bluuebunny/crossref_metadata_2025 huggingface dataset:
Há declínio da fala e da deglutição na Esclerose Lateral Amiotrófica ao longo de dez anos?
Authors: Mendes Regiani Alabarces , Lima Ivonaldo Leidson Barbosa , Dourado Júnior Mário Emílio Teixeira , Gonçalves Maria de Jesus
Published: February 2025

RESUMO Objetivo Analisar a evolução do declínio da fala e da deglutição em pacientes com esclerose lateral amiotrófica (ELA) ao longo de dez anos. Método Estudo de coorte, retrospectivo e longitudinal. Foi realizado por meio da coleta de dados da escala funcional Amyotrophic Lateral Sclerosis - Functional Rating Scale-Revised (ALSFRS-R) em 101 prontuários de pacientes com ELA atendidos no ambulatório multidisciplinar de doenças neuromusculares de um Hospital Universitário, em um período de dez anos. Os dados foram analisados estatisticamente, adotando o valor de p<0,05. Resultados A análise das funções estudadas indicou que a fala, a deglutição e a salivação são alteradas ao longo de dez anos na ELA. Há diferenças de padrões entre as variáveis sexo e tipo da doença, nos sintomas relacionados à disartria e à disfagia nesses indivíduos, podendo precisar em dias o quanto esta evolução ocorre ao longo de um determinado intervalo de tempo. Conclusão Há declínio da fala e da deglutição ao longo de dez anos na ELA. O tipo bulbar provoca um declínio mais rápido das funções estudadas, do que o tipo espinhal.
Exploring morphological equilibrium and flow resistance in gravel-bed rivers: insights from channel-scale experimental analysis
Authors: Menezes Danrlei de , Borges Ana Luiza de Oliveira
Published: February 2025

Abstract Our aim is to recreate the distinct patterns observed in gravel-bed river channels for studies involving physical modeling by designing a morphological configuration and investigating bed resistance. We used a 10x0.56x0.4m experimental channel that scaled-down a natural river at a ratio of 1:20, utilizing sand as the bed material. Employing both field data and measuring instruments such as a laser profiler and pitot tube, we conducted a total of 12 tests spanning 27 hours. In the initial 15-hour phase, we closely monitored deformations and sediment transport under various flow rates. Subsequently, we adjusted the flow rates and proceeded with testing. The results indicated that a larger diameter of the movable bed led to increased flow resistance, evident in parameters like n, f, and C. Additionally, we observed the deposition of fines within intergrain voids and noted an increase in ks with reduced discharge volume, illustrating the influence on flow dynamics and sediment transport. Furthermore, this preliminary study provides valuable insights into the physical processes governing water and sediment transport, which are crucial considerations for future physical simulation studies.
Analysis of the physical properties of the seeds of the ubim palm (Geonoma deversa (Poit.) Kunth): an Amazonian species with ornamental potential
Authors: Carvalho Henrique Pereira de , Pinheiro Romário de Mesquita , Ferreira Evandro José Linhares , Barros Quétila Souza , Gadotti Gizele Ingrid , Oliveira Erica Karolina Barros de , Silva Francisco de Assis Ferreira da , Rocha Andrea Alechandre da
Published: February 2025

Abstract The study of the physical properties of seeds is essential to determine the specific approach in the manufacture of equipment intended for seed processing. The objective of this work was to determine the physical properties of ubim seeds. For this purpose, measurements of length, width, and thickness were taken using a caliper, and the mass was determined with a precision balance. The results were calculated using equations that allowed the characterization of the physical properties of these seeds. Among the estimated parameters, sphericity, with a standard deviation of 3.21%, stood out for presenting low variation and ensuring the similarity of the spherical shape of the seeds. The analysis showed that the seeds have a rounded shape and uniform size within the studied batch.
O Anticomunismo Brasileiro e o “Front”: Mulheres, Sindicalistas e Jornalistas em Ação (1953-1960)
Authors: Caterina Gianfranco
Published: February 2025

Resumo O objetivo deste artigo é responder como interações culturais de mulheres, sindicalistas e jornalistas brasileiros, no âmbito de organizações transnacionais sob primazia soviética, influenciaram percepções na Seção de Segurança Nacional do Itamaraty (SSN-MRE) e em seus contatos com o Conselho de Segurança Nacional (CSN), além de discutir qual foi o impacto doméstico dessas percepções. A abordagem teórico-metodológica dá centralidade à narrativa histórico-descritiva como eixo explicativo em diálogo com fontes primárias encontradas nos arquivos do Itamaraty. Os resultados colocam em contato correntes historiográficas que analisam a construção do anticomunismo brasileiro (especialmente militar), com o internacionalismo soviético no Terceiro Mundo e com as relações bilaterais entre Brasil e URSS. O artigo contribui ao analisar a conjuntura que possibilitou a criação da Junta Coordenadora de Informações (JCI), a qual selaria, institucionalmente, os contatos entre a SSN-MRE e o CSN. Esse sistema ganharia importância após o golpe de 1964.
Evaluation of Canalis Sinuosus on CBCT Images of Patients Candidate for Dental Implant Treatment in Iranian Population
Authors: Salari Ashkan , Ostovarrad Farzane , Banan Shahrzad , Alavi Fereshteh Naser
Published: February 2025

