bluuebunny/crossref_metadata_2025 huggingface dataset:
Psychosocial predictors of early postpartum depressive and anxious symptoms in primiparous women and their partners
Authors: J. Henshaw Erin , Cooper Marie , Wood Teresa , N. Doan Stacey , Krishna Sanchita , Lockhart Marie
Published: March 2023

Background

While the majority of research on postpartum depressive and anxious symptoms has focused on mothers, a growing body of research suggests a need to understand the role of the partner’s health and relationship quality as predictors of postpartum maternal depression, while also better understanding correlates of partner or paternal depression in the postpartum period. The purpose of the current study is to evaluate mother and partner stress, anxiety, mood, infant care support, and relationship quality as predictors of perinatal depressive and anxious symptoms in first time mothers and partners during the postpartum hospital stay.

Methods

First time parent couples (n = 116) completed a survey during the two-day postpartum stay in a Midwest hospital. Depressive (EPDS) and anxiety symptoms (DASS-21-Anxiety) were assessed in both mothers and partners. Hierarchical linear regression was used to evaluate relationship satisfaction, partner infant care support, stress, and co-parent mood as predictors of mood in mothers and partners separately.

Results

Stress was a predictor of anxiety and depression symptoms in both mothers and partners. Additionally, co-parent anxiety significantly predicted anxiety in both mothers and partners. Maternal relationship satisfaction was a predictor of the partner’s depressive symptoms, and maternal perceptions of partner infant support predicted maternal depressive symptoms.

Conclusions

Together, these results suggest that stress, relationship satisfaction, and co-parent mood are related to depressive and anxious symptoms in mothers and partner, underscoring the need to continue exploring mother and partner mental health in a dyadic framework.
Development and validation of an intuitive biomechanics-based method for intraocular pressure measurement: a modal analysis approach
Authors: Hsu Francis Li-Tien , Shih Po-Jen , Wang I.-Jong
Published: March 2023

Background

Current intraocular pressure (IOP) measurements based on non-contact tonometry are derived from statistics-driven equations and lack biomechanical significance, which often leads to under-estimation in post-refractive surgery cornea. This study aims to introduce and validate modal analysis-derived intraocular pressure (mIOP) as a novel method generated through Legendre-based modal decomposition of the anterior corneal contour; it provides an accurate and intuitive IOP measurement from an energy-based perspective.

Methods

This retrospective study included 680 patients. Healthy participants were divided into reference (n = 385) and validation (n = 142) datasets, and the others underwent either femtosecond-assisted laser in situ keratomileusis (FS-LASIK, n = 58) or transepithelial photorefractive keratectomy (TPRK, n = 55). Corneal curvature of the right eyes was extracted from raw serial cross-sectional images of the cornea generated by Corvis ST, a noncontact tonometer with a high-speed Scheimpflug-camera. Legendre expansion was then applied to the corneal curvature to obtain the modal profiles (i.e., temporal changes of the coefficient for each basis polynomial [modes]). Using the reference dataset, feature selection on the modal profiles generated a final mIOP model consisting of a single parameter: total area under curve (frames 1–140) divided by the area under curve of the rising phase (frames 24–40) in the fourth mode, i.e. the M4 ratio. Validation was performed in both the healthy validation and postoperative datasets. IOP-Corvis, pachymetry-corrected IOP, biomechanically corrected IOP, and mIOP values were compared. For the FS-LASIK and TPRK groups, pairwise postoperative IOP changes were analyzed through repeated measures analysis of variance, and agreement was examined through Bland–Altman analysis. Using a finite element analysis based three-dimensional model of the human cornea, we further compared the M4 ratio with the true intraocular pressure within the physiological range.

Results

The M4 ratio-based mIOP demonstrated weak to negligible association with age, radius of corneal curvature, and central corneal thickness (CCT) in all validation analyses, and performed comparably with biomechanically corrected IOP (bIOP) in the refractive surgery groups. Both remained nearly constant postoperatively and were not influenced by CCT changes. Additionally, M4 ratio accurately represented true intraocular pressure in the in silico model.

Conclusions

mIOP is a reliable IOP measurement in healthy and postrefractive surgery populations. This energy-based, ratio-derived approach effectively filters out pathological, rotational, misaligned movements and serves as an interpatient self-calibration index. Modal analysis of corneal deformation dynamics provides novel insights into regional corneal responses against pressure loading.
Parental hesitancy against COVID-19 vaccination for children and associated factors in Taiwan
Authors: Deng Jing-Shan , Chen Jau-Yuan , Lin Xiao-Qing , Huang Chun-Lian , Tung Tao-Hsin , Zhu Jian-Sheng
Published: March 2023

Background

Since July 2021, some countries and regions have initiated the vaccination of minors against coronavirus disease (COVID-19), and parental COVID-19 vaccine hesitancy will affect the vaccination of minors. We aimed to identify the level of parental hesitancy to vaccinate their children against COVID-19 in Taiwan and the factors associated with vaccine hesitancy.

Methods

We conducted a population-based, self-administered online questionnaire in Taiwan to assess parental hesitancy and the factors influencing their children’s vaccination against COVID-19.

