bluuebunny/crossref_metadata_2025 huggingface dataset:
Sequentially mediated effects of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction among Taiwanese university students: A cross-sectional study
Authors: Huang Po-Ching , Lee Chiu-Hsiang , Griffiths Mark D. , O’Brien Kerry S. , Lin Yi-Ching , Gan Wan Ying , Poon Wai Chuen , Hung Ching-Hsia , Lee Kuo-Hsin , Lin Chung-Ying
Published: November 2022

Background

Weight-related stigma has negative physiological and psychological impacts on individuals’ quality of life. Stigmatized individuals may experience higher psychological distress and therefore increase the potential risk to develop obesity and/or food addiction. The present study examined the associations and mediated effect between perceived weight stigma, weight-related self-stigma, and psychological distress in explaining food addiction among Taiwanese university students.

Methods

All participants (n = 968) completed an online survey which included the Perceived Weight Stigma Questionnaire, Weight Self-Stigma Questionnaire, Depression, Anxiety, Stress Scale-21, and Yale Food Addiction Scale Version 2.

Results

After controlling for demographic variables, significant associations were found in the paths from (1) perceived weight stigma to weight-related self-stigma ($$\beta$$
β
 = 0.23), psychological distress ($$\beta$$
β
 = 0.35), and food addiction ($$\beta$$
β
 = 0.23); (2) weight-related self-stigma to psychological distress ($$\beta$$
β
 = 0.52) and food addiction ($$\beta$$
β
 = 0.59); and (3) psychological distress to food addiction ($$\beta$$
β
 = 0.59) (all p-values < 0.001). The mediation model showed the sequential mediated effect of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction.

Conclusions

The results provide novel insights that weight-related self-stigma and psychological distress sequentially mediated the relationship between perceived weight stigma and food addiction among Taiwanese university students. The findings of the present study could be implemented into interventions that aim to reduce food addiction derived from weight-related stigma. Future studies should consider group analysis to consider confounding factors or other populations to provide more evidence regarding the mechanism of weight-related stigma.
Indications for involuntary hospitalization for refusal of treatment in severe anorexia nervosa: a survey of physicians and mental health care review board members in Japan
Authors: Takimoto Yoshiyuki
Published: November 2022

Background

When a patient with anorexia nervosa refuses treatment despite a physically critical condition, the therapist considers involuntary inpatient treatment under the Mental Health Law. However, ethical and practical problems arise from its application. In this study, a survey of treatment providers for eating disorders and psychiatric review board members was conducted regarding indications for involuntary hospitalization under the Mental Health Act for refusal of treatment for anorexia nervosa.

Methods

A survey of 212 physicians affiliated with the Japanese Society for Eating Disorders and 180 members of Mental Health Care Review Boards across Japan was conducted using six vignette cases of patients with anorexia nervosa refusing treatment.

Results

Regardless of the duration of illness or age of the patient, few physicians chose compulsory hospitalization with or without the consent of the family, while the largest number of physicians chose hospitalization for medical care and protection when there was family consent. Among committee members, only hospitalization for medical care and protection was determined to be appropriate when there was family consent. Both hospitalization for medical care and protection, and compulsory hospitalization were deemed appropriate in the absence of family consent. Committee members who adjudged refusal of treatment for anorexia nervosa as self-injurious behavior suggested that compulsory hospitalization was indicated.

Conclusions

When a patient with life-threatening anorexia nervosa refuses inpatient treatment, hospitalization for medical care and protection is actively chosen if the patient’s family consents. Mental Health Care Review Board members considered this acceptable. However, if the family does not consent, the physicians did not choose compulsory hospitalization, and the psychiatric review board was divided on this. Consensus was not achieved in this regard.
Developing and testing a robotic MRI/CT fusion biopsy technique using a purpose-built interventional phantom
Authors: Johnston Edward W. , Fotiadis Nicos , Cummings Craig , Basso Jodie , Tyne Toby , Lameijer Joost , Messiou Christina , Koh Dow-Mu , Winfield Jessica M.
Published: November 2022

Background

Magnetic resonance imaging (MRI) can be used to target tumour components in biopsy procedures, while the ability to precisely correlate histology and MRI signal is crucial for imaging biomarker validation. Robotic MRI/computed tomography (CT) fusion biopsy offers the potential for this without in-gantry biopsy, although requires development.

Methods

Test–retest T1 and T2 relaxation times, attenuation (Hounsfield units, HU), and biopsy core quality were prospectively assessed (January–December 2021) in a range of gelatin, agar, and mixed gelatin/agar solutions of differing concentrations on days 1 and 8 after manufacture. Suitable materials were chosen, and four biopsy phantoms were constructed with twelve spherical 1–3-cm diameter targets visible on MRI, but not on CT. A technical pipeline was developed, and intraoperator and interoperator reliability was tested in four operators performing a total of 96 biopsies. Statistical analysis included T1, T2, and HU repeatability using Bland–Altman analysis, Dice similarity coefficient (DSC), and intraoperator and interoperator reliability.

Results

T1, T2, and HU repeatability had 95% limits-of-agreement of 8.3%, 3.4%, and 17.9%, respectively. The phantom was highly reproducible, with DSC of 0.93 versus 0.92 for scanning the same or two different phantoms, respectively. Hit rate was 100% (96/96 targets), and all operators performed robotic biopsies using a single volumetric acquisition. The fastest procedure time was 32 min for all 12 targets.