ABSTRACT Objective: To evaluate the frequency, diameter, location and path of canalis sinuosus (CS) on CBCT scans of patients candidate for dental implant treatment. Material and Methods: In this cross-sectional study, 200 CBCT images of the maxilla were evaluated and parameters were assessed: age, gender, the canal presence and diameter, the distance between the CS and the nasal cavity floor (NC), the buccal cortical bone (BC) and the most prominent point of the alveolar ridge crest (RC). Quantitative variables were analyzed with an independent t-test, and qualititative variables were analyzed with chi-squared and McNemer tests (p<0.05). Results: CS was detected on 100 CBCT images in the present study. There were significant relationships between the CS frequency and age and gender; however, there was no significant relationship between CS and the maxillary side. The means of BC, RC, NC and the canal diameter were 9.2±2.19, 15.15±3.13, 8.14±2.43, and 0.99±0.26 mm, respectively. There were significant relationships between the canal diameter, NC and BC with gender. However, there was no significant relationship between RC and gender. Conclusion: Canalis sinuosus was detected, with an approximate diameter of 1 mm, in 50% of the subjects in the incisor-canine area. The use of CBCT for accurate diagnosis of canalis sinuosus is suggested before surgical procedures in the palatal aspect of the anterior maxilla.
Barriers to Dental Services Utilization among Adult Population in India: A Scoping Review
Authors: Vundavalli Sudhakar , Indiran Meignana Arumugham , Doppalapudi Radhika , Siddanna Sunitha , Baig Muhammad Nadeem , Issrani Rakhi , Prabhu Namdeo
Published: February 2025

ABSTRACT Objective: To provide comprehensive information about barriers to using dental services in India. Material and Methods: Original research articles published on factors and(or) barriers to dental and oral health care services utilization were extracted from four electronic databases such as Scopus, PubMed, Web of Science, and EMBASE. The selection process involved looking for English-language articles published between 2005 and 2023 that addressed one or more areas of dental and oral health care barriers in India. Selected articles were analysed using thematic analysis. Results: 188 original studies were retrieved from the four databases, and 23 were extracted. The barriers to dental and oral health care service utilization were classified into three major themes: sociodemographic factors, dental care access, and individual factors. The findings of the selected articles showed that the high cost of dental care, educational level, fear of dental treatment, poor perception about teeth, and(or) lack of felt need and lack of time were the most frequently reported barriers. Conclusion: Appropriate utilization of dental and oral health care services was one of the key principles in achieving "Health for All."Dental care delivery systems should address the barriers to its utilization by incorporating policies to overcome the utilization barriers and community-based oral health awareness programs.
Genetic Polymorphisms in the DR2D, ANKK1, COMT, 5HTT Genes and Dental Fluorosis: Is There Any Interplay?
Authors: Souza Luíse Gomes de , Spada Paula Cruz Porto , Souza Juliana Feltrin de , Oliveira Daniela Silva Barroso de , Wambier Letícia Maira , Küchler Erika Calvano , Brancher João Armando
Published: February 2025

ABSTRACT Objective: To investigate the association between genetic polymorphisms in DRD2, ANKK1, COMT, and 5HTT genes and dental fluorosis (DF). Material and Methods: 256 adolescents were examined, and dental fluorosis was diagnosed using the modified Dean index. Genomic DNA was collected, and seven single nucleotide polymorphisms (SNPs), two in the DRD2 (rs6275 and rs6276), one in the ANKK1 (rs1800497), two in the COMT (rs6269 and rs4818), and two in the 5HTT (rs3813034 and rs1042173) were selected. Allele, haplotype, and diplotype frequency comparisons were performed. Multifactorial Dimensionality Reduction investigated SNP-SNP interactions. Allele and haplotype frequency comparisons were performed by PLINK version 1.06. The Fisher exact test performed genotypic analysis, and Poisson Regression was adjusted by gender. Results: In the allelic frequency analysis, rs6275 was associated with DF (p=0.040), and rs6276 was borderline (p=0.07), being confirmed in the haplotype (p<0.05) and diplotype (p=0.007) analysis. Conclusion: The data suggest that DRD2, ANKK1, COMT, and 5HTT genes synergistically interact to increase the dental fluorosis risk.
Demand for Endodontic Treatment and its Impact on Quality of Life
Authors: Avancini Bruna Scarlot , Maria Lorrayne Cesario , Botacin Wellen Gobi , Santos Pamela Barbosa dos , Miotto Maria Helena Monteiro de Barros
Published: February 2025

ABSTRACT Objective: To analyze the impact on quality of life-related to the need for endodontic treatment and possible association with sociodemographic variables. Material and Methods: It was carried out through the application of a sociodemographic script and the Oral Health Impact Profile (OHIP-14). The association between variables was verified using Fisher's exact test and the strength of the association between the independent variables and the impact on quality of life was calculated using the odds ratio (OR). Results: The impact on quality of life was declared by 87.8% of the participants, with physical pain (67.3%) and psychological discomfort (76%) being the most impacted domains. In terms of education level, participants who completed high school or more reported an 88.4% impact on the disability dimension, with around 2.4 times greater chances of suffering impact on this dimension. Individuals living alone reported a greater impact on the psychological disability dimension (54.8%). Participants with limited or no access to dental services, especially through the Unified Health System (NHS), reported a greater impact on the psychological disability dimension (61%). Conclusion: The need for endodontic treatment has a significant impact on quality of life, as stated by 87.8% of the participants, especially in the psychological discomfort (76%) and physical pain (67.3%) domains. These findings were associated with the following sociodemographic variables: gender, race/color, marital status, schooling, socioeconomic status and type of access to oral health services.
Dental Anxiety and Self-Esteem in Pediatric Patients Undergoing Maxillofacial Orthopedics
Authors: Mendoza Gema Nataly Barreiro , Zambrano Thainah Bruna Santos , Wied Alexandra Ludwika
Published: February 2025

