bluuebunny/crossref_metadata_2025 huggingface dataset:
Association between socioeconomic contextual factor, dental care service availability, and prevalence of periodontitis in Brazil: a multilevel analysis
Authors: Filgueiras Leonardo Vilar , Cabreira Fabiana da Silva , Pilotto Luciane Maria , Celeste Roger Keller
Published: May 2023

This study aimed to examine the effect of dental care services on periodontitis cases in Brazilian municipalities. The sample comprised 3,426 individuals aged 35-44 years. Moderate to severe periodontitis with clinical attachment loss and probing depth was the dependent variable, both > 3mm. Its exploratory variables were grouped into four categories: (1) individual characteristics; (2) contextual development indicators; (3) health service and structural factors; and (4) dental care use. Data were collected using the SBBrasil 2010 Project, the Brazilian Institute of Geography and Statistics, the Brazilian Information System of Primary and Secondary Care, and the Program to Improve Access and Quality of Dental Specialization Centers (PMAQ-CEO). Multilevel logistic regression was used to assess associations of periodontitis with individual and context variables. Municipalities with > 1 CEO or > 1 of any centers were associated with periodontitis, with OR = 0.97 (95%CI: 0.55-1.71) and OR = 0.41 (95%CI: 0.17-0.97), respectively. Prevalence of periodontitis was more likely in older people, lower education levels, and individuals that sought dental visits for pain/extraction and periodontal treatment. Other dental care services availability were not associated with the prevalence of periodontitis.
NOVOS TEMPOS, NOVAS PERSPECTIVAS: RESSIGNIFICANDO A ESCRITA REFLEXIVA NA FORMAÇÃO INICIAL DE PROFESSORES NA CONSTRUÇÃO DO LETRAMENTO DIDÁTICO-DIGITAL
Authors: MARTINS ANA PATRÍCIA SÁ , KERSCH DOROTEA FRANK
Published: May 2023

RESUMO: Nosso trabalho visa a analisar processos de (trans)formação de futuros professores de língua materna no curso de Letras para práticas de letramentos didático-digitais, a partir da escrita reflexiva em resenhas críticas. Situadas no campo interdisciplinar da Linguística Aplicada, desenvolvemos um conjunto de eventos de letramentos no, para e sobre o local de trabalho docente durante um Programa de Multiletramentos Didáticos, os quais oportunizaram o engajamento de futuros professores em projetos didáticos colaborativos em contextos escolares reais. Os resultados revelaram que o letramento didático-digital pode ser construído a partir das representações de ser e agir docentes, orientadas para os modos como esses sujeitos significam, projetam e operam a escrita reflexiva nas práticas de ensino e aprendizagem de língua materna para os multiletramentos didáticos. Argumentamos que estas práticas podem colaborar nos usos responsivo e responsável da escrita nos contextos formativos de (futuros) professores.
NEW TIMES, NEW PERSPECTIVES: GIVING NEW MEANING TO REFLECTIVE WRITING IN INITIAL TEACHER EDUCATION IN THE CONSTRUCTION OF DIDACTIC-DIGITAL LITERACIES
Authors: MARTINS ANA PATRÍCIA SÁ , KERSCH DOROTEA FRANK
Published: May 2023

ABSTRACT: Our work aims to analyze the processes of (trans) formation of future Portuguese language teachers in the Languages course for didactic-digital literacy practices from reflective writing in critical reviews. Situated in the interdisciplinary field of Applied Linguistics, we developed a set of literacy events at, for, and about the teaching workplace during a Didactic Multiliteracies Program, which enabled the engagement of future teachers in collaborative didactic projects in real school contexts. The results revealed that didactic-digital literacy can be constructed from the representations of teaching being and acting, oriented to how these subjects signify, project, and operate reflective writing in the teaching and learning practices of the Brazilian mother tongue for the didactic multiliteracy materials. We argue that these practices can collaborate in the responsive and responsible uses of writing in formative contexts of (future) teachers.
EVALUATION OF EARLY TREATMENT OF IDIOPATHIC CLUBFOOT USING THE PONSETI METHOD
Authors: OLIVEIRA CAIO LUIZ DE TOLEDO , GONÇALVES FILHO GERALDO MOTA , VOLPON JOSÉ BATISTA
Published: May 2023

ABSTRACT Congenital clubfoot is one of the most common congenital deformities of the lower limbs, with an estimated incidence of 1 for every 1,000 live births. Its treatment is controversial, and currently the Ponseti method has been widespread, showing promising results and decreasing the need for extensive surgical releases, as was usually done until the introduction of the technique. Currently used in approximately 55 countries, the method has changes and scopes that vary according to the society in which it is applied, with the results and peculiarities of the method molded according to the sample studied. Objective: To evaluate the clinical outcome of clubfoot treatment using the Ponseti method under local conditions. Methods: The clinical evaluation will include a descriptive analysis of the sample, as well as radiographic evaluation and family satisfaction with the treatment. Results: In total, 46% of the patients had good results and no family was dissatisfied with the treatment results. No statistically relevant relationships were found between the studied variables. Conclusion: The results are good and generally similar to those in the literature. Our epidemiological data generally agree with those reported by other authors. Level of Evidence IV, Case Series.
S. AUREUS IS ASSOCIATED WITH A GREATER NEED FOR REOPERATION IN SEPTIC ARTHRITIS OF THE KNEE
Authors: FERNANDES LUCAS SAADE , YAGI ALEXANDRE JOJI , SANTOS NETTO ALFREDO DOS , SALLES MAURO JOSÉ , OLIVEIRA VICTOR MARQUES DE , CURY RICARDO DE PAULA LEITE
Published: May 2023