Results

Among 384 respondents, 64.1% were hesitant to have their children vaccinated against COVID-19. Mothers were more likely to hesitate to vaccinate their teens than their fathers (67.5% vs. 50%, P < 0.005). Multiple regression results showed that parents who were hesitant to vaccinate themselves (OR = 3.81, 95% CI:2.07–7.02) and those who scored lower on their perception of their children’s vaccination (OR = 9.73, 95% CI:5.62–16.84) were more hesitant to vaccinate their children with COVID-19 vaccine.

Conclusions

According to the study findings, 64.1% of Taiwanese parents were hesitant to vaccinate their children against COVID-19. Parents who were hesitant to receive the COVID-19 vaccine for themselves and had negative views of the vaccine for their children were more likely to be hesitant to vaccinate their children. An in-depth discussion of the factors affecting vaccine hesitancy and targeted health education is conducive to promoting vaccination in children with COVID-19.
Compensatory classification in spine sagittal malalignment with lumbar degeneration
Authors: Wang Yu , Li Xiang-Yu , Zhu Wei-Guo , Liu Cheng-Xin , Kong Chao , Lu Shi-Bao
Published: March 2023

Objective

To generate a compensatory classification to evaluate sagittal spinal malalignment with lumbar degeneration.

Methods

We included 162 patients with low back pain who underwent full-length spinal radiography in our hospital from August 2019 to October 2021. Using full-length spine X-rays, we measured pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), thoracic kyphosis (TK), lumbar lordosis (LL), C7 slope (C7S), thoracolumbar kyphosis (TLK), and C7 sagittal vertical axis (SVA). We also recorded the Oswestry Disability Index (ODI) and visual analog scale (VAS). Patients were divided into four groups based on the SRS-Schwab classification and four other groups based on the compensatory classification.

Results

ODI correlated with age, SS, LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Lumbar VAS score correlated with LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Leg VAS score only correlated with LL. Hidden imbalance and imbalance with compensation had more significant PT and larger TK than balance patients. The symptoms of the four compensatory classification groups gradually worsened.

Conclusion

The spinal-pelvic sagittal balance in patients with lumbar degeneration based on pelvic and thoracic compensation can reflect spinal balance and symptoms. This parameter might help evaluate spine sagittal alignment in elderly patients with lumbar degeneration.
Perineal ultrasound to assess the urethral spatial movement in stress urinary incontinence in women
Authors: Dong Binbin , Shi Yingqiu , Chen Yin , Liu Ming , Lu Xiaoming , Liu Yadong
Published: March 2023

Background

Perineal ultrasound as a non-invasive method for the diagnosis of female stress urinary incontinence has attracted more and more attention. However, the criteria for stress urinary incontinence in women using perineal ultrasound have not been fully established. Our study aimed to evaluate characteristics of the urethral spatial movement with perineal ultrasonography.

Methods

A total of 136 female patients with stress urinary incontinence and 44 controls were enrolled. Stress urinary incontinence was diagnosed using the International Consultation on Incontinence Questionnaire Short Form, medical history and physical examination, and severity was assessed using a 1 h pad test. We described the mobility of four equidistant points (A–D) located along the urethra length. The retrovesical and urethral rotation angles were measured using perineal ultrasonography at rest and during the maximal Valsalva maneuver.

Results

Patients with stress urinary incontinence showed a more significant vertical movement at Points A, B and C than controls. The mean variations in the retrovesical angle were significantly larger in patients with stress urinary incontinence at rest and during the Valsalva maneuver than in controls (21.0 ± 16.5° vs. 14.7 ± 20.1°, respectively). The cut-off value for the retrovesical angle variation was 10.7° with 72% sensitivity and 54% specificity. There was a receiver-operating characteristic curve area of 0.73 and 0.72 for Points A and B, respectively. A cut-off of 10.8 mm, and 9.4 mm provided 71% sensitivity and 68% specificity and 67% sensitivity and 75% specificity, respectively.

Conclusions

The spatial movement of the bladder neck and proximal urethra, and variations in the retrovesical angle may be correlated with clinical symptoms and facilitate to the assessment of SUI.
Simple prediction of COVID-19 convalescent plasma units with high levels of neutralization antibodies
Authors: Jazbec Katerina , Jež Mojca , Žiberna Klemen , Mali Polonca , Ramšak Živa , Potokar Urška Rahne , Kvrzić Zdravko , Černilec Maja , Gracar Melita , Šprohar Marjana , Jovanovič Petra , Vuletić Sonja , Rožman Primož
Published: March 2023

Background

Hyperimmune convalescent COVID-19 plasma (CCP) containing anti-SARS-CoV-2 neutralizing antibodies (NAbs) was proposed as a therapeutic option for patients early in the new coronavirus disease pandemic. The efficacy of this therapy depends on the quantity of neutralizing antibodies (NAbs) in the CCP units, with titers ≥ 1:160 being recommended. The standard neutralizing tests (NTs) used for determining appropriate CCP donors are technically demanding and expensive and take several days. We explored whether they could be replaced by high-throughput serology tests and a set of available clinical data.

Methods

Our study included 1302 CCP donors after PCR-confirmed COVID-19 infection. To predict donors with high NAb titers, we built four (4) multiple logistic regression models evaluating the relationships of demographic data, COVID-19 symptoms, results of various serological testing, the period between disease and donation, and COVID-19 vaccination status.

