bluuebunny/crossref_metadata_2025 huggingface dataset:
Research note: Examining how various social media platforms have responded to COVID-19 misinformation
Authors: Krishnan Nandita , Gu Jiayan , Tromble Rebekah , Abroms Lorien C.
Published: December 2021

We analyzed community guidelines and official news releases and blog posts from 12 leading social media and messaging platforms (SMPs) to examine their responses to COVID-19 misinformation. While the majority of platforms stated that they prohibited COVID-19 misinformation, the responses of many platforms lacked clarity and transparency. Facebook, Instagram, YouTube, and Twitter had largely consistent responses, but other platforms varied with regard to types of content prohibited, criteria guiding responses, and remedies developed to address misinformation. Only Twitter and YouTube described their systems for applying various remedies. These differences highlight the need to establish general standards across platforms to address COVID-19 misinformation more cohesively.
The Impact of Colonial Policies on the Waata People of Kilifi County, Kenya, 1895-1963
Authors: Wambua Cyprian Kioko , Wekesa Peter Wafula , Mwangi Susan
Published: December 2021

The Waata community is among the indigenous Kenyan communities whose social, political, and economic organization has not been adequately studied. The objective of the study was to examine the impact of colonial policies on the history of the Waata people of Kilifi County in the period 1895-1963. The study was guided by the cultural interaction and identity formation theory. The study was conducted using the descriptive research design which offered a chronology of events as they unfolded over time. A qualitative approach was significant because it allowed an in-depth collection of data to ascertain the attitudes, feelings, and opinions concerning the theme under study. The study site was Kilifi County. The study targeted both males and females above 18 years within Kilifi County who were knowledgeable about the existence of the Waata people. Purposive and snowballing sampling techniques were used to select the sample for the study. One hundred and twenty-two participants were interviewed. The study used both primary and secondary data. Primary data was derived from the one-on-one interaction with participants using interview schedules and Key Informant Interviews, oral interviews, and focus group discussions. Question guides and questionnaires with open-ended responses were also used. Secondary data was obtained from critical analysis of books, articles, papers, thesis, and dissertations. Additionally, archival sources, particularly colonial documents, annual reports, correspondents, letters, diaries, and political record books related to the area under study were consulted. The findings of the study revealed that colonial policies impacted significantly on the history of the Waata forcing them to adapt to different lifestyles in order to survive cultural extinction. This adaptation was informed by the colonial labelling of traditional hunting communities like the Waata as poachers and the progressive government efforts to stop them from their traditional source of livelihood as well as their eviction from their indigenous habitats and creation of National Parks.
РОЗВИТОК ПОТЕНЦІАЛУ ІНВЕСТИЦІЙНОЇ ПРИВАБЛИВОСТІ НАЦІОНАЛЬНОЇ ЕКОНОМІКИ УКРАЇНИ В УМОВАХ ГЛОБАЛІЗАЦІЇ
Authors: Скороход І.П. , Зозуля Є.С.
Published: December 2021

У статті проаналізований обсяг іноземного інвестування в економіку України та визначені найбільші іноземні інвестори. Визначені обсяги іноземного інвестування окремих галузей національної економіки та найбільш привабливі галузі для іноземних інвесторів. Систематизовані основні проблеми, що перешкоджають залученню іноземних та національних інвестицій в економіку України, та запропоновані шляхи їх подолання. На сучасному етапі, в умовах структурної перебудови економіки України, активізація інвестиційної діяльності набуває особливого значення. Незважаючи на незначні позитивні зрушення процесу інвестиційної діяльності в Україні, інвестиційний клімат країни залишається досить несприятливим для капіталовкладень. Саме тому залишаються актуальними питання підвищення інвестиційної привабливості країни.
ОЦІНКА ТА ФАКТОРИ ВПЛИВУ НА ДІЄВІСТЬ ЦИФРОВИХ КОМУНІКАЦІЙ ПІДПРИЄМСТВА
Authors: Смирнова Т.А.
Published: December 2021

У сучасній ринковій економіці комунікації підприємства є основою стійких трансакційних відносин. Визначення факторів, що впливають на дієвість інтернет-комунікацій, і ефективне управління ними можуть створити умови для максимально ефективного використання інформації, що перебуває в розпорядженні підприємства, для досягнення його стратегії і поточних цілей, підвищення ринкової вартості підприємства й отримання конкурентних переваг в умовах динамічного ринкової середовища. У статті проаналізовано сучасний стан світових тенденцій у розвитку й використанні засобів інтернет-комунікацій у діяльності підприємств, а також виявлено фактори й показники, що впливають на дієвість інтернет-комунікацій за впливом на його джерела, та класифіковано інструменти інтернет-комунікацій за типом впливу на потенційного клієнта.
The Impacts of Public Administrative Quality on Profitable Enterprises in Vietnam
Authors: Truong Cong Bac , Hoang Doan Van
Published: December 2021

This study aims to understand the relationship between the quality of public administration and the rate of profitable enterprises by locality in Vietnam in the period 2015 - 2019. With a combined data set from two sources including The first is the Provincial Competitiveness Index (PCI) dataset jointly implemented by the Vietnam Chamber of Commerce and Industry (VCCI) with the support of the United States Agency for International Development (USAID) in Vietnam, the second is the "White Book of Vietnamese Enterprises" compiled and published annually by the General Statistics Office of Vietnam. Combined with panel data estimation method to assess the impact of public administration quality indicators on the rate of profitable enterprises by locality. Research results show that there exists a relationship between the quality of public administration and the rate of profitable enterprises. Especially the indicators of Entry Costs, Policy Bias, and Labor and Training have both positive and negative effects with very strong statistical significance.
Sporidesmiella lignicola sp. nov., a new hyphomycetous fungus from freshwater habitats in China
Authors: Li Xiao-Hong , Liu Yu-Lin , Song Hai-Yan , Hu Dian-Ming , Gao Yang , Hu Hai-Jing , Zhou Jian-Ping
Published: December 2021

Freshwater fungi, growing on submerged wood, can promote the degradation of organisms and the reuse of rotten wood energy and play key roles in freshwater ecosystems. Here, a new hyphomycetous fungus, Sporidesmiella lignicola, was isolated and identified from submerged wood samples collected in a small stream in Jiangxi Province, south-eastern China.

