the potential level of environ-mental burdens exerted by the analyzed object. The limits of the tested system include utilization pro-cesses of the waste from vehicles. One end-of-life vehicle was assumed as a functional unit. Particular attention has been paid to the emissions into the air that adversely affects human health and climate change. The results of the analysis showed that the properly conducted car utilization process brings environmental benefits above all in terms related to human health.
Selected issues of risk assessment in relation to railway signalling systems
Authors: Szmel Dariusz , Zabłocki Wiesław , Ilczuk Przemysław , Kochan Andrzej
Published: November 2020

The selected methods of the risk assessment and analysis of signaling railway systems about the whole railway system were introduced in the article. The selected methods applied at the first stage of safety requirements definition within the preliminary system definition described at a high level of abstraction will be considered. It will be discussed the application of a holistic approach with the management of residual risk. The risk models will be presented and steps of assessing, analyzing, and evaluating risk, including hazard identification, consequences analysis, and selection of risk acceptance principles. The article's key aspect will be the determination of quantitative safety targets based on the THR indicator as an important parameter for further hazard analysis of the system, particularly in computer application. Normative and legislation requirements in the scope of risk assessment for the railway system will be considered, including the interoperability and safety directives and decrees regulations.
Using Crowdsourced Vehicle Braking Data to Identify Roadway Hazards
Authors: Li Howell , Mathew Jijo K. , Kim Woosung , Bullock Darcy M.
Published: November 2020

Modern vehicles know more about the road conditions than transportation agencies. Enhanced vehicle data that provides information on “close calls” such as hard braking events or road conditions during winter such as wheel slips and traction control will be critical for improving safety and traffic operations. This research applied conflict analyses techniques to process approximately 1.5 million hard braking events that occurred in the state of Indiana over a period of one week in August 2019. The study looked at work zones, signalized intersections, interchanges and entry/exit ramps. Qualitative spatial frequency analysis of hard-braking events on the interstate demonstrated the ability to quickly identify temporary and long-term construction zones that warrant further investigation to improve geometry and advance warning signs. The study concludes by recommending the frequency of hard-braking events across different interstate routes to identify roadway locations that have abnormally high numbers of “close calls” for further engineering assessment.
Inteligência Artificial e Educação Especial: Desafios Éticos
Authors: Santos Jr Francisco Dutra dos , Barone Dante Augusto Couto , Wives Leandro , Kuhn Igor
Published: November 2020

Este artigo propõe-se a discutir breve recorte da Inteligência Artificial e suas possibilidades de aplicação na Educação Especial. Apresenta como escopo a repercussão ética das existentes e possíveis aplicações educacionais. Segue três eixos norteadores, a legislação correspondente a Inclusão das pessoas com deficiências, as diretrizes da Global Iniciative on Ethics of Autonomous and Intelligent Systems, e o Consenso de Pequim sobre Inteligência Artificial e Educação. Análise consiste colocar em perspectiva os avanços da I.A. como possibilidades no processo de inclusão de alunos com necessidades educacionais especiais. Porém, com a atenção plena aos dilemas éticos, já preconizados, no campo da Inteligência Artificial.
O idoso e a inclusão digital
Authors: Custódio Natalia , Lucena Daniel , Macedo Karoline Da Paz , Nunes Isabel
Published: November 2020

According to the Dictionary Aurélio (2004), inclusion in the literal sense of the word means "to be part, to belong together with others". In addition, inclusion is about guaranteeing equal opportunities for access to what is sought, whether in school inclusion, social inclusion or digital inclusion. However, this term has undergone several resignitions due to its inability to satiate the exclusion group in its sense of contemplation of these equal opportunities, especially in a digital age. When we refer to digital inclusion we have to take into consideration another aspect of "belonging", which is suffocated by an exponential recycling routine of the digital content that each year brings the need for a new literacy of this digital age.
Co-design de Groupware para Planejamento entre Professores do Ensino Médio
Authors: Queiros Leandro , Gomes Alex
Published: November 2020

O planejamento educacional e, consequentemente, a produção de materiais educativos são considerados essenciais para os professores. Esses artefatos são comumente adaptados; no entanto, por fatores ainda a serem investigados, são usados improvisados, ou simplesmente copiados e colados no planejamento utilizado no ano anterior para cumprir um padrão escolar. O presente trabalho visa contribuir para uma melhor compreensão das práticas de planejamento dos professores, para influenciar no design da experiência de aprendizagem apoiada por groupware para ser integrado na prática de ensino, a fim de promover o desenvolvimento efetivo do planejamento colaborativo de aula.
The ViRVIG Institute
Authors: Andújar Carlos , Navazo Isabel , Vázquez Pere-Pau , Patow Gustavo , Pueyo Xavier
Published: November 2020

In this paper we introduce the ViRVIG Institute, a recently created institution that joins two well-known research groups: MOVING in Barcelona, and GGG in Girona.
The Human Interface Technology Laboratory New Zealand (HIT Lab NZ)
Authors: Billinghurst Mark
Published: November 2020

The Human Interface Technology Laboratory New Zealand (HIT Lab NZ) is the leading research laboratory in New Zealand for Augmented Reality (AR) and advanced user interface research, and one of the largest AR research groups in the world. This paper provides an introduction to the HIT Lab NZ, an overview of its history and a review of past and current and future research projects.
A Panoramic view of the LATVI - Virtual and Intelligent Technologies Laboratory
Authors: Costa Rosa Maria E. M. , Werneck Vera Maria Benjamin , Sztajnberg Alexandre
Published: November 2020