ABSTRACT Objective: To determine the frequency of reoperations in the treatment of adult patients diagnosed with septic arthritis of the knee, the average number of debridements needed to control the infection, the mortality rate, and to assess factors associated with a greater need for reoperation and mortality. Methods: Retrospective cohort study evaluating 38 adult patients diagnosed with septic arthritis who underwent arthrotomy via a medial parapatellar approach for joint cleaning and debridement. Demographic, clinical, surgical, and microbiological variables of the cases were analyzed by review of medical records. Tests for equality of two proportions, chi-square, and multivariate logistic regression analysis were performed, defining a significance level at 0.05, with 95% confidence interval. Results: A total of 50% of the cases underwent reoperation, with an average number of required debridement of 2.02 and a mortality rate of 10.5%. Patients with infection caused by Staphylococcus aureus were more likely to need a reoperation compared to patients with positive cultures for other agents (OR 6.0). Conclusion: In 50% of cases, an average of 2.02 debridements were necessary and the mortality rate was 10.5%. Staphylococcus aureus infection is associated with a 6 times greater chance of additional surgeries. /Level of Evidence IV, Case Series.
POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: ARE THE RESULTS SIMILAR TO ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION?
Authors: MESTRINER MARCOS BARBIERI , HIROSSE FÁBIO EIDI , RABELO NAYRA DEISE DOS ANJOS , SANTOS NETTO ALFREDO DOS , OLIVEIRA VICTOR MARQUES DE , CURY RICARDO DE PAULA LEITE
Published: May 2023

ABSTRACT Objective: To report and compare the results of posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) reconstructions. Methods: In total, 42 patients were retrospectively evaluated, 20 with isolated PCL injuries (group 1) and 22 with isolated ACL ones (group 2) who were subjected to arthroscopic ligament reconstruction with autologous grafts and followed up for at least two years. To evaluate the results in group 1, objective IKDC and Lysholm scores, posterior drawer tests, and evaluations by a KT-1000 arthrometer were used, whereas for group 2, subjective IKDC and Lysholm score and the Lachman test were employed. To compare groups, objective IKDC and Lysholm scores and assessment via a KT-1000 arthrometer were considered. Results: Intragroup analysis showed improved results for all variables (p < 0.001) in both groups. Comparisons between groups showed a significant difference in objective IKDC scores (p < 0.001), but no such disparities for Lysholm ones (p = 0.052), clinical tests (p = 0.058) or evaluation by KT-1000 (p = 0.129). Conclusion: Treatment restored knee stability and function in both groups. Comparisons between groups showed that PCL reconstructions had inferior results than ACL ones according to patients’ objective IKDC scores. Level of Evidence II, Retrospective Study.
MINIMALLY INVASIVE OSTEOSYNTHESIS FOR CLAVICULAR FRACTURE WITH LOCKED PLATE
Authors: AMARAL FELIPE MACHADO DO , MALAVOLTA EDUARDO ANGELI , SILVA FERNANDO BRANDÃO DE ANDRADE E , ALTOÉ LEANDRO SOSSAI , NUNES CASSIO VELLOSO , PÉCORA JOSÉ RICARDO
Published: May 2023

ABSTRACT Objective: To evaluate the clinical and radiographic results of the surgical treatment of fractures of the middle third of the clavicle, using the technique of minimally invasive plate osteosynthesis (MIPO) with locking. Methods: Prospective case series, evaluating displaced fractures of the middle third of the clavicle submitted to MIPO with locking, with procedures performed by a single surgeon. Patients were evaluated at 12 months using the University of Los Angeles (UCLA) scale and anteroposterior radiographs of the clavicles with 45° cranial and caudal inclination, as well as reporting complications. Results: In total, 15 patients were evaluated. The median of surgical time was 50 minutes (IQR 35). The UCLA scale had a median of 35 (IQR 2) at 12 months. All patients presented fracture healing. Minor complications occurred in three cases (20%), with two (13.3%) evolving with plate prominence and one (6.7%) with local paresthesia, while major complications occurred in only one case (6.7%), with suture dehiscence requiring surgical re-approach. Conclusion: MIPO with locking is a viable option for the treatment of displaced fractures of the middle third of the clavicle, with excellent results according to the UCLA scale, fracture healing in all cases, and a low rate of complications. Level of Evidence IV, Case Series.
ANALYSIS OF 45,507 SURGICAL TREATMENT OF DISTAL TIBIA AND MALLEOLAR FRACTURES OVER 14 YEARS
Authors: ROSEMBERG DOV LAGUS , WOLOSKER NELSON , SILVA MARCELO FIORELLI ALEXANDRINO , MANN TANIA SZEJNFELD , GIORDANO VINCENZO , GODOY-SANTOS ALEXANDRE LEME
Published: May 2023