Results

The analysis of the four models showed that the chemiluminescent microparticle assay (CMIA) for the quantitative determination of IgG Abs to the RBD of the S1 subunit of the SARS-CoV-2 spike protein was enough to predict the CCP units with a high NAb titer. CCP donors with respective results > 850 BAU/ml SARS-CoV-2 IgG had a high probability of attaining sufficient NAb titers. Including additional variables such as donor demographics, clinical symptoms, or time of donation into a particular predictive model did not significantly increase its sensitivity and specificity.

Conclusion

A simple quantitative serological determination of anti-SARS-CoV-2 antibodies alone is satisfactory for recruiting CCP donors with high titer NAbs.
Reflective Practices in Education: A Primer for Practitioners
Authors: Machost Haleigh , Stains Marilyne
Published: March 2023

This essay serves as an introduction for practitioners to reflective practices in education. Benefits, methods for engaging in reflective practices and potential challenges are highlighted with further resources outlined in the supplemental materials.
São Paulo Rising: Grassroots Movements and the Right to Health in Authoritarian Brazil
Authors: McDonald Daniel
Published: March 2023

This article examines grassroots constructions of a right to health in São Paulo's urban periphery during Brazil's civil-military dictatorship (1964–85). Centered on the rise of the Movimento de Saúde da Zona Leste (Health Movement of the East Zone), an agglomeration of neighborhood health movements, the article explores how grassroots movements came to articulate a notion of a right to health that incorporated the right to shape the city and the right to democratic participation while under military rule. As frustration with a lack of sanitary infrastructure and poor-quality health care mounted, grassroots movements organized neighborhood health commissions and compelled the state government of São Paulo to recognize elected popular health councils as comanagers of public health-care facilities. In tracing this trajectory, this article demonstrates that health was a key area through which everyday people negotiated the contours of Brazil's emergent democracy during the transition from authoritarian rule.
Predictors of Contraceptive practice in married women of Punjab, Pakistan
Authors: Tauseef Wasima , Malik Nusrat Jahan , Rana Ikram Ahmad , Ihsan Fauzia Nusrat
Published: March 2023

Objective: Pakistan is the sixth most populous country in the world. Current contraceptive use in Pakistan is only 26% despite being one of the leading countries in Asia to launch National family planning programs. Major constraint of acceptability among women is the lack of awareness and implementation of contraceptive methods. The objective of this study was to explore the reasons behind this behavior.

Methods: A cross-sectional survey was conducted with non-probability convenient sampling with sample size of 400 married women attending Fazle-Omar Hospital, Chenab Nagar, Punjab, having age between 15 to 60 years from August 2019 to February 2020. To assess the awareness of respondents about contraception, a questionnaire was made after testing its internal consistency. Data was analyzed via SPSS-21; nominal data was expressed as frequencies and percentages, quantitative as mean and standard deviation. Binary logistic regression analysis was carried out to determine predictors for contraception practice. P-value < 0.05 was considered significant.

Results: Our respondents mean age was 30.73±5.9 years. Majority of responders (65%) were educated and (61%) belonged to low socio-economic class. Mean awareness score was 65±26. Out of 400 respondents, 260 (65%) were practicing contraception. Relatives and media were major sources of awareness while clinics and LHVs were contributing less. Condom was the most practiced method of contraception. Low socio-economic class, increase number of kids, responders’ education and awareness score were the predictors of contraception practice.

Conclusion: The education of women and awareness score are independent predictors of contraceptive practice in women. Hence by educating mothers and increasing awareness through various means, practice of contraception can be increased. There is much room to improve the working of family health clinics and LHV.

doi: https://doi.org/10.12669/pjms.39.3.6575

How to cite this: Tauseef W, Malik NJ, Rana IA, Ihsan FN. Predictors of Contraceptive practice in married women of Punjab, Pakistan. Pak J Med Sci. 2023;39(3):790-794. doi: https://doi.org/10.12669/pjms.39.3.6575

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Clinical application of ultrasound-guided Core Needle Biopsy Histology and Fine Needle Aspiration Cytology in Cervical Lymph Nodes
Authors: Mu Wei-na , Li Jian-heng , Liu Ying , Wen Ying , Liu Xin
Published: March 2023

Objectives: To investigate the difference of application of core needle biopsy histology and fine needle aspiration cytology in cervical lymphadenopathy.

Methods: A retrospective analysis was made on 80 patients with cervical lymphadenopathy admitted to Baoding No.1 Central Hospital from to October 2018 to February 2020, and they were randomly divided into two groups: core needle group and fine needle group. Patients in the core needle group were given core needle biopsy histology, while those in the fine needle group were given fine needle aspiration cytology, and the puncture results and surgical complications were compared between the two groups.

Results: The accuracy rates of the core needle group and the fine needle group in the diagnosis of malignant cervical lymph nodes were 95.83% and 72.22% respectively, with a statistically significant difference (χ²=4.683, p=0.030). The sensitivity, specificity, positive predictive value and negative predictive value of the core needle group were 100.00%, 93.75%, 95.83% and 100.00% respectively, while those of the fine needle group were 86.67%, 90.00%, 86.67% and 90.00% respectively, with no statistically significant differences between the two groups (p>0.05). The complication rate in the core needle group was 22.50%, which was higher than the 5.00% in the fine needle group (χ²=5.165, p=0.023).