Conclusions

A reproducible biopsy phantom was developed, validated, and used to test robotic MRI/CT-fusion biopsy. The technique was highly accurate, reliable, and achievable in clinically acceptable timescales meaning it is suitable for clinical application.
Examining and enhancing the reliability of the Arabic version of the Clinical Perfectionism Questionnaire
Authors: Alyami Mohsen , Krägeloh Christian U. , Al-Amri Lma , Henning Marcus A. , Alyami Hussain , Alghamdi Dalal , Almutari Reuoof , Medvedev Oleg N.
Published: November 2022

Background

Clinical perfectionism has been implicated among risks for developing depression, anxiety, and eating disorders. This study aimed to translate the widely used Clinical Perfectionism Questionnaire (CPQ) into Arabic and examine its psychometric properties. A general population sample of 1598 Saudi adults completed an online survey. Respondents were randomly selected to create two separate samples of n = 400 each, thus meeting the sample size recommendations for Rasch analysis. We applied the partial credit Rasch model to one independent sample to investigate and improve the psychometric characteristics of the scale and replicated our findings with another independent sample of the equal size.

Results

Minor modifications were required to address local dependency issues and resulted in a good fit of the Arabic CPQ to the unidimensional Rasch model in both samples. The scale demonstrated unidimensionality, invariance across personal factors, and good reliability (PSI = 0.78). As expected, the scale scores were positively associated with depression, anxiety, and disordered eating behaviors.

Conclusions

Overall, the Arabic CPQ demonstrated robust psychometric properties after minor modifications that did not change the original scale format. The utility and accuracy of the Arabic CPQ can be enhanced by converting ordinal scores into interval scale scores using conversion tables presented in this paper.
Measurement feedback system implementation in public youth mental health treatment services: a mixed methods analysis
Authors: Sichel Corianna E. , Connors Elizabeth H.
Published: November 2022

Background

Prior studies indicate the effectiveness of measurement-based care (MBC), an evidence-based practice, in improving and accelerating positive outcomes for youth receiving behavioral health services. MBC is the routine collection and use of client-reported progress measures to inform shared decision-making and collaborative treatment adjustments and is a relatively feasible and scalable clinical practice, particularly well-suited for under-resourced community mental health settings. However, uptake of MBC remains low, so information on determinants related to MBC practice patterns is needed.

Methods

Quantitative and qualitative data from N = 80 clinicians who implemented MBC using a measurement feedback system (MFS) were merged to understand and describe determinants of practice over three study phases. Quantitative, latent class analysis identified clinician groups based on participants’ ratings of MFS acceptability, appropriateness, and feasibility and describes similarities/differences between classes in clinician-level characteristics (e.g., age; perceptions of implementation climate; reported MFS use; phase I). Qualitative analyses of clinicians’ responses to open-ended questions about their MFS use and feedback about the MFS and implementation supports were conducted separately to understand multi-level barriers and facilitators to MFS implementation (phase II). Mixing occurred during interpretation, examining clinician experiences and opinions across groups to understand the needs of different classes of clinicians, describe class differences, and inform selection of implementation strategies in future research (phase III).

Results

We identified two classes of clinicians: “Higher MFS” and “Lower MFS,” and found similarities and differences in MFS use across groups. Compared to Lower MFS participants, clinicians in the Higher MFS group reported facilitators at a higher rate. Four determinants of practice were associated with the uptake of MBC and MFS in youth-serving community mental health settings for all clinicians: clarity, appropriateness, and feasibility of the MFS and its measures; clinician knowledge and skills; client preferences and behaviors; and incentives and resources (e.g., time; continuing educational support). Findings also highlighted the need for individual-level implementation strategies to target clinician needs, skills, and perceptions for future MBC and MFS implementation efforts.

Conclusion

This study has implications for the adoption of evidence-based practices, such as MBC, in the context of community-based mental health services for youth.
End-of-Life Care for Patients With Metastatic Renal Cell Carcinoma in the Era of Oral Anticancer Therapy
Authors: Dzimitrowicz Hannah E. , Wilson Lauren E. , Jackson Bradford E. , Spees Lisa P. , Baggett Christopher D. , Greiner Melissa A. , Kaye Deborah R. , Zhang Tian , George Daniel , Scales Charles D. , Pritchard Jessica E. , Leapman Michael S. , Gross Cary P. , Dinan Michaela A. , Wheeler Stephanie B.
Published: November 2022

PURPOSE:

New therapies including oral anticancer agents (OAAs) have improved outcomes for patients with metastatic renal cell carcinoma (mRCC). However, little is known about the quality of end-of-life (EOL) care and systemic therapy use at EOL in patients receiving OAAs or with mRCC.

METHODS:

We retrospectively analyzed EOL care for decedents with mRCC in two parallel cohorts: (1) patients (RCC diagnosed 2004-2015) from the University of North Carolina's Cancer Information and Population Health Resource (CIPHR) and (2) patients (diagnosed 2007-2015) from SEER-Medicare. We assessed hospice use in the last 30 days of life and existing measures of poor-quality EOL care: systemic therapy, hospital admission, intensive care unit admission, and > 1 ED visit in the last 30 days of life; hospice initiation in the last 3 days of life; and in-hospital death. Associations between OAA use, patient and provider characteristics, and EOL care were examined using multivariable logistic regression.

