bluuebunny/crossref_metadata_2025 huggingface dataset:
The butterflies (Lepidoptera, Papilionoidea) of the Parque Estadual Intervales and surroundings, São Paulo, Brazil
Authors: Shirai Leila T. , Silva Renato O. , Dias Fernando M. S. , Rochelle André L. C. , Freitas André V. L.
Published: July 2023

Abstract The Global South has witnessed increasing sampling of its immense biological diversity during the past century. However, the diversity of many regions remains unknown, even at pristine and highly threatened places, such as in the Atlantic Forest; and for bioindicator, umbrella, and flagship groups. The present study reports the first butterfly list of the Parque Estadual Intervales, São Paulo, Brazil and surroundings, a key protected area in the last massive continuous of the Atlantic Forest. We compiled data from museums and four years of field work, under three sampling methods. We also aimed at providing resources to support conservation efforts by analyzing 27 years of climatic data (detailed in the Supplementary Material, in English and in Portuguese), discussing our results also for non-academics, and producing scientific outreach and educational material. A companion article dealt with the experiences of science outreach and capacity development, and illustrated the butterfly catalogue of the species sampled in the park. We found 312 species that sum to 2,139 records. The museum had 229 species (432 records), and we sampled 142 species (1,682 individuals), in a total effort of 36,679 sampling hours (36,432 trap and 247 net and observation hours). The richest families were Nymphalidae (148 species) and Hesperiidae (100 species). Most species were sampled exclusively by active methods (79.8%), but other sources (passive sampling, citizen science, etc.) also found unique records. We found the highest diversity metrics from January to May, and we demonstrated that winter months had less richness and abundance. We illustrated the 20 species common to all regions, and listed those that were found more than seven months in the year, as well as the most abundant species in trap sampling, with forest dwellers as well as species common to open and fragmented areas. The dominant species in our trap datasets was the iridescent white morpho, Morpho epistrophus (Fabricius, 1796), and we suggest it to become the park butterfly mascot.
Obesidade e conteúdo de proteína e gordura na dieta estão associados ao sub-relato do consumo energético na gravidez
Authors: Castro Maria Beatriz Trindade de , Benaim Camila , Eshriqui Ilana , Pinto Thatiana de Jesus Pereira , Rocha Camilla Medeiros Macedo da , Freitas-Vilela Ana Amélia , Kac Gilberto , Franco-Sena Ana Beatriz
Published: July 2023

Resumo Objetivos: avaliar a associação entre o índice de massa corporal pré-gestacional e pós-parto e a densidade de macronutrientes da dieta com o sub-relato de energia da dieta na gestação. Métodos: análise transversal com 327 puérperas da cidade de Mesquita, no Rio de Janeiro. Aplicou-se o questionário de frequência alimentar na primeira semana após o parto tendo como base o consumo dos dois últimos trimestres gestacionais. O balanço energético foi calculado a partir da divisão da ingestão de energia pela taxa metabólica basal (sub-relato<1,35). Adotou-se a regressão logística multivariada para analisar as associações entre os índices de massa corporal e a densidade dos macronutrientes da dieta (proteína, carboidratos e lipídios) com o balanço energético (sub-relato ou não). Resultados: a ingestão média de energia foi de 2.894 kcal e 25% das mulheres foram classificadas com sub-relato. Mulheres obesas no pós-parto tiveram maiores chances (OR=1,90; IC95%=1,09-3,33) de sub-relato de energia na gravidez e gestantes com balanço energético <1,35 apresentaram dieta com maior densidade de proteína (OR=2,37; IC95%=1,37-4,09) e menor densidade de gordura (OR=1,81; IC95%=1,04-3,15). Conclusão: a obesidade no pós-parto foi associada ao sub-relato de energia na gravidez e o balanço energético associou-se a densidade dos macronutrientes da dieta
Álbum seriado para promoção da autoeficácia na asma infantil: construção e validação
Authors: Vasconcelos Flávia Ximenes , Barbosa Lorena Pinheiro , Lima Francisca Elisângela Teixeira , Sabino Leidiane Minervina Moraes de , Lima Kamila Ferreira , Mendes Elizamar Regina da Rocha
Published: July 2023