The new taxon was studied, based on morphological characters and phylogenetic analyses combined with LSU, ITS, TEF1α and RPB2 sequences data. Sporidesmiella lignicola was morphologically characterised by its pink colonies on PDA medium in prophase, macronematous, mononematous, solitary, brown, septate, unbranched, straight or slightly flexuous conidiophores with holoblastic, polyblastic, integrated, terminal, pale brown conidiogenous cells and cylindrical, narrowly clavate, broadly obovoid to cuneiform, 3–4-distoseptate, olivaceous brown or brown conidia with rounded apex. A phylogenetic tree was constructed, based on the combination of LSU, ITS, TEF1α and RPB2 sequences data.
A rare chromosomal polymorphism in a Kangayam bull (Bos indicus) of south India
Authors: Harshini Vemula , Kumarasamy P. , Karthickeyan S.M.K.
Published: December 2021

A chromosomal polymorphism was detected on karyological screening of Kangayam breeding sires prior to subjecting them for frozen semen collection. One bull possessed the chromosomal complement 2n = 60, consisting of 58 acrocentric autosomes, one large sub-metacentric X-chromosome, and one small acrocentric Y-chromosome with a small visible p-arm, which was further confirmed using CBG- and GTG-banding. This polymorphism was attributed to a heterochromatin variation of the acrocentric Y-chromosome routine in the Bos indicus Linnaeus, 1758 cattle.
Behavior, ecology and territory of the chestnut-bellied hummingbird, Saucerottia castaneiventris, in the xerophytic vegetation of the Chicamocha canyon of Colombia
Authors: Díaz Gerson Marcel Peñuela , Archila-Durán Ludy , Parra Jorge , Carvajal‑Cogollo Juan E.
Published: December 2021

The Chestnut-bellied Hummingbird Saucerottia castaneiventris is an endemic hummingbird of Colombia, currently categorized as Near Threatened (NT) globally and as Vulnerable (VU) in Colombia. We characterize the territorial defense and foraging behaviors of S. castaneiventris hummingbird during different seasons of the year, and we determined the size of the S. castaneiventris territory and its relationship with floral abundance at different times of the year. We made four field trips between 2008 and 2009 and registered 19 individuals from S. castaneiventris. Of these, 10 were in the rainy periods, distributed in five territories (one male and one female for each). Eight were in the dry period (July), distributed in four territories. And one individual was in the dry period of February, which did not settle in any of the identified territories. Territorial defense occupied a large part of species’ time. The nectar drinking, and insect hunting were the most frequent activities. The most common floral resources were Opuntia dillenii, Tillandsia sp. and Aloe vera. The hummingbirds Chlorostilbon gibsoni and Doryfera ludoviciae shared habitats with S. castaneiventris and there were fluctuations in encounter rates between the seasons (C. gibsoni ER: 20–7.5 and D. ludoviciae and ER: 0.0–2.5). Territories ranged between 1800 and 3800 m2 for the dry season and between 1500 and 6500 m2 for the rainy season. Our results provided primary information on the ecology of S. castaneiventris and form the basis for the formulation of conservation strategies for the species and for its habitats..
Transmettre et hériter. Les deux versants du don
Authors: Prieur Nicole
Published: December 2021

La transmission, que ce soit de biens, de valeurs, de savoir-faire est un besoin humain qui nous inscrit dans notre dignité, notre responsabilité et notre histoire. Cela opère un continuum entre présent, passé et avenir. Que ce soit du vivant des parents ou post-mortem, l’héritage est sans doute le moment où jamais les niveaux économique et extra économique ne sont autant entremêlés. L’héritage ne laisse personne indifférent tant il est constitué de transmissions implicites, impalpables, immatérielles, inconscientes et pourtant si puissamment agissantes. Cela questionne les uns dans leur manière de donner, de penser le don et les autres dans leur manière de recevoir et de considérer ce qui est reçu. Anticiper ce passage en tant que donateur, s’y préparer en tant que donataire peut permettre de faire de ce don ultime un cadeau et non un poison.
Les guerres et guéguerres familiales… à propos d’argent et de partage
Authors: Roberti Guillaume
Published: December 2021

Les querelles ou guéguerres entre frères et sœurs à l’occasion de la transmission du patrimoine de leur père ou mère trouvent souvent leur origine dans l’absence de confiance ou de communication entre enfants ou dans leur volonté d’une égalité (en valeur) presque impossible. Parfois des querelles opposeront aussi les enfants au conjoint ou partenaire du parent décédé, mais c’est là une autre histoire. C’est de la manière dont les parents auront pu transmettre à leurs enfants, dans un climat de confiance et d’égale affection, l’art de partager et le sens de la justice, que dépendront le plus souvent la paix et la sérénité lors de la transmission.
Prévention des TCA en milieu scolaire : perspective développementale
Authors: Duclos Jeanne , Cook-Darzens Solange
Published: December 2021