ABSTRACT Objective: To investigate the correlation between dental anxiety and self-esteem in pediatric patients undergoing six months of maxillofacial orthopedic treatment in Portoviejo, Ecuador. Material and Methods: A quasi-experimental study was conducted on 92 children aged 7 to 11 with malocclusions. Participants completed a dental anxiety scale questionnaire and the House-Tree-Person (HTP) psychological graphic test before and after the installation of maxillofacial orthopedics. Confidence interval analyses were performed for qualitative variables, while mean values with standard deviations were calculated for quantitative variables. The relationship between self-esteem and dental anxiety was assessed using a chi-square test. Results: The mean age of participants was 9 years, with 86.96% residing in urban areas. Sociodemographic variables showed statistically significant differences (p<0.05). There were statistically significant differences in dental anxiety between the initial and final periods (p<0.05), with a decrease in anxiety observed after six months of treatment. As measured by the House drawing, self-esteem was significantly higher in the first period evaluated (p<0.05). Conclusion: The study found a decrease in anxiety after six months of maxillofacial orthopedic treatment. Higher self-esteem was associated with better oral health practices, highlighting the importance of the orthodontist's role in evaluating behavior to enhance treatment success and the mental health of pediatric patients.
Awareness and Practice of Deep Margin Elevation among Dental Practitioners in India: A Cross-Sectional Survey
Authors: Padaru Mythri , Shetty Preethesh , Rai Namith , Bhat Raksha
Published: February 2025

ABSTRACT Objective: To evaluate knowledge, attitude and practice of deep margin elevation (DME) amongst dental practitioners in India, thereby increasing awareness. Material and Methods: A cross-sectional study was carried out among academicians, private practitioners, and post-graduate students, comprising 266 participants. Twenty-three close-ended web-based questionnaires were circulated through Google Forms. Data was analyzed using the Chi-square test, and descriptive analysis was performed using the Statistical Package for the Social Sciences software. Results: Although most respondents were aware of DME, only 27.4% claimed to have used this approach in daily practice. 60.4% reasoned out that DME was a technique-sensitive procedure. However, 50% of participants prefer to use DME as a substitute for surgical crown lengthening. There was a significant association between awareness regarding the term DME, knowledge of the procedure, and the study participants' cadre (p=0.024 and p=0.214, respectively). Conclusion: Knowledge, attitude, and practice of DME among dental practitioners in India are adequate. However, few dentists use this method to treat extensive subgingival decay in clinical practice. This can be attributed to the lack of literature on the subject and the perceived difficulties of the procedure. There is a need for more clinical research to understand the long-term prognosis of teeth restored using this technique and to encourage its usage in practice.
Narrativas acadêmicas sobre educação das relações étnico-raciais em universidades públicas latino-americanas (Brasil e Peru)
Authors: Silva Marcos Antonio Batista da
Published: February 2025

Resumo Este artigo analisa discursos acadêmicos sobre a produção de conhecimento sobre raça, racismo e antirracismo em universidades públicas latino-americanas com foco nas populações negras (afro-brasileiras e afro-peruanas). Quais são os avanços, aproximações e desafios enfrentados por essas universidades em prol da construção de uma agenda antirracista, especialmente no campo das Ciências Sociais e Humanas no Brasil e Peru? A abordagem teórico-metodológica dialoga com os estudos das relações étnico-raciais (raça, racismo e antirracismo) de autores como Aníbal Quijano, José Luciano, Victória Santa Cruz, Nilma Lino Gomes, Jurema Werneck, Stokely Carmichael e Charles Hamilton. Em perspectiva está a análise crítica de discurso de Teun van Dijk. Além da revisão da literatura, foram trabalhadas entrevistas realizadas entre 2018 e 2022 com 18 participantes de diferentes perfis étnico-raciais: 11 entrevistados de universidade pública brasileira (seis estudantes e cinco professores); sete participantes de universidade pública peruana (quatro professores e três estudantes) de cursos de graduação de Ciências Sociais e Humanas. Os estudos indicam que a resistência de populações racializadas universitárias latino-americanas (negros, afro-peruanos e indígenas) e suas lutas antirracistas representam uma busca por equidade no campo educacional. São levados em consideração o acesso, a permanência e a titulação, a partir de um referencial teórico-metodológico e epistêmico de formação a partir de um debate afrocentrado, onde as expectativas e limitações para a formação universitária são, muitas vezes, atravessadas pelo racismo institucional.
An integrative review on treatment guidelines for complicated urinary tract infections: a synthesis of evidence-based recommendations
Authors: Bittencourt Amanda Azevedo , Paula Marina Della Negra de , Ribeiro-Pereira Ana Carolina Padula , Batista Paula de Mendonça , Polis Thales José
Published: February 2025