RESULTS:

We identified 410 decedents in the CIPHR cohort (53.4% received OAA) and 1,508 in SEER-Medicare (43.5% received OAA). Prior OAA use was associated with increased systemic therapy in the last 30 days of life in both cohorts (CIPHR: 26.5% v 11.0%; P < .001; SEER-Medicare: 23.4% v 11.7%; P < .001), increased in-hospital death in CIPHR, and increased hospice in the last 30 days in SEER-Medicare. Older patients were less likely to receive systemic therapy or be admitted in the last 30 days or die in hospital.

CONCLUSION:

Patients with mRCC who received OAAs and younger patients experienced more aggressive EOL care, suggesting opportunities to optimize high-quality EOL care in these groups.
Effects of high tibial osteotomy combined with arthroscopy on local inflammation degree and gait activity index in patients with medial knee osteoarthritis
Authors: Li Qinghan , Wang Haitao , Wang Dalin
Published: November 2022

Objective: To analyze the effects of high tibial osteotomy (HTO) combined with arthroscopy on the degree of inflammation and the gait activity indexes of patients with medial knee osteoarthritis.

Methods: We collected the records of 112 patients with medial knee osteoarthritis treated in the Department of Orthopedics of our hospital from June 2019 to June 2021. We divided the data into two groups: the control group included those of 54 patients who had received simple HTO and the observation group included those of 58 patients who had undergone HTO combined with arthroscopy. We assessed clinical efficacies, degrees of inflammation and gait activity indexes of the two groups to compare treatment outcomes.

Results: The percentage of excellent and good outcomes in the observation group (89.66%) was significantly higher than that in the control group (66.67%; p < 0.05). One year after the operation, the serum and synovial fluid levels of interleukin-1β (IL-1β), interleukin-6 (IL-6) and interleukin-17 (IL-17) in the observation group were significantly lower than those in the control group (p < 0.05). Moreover, the double support phase was significantly lower in the observation group than in the control group, while the step length, speed and frequency were significantly higher in the observation group than in the control group (p < 0.05).

Conclusions: HTO combined with Arthroscopy in patients with medial knee osteoarthritis improves the curative effect and the degree of inflammation, and it promotes the recovery of gait activity indices.

doi: https://doi.org/10.12669/pjms.39.1.6846

How to cite this: Li Q, Wang H, Wang D. Effects of high tibial osteotomy combined with arthroscopy on local inflammation degree and gait activity index in patients with medial knee osteoarthritis. Pak J Med Sci. 2023;39(1):---------. doi: https://doi.org/10.12669/pjms.39.1.6846

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.
Case Report: Reversal and subsequent return of optic disc cupping in a myocilin (MYOC) gene-associated severe Juvenile Open-Angle Glaucoma (JOAG) patient
Authors: El Helwe Hani , Samuel Sandy , Gupta Sanchay , Neeson Cameron , Chachanidze Marika , Solá-Del Valle David A.
Published: November 2022

To our knowledge, this case report describes the first instance of reversal of glaucomatous optic nerve cupping in a young adult with a rare form of juvenile open-angle glaucoma (JOAG) associated with a novel variant of the myocilin gene (MYOC). This 25-year-old woman with severe-stage MYOC-associated JOAG presented with blurry vision and intermittent pain in her left eye. She had a strong family history of glaucoma in multiple first-degree relatives with an identified novel variant of MYOC. Examination revealed intraocular pressures (IOPs) of 10 mmHg OD and 46 mmHg OS, with cup-to-disc ratios of 0.90 and 0.80. The patient experienced substantial reversal of optic disc cupping OS following dramatic IOP reduction with trabeculectomy, and subsequently experienced a return of cupping after an IOP spike 15 months postoperatively. The reversal of cupping did not correspond to any changes in the patient’s visual field. After an initial decrease in retinal nerve fiber layer (RNFL) thickness, RNFL remained stable for over 2 years after trabeculectomy as seen on Optical Coherence Tomography (OCT). This case suggests reversal of cupping can occur well into adulthood in a MYOC-associated JOAG patient, and it demonstrates the potential bidirectionality of this phenomenon. Moreover, it suggests that these structural changes may not correspond to any functional changes in visual fields or RNFL thickness.
ENISA: 5G design and architecture of global mobile networks; threats, risks, vulnerabilities; cybersecurity considerations
Authors: Paskauskas R. Andrew
Published: November 2022

Abstract —The literature on 5G design and architecture numbers in the hundreds of thousands, which makes analyzing this vast corpus of technical knowledge impossible within the scope of a single article. A rigorous literature scan has revealed investigations of various specific 5G components, or specific aspects of 5G design, architecture, or security, but none that are comprehensive in scope, encompassing all of the aforementioned categories, or that take into account the associated vulnerabilities, threats and risks to the basic 5G infrastructure.

In this sense the 5G framework advocated by The European Union Agency for Cybersecurity (ENISA) in its comprehensive report is singular in relation to the extensive literature associated with the 5G domain and the fragmented character of scientific reporting related to 5G technology.

It is the purpose of this article to go beyond the existing literature and examine in depth the details of the ENISA 5G Threat Landscape Report and reveal ENISA’s painstaking efforts to stand out among other leading-edge players in the 5G arena and achieve its strategic aims of integrating cybersecurity considerations with threats, risks, and vulnerabilities into an architecture of 5G right from the start of the design and development process.