Développer des stratégies efficaces de prévention des troubles du comportement alimentaire ( tca ) est primordial compte tenu de la gravité de leurs conséquences, de leur risque d’évolution chronique et des taux de guérison qui restent modestes. La période d’âge scolaire est très concernée par les tca . À ce titre, les partenaires de l’enfance restent les acteurs incontournables du dépistage précoce et de leur prévention. Ces professionnels doivent être sensibilisés et formés à leurs dépistages, savoir comment transmettre des messages de prévention adéquats. Pour ce faire, nous résumons, dans cet article, différents concepts et définitions liés à la prévention, une synthèse développementale de la littérature empirique et des illustrations empirico-cliniques de prévention universelle, sélective et ciblée.
Des vécus de carences au désespoir essentiel. Avec Jonas, neuf  ans
Authors: Desveaux Jean-Baptiste , Georgelin Mélanie
Published: December 2021

Dans cet article, nous proposons de penser les vécus de carences d’enfants et d’adolescents accueillis en Institut thérapeutique éducatif et pédagogique ( itep) , et leurs nombreux retentissements sur le plan psychique, relationnel et social. Les aménagements antisociaux, qui émergent comme une tentative de solution face aux carences précoces, viennent bouleverser radicalement l’économie psychique du sujet tout autant que son écologie psychique subjective, altérant les liens relationnels et intersubjectifs. Nous abordons ainsi le cas de Jonas, 9 ans, sous l’égide de la dialectique espoir/désespoir et tentons de montrer en quoi elle est au cœur de cette clinique de l’extrême. Il s’agit enfin de dégager des propositions psychothérapeutiques, dans une perspective post-winnicottienne.
Entre mépris et passion du monument : Fontenelle, Falconet, Diderot
Authors: Chassot Fabrice
Published: December 2021

Les Nouveaux dialogues des morts démystifient le monument. Fontenelle y promeut une sagesse du carpe diem avec Scarron pour modèle. Disputant avec Falconet sur la postérité, Diderot s’insurge contre ce naturalisme hédoniste. Il répond à Fontenelle en réhabilitant le monument, qu’il conçoit comme un vecteur d’énergie unissant passé, présent et futur, si bien que l’aspiration à la grandeur et l’humanisme deviennent possibles et légitimes en régime matérialiste.
Distance de classe, distance ethnique ? La réception des prétentions à la représentation politique à Saint-Laurent-du-Maroni (Guyane)
Authors: Guyon Stéphanie
Published: December 2021

À partir d’une enquête ethnographique, et à travers deux figures de candidat·es (le maire créole et son opposante amérindienne), cet article analyse les transformations des relations entre représentant·es et représenté·es des groupes minorisés à Saint-Laurent-du-Maroni (Guyane) dans les années 2000. Il appréhende le rôle de l’homologie sociale dans la perception qu’ont les habitant·es de celles et ceux qui prétendent les représenter et ce qui forge le sentiment d’être bien représenté à l’intersection du genre, de l’ethnicité et de la classe. Il s’intéresse aussi à la politisation des enjeux de représentation de ces groupes et à ses effets sur les relations de clientèle.
Représenter le fait religieux dans les séries Vikings et The Last Kingdom
Authors: Gautier Alban
Published: December 2021

Les deux premières saisons de Vikings et The Last Kingdom ont été diffusées à la télévision en 2013-2014 et 2015-2017 : Vikings s’inspire librement de sagas islandaises médiévales tandis que The Last Kingdom adapte les Saxon Stories du romancier Bernard Cornwell. Les deux séries semblent obsédées par la question religieuse, au point de représenter la confrontation entre Scandinaves et Anglo-Saxons comme un affrontement surtout religieux. Le polythéisme scandinave y bénéficie d’une image d’ouverture et de tolérance, alors que le monothéisme chrétien est dépeint comme une foi morbide et fanatique. Cette opposition sans nuances, qui n’a que peu à voir avec les travaux historiques actuels, reprend des idées « boréalistes » du xix e  siècle sur la valeur des cultures nordiques et germaniques, alors répandues dans le monde anglophone.
Le concept de la liberté individuelle dans la perspective du droit constitutionnel allemand
Authors: Arnold Rainer , Fickentscher Toni
Published: December 2021

Le principe de la liberté est le fondement de l'ordre constitutionnel allemand et un élément essentiel de la valeur constitutionnelle suprême de la dignité humaine. La conception de la liberté individuelle, qui est aujourd'hui comprise de manière étroite par le Conseil constitutionnel français, correspond à la « liberté de la personne » en droit allemand, ancrée dans l'art. 2 (2) phrase 2 de la Loi fondamentale (LF) et concrétisée par l'art. 104 LF, qui précise les conditions d'intervention pour la restriction et la privation de liberté. Sur la base de la jurisprudence de la Cour constitutionnelle fédérale (CCF), les aspects essentiels de cette garantie de liberté – après une brève démarcation par rapport aux autres garanties de liberté – sont présentés, qui est d'une grande importance avant tout en tant que garantie d' habeas corpus , mais qui protège également la liberté de mouvement au-delà.
“I’m a child of Lee Kuan Yew, cannot help it”: Students’ narratives on language and ethnic planning in Singapore
Authors: Forlot Gilles
Published: December 2021