ABSTRACT Urinary tract infections (UTI) lie among the most common bacterial infections worldwide. Since their manifestations can range from laboratory findings (asymptomatic bacteriuria) to septic shock, using appropriate antimicrobial agents is crucial to avoid complications and the misuse of antibiotics. This study aims to review scientific publications and the main guidelines to treat complicated UTI. A literature review was carried out in September 2022 on the LILACS, MEDLINE via PubMed, and SciELO databases. Descriptors, keywords, and MeSH terms were used to develop search strategies. Full documentation meeting the following criteria was included: management of patients with a diagnosis of complicated UTI; guidelines, recommendations, consensus articles, expert opinion articles (with recommendations), and meta-analyses including data from randomized controlled trials; and articles published from 2001 to 2022. Articles published in languages other than English, Spanish, French, and Portuguese and those unrelated to complicated UTI were excluded. After applying the eligibility criteria, 28 studies were included in this review. Fluoroquinolones are the most frequently recommended option for complicated cystitis and pyelonephritis. Guideline recommendations for recurrent UTI include antibiotic prophylaxis and treatment. Guidelines developed to propose treatment strategies for the pediatric population typically stratify cases according to their infection site (upper or lower),and the presence of fever. Guidelines propose different approaches, likely related to local antibiotic resistance and varying clinical manifestations. In this context, antimicrobial stewardship practices are essential to promote the adequate use of antibiotics for complicated UTI and to avoid antimicrobial resistance.
Factors associated with tuberculosis deaths during hospitalization in Midwest Brazil
Authors: Oliveira Junior Ademar Rodrigues de , Volpe-Chaves Cláudia Elizabeth , Lacerda Mara Luci Gonçalves Galiz , Bertucci Alexandre Albuquerque , Saad Bruna Abdul Ahad , Oliveira Caroline Tieppo Flores de , Venturini James , Oliveira Sandra Maria do Valle Leone de , Paniago Anamaria Mello Miranda
Published: February 2025

ABSTRACT Tuberculosis (TB) is a treatable disease and one of the leading causes of death worldwide, notably affecting people living with the human immunodeficiency virus. The COVID-2019 pandemic worsened TB outcomes, particularly in high-burden countries such as Brazil. Accurate data on the mortality of hospitalized patients is limited. This study aimed to evaluate clinical and epidemiological characteristics and identify mortality risk factors among all hospitalized patients with TB at a tertiary hospital in Midwest Brazil from 2017 to 2019. The median age of the 154 patients included in the study was 48 years (interquartile range: 38–59 years), and the majority were male (74.68%). The main comorbidities were diabetes mellitus and chronic obstructive pulmonary disease; 44 patients (28.57%) were admitted to the intensive care unit (ICU). The mortality rate was 33.12%, and the leading cause of death was septic shock, followed by respiratory failure due to TB. The main factors associated with death were age (p=0.001), central nervous system TB (p=0.026), reduced consciousness (p<0.001), ICU admission (p<0.001), mechanical ventilation (p<0.001), use of vasoactive drugs (VAD) (p<0.001), and duration of VAD use (p=0.038). A high rate of inpatient deaths was observed, reflecting the severity of TB and the challenges in its clinical management. It is imperative to implement strategies to reduce the mortality rate.
An unusual cause of unilateral epistaxis: a leech in the nose
Authors: Yaşar Murat , Atalay Fatma
Published: February 2025

ABSTRACT Leeches are segmental worms commonly found in fresh water in tropical regions. They can enter the human body via the consumption of contaminated water or through the mouth and nose during washing, generally affecting the upper airway and digestive tract. During the blood-sucking process, the leech releases the anticoagulant enzyme “hirudin” from the wound site into the host’s circulation together with an anesthetic to prevent the host from feeling its attachment. Leech endoparasitism is a very rare cause of epistaxis. We report a case of a living leech lodged in the posterior nasal floor in a patient that presented to the emergency department with unilateral epistaxis and a difficult diagnosis.
The practice of using medical abortion in the world
Authors: Baranovskaya E.I.
Published: February 2025

The article presents data on the use of artificial abortion in different countries with the sequential use of two pharmacological agents — the progesterone receptor blocker mifepristone and the synthetic prostaglandin E1 analog mizoprostol (MS2-Step). The data were collected for the period 2016-2023 from the PubMed database using the keyword «mifepristone», as well as open documents from official Web portals and national guidelines. In countries where society is tolerant of artificial abortion, there is an increasing adherence to the drug method, the frequency of which is 87-98% of all abortions. In the countries of Western Europe, the USA, and Austria, there are similar legislative bases for the use of abortion, but the particular issues of legal regulation are different. The specifics of the practice of using MS2-Step, regulated by national guidelines, relate to indications for the use of mifepristone and its dose, the procedure for issuing and receiving a pharmacological remedy by a patient, providing consulting support, certification of medical service provider personnel, conditions for self-managed abortion. An important advantage of the MS2-Step procedure, performed as a self-administered abortion, is convenience, confidentiality, and accessibility. The gestation period for self-managed abortion is limited to 9 weeks in Australia, 10 weeks in Finland, and 12 weeks in the UK. The regulatory documents of Great Britain and Finland allow termination of pregnancy for medical reasons in the period from 22 to 24 weeks, including with the use of mifepristone, in these cases feticide is provided.
Asplenia — a new cause of thrombosis in pregnant women?
Authors: Mravyan S.R. , Kovalenko T.S. , Magilevskaya E.V. , Stepanova E.A. , Budykina T.S. , Mel’nikov A.P. , Rudenko M.V.
Published: February 2025