Conclusions: No significant difference was observed between core needle biopsy histology and fine needle aspiration cytology in diagnosing cervical lymphadenopathy, but the former has a high complication rate.

doi: https://doi.org/10.12669/pjms.39.3.6630

How to cite this: Mu W, Li J, Liu Y, Wen Y, Liu X. Clinical application of ultrasound-guided Core Needle Biopsy Histology and Fine Needle Aspiration Cytology in Cervical Lymph Nodes. Pak J Med Sci. 2023;39(3):752-756. doi: https://doi.org/10.12669/pjms.39.3.6630

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The importance of Vitamin-D and Neutrophil-Lymphocyte Ratio for Alzheimer’s Disease
Authors: Evlice Ahmet , Şanlı Zeynep Selcan , Boz Pınar Bengi
Published: March 2023

Objective: Ischemia and inflammation play a role in the pathophysiology of Alzheimer’s disease (AD). Plasma neutrophil–lymphocyte ratio (NLR), and 25- hydroxyvitamin D (vitamin D) were used as a biomarker for inflammation and atherosclerosis. The present study aimed to investigate a link between NLR, vitamin D and ischemia in AD.

Methods: The subjects with AD and control groups were enrolled to this retrospective study between 2017-2022 at Cukurova University Hospital. The cognitive assessment (MMSE), and blood tests (NLR, vitamin D) were collected from all subjects. In first part of the study, AD (n:132) and the control group (n:38) were compared. In second part of the study, magnetic resonance imaging (MRI) was used for evaluating ischemic lesions with scoring method of Fazekas. The control group (n:38) and AD subjects with mild ischemic lesions (Fazekas-1 and Fazekas-2) (n:64) were excluded. AD subjects with severe ischemic lesions (Fazekas-3) (n:34) and without ischemic lesions (Fazekas-0) (n:34) were compared again. SPSS 20.0 was used for all analyses. The threshold for statistical significance was set at 0.05.

Results: In the first part of the study, 132 AD patients (69 female and 63 male; mean age 70.83±9.35 (49-87) and age-matched 38 controls were compared. The mean NLR in AD [2.96±2.46 (1.17-19.43)] was higher than the control group [1.9±0.66 (0.9-3.56)] (p=0.005). In the second part of the study, the mean Vitamin D of Fazekas-3 AD group [16.15±9.64 (4.7-35)] was lower than Fazekas-0 AD group [16.27±6.81(4.6-29.7)] (p=0.024).

Conclusion: NLR was higher in AD while there was no difference between the Fazekas-0 and Fazekas-3 AD groups. Vitamin D was lower in the Fazekas-3 AD group. These data suggested that NLR increased independently of ischemia in AD. Also vitamin D deficiency could trigger ischemia in AD.

doi: https://doi.org/10.12669/pjms.39.3.7024

How to cite this: Evlice A, Sanli ZS, Boz PB. The importance of Vitamin-D and Neutrophil-Lymphocyte Ratio for Alzheimer’s Disease. Pak J Med Sci. 2023;39(3):799-803. doi: https://doi.org/10.12669/pjms.39.3.7024

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Quantitative evaluation of acute myocardial infarction by feature-tracking cardiac magnetic resonance imaging
Authors: Ye Jun , Zong Wenxia , Wu Xing , Shao Xiaonan , Wu Yue
Published: March 2023

Objective: To assess the value of feature-tracking cardiac magnetic resonance (FT-CMR) imaging in the quantitative evaluation of acute myocardial infarction (AMI).

Methods: We retrospectively analyzed medical records of patients with acute myocardial infarction (AMI) diagnosed in the Department of Cardiology of Hubei No.3 People’s Hospital of Jianghan University from April 2020 to April 2022, who underwent feature-tracking cardiac magnetic resonance (FT-CMR) examination. Based on the electrocardiogram (ECG) findings, patients were divided into ST-elevation myocardial infarction (STEMI) (n=52) and non-STEMI (NSTEMI) (n=48) groups. We compared myocardial strain parameters between the two groups and applied the Pearson’s test to reveal any correlations between the left ventricular myocardial strain parameters and the number of late gadolinium enhancement (LGE) positive segments; we assessed the clinical value of FT-CMR for predicting STEMI using a receiver operating characteristic (ROC) curve.

Results: The number of LGE-positive segments in the STEMI group was significantly higher than that in the NSTEMI group. The myocardial radial, circumferential and longitudinal strains in the STEMI group were significantly lower than those in the NSTEMI group (p<0.05). The number of LGE-positive segments in patients with AMI negatively correlated with the radial, circumferential and longitudinal strains. The results of the ROC curve analysis showed that radial, circumferential and longitudinal strain values have a diagnostic value for STEMI (p<0.05).