This article examines the perceptions of young Singaporean university students on their country’s language policies and their own linguistic practices. The central objective of this text is to analyze the somewhat ambivalent discourses that these youths engage in when it comes to discussing the language policies implemented by their elders in Singapore. The discourses analyzed here express feelings that range from legitimization of the choices made by the first rulers of independent Singapore to resentment for creating artificial and essentialist categories which led to language loss, language shift and communicative barriers. Their testimonies also reveal that these students are aware of the ways languages and ethnicities have been commodified and instrumentalized towards both the manufacturing of the state and its national narrative. The article also examines how some Singaporean Chinese students position themselves critically vis-à-vis the homogeneous Chineseness that was imposed onto them via the post-independence Mandarin-only policy.
Reimagining Education
Authors: Kopparla Mahati , Pathak Aditi
Published: December 2021

There is general recognition that ‘Education has the power to transform the world' and equip young people to build a sustainable and peaceful world. As a step towards understanding the current state of education and collectively reimagining the future of education, a series of focus group discussions were conducted with students, teachers, and parents from all over the world. Eight prominent themes emerged from the participant discussion as follows: (1) education as a means to an end, (2) external influences on education system, (3) test centric system of education, (4) constrained curriculum and teaching practices, (5) education as a social and emotional activity, (6) school climate and power dynamics in the classroom, (7) educational infrastructure, and (8) technology and remote learning. Based on participant insights, the major issues in education, emerging innovative solutions, and recommendations for the future are discussed.
Integrating 21st Century Competencies Into a Digital Teaching and Learning Model
Authors: Rice-Stevenson Rosalind
Published: December 2021

Globalization and technology are two features of the modern world impacting all activity, and the resultant effect on education is causing much to be questioned about the teaching and learning paradigm. Ways in which the learning experience must change in response to changing global demands placed on societies and economies forms a large part of the current discourse around reforming education. This chapter puts forward a definition of globalization, 21st century skills, and the four main competencies known as the 4Cs, and then makes links between these phenomena as a way of understanding the digitization of education. The connections are possible through a process of gathering reflections and experiences from experienced educational practitioners.
Physiotherapy Education During COVID-19
Authors: Qutishat Dania , Mohammad Maha T.
Published: December 2021

The Bachelor of Science in physiotherapy is a four-year program that has been offered at The University of Jordan since 1999. Just like all other educational programs across the world, teaching pedagogy in this program underwent a major overhaul due to the COVID-19 pandemic. In this chapter, the changes implemented in this program due to the pandemic and a discussion of their different aspects are presented. First, an overview of traditional teaching model and all the changes it underwent during the first year of the pandemic are presented. After that, specific aspects of the changes are addressed in depth and discussed in light of evidence from the literature. These include changes made to clinical and practical education, modifications of assessment methods, and responses and adjustments of students and faculty members. The chapter concludes with recommendations for future implementation of online teaching in physiotherapy education.
Assessment of 21st Century Skills
Authors: Basnal Garima
Published: December 2021

This chapter describes an action research in which creative story writing was used to assess student understanding of graph construction. Students were encouraged to write stories involving motion and visually depict verbal descriptions of stories in the form of tables and line graphs. Student work revealed several misconceptions held by students vis-à-vis writing motion-based stories, tabulation of data, plotting of graphs, and establishing congruence between stories and graphs. This study suggests several feedback measures that can be used by teachers to rectify these misconceptions.
The Opinions of Field Experts on the Usability of Internet-of-Things Technology in Open and Distance Learning Environments
Authors: Altınpulluk Hakan , Kilinc Hakan
Published: December 2021

Within the scope of this study, it is aimed to determine the usability of the Internet of Things Technology in open and distance learning environments. In this context, the phenomenology method was used in order to get the opinions of field experts. The criterion sampling method, which is one of the purposeful sampling methods, was used in determining the participants. As a criterion, it is taken into account that the participants are experts in the field of open and distance learning. In this context, 8 field experts contributed to the study. The findings obtained at the end of the study, internet of things technology; It clarifies how it can be used in traditional face-to-face learning environments and open and distance learning environments, what benefits it can provide, what are its limitations, its future usage trends, and how it can be used outside of learning environments.
Why Does Privacy Paradox Exist?
Authors: Chhabra Sakhhi
Published: December 2021

In this exploratory study, the main aim was to find, ‘why do people disclose information when they are concerned about their privacy?’. The reasons that provide a plausible explanation to the privacy paradox have been conjectural. From the analysis of the eighteen in-depth interviews using grounded theory, themes were then conceptualized. We found rational and irrational explanations in terms of cognitive biases and heuristics that explain the privacy paradox among mobile users. We figured out some reasons in this context of mobile computing which were not emphasized earlier in the privacy paradox literature such as Peanut Effect, Fear of Missing Out- FoMo, Learned Helplessness, and Neophiliac Personality. These results add to the privacy paradox discourse and provide implications for smartphone users for making privacy-related decisions more consciously rather than inconsiderately disclosing information. Also, the results would help marketers and policymakers design nudges and choice architectures that consider privacy decision-making hurdles.
Impact of Intermediary and Seller Trust on Consumer Repurchase and E-WOM Intentions
Authors: Rahman Arifur , Ahmed Tanvir , Daiyan Ali Imran , Al Mamun Md. Abdullah
Published: December 2021

This study investigates the impact of intermediary and seller trust on consumers' repurchase intention and electronic word-of-mouth (e-WOM) intention. A total of 337 consumers with online-buying experience were surveyed using a self-administered questionnaire. For the research purpose, a model was developed and tested using the PLS-SEM technique. In this instance, trust in a competent intermediary is formed on perceived benevolence and integrity. The moderating roles of demographics and purchase frequency were tested using a multigroup analysis. The results strongly support the research model, indicating that: (1) trust in competent intermediaries has a significant influence on consumers’ repurchase and e-WOM intention; (2) trust in consumer electronics (CE) sellers has an influence on repurchase intention but not e-WOM intention; and (3) age, gender positively affect the trust transference process, while purchase frequency affects e-WOM intention. This research presents new theoretical and managerial implications for online electronics marketing.
Examining the Interconnections Between E-CRM, Customer Experience, Customer Satisfaction and Customer Loyalty
Authors: Mokha Anupreet Kaur , Kumar Pushpender
Published: December 2021