A clinical observation of the development of venous thromboembolism in a postpartum patient who had a history of palliative surgery for congenital heart disease is presented. The examination revealed not only a hereditary homozygous mutation of the prothrombin F2: G20210A gene, which increases the risk of venous thrombosis, but also asplenia (congenital absence of the spleen). It has been shown that asplenia (congenital or postoperative) leads to activation of the platelet section of hemostasis, even in the absence of thrombocytosis, and congenital asplenia often accompanies complex congenital heart defects. The authors conclude that it is necessary to treat pregnant women with complex congenital heart defects not only in relation to hereditary thrombophilia, but also the presence of a spleen. With a high risk of venous thromboembolism in pregnant women, the possible longterm administration of indirect anticoagulants is indicated.
Les dictionnaires de langue des signes française à l’ère du numérique : un premier état des lieux
Authors: Josselin-Leray Amélie , Segouat Jérémie
Published: February 2025

Alors qu’il existe une littérature sur les dictionnaires électroniques de diverses langues des signes, aucune étude métalexicographique ne s’est penchée sur la langue des signes française (LSF). Cet article vise donc à recenser et analyser méthodiquement les ressources lexicographiques électroniques existantes de la LSF, en lien avec les nouvelles possibilités offertes par le numérique dans la conception, la création, la diffusion et l’utilisation de ces ressources. Il s’organise en trois temps : la première partie énonce quelques particularités de la LSF et leur impact sur la lexicographie ; la seconde livre un premier état des lieux des dictionnaires numériques de LSF existants, et la troisième s’attache à présenter, au moyen de premières enquêtes exploratoires, les points de vue des concepteurs de ces dictionnaires et de certains de leurs utilisateurs. La conclusion fournit quelques pistes offertes par le numérique pour une potentielle amélioration de ces dictionnaires.
La lexicographie numérique et la norme grammaticale : le Wiktionnaire est-il aussi descriptif que voulu ?
Authors: Piron Sophie
Published: February 2025

L'étude analyse comment 14 phénomènes grammaticaux (choix de conjonctions de subordination, choix de conjonctions de coordination, choix de mode, etc.) soumis à des tensions normatives en français contemporain et critiqués par l'Académie française sont décrits dans le Wiktionnaire et quel jugement normatif y est rendu. La question se posait de savoir si cette ressource lexicographique se présentant comme descriptive, et non prescriptive, atteint son objectif. Certains ouvrages de référence faisant actuellement preuve d'ouverture face à des emplois parfois en usage depuis bien longtemps, l'analyse menée dans le présent article montre que le Wiktionnaire opte la plupart du temps pour l'avis le plus normatif, mais que certains articles atteignent l'objectif de description linguistique.
Bluthochdruck ganzheitlich angehen: Risiken am Arbeitsplatz erkennen und durch frühzeitige Maßnahmen reduzieren
Authors:   Charité – Universitätsmedizin Berlin, Medizinische Klinik für Nephrologie und Internistische Intensivtherapie, van der Giet Markus
Published: February 2025

A holistic approach to hypertension: Identifying and mitigating workplace risks
Hypertension, often referred to as the “silent killer,” significantly contributes to cardiovascular events and mortality over many years, particularly when combined with other risk factors such as obesity, dyslipidemia, smoking, and diabetes. However, as a modifiable risk factor (Global Cardiovascular Risk Consortium, 2023), hypertension can be effectively managed through lifestyle changes and pharmacological interventions. With appropriate management, 90 % of hypertensive patients can achieve blood pressure control, significantly reducing the risk of adverse outcomes. Established guidelines from European societies (Mancia et al. 2023; McEvoy et al. 2024) and national consensus statements provide clear recommendations for the diagnosis, prevention, and treatment of hypertension.
Prämierte Kongress-Poster (Folge 2): Persönliche Schutzausrüstung (PSA) zur Vermeidung vibrationsbedingter Durchblutungsstörungen der Hände
Authors:   Arbeitsmedizinischer Fachdienst, Rehabilitationsklinik Tobelbad, Medizinische Stabsstelle Berufskrankheiten, Competence Center für Berufskrankheiten, Tobelbad, Hansbauer Doris , Begović Maria ,   Rehabilitationsklinik Tobelbad, Medizinische Stabsstelle Berufskrankheiten, Competence Center für Berufskrankheiten, Tobelbad, Grassmugg Corina ,   Arbeitsmedizinischer Fachdienst, Rehabilitationsklinik Tobelbad
Published: February 2025

Award-winning congress posters (Part 2): Personal protective equipment (PPE) to prevent
vibration-related circulatory disorders of the hands
Vibrations, also known as shocks, are a hazard in many industrial work areas. Machines and tools such as drills, saws or grinders generate vibrations that are transmitted to the body through direct contact with the hands. These vibrations can have serious health consequences, especially if they
are constant over long periods of time. One of the best-known consequences of these vibration effects is the so-called white finger disease, also known as secondary Raynaud’s syndrome.
Isolierter Außenmeniskusschaden beim Profisportler
Authors: Holtstraeter Reinhard
Published: February 2025