RESUMO Objetivo: Construir e validar conteúdo e aparência de álbum seriado para promoção da autoeficácia de pais e/ou cuidadores no manejo e controle da asma infantil. Método: Estudo metodológico, desenvolvido a partir da elaboração, validação e avaliação do material educativo por 25 juízes de conteúdo e três juízes técnicos. Utilizou-se clareza da linguagem, pertinência prática e relevância teórica, calculando-se Coeficiente de Validade de Conteúdo (CVC) para validação, e aplicou-se o instrumento Suitability Assesment of Materials (SAM) para avaliação. Os juízes puderam, ainda, fazer sugestões de modificações em cada página do álbum. Foram consideradas validadas as páginas que atingiram CVC ≥ 0,80 para juízes de conteúdo e CVC ≥ 0,70 para juízes técnicos. Resultados: O CVC total do álbum foi de 0,96 para juízes de conteúdo e 0,83 para juízes técnicos. O material educativo foi considerado superior segundo o SAM, com escore total de 92,67% para juízes de conteúdo e 73,81% para juízes técnicos. Alterações foram feitas no álbum após processo de validação, de acordo com as sugestões dos juízes, obtendo-se uma segunda versão. Conclusão: O álbum seriado é valido e possui alto grau de recomendação para utilização com pais e/ou cuidadores no controle e manejo da asma infantil.
ECG Tutor: a gamified intelligent tutoring system for electrocardiogram teaching
Authors: Pereira Larissa Acioli , Leão Lisley Lylás dos Santos , Dermeval Diego , Coelho Jorge Artur Peçanha de Miranda
Published: July 2023

Abstract: Introduction: New methodological approaches have been suggested in an attempt to improve the acquisition of skills in electrocardiogram (ECG) interpretation, known to be complex and difficult to assimilate. Considering the expansion of active methodologies and the encouragement of technological innovations for medical education, the use of internet technologies (e-learning) has gained strength, highlighting the use of artificial intelligence platforms, such as intelligent tutoring systems (ITS), for their capacity to promote adaptive instruction. Researchers have used gamification (game design techniques) in conjunction with ITS, reporting greater engagement. Objective: Seeking to improve ECG learning performance among medical students through the development of new methodologies and considering the benefits of ITS and the use of gamification in medical education, the present study aimed to explore the interest and motivation of medical students in the use joint use of these technologies to study ECG. Method: This is an exploratory, quantitative study, in which graphic design prototypes of a gamified ECG instructor ITS were created by teachers of the medical course and evaluated by medical students from a public university and another private university after improvement into an interactive format, with the contribution of an interdisciplinary team. Result: At first, 53 undergraduate students from the 5th to the 11th semesters of the course participated in the study. That number was reduced to 14 in the second stage. The analysis showed approval of aspects related to perceived easy-to-use format, perceived usefulness, attitude towards use and intention to use. On the other hand, an urgent need to adapt to mobile devices and improve gamification and aesthetic elements was observed. Conclusion: The obtained results allowed us to conclude that medical students intend to use the ECG Tutor in the future, implying the need to develop a computational solution for the system and measure its impact on student learning.
Advance directives in the perception of Medical students
Authors: Nakagawa Tatiana Rosa Ogata , Rodrigues Andressa Luciani Pereira , Villegas Valéria Carolina Armas , Gurtat Laura Block , Castro Gabriela Ribeiro de , Almeida Márcio José de
Published: July 2023