This study examines the impact of electronic customer relationship management (E-CRM) on customer loyalty through the mediating effects of customer experience and customer satisfaction in the context of the banking industry. Customer experience and customer satisfaction are considered to be pre-requisite tools for improving and enhancing long-lasting relationships with customers. The study has adopted Stimulus-Organism-Response (S-O-R) model as theoretical support to examine the relationships. To achieve the objectives, the data was gathered from 836 banks’ customers of India. The data was then analyzed using structural equation modeling (SEM) through AMOS. The results revealed that all the relationships were found to be significant and positive and also customer experience and customer satisfaction proved to be mediators on the relationship between E-CRM and customer loyalty. Thus, these empirical results will have both theoretical and managerial implications which will further provide useful insights to the bank managers to improve their long-term relationships with the customers.
Tecnologia educativa para cuidados e prevenção do pé diabético/Educational technology for care and prevention of diabetic foot ulcers
Authors: Arruda Cecilia , Willrich Boell Julia Estela , Guerreiro Vieira da Silva Denise Maria , Geraldo Rozza Lopes Soraia , Lauterte Priscylla , Junkes Cintia
Published: December 2021

Objetivo: delinear o percurso metodológico da criação de uma tecnologia educativa para a prevenção do pé diabético. Método: pesquisa metodológica que utilizou um caminho sistematizado para criar uma tecnologia educativa para a prevenção do pé diabético, seguindo as seguintes etapas: 1) Reunião de conteúdos produzidos pelo Laboratório de Pesquisa e Tecnologia em Enfermagem e Saúde a Pessoas em Condição Crônica; 2) Revisão bibliográfica; 3) Diálogo entre pesquisadoras e enfermeiras de um hospital; 4) Definição do conteúdo técnico e abordagem pedagógica; 5) Descrição do passo a passo do processo educativo, os materiais necessários e a abordagem pedagógica; 6) Treinamento da equipe de pesquisadoras para a realização da tecnologia educativa; 7) Teste piloto com pessoas com diabetes, internadas em unidades médico-cirúrgicas de um hospital. Resultados: a tecnologia educativa criada pautou-se na sistematização das ações “OUVIR-VER-FAZER”, incluindo a orientação e demonstração dos cuidados com os pés pelo profissional de saúde, usando materiais que permitem a simulação desses cuidados em um pé modelo e, em seguida, a reprodução dos cuidados pela pessoa com diabetes. Conclusão: a tecnologia educativa, construída sob uma perspectiva pedagógica problematizadora, é uma ferramenta assistencial de baixo custo e simples aplicação que pode contribuir para a prevenção do pé diabético.
O vivido de mulheres no puerpério: (des)continuidade da assistência na maternidade e atenção primária/ The living of women in the puerperal period: (dis)continuity of care in maternity and primary care
Authors: Aparecida dos Santos Silva Canario Marcia , Aparecida Maciel Cardelli Alexandrina , Caldeira Sebastião , Valongo Zani Adriana , Aparecida Baggio Maria , Aparecida Pimenta Ferrari Rosangela
Published: December 2021

Objetivo: compreender a vivência da mulher quanto à continuidade da assistência puerperal na atenção primária à saúde, em municípios do estado do Paraná, orientados pela Rede Mãe Paranaense. Método: trata-se de pesquisa qualitativa com uso do referencial teórico-metodológico de Alfred Schütz, realizada por meio de entrevista semiestruturada, com 23 mulheres, em quatro municípios de uma Regional de Saúde do Estado do Paraná, Brasil, entre março e setembro de 2018. Resultados: identificaram-se três categorias: 1) Puerpério imediato: preparo para a alta da maternidade e cuidado na atenção primária à saúde; 2) Puerpério tardio: continuidade do cuidado à mulher na atenção primária à saúde; 3) O cuidado no período puerperal na atenção primária à saúde: expectativas maternas. Conclusão: os municípios em estudo ainda não oferecem um acompanhamento sistemático da saúde da mulher no período puerperal, culminando para a baixa resolutividade, acesso e integralidade, o que consequentemente remete para a exposição ao maior risco de agravos no puerpério devido às restritas ações de promoção e prevenção pelos profissionais de saúde.
Vulnerabilidade de mulheres ao estupro marital: reflexões a partir do contexto da pandemia da covid-19/Vulnerability of women to marital rape: reflections from the pandemic context covid-19
Authors: Pereira Gomes Nadirlene , Conceição Guimarães de Almeida Lilian , Moura Campos Luana , Damasceno de Santana Jéssica , Barbosa de Jesus Rafaela , Mendes da Silva Santos Jamile , Nascimento dos Santos Mascarenhas Rebeca
Published: December 2021

Objetivo: refletir sobre as vulnerabilidades de mulheres ao estupro marital durante a pandemia da Covid-19. Método: estudo teórico-reflexivo realizado em maio de 2020 a março de 2021 para fundamentação teórica de uma tese de doutorado estruturado a partir dos aportes teóricos de Heleieth Saffioti, que versam sobre gênero e violência, e José Ricardo Ayres para embasar as análises a partir da perspectiva de vulnerabilidade. Resultados: a vulnerabilidade de mulheres ao estupro marital pode estar acentuada em virtude da intensificação do convívio do casal no período pandêmico. Pode-se, a partir dessa perspectiva, identificar o caráter individual, social e programático do fenômeno, incluindo situações como as mulheres não se reconhecem nessa vivência; a escassez de emprego nesse período e a dificuldade de acesso à rede de apoio. As construções sociais de gênero amparam as práticas de violência nas relações conjugais quando naturalizam as posturas machistas e patriarcais. Considerações Finais: as vulnerabilidades enfrentadas por essas mulheres são reflexo da perpetuação de comportamentos desiguais de gênero, os quais podem se apresentar de uma forma mais incisiva na pandemia da Covid-19. Nesse sentido, profissionais de diversas áreas devem utilizar novas tecnologias para o acesso, como o atendimento remoto e uso de mídias sociais online.