Conclusion: FT-CMR, a non-invasive and rapid method for analyzing myocardial strains, has a high diagnostic value for AMI and should be helpful for the prevention and intervention of ventricular remodeling after myocardial infarctions.

doi: https://doi.org/10.12669/pjms.39.3.7248

How to cite this: Ye J, Zong W, Wu X, Shao X, Wu Y. Quantitative evaluation of acute myocardial infarction by feature-tracking cardiac magnetic resonance imaging. Pak J Med Sci. 2023;39(3):804-808. doi: https://doi.org/10.12669/pjms.39.3.7248

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Rhetoric Mining: A New Text-Analytics Approach for Quantifying Persuasion
Authors: Şeref Michelle M. H. , Şeref Onur , Abrahams Alan S. , Hill Shawndra B. , Warnick Quinn
Published: March 2023

Rhetoric mining is a novel text-analytics method for quantifying persuasion based on rhetorical analysis theory. Our mixed-methodology approach combines qualitative context analysis with automated tagging and quantification of rhetorical moves. Rhetorical moves are complex discursive patterns and, thus, require a sequence-based text-mining approach, rather than the simpler word-based frequency analyses. We apply a sequence-alignment method to detect semantically equivalent sequences with high precision and efficiency. We illustrate our method by analyzing arguments used to justify stock picks in an online investment community. For these data, we detect and quantify the rhetorical moves of ethos (personal versus cited expertise), hedging (confidence versus uncertainty), and evidence type (product-, company-, or stock-based evidence). We use rhetoric mining to identify argument styles of persuasiveness (pitches that receive community recommendations) and trustworthiness (pitches that are written by successful investors). Rhetoric mining provides a new analytic lens in Information Systems research to analyze the influence of persuasion in consumer decision making.

History: W. Nick Street served as the senior editor for this article.

Data Ethics & Reproducibility Note: The code capsule is available on Code Ocean at https://codeocean.com/capsule/9373643/tree/v1 and in the e-Companion to this article (available at https://doi.org/10.1287/ijds.2022.0024 ).
Lending Relationships and the Pricing of Syndicated Loans
Authors: Zhang Donghang , Zhang Yafei , Zhao Yijia (Eddie)
Published: March 2023

Using a dataset on syndicated loan primary market pricing adjustments, we examine whether relationship banks’ information advantage facilitates price discovery in loan issuances. We find that the lead bank makes fewer adjustments to the initial pricing terms of a syndicated loan and shortens the syndication time when it has a stronger relationship with the borrower. A stronger relationship also reduces loan underpricing. A relationship lead bank relies less on information from syndicate members. Exogenous shocks to relationships caused by bank mergers and closures confirm our findings. We contribute to the literature by showing that relationship lending improves loan pricing efficiency.

This paper was accepted by Victoria Ivashina, finance.

Supplemental Material: The online appendix and data are available at https://doi.org/10.1287/mnsc.2023.4730 .
COVID-19 related acalculous Groove Pancreatitis
Authors: Cavaco João Luís , Diogo Goncalves Hélder , José Pires Maria , Furão Rodrigues Ana , Silva Paula , Oliveira Pedro Ana , Pais de Lacerda António
Published: March 2023

Introduction: Groove pancreatitis is a rare form of chronic pancreatitis. Its radiological diagnosis is challenging and it can be difficult to distinguish from pancreaticoduodenal malignancy. Case description: A 64-year-old woman was admitted to our internal medicine ward after she contracted severe COVID-19 pneumonia requiring mechanical ventilation. She presented with right upper abdominal pain, and a CT scan showed pancreaticoduodenal inflammatory tissue; malignancy was ruled out. Conclusion: Diagnosing groove pancreatitis is challenging and malignancy must be quickly excluded. No cases of COVID-19-associated groove pancreatitis have been previously described.
Hepatic coma secondary to Fontan Conduit thrombosis
Authors: Cavaco João Luís , Ferreira Ana Rita , Abecasis Jalles Constança , Matias Lopes Inês , Braz Armando , Oliveira Pedro Ana , Pais de Lacerda António
Published: March 2023

Introduction: The Fontan procedure is used to treat congenital heart defects and has improved long-term survival. Long-term complications include liver disease due to congestive hepatopathy. Fontan-related cirrhosis can manifest with ascites, gastrointestinal bleeding and encephalopathy. Case description: A 43-year-old man with history of Fontan surgery was admitted with COVID-19 pneumonia. There was rapid clinical and neurological deterioration, with coma and shock. CT imaging showed thrombosis of the Fontan conduit. The patient was successfully subjected to recanalization of the Fontan circulation, with progressive improvement of coma. Discussion: Fontan-associated liver disease is a major complication following the Fontan procedure. Clinicians must be aware of this pathology during patient follow-up.
Marketing Strategy Analysis Based on Segmenting, Targeting, and Positioning in Hospital
Authors: Ningsih Kartika , Marwati Tri Ani
Published: March 2023

Background: There is a fluctuating trend related to the number of patient visits at Nur Hidayah Hospital, Bantul, so it is necessary to formulate the right Segmentation, Targeting, and Positioning (STP) in order to increase inpatient and outpatient visits and achieve standard inpatient service indicators. The purpose of this study is to analyze the marketing strategy of Nur Hidayah Hospital based on STP. Method: This study follows a descriptive qualitative design. The key informants in this study were the general director and the marketing manager of the hospital, and the triangulation informants in this study were medical officers and patients. Results: The results revealed that the segmenting was based on demographics with females or housewives with secondary education levels or lower as the highest number of service users. Based on the geographical characteristics, a significant number of service users were those living in Ring 1, an area within a radius of 0-10 km from the hospital. Targeting has been conducted well as seen by the number of patients that reached 6,500 service users within a year. Positioning was related to the availability of surgeons, a relatively short surgery duration, and services that are good, friendly, and neat that make patients feel like they are treated by their own families. Conclusion: The market segment, targeting, and positioning was good, but not fulfilled enough. Nur Hidayah Hospital should evaluate community responses regarding what is needed to fulfill target community.
The Source of Adolescents Reproductive Health Information and Dating Behavior Among Senior High School Students
Authors: Meilani Niken , Hariadi Sunarru Samsi , Haryadi Fransiskus Trisakti
Published: March 2023