In this paper we present an overview of the LATVI –Laboratório de Tecnologias Virtuais e Inteligentes (Virtual andIntelligent Technologies Laboratory) at the Rio de Janeiro StateUniversity. The mission and main objectives are discussed.Current and ongoing projects are outlined.
Institute of Visual Computing at the Bonn-Rhine-Sieg University of Applied Sciences, Germany
Authors: Goebbels Gernot , Göbel Martin , Hinkenjann André , Heiden Wolfgang , Winzker Marco , Herpers Rainer , Scholl Robert
Published: November 2020

This paper presents the newly founded Institute of Visual Computing at the Bonn-Rhine-Sieg University of Applied Sciences in Sankt Augustin, Germany. The research focuses as well as an overview of current projects are going to be part of this presentation.
Human-Computer Interaction on Tabletops
Authors: Kunz Andreas M.
Published: November 2020

The most common working situation is standing or sitting at a table, and performing daily business work. Although this situation is very intuitive to the user, a computer support can hardly be found in this area, mainly because of missing or inadequate human-computer interfaces that do not meet the expected requirements of the user. However, ongoing research in this particular field of human-computer interaction addresses this problem. The following paper shows an exemplaric research progress and gives and outlook on future research.
Virtual Reality Group at Tecgraf/PUC-Rio
Authors: Raposo Alberto , Soares Luciano , Carvalho Felipe , Loaiza Manuel , Gattass Marcelo
Published: November 2020

This paper describes the Virtual Reality Group of Tecgraf/PUC-Rio and some of its research and development activities in the areas of virtual and augmented reality, 3D user interaction and collaborative systems.
Research into Navigation, Collaborative Interaction, and Gigapixel Displays
Authors: Ruddle Roy A , Duke David J
Published: November 2020

Research by the Visualization & Virtual Reality Research Group (School of Computing, University of Leeds, UK) includes themes that focus on navigation, collaborative interaction, and gigapixel displays. The group also carries out research into visualization techniques and systems, including new systems technologies for visualization, and tools for investigating features within large datasets. This article summarizes that research and describes current projects that are taking place: Virtual trails to aid real-world navigation, Mobile geophysics, Communication breakdown in collaborative VR, Cancer diagnosis with a VR Microscope, Visual analytic interfaces for optimization, and Overlays for graph exploration.
Natural Locomotion Interfaces – With a Little Bit of Magic!
Authors: Steinicke Frank
Published: November 2020

The mission of the Immersive Media Group (IMG) is to develop virtual locomotion user interfaces which allow humans to experience arbitrary 3D environments by means of the natural walking metaphor. Traveling through immersive virtual environments (IVEs) by means of real walking is an important activity to increase naturalness of virtual reality (VR)-based interaction. However, the size of the virtual world often differs from the size of the tracked lab space so that a straightforward implementation of omni-directional and unlimited walking is not possible. Redirected walking is one concept to address this issue by inconspicuously guiding the user on a physical path that may differ from the path the user perceives in the virtual world. For example, intentionally rotating the virtual camera to one side causes the user to unknowingly compensate by walking on a circular arc into the opposite direction. In the scope of the LOCUI project, which is funded by the German Research Foundation, we analyze how gains of locomotor speed, turns and curvatures can gradually alter the physical trajectory with respect to the path perceived in the virtual world without the users observing any discrepancy. Thus, users can be guided in order to avoid collisions with physical obstacles (e.g., lab walls) or they can be guided to arbitrary locations in the physical space. For example, if the user approaches a virtual object, she can be guided to a real proxy prop that is registered to and aligned with its virtual counterpart. Hence, the user can interact with a virtual object by touching the corresponding real-world proxy prop that provides haptic feedback. Based on the results of psychophysical experiments we plan With such a user interface it becomes possible to intuitively interact with any virtual object by touching registered real-world props.
VOXAR Labs - augmenting experiences for a better life
Authors: Teichrieb Veronica , Team The VOXAR Labs
Published: November 2020

The VOXAR Labs is a research group with the mission of developing people by augmenting experiences. It develops and transfers technology related to visualization, tracking and natural interaction techniques focusing augmented reality in multi-disciplinary application domains. The laboratory has several ongoing projects including an international cooperation, projects with the industry, involving energy and military ones, as well as research and academic projects. VOXAR Labs is part of the Informatics Center of the Federal University of Pernambuco, located in Recife – Pernambuco, Brazil.
Interlab: Interactive Technologies Laboratory
Authors: Tori Romero , Nakamura Ricardo , Nunes Fátima , Bernardes Jr. João Luiz , Ferreira Maria Alice , Ranzini Edith
Published: November 2020

In this paper we present an overview of Interlab, including its origin, research lines and some of the ongoing projects.
WINDIS Lab The cyber world that surrounds us
Authors: De Araújo Regina Borges , Da Rocha Rafaela Vilela , Oliveira Allan Cesar , Botega Leonardo
Published: November 2020

This paper introduces the WINDIS Laboratory of the Computer Science Department of Federal University of Sao Carlos. One of WINDIS research areas is on Interoperable, Composable and Integrable Distributed Interactive Simulations. As a member of the National Institute of Technology on Embedded Systems (INCT-SEC) WINDIS research interest also includes post-embedded systems generation, known as cyber-physical systems, and its HCI challenges: building flawless and seamless interfaces in the cyber world that surround us.
Assessment Systems for Training Based on Virtual Reality: A Comparison Study
Authors: Machado Liliane dos Santos , Moraes Ronei Marcos de
Published: November 2020

Training systems based on virtual reality are used in several areas. In these systems the user is immersed into a virtual and interactive environment to perform realistic training. In this paper, we present some of the challenges to construct a medical simulator based on virtual reality. Among them, the assessment allows to know users' performance in the training to analyze if they are prepared to perform the procedure in real situations. In order to choose an appropriate assessment method, this paper brings a comparison among four methods for training assessment.