In formulating such a framework, ENISA has set the stage for standardization of cybersecurity considerations in relation to 5G design and architecture that may be considered a first approximation towards best practice in the field.

ENISA’s role in the European Union as a leader in setting the pace of development of 5G networks is acknowledged in EU’s legislation and its directives. Significantly, its strategic direction targets future implementations of 5G networks by vendors, operators, and practitioners. This should equip EU with the necessary resilience to withstand hybrid threat onslaughts on its Pan-European network, a topic to be dealt with in full in a follow-on paper.
The use of animal models in rheumatoid arthritis research
Authors: Kong Jin-Sun , Jeong Gi Heon , Yoo Seung-Ah
Published: November 2022

The pathological hallmark of rheumatoid arthritis (RA) is a synovial pannus that comprises proliferating and invasive fibroblast-like synoviocytes, infiltrating inflammatory cells, and an associated neoangiogenic response. Animal models have been established to study these pathological features of human RA. Spontaneous and induced animal models of RA primarily reflect inflammatory aspects of the disease. Among various induced animal models, collagen-induced arthritis (CIA) and collagen antibody-induced arthritis (CAIA) models are widely used to study the pathogenesis of RA. Improved transplantation techniques for severe combined immunodeficiency (SCID) mouse models of RA can be used to evaluate the effectiveness of potential therapeutics in human tissues and cells. This review provides basic information on various animal models of RA, including CIA and CAIA. In addition, we describe a SCID mouse coimplantation model that can measure the long-distance migration of human RA synoviocytes and cartilage destruction induced by these cells.
The Study Quran: A New Translation and Commentary edited by Seyyed Hossein Nasr, Caner K. Dagli, Maria Massi Dakake, and Joseph E. Lumbard
Authors: Mufid Abdul
Published: November 2022

The Study Quran (SQ) is a painstaking endeavor that takes several years before it is completed. This study consists of an introduction, Qurʾān translation, a synopsis of certain commentaries, and essays explaining the sacred text’s place and thought in Islam. Recently, the topics that are discussed include “How to Read the Qurʾān” and “Islamic Views on the Qurʾān” to “Al-Qurʾān Ethics, Human Rights, and Society,” as well as “The Qurʾān and Sufism” and “Commentary on the Qurʾān.” This essay involves introductions and maps that exceed 2,000 pages to reconstruct the Battle of Badr and the Conquest of Makkah. However, the editors’ preference and approach to translating the Islamic text, inclusion of commentary, and a map of each of these elements were selected to understand the Qurʾān properly.
ROBOTIC ART IN THE CASE STUDY OF THE INFERNO PERFORMANCE (TRANSHUMANIST PROJECTS IN REALITY)
Authors: Khvastunova Yulia V.
Published: November 2022

This paper analyzes the provisions of the transhumanist “philosophy” implemented in contemporary art, particularly, in cyber art. The performance Inferno created by two artists - Louis-Philippe Demers and Bill Vorn is presented as a case study. The artists have shown this performance in various parts of the world: from the USA to Russia. From the point of view of transhumanism, this performance is positioned as a “useful experience” and as an illustration of symbiosis (mutualism) of man and machine. However, this assessment initially contains a number of errors. Firstly, there is a substitution of concepts and processes, where the term “symbiosis” does not correspond to the essence of the phenomenon. Secondly, the article emphasizes the role of the experiment when, through robotic art, the “voluntary” monitoring of the reactions of the performance viewers is carried out, and the viewers serve as experimental samples or transhumans in the context of the “human enhancement” project.
Isografting of full-thickness skin to treat syndactyly in monozygotic twins with Apert syndrome: a case report
Authors: Kim Ji-Young , Park Sunkyu , Kim Byung Jun
Published: November 2022

Patients with Apert syndrome require repeated limb surgery due to their complex deformities. In this study, a full-thickness isograft was performed for the division of Upton type III hands in identical twins with Apert syndrome. Nine-month-old identical twins presented with Apert syndrome characterized by craniosynostosis, severe syndactyly of the hands and feet, and dysmorphic facial features. Division and full-thickness skin grafting were performed. The siblings were operated consecutively on the same day. Following surgery for the younger sibling, there was an excess of graft left unused. In contrast, the older sibling required an additional skin graft of 1 × 1 cm. Full-thickness skin was successfully transferred between the twins without any rejection as of a 2-month follow-up. Thus, full-thickness skin isografting between monozygotic twins with Apert syndrome was successfully implemented.
Editorial
Authors: Souza Alice De Marchi Pereira de , Mattos Amana , Jacó Vilela Ana Maria , Mendonça Anderson Pereira , Mendes Deise Maria Leal Fernandes , Ponciano Edna Lúcia Tinoco , Degani-Carneiro Filipe , Ribeiro Heloisa Fernandes Caldas , Hernández Jimena De Garay , Quadros Laura Cristina de Toledo , Tura Luiz Fernando , Brunhari Marcos Vinicius , Wendling Michelle Menezes , Quitério Patrícia Lorena , Rapizo Rosana Lazaro , Savegnago Sabrina Dal Ongaro , Pinho Vanessa Dordron de , Gomes Vitor Castro
Published: November 2022