ABSTRACT The distal leg joint fractures are among the most common fractures in humans across all age groups, and 50% of them require surgical treatment. Few studies discuss the epidemiology and costs of this fracture in the global and national literature. Objective: To evaluate the annual incidence and reimbursement value of distal leg joint fractures requiring surgical treatment from 2008 to 2021. Methods: A retrospective study was conducted to analyze the complex structured data of high volume and high variability (Big Data), publicly available on the TabNet platform (DATASUS), via software with artificial intelligence. Data from 2008 to 2021 on surgical treatment for malleolar fracture, distal tibia fracture, and isolated fibula fracture were analyzed. Results: From 2008 to 2021, there was an average incidence of 28.8 fractures/105 inhabitants per year, representing 14.62% of all fractures. The total amount paid for hospitalizations due to these fractures was R$ 34,218,014.62 over these 14 years. Conclusion: The incidence of distal leg joint fractures follows the pattern of those recorded in other countries. The adjustment of reimbursement over the years was lower than the accumulated inflation. Level of Evidence II, Economic and Decision Analyses - Developing an Economic or Decision Model.
UNDIFFERENTIATED PLEOMORPHIC SARCOMA: PROGNOSTIC FACTORS IN 42 EXTREMITY CASES
Authors: MAÇANEIRO JUNIOR CARLOS HENRIQUE , BAPTISTA ANDRÉ MATHIAS , CAMARGO OLAVO PIRES DE , FILIPPI RENÉE ZON , OLIVEIRA EVANDRO TITO
Published: May 2023

ABSTRACT Introduction: Soft tissue undifferentiated pleomorphic sarcoma (UPS) in extremities is considered a rare neoplasm, corresponding to 5% of soft tissue sarcomas (STS) today. The objective was to evaluate prognostic factors related to death, local recurrence (LR), and impact on survival rates. Methods: A retrospective study including 42 patients with UPS in extremities treated surgically in a single center. Comparisons were made between demographic data, characteristics of the neoplasia, and treatment. Between the variables with statistical significance, logistic regression analysis was used. Survival rates were evaluated using Kaplan-Meier plots. To compare the effect of variables on survival rates, the Log-Rank test was used. Results: Age group of patients was from 25 to 85 years (mean 58 years), with a mean follow-up of 29.6 months. The variables with the highest effect on survival rates were sizes larger than 15 cm (T4) with p = 0.01, presence of metastatic lesions, and prognostic stage IV according to the American Joint Committee of Cancer (AJCC) with p < 0.001. The mean survival was 25.9 months. Metastasis and stage IV of AJCC were associated with a reduction in patient survival (17.8 months) with Log-Rank test p < 0.001. Conclusion: The main factors of poor prognosis related to mortality and reduction of survival of UPS in extremities were metastatic lesions and stage IV of AJCC. Level of Evidence III, Retrospective Study.
Lispector y Borges. Los teólogos
Authors: Sawala Wojciech
Published: May 2023

Resumen Este artículo constituye un ejercicio de aproximación dialéctica entre Clarice Lispector y Jorge Luis Borges, considerando el contenido filosófico de sus escritos, específicamente en lo referido al cuestionamiento de la subjetividad individual. Las principales diferencias entre los dos autores (lo racional frente a lo intuitivo, la intertextualidad frente a la introspección, la erudición frente al misticismo) se deconstruyen de tal forma que ambos proyectos literarios resultan complementarios o incluso reductibles a un denominador común.
O retrato móvel de uma alma errante: Clarice Lispector tradutora de Oscar Wilde
Authors: Ferreira Rony Márcio Cardoso , Macedo Pedro Guilherme Lopes de
Published: May 2023

Resumo Amparados nos pressupostos da Literatura Comparada, dos Estudos Culturais e dos Estudos da Tradução, procuramos compreender as relações culturais que formaram (Bildung) Clarice Lispector em termos de sua identidade linguística, cultural e tradutória, a fim de estudar a tradução do romance O retrato de Dorian Gray (2016), assinada por Clarice em 1974 em diálogo com a sua novela de 1977, A hora da estrela (2020). Partindo da sua relativa proximidade com o imaginário judaico ao seu conhecimento do inglês, francês e espanhol, podemos entender Clarice como uma tradutora cultural. Dentre as várias conexões culturais que pudemos traçar no interior da novela de Clarice, as questões relativas às possibilidades e aos limites da representação literária e visual nos permitem lê-la em comparação com o romance de Wilde.
“O autor de si mesmo” e “Mineirinho” diante da violência
Authors: Gonçalves Mateus Toledo
Published: May 2023

Resumo “O autor de si mesmo” e “Mineirinho” são reações a notícias de jornal sobre casos de grande violência. Ambos são também crônicas publicadas em órgãos importantes da imprensa de sua época, a Gazeta de Notícias, no caso de Machado de Assis, e a revista Senhor, no caso de Clarice Lispector. Este artigo propõe analisar essas crônicas paralelamente, de modo a investigar as modalidades de reação diante da violência que elas corporificam.
Perspectivas conflitivas em Infância, de Graciliano Ramos
Authors: Furtado Pedro , Leonel Maria Célia
Published: May 2023

Resumo Procuramos, neste trabalho, demonstrar que na obra Infância, de Graciliano Ramos, são construídos dois pontos de vista conflitivos. Baseados nas ideias do mecanismo de harmonização e desarmonização da narrativa de Fredric Jameson (1992), em O inconsciente político, e de textos da fortuna crítica da autobiografia em questão, sobretudo de Alfredo Bosi (2013), constatamos, por um lado, que a mirada adulta, contida na narração, objetifica o relato - principalmente reinterpretando as pessoas conhecidas e criticando a ordem social do período de menino. Por outro lado, vemos que a dominante mirada infantil se fundamenta na apreensão fragmentária e sinestésica do mundo. A narração por esse olhar figura a contínua busca da criança de adaptação e de amparo.
A relação dinâmica entre cultura oral e cultura escrita no conto “Famigerado”, de Guimarães Rosa
Authors: Acco Cleideni Alves do Nascimento , Carvalho Gilcinei Teodoro , Machado Maria Zélia Versiani
Published: May 2023