Objetivo: refletir sobre as vulnerabilidades de mulheres ao estupro marital durante a pandemia da Covid-19. Método: estudo teórico-reflexivo realizado em maio de 2020 a março de 2021 para fundamentação teórica de uma tese de doutorado estruturado a partir dos aportes teóricos de Heleieth Saffioti, que versam sobre gênero e violência, e José Ricardo Ayres para embasar as análises a partir da perspectiva de vulnerabilidade. Resultados: a vulnerabilidade de mulheres ao estupro marital pode estar acentuada em virtude da intensificação do convívio do casal no período pandêmico. Pode-se, a partir dessa perspectiva, identificar o caráter individual, social e programático do fenômeno, incluindo situações como as mulheres não se reconhecem nessa vivência; a escassez de emprego nesse período e a dificuldade de acesso à rede de apoio. As construções sociais de gênero amparam as práticas de violência nas relações conjugais quando naturalizam as posturas machistas e patriarcais. Considerações Finais: as vulnerabilidades enfrentadas por essas mulheres são reflexo da perpetuação de comportamentos desiguais de gênero, os quais podem se apresentar de uma forma mais incisiva na pandemia da Covid-19. Nesse sentido, profissionais de diversas áreas devem utilizar novas tecnologias para o acesso, como o atendimento remoto e uso de mídias sociais online.
Tendência da mortalidade feminina por agressão no nordeste brasileiro / Trend of female mortality by aggression in brazilian northeast
Authors: Conceição Hayla Nunes da , Coelho Sara Ferreira , Nascimento Fernando Ferraz do , Andrade Jesusmar Ximenes , Madeiro Alberto Pereira
Published: December 2021

Objetivo: analisar a tendência da mortalidade feminina por agressão na região Nordeste do Brasil entre 2000-2017. Métodos: trata-se de estudo ecológico, de série temporal, sobre a mortalidade feminina por agressão, com dados do Sistema de Informação sobre Mortalidade. Avaliaram-se todos os óbitos femininos codificados como X85-Y09 da Classificação Internacional de Doenças (versão 10). Empregou-se o método Joinpoint para a análise da tendência dos coeficientes de mortalidade por estado, com cálculo da variação percentual anual (VPA) e intervalos de confiança de 95% (IC95%). Resultados: registraram-se 21.350 óbitos, com aumento de 130% entre 2000 e 2017. Observou-se tendência de aumento no coeficiente de mortalidade em toda a região Nordeste (VPA= +4,3; IC95% 3,6; 5,0). Houve tendência de queda apenas em Pernambuco (VPA=-1,7; IC95% -2,6; -0,8) e aumento nos demais estados. Conclusão: houve tendência de aumento da mortalidade feminina por agressão, evidenciando que a violência contra a mulher permanece como grave problema de saúde pública na região.
O cuidado ao jovem em sofrimento mental na pandemia covid-19: uma reflexão teórica/The care of young people in mental distress in the covid-19 pandemic: a theoretical reflection
Authors: Wünsch Carla Gabriela , Hinnah Borges Martins de Freitas Bruna , De Almeida Rézio Larissa , Munhoz Gaíva Maria Aparecida , Prado Kantorski Luciane
Published: December 2021

Objetivo: refletir sobre o cuidado em saúde de jovens em sofrimento mental no contexto da Covid-19. Método: trata-se de um estudo teórico-reflexivo organizado em três partes. Resultados: discutiram-se as seguintes perspectivas: jovens em sofrimento mental no contexto da pandemia da Covid-19; impactos da Covid-19 nos serviços de atenção à saúde mental voltados aos jovens; e novas perspectivas de cuidado ao jovem em sofrimento mental durante e após a pandemia do novo coronavírus. Considerações finais: os serviços de atenção psicossocial também foram impactados pela doença e encontram-se em processo de adaptação e incorporação de novos recursos tecnológicos para assegurar o suporte emocional e a atenção à saúde desses jovens, mesmo com as medidas de distanciamento físico impostas. O jovem contemporâneo parece familiarizado com diversos dispositivos tecnológicos, mas o contexto de desigualdade social por vezes impossibilita o acesso a esses dispositivos e à rede de internet. Faz-se necessário repensar as práticas de saúde mental e articular o cuidado a projetos culturais, canais de televisão e rádio para viabilizar espaços para orientações gerais e manifestações artísticas que podem ser promovidas por meio do fortalecimento das redes sociais.
Reiki no cuidado de enfermagem: imaginário e quotidiano de pessoas e de famílias vivenciando o câncer
Authors: Mendes Diego Cezar , Nitschke Rosane Gonçalves , Tholl Adriana Dutra , Viegas Selma Maria da Fonseca , Tafner Daniela Priscila Oliveira do Vale , Potrich Tassiana , Henckemaier Luizita
Published: December 2021