Alice De Marchi Pereira de Souza, Amana Mattos, Ana Maria Jacó Vilela, Anderson Pereira Mendonça, Deise Maria Leal Fernandes Mendes, Edna Lúcia Tinoco Ponciano, Filipe Degani-Carneiro, Heloisa Fernandes Caldas Ribeiro, Jimena de Garay Hernández, Laura Cristina de Toledo Quadros, Luiz Fernando Tura, Marcos Vinicius Brunhari, Michelle Menezes Wendling, Patrícia Lorena Quitério, Rosana Lazaro Rapizo, Sabrina Dal Ongaro Savegnago, Vanessa Dordron de Pinho, Vitor Castro Gomes
As Tecnologias Relacionais e a Produção de Itinerários Terapêuticos em Saúde Mental
Authors: Moraes Pedro Henrique , Zambenedetti Gustavo
Published: November 2022

No campo da saúde existe uma disputa paradigmática, na qual modelos teórico-práticos coexistem, ora possibilitando um cuidado psicossocial, ora reproduzindo um tratamento enclausurante. O objetivo desse estudo foi cartografar os itinerários terapêuticos de pessoas com sofrimento psíquico, analisando as capturas e potencialidades da rede de saúde. Foi realizada uma pesquisa sob a perspectiva cartográfica. Teve como participantes quatro pessoas com sofrimento psíquico, com histórico de internação psiquiátrica, usuárias de uma Unidade Básica de Saúde de um município de médio porte da região sudeste do Paraná. Os resultados e a discussão são apresentados em três linhas de análise, nas quais são apresentados os itinerários terapêuticos dos participantes, discutindo-se aspectos relativos à conformação de territórios existenciais e a função das tecnologias relacionais no acionamento das redes de saúde. Enquanto analisador, o itinerário evidencia tensões entre distintos modelos de atenção em saúde, assim como tensões entre a proposição de políticas públicas e seus modos de operacionalização cotidiana. Concluímos que, para que ocorra a transição paradigmática de um modelo hospitalocêntrico para outro, que tenha como foco a Atenção Básica e o território, necessita-se investimento na operacionalização de tecnologias relacionais.
Envelhecimento Masculino entre Idosos Gays: suas Representações Sociais
Authors: Santos José Victor de Oliveira , Araújo Ludgleydson Fernandes de
Published: November 2022

Esta pesquisa tem como escopo identificar as representações sociais do envelhecimento masculino entre homens idosos gays. Método: Participaram 20 homens gays idosos com idades entre 60 e 75 anos, média de 63,25 (DP=3,58). Para apreensão dos dados, realizaram-se entrevistas semiestruturadas sobre envelhecimento masculino, que foram analisadas mediante o programa IRAMUTEQ, que realiza a classificação hierárquica descendente. Resultados: Esta análise divide as representações sociais dos participantes em classes de proximidade lexical, que resultaram em quatro classes: mudanças biopsicossociais, negação da velhice, aceitação das mudanças e cuidar para ter saúde. Discussão: As representações sociais dos participantes exibem o conhecimento sobre as mudanças que culminam na velhice, assim como a negação destas mudanças. E, ainda, a preocupação com a sexualidade, associando a masculinidade à ereção. Em suas representações sociais, eles abordam soluções para lidar com as dificuldades que surgem na velhice, como o autocuidado. Espera-se que este estudo subsidie discussões sobre o tema em diferentes contextos.
Reflexões sobre Subjetividade: Quatro Narrativas e Algumas (In)Conclusões
Authors: Souza Rodolfo Rodrigues de
Published: November 2022

O presente artigo tem por finalidade colocar em tensão diferentes concepções teóricas acerca da noção de subjetividade, refletindo sobre como cada olhar em relação a essa ideia influi nas práticas no campo da clínica psicológica. Estas noções são tematizadas por meio de quatro narrativas breves que evidenciam as ideias de seus autores sobre o assunto: Bruno Latour e a Teoria Ator-Rede; Nigel Thrift e a ideia de uma subjetividade espacializada; Sartre e suas reflexões sobre o sujeito na história; Mattijs van de Port e Annemarie Mol e a prática do comer. Em seguida, algumas proposições que comentam as narrativas apresentadas são esboçadas a título de (in)conclusão, conectando o pensar teórico com as práticas no campo da psicoterapia. O artigo, ao propor diálogo entre as proposições teóricas e metodológicas dos franceses Bruno Latour, sociólogo, e Jean-Paul Sartre, filósofo, em relação à subjetividade, pode ser lido como uma contribuição para a aproximação entre Teoria Ator-Rede e Fenomenologia como intencionada por Sartre.
Contribuição do Processamento Morfológico para a Velocidade de Leitura ao Final do Ciclo de Alfabetização
Authors: Correa Jane , Paula Fraulein Vidigal de , Spinillo Alina Galvão
Published: November 2022