Resumo Este artigo tem como foco a questão das negociações de sentido no conto “Famigerado”, de Guimarães Rosa. O conto permite o enquadramento complexo de uma cena enunciativa cujos gestos interpretativos indicam dinâmicas sociais de processos interacionais em que se relativiza a dicotomia entre a cultura oral e a cultura escrita. O objetivo deste trabalho é demonstrar que, subjacente às tensões interpretativas vivenciadas na negociação de sentidos, é possível observar diferenças de ordem socioeconômica e cultural entre os personagens, atravessadas por posicionamentos sobre as práticas sociais de letramento de cada um deles, com influência direta tanto na origem quanto no desfecho da narrativa.
Jacques Rancière, leitor de Erich Auerbach
Authors: Corpas Danielle , Malcher Beatriz
Published: May 2023

Resumo O artigo discute o aproveitamento crítico da obra de Erich Auerbach no pensamento de Jacques Rancière desde a década de 1990, com ênfase na reflexão em torno da prosa de ficção moderna. Para ilustrar decorrências do modo como Rancière reafirma percepções e refuta juízos de Auerbach a respeito do tratamento do cotidiano na literatura, são comentados seus ensaios a propósito de Stendhal e Guimarães Rosa.
Pertencimento: discussão teórica
Authors: Mathias Dionei
Published: May 2023

Resumo Como recurso existencial central, o pertencimento tem um lugar proeminente na experiência humana, sendo, portanto, também objeto de interesse em textos literários. Este artigo deseja discutir três dimensões do conceito de pertencimento: (1) o vetor social e suas formas de hierarquização do pertencimento, (2) o corpo e seu papel de mediação, e, por fim, (3) pertencimento como disposição afetiva atrelada ao sentido existencial. Num último movimento, procura discutir sua importância e seus potenciais nos estudos literários. Nessa perspectiva, o pertencimento é identificado como um recurso instável, foco de negociações ininterruptas que definem as configurações e as modalidades de participação dos diferentes membros de uma comunidade sociocultural.
Considerações sobre o problema das formas do sujeito
Authors: Guimarães Jonatas Aparecido
Published: May 2023

Resumo A noção de sujeito recentemente tem ganhado espaço nas discussões da crítica e teoria literárias, sendo Luiz Costa Lima um dos autores que se dedica ao tema. Apesar da preocupação em enunciar seus pressupostos, ele não se detém na discussão filosófica sobre a variabilidade sócio-histórica do sujeito, que singularizou os debates sobre o conceito no século XX. Essa perspectiva permite problematizar quais são suas diferentes formas e, sobretudo, por quais processos essas são produzidas. Assim, o presente artigo tem o objetivo de delinear os pontos fundamentais do debate acerca da epocalização do sujeito, identificando seus problemas e pressupostos, os quais estão na base da discussão de Costa Lima. A partir sobretudo de Heidegger, de Foucault e de Elias Palti, pretende-se compreender as bases filosóficas da variabilidade de formas do sujeito que, mesmo não enunciadas, podem ser associadas aos debates recentes da teoria da literatura.
La presencia de la abuela en la poética del narrador proustiano: de Les soixante-quinze feuillets a “Combray”
Authors: Puente Felicitas Romero
Published: May 2023

Resumen El contraste entre la primera unidad narrativa de los recientemente publicados Soixante-quinze feuillets, “Une soirée à la campagne”, y “Combray”, primer capítulo de Por la parte de Swann, permite sacar nuevas conclusiones respecto al modo en que Marcel Proust construyó su obra. En ese sentido, el personaje de la abuela, protagonista en los fragmentos seleccionados de ambas versiones, constituye un punto de referencia central para el yo narrador. El presente análisis se aproximará puntualmente a ciertos aspectos de la personalidad de la abuela que tienen repercusión en la construcción de la perspectiva infantil y en la idea de arte del narrador: su modo de entender lo natural y su relación con el paseo y el desorden, su concepto de distinción social y la proyección de estos en los postulados estéticos presentes en la obra definitiva.
NURSING PROCESS DIRECTED TO NEWBORNS IN A USUAL RISK MATERNITY WARD: NURSES' PERCEPTIONS
Authors: Michelon Jucimara Montagner , Backes Dirce Stein , Costenaro Regina Gema Santini , Ilha Silomar , Lunardi Valéria Lerch , Zamberlan Cláudia
Published: May 2023

ABSTRACT Objective: to know nurses' perception in relation to the Nursing Process directed to newborns in a usual risk maternity ward. Method: an action-research study was conducted between September 2021 and January 2022 with nurses from a usual risk maternity ward in southern Brazil. The data collected through focus groups were submitted to content analysis. Results: the organized and analyzed data resulted in two thematic categories, namely: Nursing process: a self-reflection and self-criticism inducing device; and Nursing process: a (re)signifying care tool for newborns. In synthesis, it is shown that the Nursing Process is a driver of best practices in the Obstetric and Neonatal Nursing context. Conclusions: the Nursing Process directed to the care of newborns in a usual risk maternity ward is not only constituted as a theoretical-methodological tool to guide and qualify the care provided, but as a self-reflection and professional self-criticism inducing technology, with a view to the development of new knowledge and practices both in the scope of management and in Nursing care.
Population level genetic divergence and phylogenetic placement of Mexican shortfin mollies (Mollienesia: Poecilia: Poeciliidae)
Authors: Palacios Maura , González-Díaz Alfonso A. , Rodriguez Lenin Arias , Mateos Mariana , Rodiles-Hernández Rocío , Tobler Michael , Voelker Gary
Published: May 2023