Objetivo: Compreender o imaginário do Reiki integrado ao cuidado de Enfermagem no quotidiano de pessoas e de famílias em vivência do câncer. Metodologia: Pesquisa Convergente Assistencial fundamentada na Sociologia Compreensiva e do Quotidiano, realizada com 20 participantes em uma clínica de tratamento oncológico e hematológico no sul do Brasil, de julho a dezembro de 2018. Aprovação pelo Comitê de Ética e Pesquisa, n.º 2.765.976; realizaram-se de três a cinco sessões de Reiki, e após cada sessão, entrevista aberta individual com roteiro semiestruturado. Adotou-se o Processo de Cuidar em Enfermagem considerando o Quotidiano e o Imaginário em Saúde.  A Análise dos dados seguiu a propostada Análise Temática. Resultados: O Imaginário sobre o Reiki, integrado ao cuidado de Enfermagem no quotidiano de pessoas e de famílias que vivenciam o câncer, delineia a experiência com o Reiki e os seus significados, apontando os benefícios de sentir-se bem, atenuação ou desaparecimento das dores; equilíbrios energético, emocional, espiritual e físico. Considerações Finais: O imaginário sobre o Reiki mostrou uma experiência que permitiu vivenciar a desmistificação da doença, a atitude positiva - enquanto potência para seu enfrentamento -, possibilitou emergir a força vital de cada pessoa e família, promovendo a saúde no viver e conviver, a partir da razão sensível.
A System for In Vitro Generation of Mature Murine Plasma Cells Uncovers Differential Blimp-1/Prdm1 Promoter Usage
Authors: Robinson Emily , Care Matthew A , Walker Kieran , Campbell Michelle , Tooze Reuben M , Doody Gina M
Published: December 2021

Upon encounter with Ag, B cells undergo a sequential process of differentiation to become Ab-secreting plasma cells. Although the key drivers of differentiation have been identified, research has been limited by the lack of in vitro models recapitulating the full process for murine B cells. In this study, we describe methodology using BCR or TLR ligation to obtain plasma cells that are phenotypically mature, have exited cell cycle and express a gene signature concordant with long-lived plasma cells. Dependent on the initial stimuli, the transcriptomes also show variation including the enhanced expression of matrisome components after BCR stimulation, suggestive of unique functional properties for the resultant plasma cells. Moreover, using the new culture conditions we demonstrate that alternative promoter choice regulating the expression of the master transcription factor Blimp-1/Prdm1 can be observed; when the canonical B cell promoter for Prdm1 is deleted, differentiating B cells exhibit flexibility in the choice of promoter, dictated by the initiating stimulus, with preferential maintenance of expression following exposure to TLR ligation. Thus our system provides a readily tractable model for furthering our understanding of plasma cell biology.
Tuberculostearic Acid, a Potential Parameter for Scoring System Construction for Tuberculous Meningitis Diagnosis
Authors: Fong Tsz Hei , Shi Wangpan , Li Siyi , Liu Guanghui , Ng Chung Lam , Jiang Haishan
Published: December 2021

Background:

This study aimed to validate the value of tuberculostearic acid (TBSA) whether it could implicate the existence of Mycobacterium tuberculosis (Mtb) and assist for the clinical diagnosis of tuberculous meningitis (TBM).

Methods:

The patient's cerebrospinal fluid (CSF) specimen was collected through the lumbar puncture and detected for TBSA with gas chromatography/mass spectrometry. At the same time, gold standard tests, i.e., CSF direct culture, CSF smear microscopy, or nucleic acid amplification tests, for Mtb were routinely performed. Furthermore, we evaluated all patients by the Lancet consensus scoring system, which classifies suspected patients to “Definite (depend on gold standard results only),” “Probable (>10 pts without imaging or >12 pts with imaging information),” “Possible (6–9 pts without imaging or 6–11 pts with imaging),” and “Not (<6 pts or with alternative diagnoses)” TBM.

Results:

In total, 140 patients were admitted for our study included 27 confirmed TBM patients and 50 TBSA-positive patients. Sensitivity (0.7407, confidence interval [CI] 95%: 0.5372–0.8889) and specificity (0.7345, CI 95%: 0.6432–0.8132) were calculated. The Lancet consensus scoring system was also applied to evaluate the possibility of TBM in suspected patients, finding that TBSA-positive patients showed a similar grouping distribution as the definite TBM patients.

Conclusions:

Our study implicates that the prospective utilization of TBSA is worth combining into a scoring system for characterizing the features of Mtb, showing a great potential of TBM diagnosis by TBSA in future.
Abdominal Tuberculosis
Authors: Dhali Arkadeep , Das Kausik , Dhali Gopal Krishna , Ghosh Ranajoy , Sarkar Avik , Misra Debashis
Published: December 2021

Background :

Tuberculosis (TB) is common form of communicable disease in India. Abdominal TB is one of the most common yet misdiagnosed forms of extrapulmonary TB. It is missed due to its similarity to other conditions such as Crohn's disease and nonspecific clinical presentation.

Methods:

Medical records of 317 patients who were diagnosed with abdominal TB from August 2015 to December 2020 were reviewed retrospectively from our prospectively maintained database.

Results:

Among 317 patients, 167 (52.7%) were male. Median age of presentation was 45 (8–85) years. Luminal involvement was seen in most of the patients (n = 157, 49.5%), followed by peritoneal (n = 63, 19.8%), mixed (n = 42, 13.2%), solid visceral (n = 30, 9.4%), and nodal (n = 25, 7.8%) involvement. Two hundred and sixty-one (82.3%) showed complete response. Seven (2.2%) patients died and 5 (1.6%) patients lost to follow-up. Median duration of treatment was 28 (25–52) weeks. Drug-induced liver injury was identified in 30 (9.5%) patients. Median follow-up duration was 32 (1–70) months.