Isolated lateral meniscus damage in professional athletes
The prerequisites for recognition of occupational disease No. 2102 are a so-called stress-compliant damage pattern of meniscopathy, according to which, in the case of possible involvement of the lateral meniscus, the medial meniscus and the posterior horn are primarily affected and should show stronger signal disturbances than the anterior horn and intermediate part. According to the present judgment, the expert opinion’s orientation towards this requirement is unjustified because the professional group of professional footballers is subject to meniscus strains that would lead one to expect a more differentiated damage pattern.
Violencia de género en la relación de enamorados en los estudiantes Universidad Peruana, ciudad de Piura
Authors: Carmona-Brenis Marco Antonio , Vigil-Zárate Martha Angélica
Published: February 2025

La presente investigación se realizó con el objetivo de determinar las principales formas de violencia que se presentan en la relación de enamorados en estudiantes de la Universidad Cesar Vallejo, sede Piura, que sirva como herramienta para que se planteen políticas de prevención contra la violencia de género y, además, sea una alternativa de abordaje de esta problemática acorde con las normas nacionales e internacionales vigentes. Para la muestra se seleccionó a los adolescentes pertenecientes a la escuela de derecho de la Universidad César Vallejo, sede Piura que cumplan con los siguientes criterios, criterios de inclusión: adolescentes mayores de 17 años, estar registrado a partir del II ciclo de estudios regularmente, buena disposición para responder a los cuestionarios, total 171 estudiantes. Los métodos y técnicas utilizadas en la presente investigación fueron el análisis, la síntesis, método inductivo y método hipotético deductivo, ya que a partir de la población se pretenderá evidenciar las formas de violencia de género en las relaciones de enamorados de los estudiantes de la Universidad César Vallejo, se utilizará la técnica de la encuesta, análisis documental, a efectos de obtener datos referidos a las variables del problema. Se considera que una de las principales causas de violencia de género se debe a la dependencia económica así como a la situación de mantener la relación por los hijos. Se concluye que dentro de las formas de violencia que se expresan en la relación de enamoramientos entre los adolescentes se resaltan las actitudes de control hacia la pareja.
Applying the Occupational Justice Framework in Disability Policy Analysis in Namibia
Authors: Chichaya Tongai Fibion , Joubert Robin Wendy Elizaberth , McColl Mary Ann
Published: February 2025

Introduction: The purpose of the study was to compare the existing disability policy in Namibia with those of other southern Africancountries to determine whether the former would require revisions. There were two objectives: to apply the occupational justice framework to analyse the National Policy on Disability of Namibia, to conduct an comparative analysis of the National Policy on Disability of Namibia and selected disability policies and policy environments in Botswana, Lesotho, Malawi, South Africa, Zambia, and Zimbabwe taking into consideration the United Nations' Convention on the Rights of Persons with Disabilities (UNCRPD).Methods: A qualitative analytical approach was used to conduct a document review of the Namibia disability policy and to provide a comparative analysis of the Namibia disability policy with those of selected southern African countries using the disability policy analysis lens. Critical disability theory provided the overarching theoretical framework. Discourse analysis was applied to identify themes.Findings: Embedded occupational marginalisation and deprivation were evident in the Namibian disability policy. A new type of occupational injustice emerged that can best be described as 'occupational inconsideration' among disability policy makers, whereby occupational rights for persons with disabilities are of secondary focus when disability policies are formulated.Conclusion: Namibia's disability policy was considered inadequate in terms of addressing occupational rights according to the occupational justice framework. Similarly, Namibia and other southern African countries have not significantly progressed with domesticating the UNCRPD. The findings have implications for disability policy formulation and occupational justice practice in Namibia in particular and in southern Africa in general.
Key words: Occupational justice; disability policy; policy analysis; occupational participation; African countries.
Tobacco use and concurrent engagement in other risk behaviours: A public health challenge for occupational therapists
Authors: Ramafikeng Matumo Catherine , Roshan Galvaan , Amosun Seyi Ladele
Published: February 2025

http://dx.doi.org/10.17159/2310-3833/2019/vol49n1a5Introduction: Occupational therapists are concerned about what people do and how that impacts their health and well-being. However,occupational therapy contributions to the cessation and prevention of tobacco use remain limited. Tobacco use constitutes occupationalperformance that poses a serious threat to health, well-being and quality of life. The purpose of this paper is to report the extent of tobacco use and discuss the nature of risk behaviours among high school learners in the city of Maseru, Lesotho.Method: The paper draws on findings of a larger study that aimed to establish the prevalence of risk behaviours among high school learners in Lesotho. 1121 learners aged 12-27 years completed the Lesotho Youth Risk Behaviour Survey (LYRBS) in a school-based cross-sectional survey. STATA and Microsoft Excel we used for data analysis.Results: The findings highlight the co-occurring and concurrent nature of risk behaviours, such as use of other substances, gambling and sexual behaviours with tobacco use dominating clusters of concurrent engagement.Conclusion: Tobacco use is an occupation and a public health emergency that requires urgent attention from an early age. Delayingearly initiation of tobacco use could prevent engagement in other risk behaviours thereby avoiding associated health consequences. Withtheir understanding of occupation, occupational therapists can contribute immensely to interventions aimed at curbing engagementin risk behaviours.Key words: Health risk behaviours; Youth; Occupational performance; Lesotho Youth Risk Behaviour Survey (LYRBS); concurrent behaviours
PARENTS' VOICES: experiences and coping as a parent of a child with autism spectrum disorder
Authors: Reddy Gwen , Fewster Deborah L , Gurayah Thavanesi
Published: February 2025