Background: The adolescence period is a crucial time for laying the foundations of good health. Having access to high Adolescents Reproductive Health (ARH) information decreases premarital sex, child marriage, adolescent pregnancy, Sexually-transmitted infections (STIs), and HIV/Aids. Premarital sex was associated with dating behavior. About 57% of adolescents have dating behavior. This study aimed to analyze the source of adolescents’ reproductive health related to dating behavior among adolescents. Method: This was a cross-sectional study carried out in July-September 2022. The study population was high school students in Yogyakarta. A multistage random sampling technique was employed, involving 80 respondents. The instrument used was a questionnaire that has been tested. Data analysis in chi-square and logistic regression using statistical test software. Results: Females (56.1%) and males (43.9%) had dating behavior. The father’s education (p=0.012), the mother’s communication about ARH (p=0.040), and the father’s communication about ARH (p=0.018) were related to dating behavior among adolescents. Father’s education affects dating behavior among adolescents OR 5.01. Adolescents who have a father who graduated >12 years of education were 5 times more likely to have no dating behavior. Conclusion: The role of parents is needed to prevent dating behavior among adolescents.
tornar-se calunga: participação e subjetivação política de crianças e jovens
Authors: Noronha José eduardo Gama , Tebet Gabriela
Published: March 2023

The article intends to discuss processes of political subjectivation of children and young people based on excerpts from a research carried out within the scope of a master's degree in education, presenting a cartography of the political participation of children and young people living in vulnerable territories of the municipality of São Vicente, on the south coast from São Paulo, members of collectives and educational actions of the Instituto Camará Calunga. The concepts of mobilization and subjectivation are presented as important elements of politicization processes, portraying the way in which children and young people engage politically in different ways, coordinated or supported by adults, representing themselves or supporting adults in their demands, opposing the notion that children do not act politically or that the ideal way for children and young people to participate would be to produce consensus and there would be no room for contestation. The research took place in the midst of the COVID-19 pandemic, essentially in a virtual way, but it traces a continuity with the Institute's participation practices in the pre-pandemic period. The research made use of the cartographic method, in a virtual and face-to-face way, in the context of live work, of daily living with children, young people and educators from Camará, through semi-structured interviews and field diaries.
Clima profesional docente en los institutos de educación secundaria
Authors: Álvarez-Arregui Emilio , Rodríguez-Martín Alejandro , Belver Domínguez José Luis , Rodríguez Díaz Javier
Published: March 2023

El ambiente de trabajo es un componente clave en las organizaciones porque influye en la calidad de los procesos de enseñanza-aprendizaje y en su impacto. Hemos querido profundizar sobre este constructo desde una investigación empírica que se ha iniciado en el Principado de Asturias en el curso 2017-2018 y del que informamos periódicamente. La INTRODUCCIÓN incorpora una revisión actualizada de los ámbitos y herramientas que se utilizan, desde los que hemos construido un instrumento adaptado a nuestra realidad. El MÉTODO ha sido mixto, dado que se ha aplicado un cuestionario ad hoc, para evaluar las percepciones de una muestra de 1906 docentes de una población de 4581, que incluye una escala Likert que se complementa con preguntas abiertas. Los datos cuantitativos se han analizado con el programa SPSS.23 y STATA 14 y el análisis de contenido con el AQUAD 8, siendo la intención delimitar los segmentos de significado y establecer categorías, códigos, catálogos y metacódigos. Los RESULTADOS muestran el valor de las relaciones interpersonales en la mejora del clima profesional, resaltando en la DISCUSIÓN aquellos indicadores que se perciben como más negativos, es decir, la intensificación del trabajo por la burocracia sistemática, las reformas educativas continuadas, el escaso reconocimiento social de la docencia y la ausencia de una carrera profesional asociada a un buen desempeño docente, entre otros. La mejora se vincula con una adecuación de la jornada laboral, una disminución del trabajo administrativo, un pacto por la educación, una profunda revisión del sistema de promoción profesional, un trabajo multidisciplinar, una formación inicial y continua de calidad y un mayor reconocimiento social de la labor docente.
Efectos del teletrabajo y la digitalización en la lectura compartida entre padres e hijos
Authors: Gómez-Merino Nadina , Rubio Alba , Ávila Vicenta , Gil Laura , Natalizi Federica
Published: March 2023