Abstract Mexico is a megadiverse region with a complex geological history, but it remains unclear to what extent the distribution of freshwater fish has been influenced by geographic barriers. This study examines the population level genetic divergence and phylogenetic relationships of species in the shortfin group of the subgenus Mollienesia (genus Poecilia), a group of live-bearing fishes that are widely distributed across Mexico, with sampling at a small geographic scale. Samples from over 50 locations were analyzed for six species by using phylogenetic and haplotype network approaches to assess genetic diversity across geographic ranges and to refine the distributions of species in this group. The results indicate that Mexican species have diversified following multiple, independent invasions from Middle America. Two species found north of the Trans-Mexican Volcanic Belt (TMVB) and one transversal species exhibited weak phylogenetic structure, likely due to the lack of physiographic barriers, recent colonization, and high dispersal rates among regions. In contrast, three species found south of the TMVB exhibited strong phylogenetic structure, reflecting a longer presence in the area and multiple physiographic barriers that isolated populations. This study identified mechanisms driving divergence and speciation, expanded the known range of several species, and resolved taxonomic uncertainties of populations.
How can psychoeducation help in the treatment of mental disorders?
Authors: Oliveira Clarissa Tochetto de , Dias Ana Cristina Garcia
Published: May 2023

Abstract Objective: The purpose of this study was to introduce psychoeducation as a strategy for building information on mental health, as well as to discuss its potential contribution to the decision of seeking treatment, treatment adherence, and decrease of mental disorder symptoms. Method: For this purpose, a narrative review of the literature was performed. Results: Results showed that psychoeducation contributes to the search for treatment by informing individuals that their suffering is the result of a treatable disorder rather than personal characteristics. Subsequently, it contributes to treatment adherence by communicating how it works and what results are expected. This contribution of psychoeducation to treatment adherence seems to reduce the symptoms of the disorder, i.e., the symptoms decrease because the individual is engaged in the treatment. Conclusion: We conclude that psychoeducation acts as a “gateway” for seeking treatment and treatment adherence, consequently decreasing symptoms.
Assessment of the intervention process with teacher to prevent children behavior problems
Authors: Fava Débora Cristina , Andretta Ilana , Marin Angela Helena
Published: May 2023

Abstract Objective The prevalence of emotional and behavioral problems reaches 30% of school-age Brazilians. Management by teachers can reinforce such difficulties and, therefore, it is essential to assess interventions to provide them with the best tools available. In this study, it was aimed to present the development and implementation of the Facilitating Contact with Students Program was implemented in early grade teachers. Method The process of two modalities of this Program was evaluated: G1 (with a full program) and G2 (with a partial program, without the cognitive model contents, only instruction about behavioral management techniques and socioemotional support). Results The G1 gave better scores to the intervention on the importance and usefulness of the contents. Conclusion The teacher’s knowledge regarding the cognitive model is relevant for the modification of disruptive behaviors of students in the classroom.
Effectiveness of mobile applications as intervention tools in suicidal ideation: a systematic review and meta-analysis
Authors: Cardoso Nicolas de Oliveira , Salvador Eduarda Zorgi , Tagliapietra Ketlin da Rosa , Sanseverino Marcela Alves , Vissoci João Ricardo Nickenig , Machado Wagner de Lara
Published: May 2023

Abstract Objective Evaluate the effectiveness of mobile applications developed for intervention in suicide risk in adults. Method Searches for articles were carried out in four databases (PubMed, Web of Science, Scopus and PsychINFO). For the meta-analyses, we used fixed effect modelling to assess the primary outcome. The PROSPERO register is CRD42020163876. Results After applying inclusion and exclusion criteria, six studies remained in the systematic review, of which four were eligible to the meta-analysis. There was no difference, or a little tendency in favor of control condition (usual treatment) comparing with applications. Conclusion Applications can be as effective as standard treatments in reducing suicide ideation. The results should be interpreted with caution once all studies presented at least one bias in their study design.
Teaching differential diagnosis with Anakin Skywalker: the duel between borderline personality disorder and bipolar disorder
Authors: Carvalho Lucas de Francisco , Miguel Fabiano Koich , Pianowski Giselle
Published: May 2023

Abstract Objective: Previous publications have focused on a leading pop culture phenomenon, Star Wars, to teach several issues in psychiatry, which can make understanding challenging themes easier. This article delves into matters of differential diagnoses regarding two psychiatric disorders. Methods: We examine and compare the symptoms and specificities of borderline personality disorder and bipolar disorder in the light of the fictional villain of the films, Darth Vader/Anakin Skywalker. Results and Conclusion: Our considerations of his diagnosis should be interpreted as an academic exercise with two main goals: to discuss the differential diagnosis between borderline personality disorder and bipolar disorder in an illustrative, soft, and ludic way; and to teach how to connect one’s behaviors with diagnostic criteria - in this case, those related to borderline personality disorder.
The influence of siblings with typical development on the burden and quality of life of parents of adolescents with Down syndrome
Authors: Ronca Roberta Pasqualucci , Rocha Marina Monzani , Campos-Pozzi Denise , Cymrot Raquel , Blascovi-Assis Silvana Maria
Published: May 2023