O presente estudo examinou a contribuição do processamento morfológico para a velocidade de leitura de textos, independentemente daquela decorrente do processamento fonológico, em alunos do 3º ano do Ensino Fundamental. Para isso, além do processamento morfológico, foram incluídas medidas de velocidade de leitura oral de texto narrativo, memória de trabalho, consciência fonêmica, nomeação automatizada rápida de objetos e letras, consciência morfológica e processamento morfológico implícito. As habilidades que mais contribuíram para explicar o desempenho das crianças na velocidade de leitura de texto foram as de nomeação automatizada rápida de objetos e de processamento morfológico implícito. A consciência morfológica apresentou correlação fraca e não significativa com a velocidade de leitura de textos, sugerindo que leitores iniciantes possam se beneficiar da informação morfológica de forma implícita na leitura antes mesmo de alcançarem nível de consciência morfológica suficiente para tal. O processo de lexicalização no decorrer do desenvolvimento da habilidade de leitura implica a integração das informações fonológicas, ortográficas e semânticas, o que se revela na importância do processamento morfológico e da nomeação automatizada rápida de objetos para a velocidade de leitura.
Dupla Rota na Leitura e Compreensão Leitora no Português do Brasil
Authors: Ferraz Adriana Satico , Lima Thatiana Helena de , Higa Adriana Setsumi , Santos Acácia Aparecida Angeli dos
Published: November 2022

O Modelo de Leitura de Dupla Rota é relevante tanto para o entendimento do processo de leitura como para a compreensão leitora. Este estudo objetivou investigar a contribuição da consciência fonológica (rota fonológica) e do reconhecimento de palavras (rota lexical), bem como do ano escolar para a habilidade de leitura em voz alta de palavras isoladas e a compreensão de leitura no português do Brasil. Participaram desta pesquisa 443 alunos do 3º ao 5º ano de Ensino Fundamental I, de escolas públicas de todas as regiões do Brasil. Os instrumentos utilizados foram o Cloze 1 e Cloze 2, Prova de Leitura do Teste de Desempenho Escolar, Roteiro de Avaliação de Consciência Fonológica e Escala de Reconhecimento de Palavras. Os resultados indicaram que o valor explicativo da mediação do reconhecimento de palavras na relação preditiva indireta da consciência fonológica foi maior para compreensão de leitura do que para leitura. A contribuição explicativa da mediação do reconhecimento de palavras na relação preditiva do ano escolar apresentou valores próximos para leitura e compreensão de leitura. É possível concluir que mesmo com o controle do ano escolar, tanto a rota fonológica como a rota lexical predizem a leitura e a compreensão leitora.
Representações Sociais da Mulher na Literatura Científica: uma Revisão Sistemática
Authors: Costa Luiza Lins Araújo , Diniz Fernanda Cristina de Oliveira Ramalho , Torres Ana Raquel Rosas , Estramiana José Luis Álvaro
Published: November 2022

Esta revisão sistemática analisa publicações científicas sobre representações sociais da mulher no Brasil e América Latina, considerando para essa análise os objetivos de estudos embasados na Teoria das Representações Sociais (TRS) a fim de identificar os principais temas e contextos nos quais eles têm sido realizados. Foram conduzidas buscas nas bases Lilacs, PePSIC e SciELO, utilizando-se os descritores: "feminino" ou "mulher" combinados com "representação social". Foram analisados 114 artigos, publicados entre 1999 e 2020. A análise foi realizada com auxílio do software Iramuteq, gerando quatro classes temáticas: "Relação com o corpo"; "Gestação e maternidade"; "Feminino contranormativo" e "Violência de gênero". Nos resultados, observou-se dois núcleos principais: por um lado, temas tipicamente associados ao feminino, como maternidade, por outro, contextos não aprovados socialmente ou contranormativos, como a prostituição. Assim, há nas publicações uma representação ambivalente que parece espelhar a realidade social, tratando do que deve ser ou não "lugar de mulher". Além disso, percebe-se a ausência de estudos embasados pela TRS sobre a mulher em espaços importantes, como os de liderança política. Com isso, discutimos a relação entre representações sociais da mulher e práticas sociais, bem como o papel da ciência no combate às desigualdades de gênero.
As Queixas Escolares e Suas Interfaces em um Ambulatório de Saúde Mental Infantil
Authors: Santos Letícia Oliveira dos , França Valdelice Nascimento de , Batista Anelice Da Silva
Published: November 2022

O encaminhamento de crianças com queixas escolares aos serviços de saúde mental tem sido uma prática cada vez mais difundida, gerando a necessidade de maior conhecimento dessa demanda e a discussão acerca da padronização e patologização da educação. Assim, este estudo tem como objetivo rastrear e mapear a queixa escolar no Centro de Orientação Médico Psicopedagógica do Distrito Federal, de forma a refletir sobre as características desta demanda nos serviços de saúde mental. Foram analisados 79 prontuários de crianças que participam de Grupos Terapêuticos realizados na instituição, sendo os dados analisados quantitativamente através da estatística descritiva. Observou-se grande demanda de crianças com problemas escolares, sendo a maioria meninos encaminhados pelas escolas, que recorrentemente apontam a estes problemas comportamentais e/ou emocionais. As queixas escolares relacionadas a problemas comportamentais e/ou emocionais são as mais frequentes no serviço. Grande parte destas crianças possuem um diagnóstico ou hipótese diagnóstica, frequentemente atribuídos por médicos, sendo que mais da metade também fazem uso de alguma medicação. Assim, é necessário que profissionais da saúde e da educação repensem suas práticas, considerando os fatores políticos, sociais, econômicos e educacionais na produção da queixa escolar. Sendo urgente a ampliação de discussões a respeito da prática desenfreada da patologização da educação.
COMPREENSÃO DE LEITURA: UMA PROPOSTA DIDÁTICA COM O USO DO PADLET / Reading comprehension: a didactic proposal with the use of padlet
Authors: Nogueira Janaína , Abreu Katia
Published: November 2022