OBJETIVO. Existen diversos beneficios asociados a la lectura compartida. El tiempo que las familias dedican a leer con sus hijos puede estar influenciado por diferentes factores demográficos (p. ej., tipo y estructura familiar) y personales (p. ej., disponibilidad de tiempo). La sociedad experimenta sucesivos cambios y el tiempo dedicado a la lectura compartida en el hogar puede verse influenciado por los mismos. Este estudio tiene dos objetivos: en primer lugar, analizar las diferencias en el tiempo de lectura compartida considerando aquellas variables demográficas que otros estudios han identificado como relevantes (sexo del progenitor, edad de los hijos, número de hijos); en segundo lugar, examinar las diferencias en el tiempo de lectura compartida atendiendo a dos variables fuertemente afectadas por la pandemia: la situación laboral y el soporte de lectura (lectura en papel vs. lectura digital). MÉTODO. A través de un análisis comparativo-descriptivo de variables demográficas, situación laboral y soporte de lectura se analizaron las respuestas de 659 padres a una encuesta sobre hábitos lectores antes y después del confinamiento. RESULTADOS Y DISCUSIÓN. Los resultados principales indican que las familias dedican cada vez mayor tiempo a la lectura compartida a lo largo del confinamiento. En este sentido, las madres invirtieron más tiempo que los padres tanto antes como durante el confinamiento. Atendiendo al soporte, el papel continuó siendo más utilizado para la lectura compartida durante el confinamiento, aunque el tiempo dedicado a la lectura compartida mediante soporte digital aumentó en comparación con su uso anterior al confinamiento. Finalmente, los padres que teletrabajaron no invirtieron más tiempo de lectura compartida que aquellos que trabajaban fuera del hogar, por lo que contrariamente a lo esperado, el teletrabajo durante la pandemia tampoco permitió una mejor conciliación familia-profesión ni una mayor dedicación a la alfabetización de los niños.
Anthropometric differences of Roma and Non-roma newborns in Virovitica-Podravina County
Authors: Šegregur Jadranko
Published: March 2023

The aim of this work is to assess anthropometric parameters of the Roma newborns in Virovitica-Podravina County and compare them with the values for the non-Roma group. This retrospective investigation includes 204 Roma and 408 non-Roma newborns, born at the maternity ward of the Virovitica General Hospital in the period from 1991 to 2010. Various parameters, such as birth weight and length, head perimeter, as well as the ponderal index and percentile values of birth weight, were assessed. Roma newborns have, on average, 321.7 g smaller weight, 1.3 cm smaller length and 0.7 cm smaller head perimeter at birth, compared to non-Roma newborns. The ponderal index was found to be 0.06 less for Roma newborns, with higher frequency of hypothrophic newborns, according to the percentile values of the birth weight. The differences in anthropometric parameter values of Roma and non-Roma newborns may be due to the ethnic identity, but also due to the impact of the surroundings and the lifestyle of the population itself. Assessed data could provide a better understanding to, and political direction for the improvement of the reproductive, as well as the overall health of the Roma population.
Sociocultural ecosystem services of small-scale fisheries: challenges, insights and perspectives for marine resource management and planning
Authors: Stithou M. , Kourantidou M. , Vassilopoulou V.
Published: March 2023

Sociocultural ecosystem services of fisheries, ranging from social cohesion to sense of place, render their contribution to social wellbeing particularly significant especially at local and regional levels. However, this contribution has not received adequate attention among policy-makers since marine management focuses primarily on provisioning services, and conventional economic indicators used to track performance and inform management, do not allow integration of sociocultural parameters. In our analysis, we draw lessons from small-scale fisheries and discuss in more detail attempts and methodologies to capture such aspects and identify avenues through which they can feed into marine management with an emphasis on spatial planning. The inherent difficulty in capturing sociocultural dimensions along with limited efforts to do so thus far, add to a missed opportunity to improve management and advance spatial planning efforts. In this context, we explore the importance of sociocultural ecosystem services in small-scale fisheries along with attempts and methods to capture and incorporate them into management and planning with a focus in the Mediterranean. We argue that sociocultural ecosystem services of small-scale fisheries constitute an essential element of sustainable development and key factor of enhancing the resilience of coastal communities.
Inland fisheries and the four pillars of food security in Sub-Saharan Africa: Assessing current research trends
Authors: Gondwe Edith , Bennett Abigail , Muhonda Park , Rice Emma
Published: March 2023

Inland small-scale fisheries provide important ecosystem services in sub-Saharan Africa as a source of nutritious food to over 200 million people and offer avenues for countries to attain Sustainable Development Goal 2. However, there is a dearth of knowledge on the pathways of fish to food security, especially in the case of inland small-scale fisheries, which are often underrepresented in research and policy discussions. We review the literature from 2010 to the present to assess how fish food systems, specifically those associated with inland small-scale fisheries in sub-Saharan Africa, relate to the four pillars of food security: availability, access, utilization, and stability, as well as women's empowerment. We offer an assessment of the extent to which each of these pillars of food security has been thoroughly conceptualized and investigated in the literature, identifying important avenues for future research. Overfishing, post-harvest losses, and trade influences drive fish availability in many contexts. Income benefits from participating in small-scale fisheries were important for attaining access to fish for food security and other important livelihood outcomes. Few studies addressed utilization and stability compared to availability and access pillars. Further, few studies examined how gender shapes outcomes of women's empowerment. The results lead to the proposed research agenda of focusing on all pillars of food security that can enhance the sustainable contribution of inland small-scale fisheries to food security.
Pensando gênero na tradução de fanfictions femslash
Authors: Moura Bruna Navarrina de
Published: March 2023