Abstract Objective: The objective of this study was to evaluate the influence of the presence of siblings with normal development on the burden and quality of life of parents of adolescents with Down syndrome. Methods: Cross sectional and correlational study with 25 caregivers divided in two groups: parents who had only children with Down syndrome and parents with other children with normal development. The caregivers were selected from a convenient sample and answered the World Health Organization Quality of Life, Zarit Burden Interview and Brazil’s Economic Classification Criteria. Results: It was found that both groups experienced moderate burden and regular quality of life for most families, with no significant difference. Conclusion: It was concluded that the presence of siblings with normal development was not a factor influencing the burden and quality of life of parents of adolescents with Down syndrome.
An Overview of Environmental Features that Impact Deep Reinforcement Learning in Sparse-Reward Domains
Authors: Catacora Ocana Jim Martin , Capobianco Roberto , Nardi Daniele
Published: April 2023

Deep reinforcement learning has achieved impressive results in recent years; yet, it is still severely troubled by environments showcasing sparse rewards. On top of that, not all sparse-reward environments are created equal, i.e., they can differ in the presence or absence of various features, with many of them having a great impact on learning. In light of this, the present work puts together a literature compilation of such environmental features, covering particularly those that have been taken advantage of and those that continue to pose a challenge. We expect this effort to provide guidance to researchers for assessing the generality of their new proposals and to call their attention to issues that remain unresolved when dealing with sparse rewards.
Adaptive Exercise Educational Programming For Senior Citizens
Authors: Welk Grant
Published: May 2023

The population of senior citizens in Johnson County continues to grow, which has expanded the gap in health services that fit their unique needs. One critical health service is exercise programming. The numerous benefits of exercise on the physical, cognitive, emotional, and social wellbeing of older adults are well-established, however, barriers to exercise grow with chronic health conditions and reduced mobility that come with age. These barriers increased further with COVID-19 pandemic restrictions, as many exercise programming options for seniors were discontinued, leading older adults to become less motivated to stay active.In partnership with health professionals and the Iowa City Senior Center, the free three-week program “Spring into Exercise” was developed in the Spring of 2022. This program aimed to improve seniors’ scientific understanding of how exercise can mitigate age-related health changes they notice in their daily lives, how to utilize available senior center equipment for adaptive strength training, and how to perform adaptive exercises at home to maintain flexibility. With these three foci, the program hopes to increase senior mobility, fall prevention, and functional independence ​in Johnson County and develop into a sustainable resource for seniors to access moving forward.
Overview of research on adhesion reduction and desorption technology of soil-contact construction equipment
Authors: Li Qiang , Chen Zhikai , Guan Tingting , Wang Jing , Xu XiuJie
Published: May 2023

Earthmoving machinery is prone to adhesion problems when working against soil media, resulting in a decline in construction efficiency and quality. This paper summarizes the development of soil adhesion mechanisms, describes the research progress of experts and scholars in various countries in the field of adhesion and desorption, and prospects the research on adhesion and desorption of soil contacting components of construction machinery.
GASTRONOMIC POTENTIAL OF THE INTANGIBLE CULTURAL HERITAGE OF UNESCO AND TOURISM
Authors:   «KROK» University, Kyiv, Ukraine, Melko Liudmyla , Lytvynova Tetiana ,   «KROK» University, Kyiv, Ukraine
Published: May 2023

The aim of the research is to analyze the gastronomic potential of the intangible cultural heritage of UNESCO (ICH), to substantiate the possibilities of its use in tourism, including the accordance with UNWTO tourism macro-regions, to improve the conceptual and terminological apparatus. The research methodology is based on the application of scientific methods, such as analysis, synthesis, comparison, classification, generalization, etc. The statistical method of information processing was used in the study of quantitative indicators regarding the gastronomic component of intangible cultural heritage, the cartographic method was used in the geospatial analysis according to the research topic based on the tourist macro-regions of the UNWTO, the graphic method contributed to the reflection of statistical materials in diagrams, etc. Results. The gastronomic potential of UNESCO's intangible cultural heritage is analyzed. The elements of the gastronomic heritage were identified in accordance with the Lists of the ICH, quantitative indicators were analyzed. The were highlighted, and tourist opportunities were revealed. The gastronomic potential of the UNESCO ICH in relation to the UNWTO tourist macro-regions was analyzed and the tourist opportunities were substantiated. The concept of "gastronomic heritage" was clarified. The need for additional protection of the ICH, including gastronomic heritage, during military aggression at the level of international institutions was underlined. Scientific novelty. The conceptual and terminological apparatus of UNESCO heritage, the concept of "gastronomic heritage", were improved. The gastronomic potential of the ICH was analyzed in accordance with the UNWTO tourism macro-regions. Practical significance. Research materials can be taken into account when forming the lists of intangible cultural heritage, can be used in the development of a tourist product, creation of tours with a gastronomic and culinary purpose or component, as well as in the training of tourism specialists.
Embedding-based Method for the Supervised Link Prediction in Social Networks
Authors: Badiy Mohamed , Amounas Fatima
Published: April 2023