Introduction: Autism Spectrum Disorder (ASD) requires a lifetime commitment of care and imposes significant stressors on families.This study aimed to understand the lived experiences and coping strategies of parents with children diagnosed with ASD. The studyaddressed one of the objectives of a larger project.Methods: An exploratory, qualitative study using purposive sampling to recruit parents of Children with ASD was used. Six individualinterviews and one dyad interview provided the data for this study. Data were interpreted using thematic analysis.Findings: The study identified two major themes namely experiences of ASD and coping with ASD. Dealing with ASD was characterised by significant challenges associated with resource limitations, poor guidance from health professionals, protracted diagnostic processes, reduced awareness of ASD and stigma for families. Parents were resilient and empowered themselves to cope with the tough journey, with support systems providing a buffer to families. Parents identified support, resources and awareness as pivotal needs. Positive ramifications from parenting a child with ASD were the development of positive personality traits, increased spiritual faith and a greater appreciation of life. The study emphasised the need for increased resources and support for families tocushion their experiences of ASD.
Keywords: Autism, lived experiences, coping strategies, parents, challenges.
The perceived burden of care among caregivers of survivors of cerebrovascular accident following discharge from a private rehabilitation unit.
Authors: Serfontein Lyndall , Visser Marieta , Van Schalkwyk Mia , Van Rooyen Cornel
Published: February 2025

Introduction: The transition between inpatient rehabilitation and discharge of survivors of stroke from private rehabilitation services in South Africa is often challenging. After the stroke survivor is discharged, caregivers have an important role as an extension of rehabilitation, although the occupation of caregiving is often unplanned. This study investigated the factors associated with the burden of care experienced by patients' caregivers.
Methods: A quantitative descriptive study was conducted with 63 patients and 63 caregivers, using a consecutive, non-randomised sampling method. Patients' Functional Independence Measure (FIM) scores upon discharge were obtained. Telephonic interviews were conducted with the caregivers two months after the patients' discharge, using the Modified Caregiver Strain Index (MCSI) and a demographic data questionnaire to obtain their perceived burden of care.
Results. Patients' median FIM score at discharge was 86, indicating that they needed minimal assistance. After discharge, caregivers experienced minimal to moderate strain (burden of care) according to the MCSI score. The associated factors that were identified included financial, physical, psychological and social aspects, of which financial strain was encountered most regularly. Caregivers also seemed to have unbalanced occupational profiles.
Conclusions: Better caregiver training and support should be provided by private rehabilitation services for better integration of stroke survivors into the community.
Key words: cerebrovascular accident; stroke; caregivers; burden of care; private inpatient rehabilitation
Postural assessment, Part Two: Deviation for sense of and actual alignment
Authors: Hough PA , Nel M
Published: February 2025

Introduction: Accurate sensing of the body position in space is important for safe and mechanically effective interaction with theenvironment. Clinical evidence however suggests that a client's sense of postural alignment differs from their actual alignment, whichmay influence the accuracy of postural repositioning during participation in activities of daily life.Objectives: The aim of this quantitative descriptive study was to investigate the difference between sense and actual posturalalignment during sitting and standing positions, with the anatomical landmarks as reference points for measurement from anterior andlateral views.Methods: Ten health care clinics in the Free State towns of Botshabelo and Thaba N'chu, were randomly selected and 95 patientsparticipated in the study. Measurements consisted of (a) a biographical questionnaire, (b) assessment of actual postural alignment, and(c) assessment of sensed postural alignment. Assessment of actual postural alignment was done by using the Photographic Method ofPostural Assessment (P-MPA), during which the actual (real) distance on photos was established by calculating the ratio of measured/real distance x distance from plumb line for each photo. A clinical significant difference from the reference point as measured on thephoto was set at 10mm. The sense and actual deviation, for sitting and standing were compared by means of 95% confidence intervalsfor median differences.Results: Results show statistical and clinically significant differences for sense and actual deviations from the plumb line for lateralviews for all anatomical landmarks, in both sitting and standing positions. With the exception of a clinical significant difference at thenose landmark in anterior view, results show no other statistical or clinical significant differences for anterior sitting or standing.Recommendations: The authors recommend that follow up studies investigate postural repositioning during motion and in additionto speed and direction, also test the degree to which discrepancy between sense and actual values occurs.Conclusion: Increased awareness by health care professionals and educators of the discrepancy between sensed and actual posturalalignment, in anterior and lateral views, may benefit the planning of intervention programmes aimed to enhance safe and meaningfuloccupational performanceKeywords:Â  Postural alignment, sense of posture and actual posture
Контрольно-надзорная и разрешительная деятельность в Российской Федерации. Аналитический доклад 2024
Authors: Плаксин Сергей
Published: February 2025

Аналитический доклад описывает основные итоги организации контрольной (надзорной) деятельности в России в 2024 году и является беспрецедентным по количеству как охваченных тем, так и использованных авторским коллективом методов анализа. В нем представлены:

количественная оценка эффектов реформы разрешительной деятельности, подготовленная по результатам экономического анализа;
оценка тенденций контрольно-надзорной деятельности, подготовленная на основании анализа статистических данных;
анализ механизмов государственного управления в сфере профилактики — соглашений «инвестиции вместо штрафов», базирующийся на изучении международного опыта, а также опыта применения мер стимулирования добросовестности;
оценка восприятия бизнесом основных результатов и приоритетов развития контрольно-надзорной деятельности, подготовленная по результатам опроса и фокус-групп предпринимателей;
оценка восприятия проводимых преобразований в сфере контрольно-надзорной деятельности самими инспекторами, подготовленная по результатам интервью;
анализ судебной практики высших судов по вопросам применения законодательства о государственном контроле.
RPNet: Robust P-Wave First-Motion Polarity Determination Using Deep Learning
Authors: Han Jongwon , Kim Seongryong , Sheen Dong-Hoon
Published: February 2025

We present RPNet, a robust deep-learning model for P-wave first-motion polarity determination aimed at deriving earthquake focal mechanism solutions. RPNet integrates advanced deep-learning techniques, including inception modules, attention mechanisms, and Monte Carlo dropout, to improve prediction accuracy and stability with quantified uncertainty. We conduct benchmark tests against four existing models using data sets from the western United States and Italy. The results address key issues such as sensitivity to misaligned P-wave onsets, class imbalance between up and down polarities, and handling of “unknown” labels. To enhance robustness, we apply intensive random time shifts of P-wave onsets within a ± 0.5 s range during training. To address the class imbalance, RPNet is trained with an equal amount of data for both up and down polarities. The performance of RPNet is evaluated through three tests. First, we test RPNet on a data set comprising 10% of the data excluded from training, achieving 99% recall for both up and down polarities. Next, we apply RPNet to independent Hi-net data from Japan, where it demonstrates superior generalization compared to previous deep-learning models, achieving recall rates above 97.5% even under time shifts of up to ±0.40 s. Finally, RPNet is tested on the 2016 Kumamoto earthquake sequence, where its automatically derived focal mechanism solutions closely match those manually derived by the Japan Meteorological Agency, outperforming the previous model in Kagan angle and polarity misfit. These results highlight RPNet’s potential as a reliable tool for automating focal mechanism derivation across diverse regions and waveform conditions without the need for additional optimization.
THE INFLUENCE OF STARTER CULTURES OF LACTIC ACID BACTERIA ON FERMENTATION OF WHITE CABBAGE
Authors: MULȚESCU Mihaela , SUSMAN Iulia-Elena , CULEȚU Alina , ZAMFIR Medana , MARTÍNEZ SANMARTIN Angel , ISRAEL-ROMING Florentina
Published: February 2025

The current investigation delineates the impact of lactic acid bacteria starter cultures of two collection strains(L. plantarum IC12353 (Lpl)) and L. paracasei CCM1837 (Lpa)) and two new isolates (L. plantarum P35 (LAB35) andL. brevis P43 (LAB43)) on the cabbage fermentation process. The content of bioactive compounds, antioxidant activityas well as the colony-forming unit counts were assessed in fermented cabbage samples. The analyzed samples revealednoteworthy quantities of phenolic compounds, ranging from 16.91 to 30.71 mg gallic acid equivalents/100 grams of freshsample, with the highest values for LAB35 and LAB43, while Lpl had the lowest content of polyphenolics. Moreover, thevitamin C content ranged between 50.82 and 60.35 mg ascorbic acid/100 g, while DPPH values varied from 245.80 to444.42 μmol Trolox equivalent/100g. The observed variations in the data on bioactive compounds and antioxidant activitycan be attributed to the specific lactic acid bacteria strain used in the cabbage fermentation process. This highlights theimportance of microbial strains in determining antioxidant properties of the final fermented product.
Peningkatan kompetensi pelatih grassroot melalui edukasi pertolongan pertama cedera olahraga di Kecamatan Bantur
Authors: Muhammad Putra Ramadhan  , Rahayuni Kurniati , Hanief Yulingga Nanda , Yunus Moch. , Mila Ratna , Pratama Muhammad Hamzah
Published: February 2025

Tujuan dari pengabdian ini yaitu untuk menambah pengetahuan dan keterampilan pertolongan pertama pada cedera olahraga sehingga dapat meningkatkan kompetensi pelatih grassroot. Tahap persiapan dilakukan dengan identifikasi masalah dan koordinasi antara tim pengabdian dengan mitra pengabdian. Tahap pelaksanaan dilakukan dengan ceramah, praktek, dan pendampingan implementasi. Tahap evaluasi dilakukan untuk mengetahui pelaksanaan pengabdian dan pengukuran hasil. Pengukuran hasil dilakukan dengan membandingkan nilai pretest dan posttest pengetahuan dan praktek. Hasil pengabdian ini menunjukkan kegiatan diikuti oleh 38 pelatih akar rumput dengan mayoritas latar belakang melatih selama lebih dari 3 tahun (64.0%), mayoritas berjenis kelamin laki-laki (56.0%), dan mayoritas pelatih sepak bola (48.0%). Kegiatan dilakukan selama dua hari dan kehadiran peserta mencapai  100%. Hasil evaluasi pengetahuan didapatkan rata-rata skor pretest 60.28 dan skor posttest 84.32. Hasil evaluasi praktek didapatkan rata-rata skor pre-test 59.28 dan skor post-test 83.04. Pengabdian ini dapat digunakan sebagai salah satu model pelatihan yang berkelanjutan untuk meningkatkan kompetensi pelatih olahraga akar rumput yang pada akhirnya dapat berkontribusi dalam memberikan pertolongan pertama yang tepat sehingga atlet muda dapat kembali ke performa puncaknya.