Este trabalho consiste na seleção de trechos de fanfictions com temática queer escritas em inglês e na proposta de soluções tradutórias para o português dos trechos específicos, comentando possíveis efeitos de sentido que podem ser obtidos. Nas traduções propostas paras as oito sequências discursivas selecionadas, analisam-se os possíveis deslizamentos que podem ocorrer, apontando-se o que isso pode implicar na recepção da comunidade queer brasileira. Os recortes para a análise são a presença de referências culturais queer e o uso de termos como ‘gay’, ‘gayness’, ‘lesbian’ e ‘lesbianity’. Através dos exemplos analisados, conclui-se que as sugestões tradutórias aqui propostas apresentam possíveis meios de reproduzir na tradução o que há de queer no texto de partida, tendo como objetivo tornar esses elementos visíveis à leitora de chegada, de modo que o elemento queer não se perca na tradução.
Algumas notas sobre a prosa de Natalia Borges Polesso
Authors: Paim Mariana Souza
Published: March 2023

O presente trabalho busca refletir sobre a presença e ficcionalização da lesbianidade em meio à prosa da escritora Natalia Borges Polesso. Tomando a categoria lésbica enquanto uma chave de leitura e interpretação e partindo do diálogo com outras vozes e produções, como as de Monique Wittig, Adrienne Rich e Eve Kosofsky Sedgwick, procuro costurar um texto que se desenha a partir de quatro movimentos, que dizem das possibilidades de leitura, da elaboração da narrativa desde o ponto de vista, da inscrição da lesbianidade e da escrita como espaço de revisão que atravessam a produção literária da autora. Acredito que a obra de Natalia Borges Polesso tem contribuído para visibilizar novas dinâmicas de reconhecimento e oferecido caminhos para encontrarmos sentidos outros em torno das lesbianidades, dos gêneros e dos desejos, ao produzir uma escrita que tece significados mais diversos para as nossas vivências.
“Ser e parecer ser” em O Livro Branco e O Fim de Eddy
Authors: Costa Wellington Júnio
Published: March 2023

A literatura e as outras artes, como campos férteis para a expressão de subjetividades, são espaços em que afloram diferentes afinidades LGBTQIA+, em seus mais diversos matizes. A partir desse pressuposto, mas focando especialmente a homossexualidade masculina, este artigo propõe uma análise comparada entre dois romances franceses: O livro branco, de Jean Cocteau, publicado pela primeira vez em 1928, e O fim de Eddy, de Édouard Louis, cuja primeira edição se deu em 2014. O objetivo aqui buscado é, pois, a demonstração das distâncias e aproximações dos dois romances, à luz das Reflexões sobre a questão gay, de Didier Eribon (2008), e de estudos sobre a literatura homoerótica, como Barcellos (2002) e Souza (2013).
Esquecer, apagar e canonizar
Authors: Melo Iago Moura , Afonso-Rocha Rick
Published: March 2023

Neste texto, propomo-nos a pensar o funcionamento do cânone naquilo em que ele se conecta, atravessa e adjudica sentidos para e desde o dizer reconhecido como literário. Havendo o cânone como efeito, pretendemos compreendê-lo em seu processo de produção: a canonicidade. Analisamos enunciados da Crítica sobre O Ateneu, de Raul Pompéia, com o objetivo de tangenciar a relação “constitutiva” e “local” entre dizer e calar no processo de produção de sentidos para o aludido texto. Compreendemos haver sempre um impossível histórico afetando o cânone literário, o qual insiste na partilha de sentidos em vigência na legibilidade da obra. Convocamo-nos, então, a interpretar a ordem desse impossível.
aprisionamento à liberdade
Authors: Faria Pedro Henrique Andrade de
Published: March 2023

Este artigo tem como temática central a discussão a respeito da reunião de corpos em assembleia como forma de reivindicação de direitos coletivos e de direito à existência. Nosso foco recai em como padrões linguísticos e normatizadores de corpos excluem possiblidades corporais e de língua que produzem compreensão da sexualidade, gênero, sexo e práticas sexuais. Assim, temos como objetivo compreender de que forma performances artísticas do grupo Não Recomedadxs rompem com os padrões estruturais e linguísticos de constituição das identidades de gênero. As interpretações qualitativas construídas ao longo deste artigo amparam-se nos estudos a respeito de ideologias linguísticas, performatividade linguística e de gênero. Como resultado, compreendemos que a reunião de corpos em assembleia permite a reivindicação de direitos e a contestação de padrões linguísticos e de representação dos corpos, não só afirmando suas existências, mas subvertendo o discurso de ódio, transformando-o em resistência e mostrando, assim, a fragilidade dos padrões.
“I am reduced to a thing that wants Virginia”
Authors: Valente Lucas Augusto
Published: March 2023

Love Letters: Vita and Virginia foi publicado pela Vintage em fevereiro de 2021 e reúne uma coleção de manifestações da escrita do eu de Virginia Woolf e Vita Sackville-West, importantes figuras literárias do século XX. Com introdução por Alison Bechdel, autora de relatos auto/biográficos em quadrinhos, o volume oferece diferentes vislumbres às personalidades e máscaras das duas artistas, ao contexto sócio-histórico-cultural que as envolve e, ainda, aos pormenores, entroncamentos e desencontros que a escrita epistolar consegue facilitar.