In recent years, social network analysis has received a lot of interest. Link prediction is an important area of research in this field that uses information from current networks to predict the likely links that will emerge in the future. It has attracted considerable attention from interdisciplinary research communities due to its ubiquitous applications in biological networks, computer science, transportation networks, bioinformatics, telecommunication networks, and so on. Currently, supervised machine learning is one of the critical techniques in the link prediction task. Several algorithms have been developed by many authors to predict the future link in the network, but there is still scope to improve the previous approaches. In the supervised link prediction process, feature selection is a crucial step. Most existing algorithms use one type of similarity-based feature to represent data, which is not well described due to the large scale and heterogeneity of social networks. One of the newest techniques for link prediction is embedding methods, which are used to preparing the feature vector for each the nonexisting links in the network. In this paper, we introduce a novel approach to supervised link prediction based on feature embedding methods in order to achieve better performance. Our contribution considers a set of embedding methods as the feature vector for training the machine learning classifiers. The main focus of this work is to investigate the relevance of different feature embedding methods to improve the performance of the supervised link prediction models. The experimental results on some real-world temporal networks revealed satisfactory results, which encourage us for further analysis. Moreover, the use of feature embedding methods will provide better performance in this regard.
A Novel Hybrid Based Method in Covid 19 Health System for Data Extraction with Blockchain Technology
Authors: Robin C. R. Rene , Moses Diana , Babu D. Vijendra , Subramanian Balambigai , S Siva Shankar
Published: April 2023

Millions of people have been afflicted by the COVID-19 epidemic, which has resulted in hundreds of thousands of fatalities throughout the world. Extracting correct data on patients and facilities with and without COVID-19 with high confidence for medical specialists or the government is extremely difficult. As a result, utilizing blockchain technology, a reliable data extraction methodology for the COVID-19 database is constructed. In this accurate data extraction model development and validation study in blockchain technology for COVID analysis, here a novel Hybrid Deep Belief Lionized Optimization (HDBLO) approach is proposed. The weights of the deep model are optimized by the fitness of lion optimization. The implementation of this work is executed using MATLAB software. The simulation outcomes shows the effective performance of proposed model in blockchain technology in COVID paradigm in terms of Mean Absolute Error (MAE), Root Mean Square Error (RMSE), accuracy, F-measure, Processing time, precision and error. Consequently, the proposed approach is compared with the conventional strategies for significant validation.
The Maternity Leave and Cash Benefit Payment System for Readymade Garment (RMG) Sector of Bangladesh
Authors: Akter Salma
Published: April 2023

Maternity leave means the period of paid absence from work. This type of leave is allowed to a mother before and after the birth of a child. Naturally, the term maternity benefit is applied in case of working women. Mostly, it is related to readymade garment (RDM). It indicates the payment made to a woman for giving birth of a child. The duration of maternity leave for female worker in RMG sector of Bangladesh is 4 months (16 weeks) according to Labor Act 2006. The purpose of this study is to show the application of RMG sector’s maternity leave and to assess the level of cash benefit payment for maternity leave. The main purpose of this study is to show the discrimination between two kinds of factories (foreign owned and local owned) about the proper application of rules and Act. The information collected from those who are experienced to take maternity leave and recently take the leave and also who are preparing for the leave.

Frequency distribution has been used on the data extracted from female worker who have experience maternity leave and cash benefit payment. The result of this study is that there are two kinds of RMG sectors situations: one is called foreigner owned factory and another one is Bangali factory (local owner).Evidently, 60% get the cash payment with two terms before & after child born and 100% get the maternity leave. So, this paper will discuss about the differences of facilities, job security, cash payment, others opportunities for female in RMG sector.
Testing the Double Cause Hypothesis for Autoimmune Diseases, Dipalmitoylphosphatidylcholine Should be Measured in Plasma or Blood Vessels of Diabetes Type 1?
Authors: Arieli Ran
Published: May 2023

Introduction: The lung surfactant dipalmitoylphosphatidylcholine (DPPC) leaks into the blood, settling on the luminal aspect of blood vessels to create active hydrophobic spots. Nanobubbles are formed at these spots from dissolved gas. We hypothesized that when a large molecule in the blood comes into contact with a nanobubble at the active hydrophobic spots, its tertiary structure is disrupted. An exposed epitope may then prompt an autoimmune response. In a previous study, plasma DPPC in diabetes type 1 was higher in 2 samples from patients within 1.5 years in the disease compared to 8 others from longer time in the disease. Could these 1.5 years represent the previous time when active hydrophobic spots were formed? Methods: DPPC was measured in plasma of 10 diabetes type 1 patients within 1.5 years in the disease compared to 10 controls. Results: DPPC in the diabetic group was 1.17 ± 0.27 µg/ml , nonsignificantly higher than in the control group (1.51 ± 0.42 µg/ml ). Discussion: Leakage of DPPC from the lung to the plasma is not the limiting factor for buildup of the active hydrophobic spots. The heart of lupus mice contained more DPPC from the control mice. Further investigation, should explore the content of DPPC in the blood vessels from diabetic animals. If our hypothesis is proved true, it may open up considerable therapeutic potential.
Diagnostic Significance of Eosinophilic Pleural Effusion
Authors: Casalini Angelo , Mori Pier , Pisi Roberta , Maniscalco Federico , Corradi Massimo , Goldoni Matteo
Published: May 2023