O presente artigo trata da compreensão de leitura com o objetivo de revisar conceitos sobre compreensão de leitura e estratégias cognitivas de leitura e apresentar uma proposta didática com o uso do Padlet, ferramenta digital, que poderá atuar como facilitador da realização das atividades de leitura. Insere-se em uma rota de pesquisa e ensino que vem sendo desenvolvida no âmbito de estudos do ProfLetras, especificamente no tocante a aspectos teóricos e cognitivos da leitura, sob a perspectiva da Psicolinguística da Leitura (MAIA, 2015, 2018; NATION, 2013; PERFETTI; LANDI; OAKHILL, 2013; WOLF; LOPES, 2014). Quanto ao aspecto metodológico, segue uma abordagem qualitativa, de natureza aplicada. Nesse sentido, o estudo, com base em conceitos sólidos da ciência da leitura, pretende gerar conhecimentos para uma aplicação prática, focalizando o desenvolvimento da compreensão leitora. O presente trabalho se justifica pela constatação de dificuldades de compreensão de leitura demonstrada por resultados de atividades aplicadas aos alunos do ensino fundamental. Além disso, seria benéfico reunir mais conhecimento derivado de práticas pedagógicas ao tema da compreensão de leitura. Dessa forma, propõe-se a elaboração de um Caderno Pedagógico com atividades voltadas ao uso de estratégias cognitivas de leitura, a partir de uma síntese científica sobre este fenômeno e com foco na utilização do aplicativo Padlet. Por fim, propõe-se que o professor projete ambientes de aprendizagem e que use novas mídias.
Home haemodialysis: increasing patient choice
Authors: Ellis Peter
Published: November 2022

Peter Ellis explores the nature and benefits of home haemodialysis in contrast to alternative treatment practices.
Contributions to the Heteroptera (Hemiptera) fauna of Anatolia with new records for Turkey
Authors: ÇERÇİ BARIŞ , GÜLTEKİN NESLİHAN , GÖZÜAÇIK CELALETTİN , GÜÇLÜ MELEK GÜDEK , DOĞAN DİLEK
Published: November 2022

Heteroptera species collected from numerous localities in Anatolia, particularly Eastern Anatolia, between 1998 and 2021 are presented. 124 species in 97 genera belonging to following 20 families are recorded: Miridae (32), Nabidae (2), Anthocoridae (1), Tingidae (1), Reduviidae (7), Pentatomidae (33), Scutelleridae (9), Acanthosomatidae (1), Cydnidae (1), Coreidae (6), Rhopalidae (4), Alydidae (3), Stenocephalidae (2), Rhyparochromidae (12), Lygaeidae (3), Geocoridae (3), Artheneidae (1), Heterogasteridae (1), Oxycarenidae (1) and Pyrrhocoridae (1). Among them, Xanthochilus omissus (Horváth, 1911) (Rhyparochromidae) and Ceratocranum caucasicum Jakovlev, 1879 (Scutelleridae) are new for the Heteroptera fauna of Turkey. Furthermore, Dryophilocoris (Dryophilocoris) flavoquadrimaculatus (De Geer, 1773), Odontoplatys suturalis (Jakovlev, 1883) (Miridae) and Engistus salinus Jakovlev, 1874 (Geocoridae) that had been recorded from Turkey only once, are recorded from new localities. Additionally, most of the recorded species are new for the provinces that they are collected from, and following ten species are recorded from the Eastern Anatolian region for the first time: Cyllecoris histrionius (Linnaeus, 1767), Eurycolpus aureolus Seidenstücker, 1961, Odontoplatys suturalis (Jakovlev, 1883), Polymerus (Poeciloscytus) brevicornis (Reuter, 1879) (Miridae), Jalla dumosa (Linnaeus, 1758), Leprosoma tuberculatum Jakovlev, 1874, Picromerus conformis (Herrich-Schäffer, 1841) (Pentatomidae), Megalonotus emarginatus (Rey, 1888), Peritrechus nubilus (Fallén, 1807) (Rhyparochromidae) and Horvathiolus syriacus (Reuter, 1885) (Lygaeidae). Finally, the Heteroptera fauna of Transcaucasian region is briefly analyzed. It is revealed that among 1113 species known from this region, 255 species have not yet been recorded from Turkey and most of these species remain to be discovered from Eastern Anatolian region of Turkey, reflecting the need for future field researches in this region.
Integrated Operation Theater Spine Suite (IOTSS) History of Spine Surgery: Lord Krishna the First Eternal Spine Surgeon
Authors: Dave Bharat R
Published: November 2022

The Mission has been to improve the quality of human life and do no harm. The significant change experienced during the training at England 1991 to 1996. Saga to be the best, be different and be unique continued. Necessary equipment installed like C Arm for fluoroscopy, radiolucent operation table and Anaesthesia machine. Safety increased due to optimisation of the operating room by implementation of available gadgets. Many of us have witnessed the transition of an era, from handwritten Operation schedule call books to smartphone apps., from manual typewriters to high tech computers for research, from manual slide carousel to virtual presentations, from written high-risk consent to video consent and now from high radiation and lead aprons to Zero radiation exposure with O-Arm and navigation. Integrated Operation Theatre Spine Suite– Enabling Technology – IOTSS is the latest version in optimising and additionally maximising the advantage of the surgery. Keywords: Integrated spine suite, Optimizing results, Spine surgery
Periosteal Variety of Sacral Osteoid Osteoma Encroaching into the Spinal Canal – Treatment with a Tubular Retractor System: Case Report
Authors: Patel Ravish , Shah Shivam , Kumar Naresh , Patel Shammi
Published: November 2022