Conclusion:

Abdominal TB is quite a diagnostic challenge due its vague clinical symptoms, nonspecific radiological features, and poor sensitivity and specificity of diagnostic tests. Hence, clinicians should have a high index of suspicion to diagnose and treat this treatable yet lethal condition promptly. Most cases respond very well to medical management and a small fraction requires surgical intervention if diagnosed early.
The Diagnostic Yield and Safety of Sputum Induction in Suspected Pulmonary Tuberculosis
Authors: Khan Mohammed Ayaz , Rajendram Rajkumar , Al-Harbi Abdullah , Al-Ghamdi Majed , Masuadi Emad , Obaidi Mostafa , Al-Jahdali Hamdan
Published: December 2021

Background:

Sputum smear microscopy examination and culture for tuberculosis (TB) remain a fundamental tool of diagnosis but may be negative up to 50% case of active pulmonary TB. Bronchoscopy to obtain sputum is invasive and not readily available. Alternative methods of obtaining sputum specimens are crucial in suspected pulmonary TB cases who are unable to expectorate. In this context, it may be beneficial to stimulate sputum production by administering a mist of hypertonic saline produced by ultrasonic nebulization. The aims of the study are to describe the experience of a tertiary center in Saudi Arabia with sputum induction (SI) for the investigation of patients suspected to have sputum scare TB.

Methods:

A retrospective cohort study was performed. All patients suspected of sputum scare TB and investigated with SI were included. Standard descriptive statistics were used. Categorical data presented as frequency were compared using the Chi square test. Continuous data presented as mean ± standard deviation were compared using Student's t test. Sensitivity, specificity, and predictive values were calculated.

Results:

Of 252 patients with suspected TB who underwent SI, 78 (31%) were ultimately diagnosed to have TB. Culture of induced sputum confirmed the diagnosis of TB in 44 (56.4%) of these patients. However, the diagnosis of TB would have been missed in 13.5% of the cohort if no further investigations were done. The incidence of complications was low. No patients required hospitalization or specialist intervention.

Conclusions:

SI is safe well tolerated and inexpensive. It may reduce the need for bronchoscopy in patients with suspected sputum scare TB. However, around 20% of TB can be missed by SI unless further investigations are performed. Hence, patients suspected to have sputum scare TB in whom the risk of bronchoscopy is high, a clinical decision on the appropriateness of empirical therapy is often required.
Evaluation of Plasma Amyloid Peptides Aβ1-40 and Aβ1-42 as Diagnostic Biomarker of Alzheimer's Disease, its Association with Different Grades of Clinical Severity and 18F-Fluorodeoxyglucose Positron Emission Tomography Z score in the Indian Population
Authors: Soni Hariom , Goyal Manoj Kumar , Sarma Phulen , Singh Harmandeep , Modi Manish , Sharma Anchal , Mohanty Manju , Vishnu Venugopalan Y. , Kumar Ashok , Mittal Bhagwant Rai , Medhi Bikash
Published: December 2021

Background:

We estimated plasma amyloid-peptides levels (Aβ1-42 and Aβ1-40) as diagnostic biomarker of Alzheimer's disease (AD) and evaluated its association with clinical severity and 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) Z score of the different brain regions in the Indian population.

Patients and Methods:

A case-control study was conducted. Diagnostic and statistical manual-IV, Dubois, and NIA-AA criteria were used for the diagnosis of AD. The plasma Aβ1-42 and Aβ1-40 concentration and 18F-FDG PET Z score were estimated for different brain regions.

Results:

Forty-seven cognitive impairment patients (AD = 29, mild cognitive impairment = 18) and 33 age-matched controls were enrolled. Plasma Aβ1-42 level was significantly higher in the AD group compared to controls (P = 0.046) and a cut-off >5.7 ng/mL has a specificity of 96.9%, sensitivity of 27.6%, positive predictive value 88.9%, and negative predictive value 60.4% for differentiating AD patients from controls. Significant correlation was seen between Aβ1-40/Aβ1-42 ratio and 18F-FDG PET Z score in the bilateral-parietal, temporal, frontal-association area, and posterior-cingulate areas.

Conclusion:

As a diagnostic biomarker of AD, plasma Aβ1-42 level showed good specificity but low sensitivity in the Indian population.
Rheumatoid Arthritis with Generalized Lymphadenopathy Mimicking Lymphoma on Positron Emission Tomography/Computed Tomography with 18F-Fluorodeoxyglucose
Authors: Filippi Luca , Caruso Gianluca , Bagni Oreste , Ciacciarelli Marco , Polidoro Alessandro , Iuliano Luigi
Published: December 2021

A 42-year-old male presented with weight loss and progressively increasing pain and swelling in joints over the past 3 months. Contrast-enhanced computed tomography (CT) demonstrated pleuropulmonary opacities and supra/infradiaphragmatic lymph nodes enlargement. Positron emission tomography (PET/CT) with 18F-fluorodeoxyglucose showed intensely increased tracer uptake in joints, in pulmonary opacities, as well as in thoracic, iliac, and inguinal nodes. On suspicion of lymphoma with synovial involvement, he was submitted to lymph node and synovial biopsy, which revealed reactive follicular lymphadenopathy and synovium inflammatory changes, respectively. Rheumatoid factor resulted increased, and thus, diagnosis of rheumatoid arthritis with related lung and lymph node involvement was made.