A pleural effusion is defined as eosinophilic when eosinophils represent ≥ 10% of the total nucleated cell count, and accounts for approximately 10% of all pleural effusions. The diagnostic significance of eosinophilic pleural effusion has yet to be determined. Objective and Methods: A retrospective study was conducted on 65 patients with eosinophilic pleural effusion to evaluate the correlation between the percentage of eosinophils present in the pleural fluid and the benign or malignant nature of the effusion. An original aspect of current study was the evaluation of other variables in association with pleural eosinophilia, in particular pleural fluid lymphocytosis (≥ 50%), and the presence or absence of fever. Results: Data showed the trend towards a decrease in neoplastic incidence with increasing percentages of eosinophilic counts, although this correlation was not statistically significant. The presence of fever correlated with low incidence of neoplasms (10% of neoplastic effusions in patients with fever) and was the most significant variable (p=0.001), with a Negative Predictive Value of neoplastic disease of 90%, with sensitivity 92.6% and specificity 47.4%. When evaluated together with fever, eosinophils increased their discriminating sensitivity to the benign or malignant nature of the effusion but lost in specificity. When evaluated as absence or presence of lymphocytosis (≥50% lymphocytes), associated with eosinophilia, lymphocytes were significantly associated with the neoplastic nature of the effusion. Conclusions: the study showed that the finding of eosinophilic pleural effusion should not be considered an indicator of benignity of the effusion; the association of other parameters with eosinophilia, lymphocytosis of the pleural fluid and fever can provide more precise prognostic indications; a high percentage of eosinophils, the absence of lymphocytosis and the presence of fever would seem to be associated with a low probability of a neoplastic nature of the effusion.
On the Role of Empathy in Child Development and Psychotherapy: What is Empathy and How Does it Help?
Authors: Barish Kenneth
Published: May 2023

In this article, I will present a contemporary understanding of the nature of empathy and the importance of empathy in successful psychotherapy with children. This perspective highlights the intrinsic relationship of empathy and affect. I will consider how the child therapist’s empathy is expressed and offer a specific hypothesis on the therapeutic efficacy of empathic understanding in clinical work with children. Finally, I will discuss how the experience of empathic understanding is beneficial in the emotional life of the child and in all human relationships, throughout life.
Interpretation of Body Temperature and Oxygen Saturation based on Individual Normal Ranges in Habitual Condition: A Step Forward for Applied Precision Medicine
Authors: M Sund , I Hagman , E Grodzinsky
Published: May 2023

Background: Precision medicine aims to provide patients with care and treatment based on the individual's unique conditions. Current reference ranges for vital parameters are based on healthy reference populations at group level, usually male, individuals excluding long-term medical conditions and daily medication. This entails a risk of misinterpretation on each measurement occasion because a deviant value for the individual may be camouflaged by a normal value at group level. We believe that precision medicine in practice requires that values for vital parameters are interpreted in relation to the individual's normal range in habitual condition. Aim: To investigate body temperature and oxygen saturation in healthy and frail individuals, based on individual normal range in habitual condition. Methods: The sample consisted of 70 healthy individuals, 27 to 80y, 20 nursing home residents, 70 to 100y, and 32 patients in hospital-affiliated home care, 60 to 95y. Age, gender, physical ability, chronic disease, medication was documented. Ear temperature and oxygen saturation were performed for five mornings before getting out of bed and taking medicine, food or drink. Results: The range for body temperature in healthy subjects was 34.3°C to 37.7 °C and in frail elderly 34.5°C to 37.7 °C. No differences in the variation of normal range in body temperature was found between healthy and frail individuals, 0.7°C + 0.4°C, though the variation between min and max temperature were large; 2.4°C vs 2.7°C and 2.9°C vs 2.3°C in healthy and frail subjects, respectively. A max temperature of < 36.2°C was more frequent in healthy subjects. The range for oxygen saturation varied between 85% to 99%, in healthy subjects and 75% to 100% in frail elderly. No healthy subjects had a max oxygen saturation value <94%. Inflammatory processes influenced body temperature and oxygen saturation in frail elderly. Conclusion: To promote precision medicine and health our results show that it is necessary to interpret body temperature and oxygen saturation based on individual normal ranges in habitual condition. By interpreting deviations from the individual's normal interval, the possibility of necessary care efforts increases without delay, which can be decisive before further deterioration.
Rationale for Pre-Race Aspirin to Attenuate Risk for Marathon-Related Cardiac Arrest: Confounding the Legacy of Pheidippides
Authors: Siegel Arthur
Published: May 2023

While increasing levels of recreational sports participation are incrementally cardioprotective, strenuous physical exertion transiently increases the risk for acute cardiac events including sudden death. The frequency of marathon-related cardiac arrests has been increasing since the year 2000 mainly in middle-aged men due to atherosclerotic coronary artery disease. Coronary artery calcium scores and post-race cardiac biomarkers are recommended to identify runners who might benefit the most from pre-race aspirin for enhanced primary prevention.
Tuberculosis Elimination: Importance of Environmental Control and Creation of Carbon Neutral Hospitals and Sanatoriums
Authors: Viswanathan Vinod , M, Ch, Rathika
Published: May 2023

Tuberculosis is planned to be eliminated by 2035 using the end TB strategy by WHO. The strategy has moved on from the concept of TB control using microbiological methods of detection and therapy towards elimination strategies by addressing the social determinants of Tuberculosis. One such area of focus is environmental control and preventing the airborne spread of infection. The importance of environmental engineering and the creation of Carbon neutral hospitals as part of the Tuberculosis elimination strategy is discussed.