Background: Osteoid osteomas are benign primary bone tumors with a predilection for posterior elements of the spinal column. Complete surgical excision through a traditional open approach is the treatment of choice for patients not responding to non-steroidal anti-inflammatory medications and patients with contraindications for nidus ablation. The study aims to highlight an alternative minimally invasive technique for complete surgical excision of osteoid osteoma encroaching into the spinal canal. Methods: We report a case of 22 years-old obese male suffering from left S1 radiculopathy and night pain. Magnetic resonance imaging and computed tomography (CT)-scan of the lumbosacral region revealed a benign bony lesion of size 13 mm × 11 mm × 8 mm encroaching from S1 lamina into the spinal canal and compressing left S1 root. Peri-lesional bony sclerosis and soft tissue edema were absent. In view of obesity and a small size of the lesion, it was decided to remove the lesion with a tubular retractor system under general anesthesia. Complete resection of the lesion was carried out sparing the L5-S1 facet, with a minimally invasive approach. Results: Patient had complete symptomatic improvement after the surgery. Histopathology showed interconnected trabeculae of woven bone matrix rimmed by osteoclasts consistent with the diagnosis of osteoid osteoma. Post-operative CT scan showed that the nidus was removed completely and important structures such as facet, pedicle, and midline posterior ligament complex were preserved. The patient resumed his daily activities and remained symptoms-free at the end of 6 months of follow-up. Conclusion: Minimally invasive surgery using a tubular retractor system can be safe and effective alternative to traditional open surgery for excision of osteoid osteoma from the posterior elements. Faster recovery, minimal tissue damage, and early return to work are added advantages for an obese patient undergoing minimally invasive total surgical excision. Keywords: Benign bone tumors, Sacral spine, Osteoid osteoma, Periosteal osteoid osteoma, Minimally invasive spine surgery, Tubular retractor system
Lemon Principle and Signaling Quality in Context with Spine Surgery
Authors: Modi Hitesh N.
Published: November 2022

Medical specialty has been considered as a noble profession related with the service to mankind. However, consumer protection act considers it as a service industry with all its norms and rules applicable. If we consider spine surgery, the majority of patients as well as society advocating non-surgical treatment due to associated misbelieves and complexity of surgeries despite of its obvious benefits. The question arises how can we apply business principles to alleviate the hurdles in the spine surgeries and elevate the perception of the surgical treatment in the minds of the patients. Two famous noble prize-winning principles of business “Lemon principle” and “Signaling” would probably answer these. In this article, I have attempted to touch on these two principles in relation with spine surgeries and I am sure that such principles would help us in improving the health-care quality across all specialties. Keywords: Medical service, consumer act, lemon principle, signaling, business.
Clinical and Radiological Outcome following MIS-TLIF and Open-TLIF between Asian and African Population- A Comparative Retrospective Analysis in 104 Patients
Authors: Modi Hitesh N. , Shreshtha Utsab
Published: November 2022

Purpose: This study aimed to evaluate pre-operative and post-operative sagittal parameters using pelvic incidence (PI), lumbar lordosis (LL), and segmental lordosis (SL) between Asian and African population who underwent minimally invasive surgery-transforaminal lumbar interbody fusion (MIS-TLIF) and open-TLIF surgeries. Study compares blood loss, operative time, and hospital stay; and evaluates disability and pain by Oswestry disability index (ODI) and visual analog scale (VAS) score, respectively, in both groups. Methods: This retrospective study included 104 patients with an average age of 52.1 ± 12.9 years. All were operated for open-TLIF and MIS-TLIF for one- or two-level lumbar canal stenosis or spondylolisthesis. Patients were divided into two groups according to race: Asian and African. Clinical improvements were evaluated using VAS and ODI scores. Modified MacNab’s criteria were used to evaluate outcome. Estimated blood loss, hospital stay, operative time, perioperative morbidity, and complications were reviewed. On radiological parameters, patients’ LL, PI, and SL were compared between two groups. Results: Average follow-up was 40.6 ± 13.9 months. Both groups showed significant post-operative improvement in their VAS and ODI scores in both open- and MIS-TLIF (P < 0.0001); however, comparing clinical improvement between Asian and African groups, it did not show significant difference in VAS (P = 0.103) and ODI (P = 0.077). Both groups showed significant improvement in LL and SL in both open- and MIS-TLIF (P < 0.0001); however, there was no change in PI. It did not show any significant difference in improvement in LL (P = 0.156), PI (P = 0.798), and SL (P = 0.179) between Asian and African groups. Regarding post-operative complications, there were 4 (6.9%) and 3 (6.5%) complications occurred in Asian and African population, respectively. There were no difference in complication rates in both groups (P = 0.939). Discussion: TLIF (MIS and open) gives similar clinical outcome between Asian and African population. Sagittal parameters were higher in African population than the Asian population. Attention should be paid to predetermine the value of LL to achieve during surgery. Keywords: Transforaminal lumbar interbody fusion, Asian versus African, Sagittal parameters, Clinical outcome.