Abstract: Introduction: The patient’s autonomy in making decisions about their life and about diagnostic and therapeutic approaches related to their health has been the object of growing social value. Then advanced directives appear to express the patient’s last will, safeguarding the Principle of Autonomy. During the undergraduate learning process, students are committed to life, and all of their training is based on technical aspects. Only a small part of the curriculum covers specific contents focused on terminal illness, when present. Medicine has evolved with important technological advances that resulted in quality-of-life improvement, but also brought a questionable extension of life, with often unjustifiable treatments and a therapeutic obstinacy to maintain life at any cost. Objective: The aim of this study is to analyze the perception of medical students about end-of-life directives. Method: A descriptive qualitative research was carried out through an individual and semi-structured interview, applied through Google forms. Due to the period of pandemic caused by the SARS-CoV-2, the survey was carried out remotely, in accordance with current national legislation. After the target was attained through sample exhaustion, the responses of 13 students were analyzed. Results: In accordance with the elements, steps and methodological criteria, the obtained information was classified and arranged into two categories: Human Dignity and Patient Autonomy; Knowledge of Advance Will Directives. Conclusion: This qualitative analysis brought to light important topics such as the regulation that guides advance will directives and principles that involve bioethics, to consolidate the respect, autonomy and dignity of the patient who is, or will be, undergoing the terminality of life.
Description of two new species of Bujurquina (Teleostei: Cichlidae) from the Bolivian Amazon
Authors: Careaga Matías , Miranda Guido , Carvajal-Vallejos Fernando M.
Published: July 2023

Abstract Two new species of Bujurquina are described from the Bolivian Amazon basin. The first new species inhabits the Beni River drainage and is distinguished from its congeners in the combination of the following characters: longer snout, deeper head, body and caudal peduncle, shorter pectoral fin, more scales in the E1 series, discontinuous longitudinal band, bars 5 and 6 not fused, preopercular spot and coloration pattern on flank scales absent. The second new species inhabits the Mamoré and Iténez river drainages, and differs from its congeners in the combination of the following characteristics: longer and deeper head, longer snout and pectoral fin, deeper caudal peduncle, fewer scales in the E1 series and lower lateral line, preopercular spot absent, bars 6 and 7 separated from longitudinal band and discontinuous longitudinal band. An identification key for species reported from Bolivia and complementary morphological data for B. oenolaemus and B. vittata are presented.
Early ontogeny of tetra Markiana nigripinnis (Characiformes: Characidae)
Authors: Souza Mateus Babichi Veiga de , Tondato-Carvalho Karina Keyla , Gimênes Junior Heriberto , Bialetzki Andréa
Published: July 2023

Abstract The early development of Markiana nigripinnis is described by morphological characters, pigmentation, and morphometry. Larvae were obtained through semi-natural breeding, collected, fixed, and identified according to their development. Eighty individuals with standard lengths ranging from 3.1 to 24.3 mm were analyzed. Larvae are poorly developed at hatching, with a relatively large yolk sac and finfold. At the preflexion stage, the eyes are pigmented, the mouth and anus are functional, the yolk is completely absorbed, and the pectoral fin bud emerges. At flexion, the first rays of the caudal, anal, and dorsal fins become evident. The pelvic fin bud emerges only at the postflexion stage, in addition to the complete absorption of the finfold. Pigmentation is distributed throughout the body, with a greater concentration on the top of the head, around the mouth, and at the base of the caudal fin. The myomere total number ranged from 34 to 49 (16–23 preanal, and 18–27 postanal). Juveniles show morphological characteristics like adults. The fins ray number are pectoral: 11–13, pelvic: 5–7, dorsal: 8–11, caudal: 16–27, and anal 30–47. The morphometric relationships reveal variations in growth along the early ontogeny of the species.
Implicações da Prática Profissional no Acolhimento Institucional de Crianças: Perspectiva de Cuidadoras
Authors: Czelusniak Caroline Boaventura , Moré Carmen Leontina Ojeda Ocampo , Santos Katia Gonçalves dos , Krenkel Scheila
Published: July 2023

Resumo Este estudo qualitativo teve como objetivo compreender, a partir da teoria de bioecológica de desenvolvimento, as implicações da prática profissional no processo de acolhimento de crianças em uma casa-abrigo, na perspectiva de cuidadoras. As participantes foram 10 profissionais de uma casa-abrigo localizada na região sul do Brasil. Utilizou-se a entrevista semiestruturada e a organização e análise dos dados sustentou-se na Grounded Theory, com auxílio do software Atlas.ti 8.4.14. Os resultados evidenciaram uma centralização das ações de acolhimento e atenção em torno dos cuidados físicos das crianças. As ações para promover suporte e cuidados emocionais dentro da casa-abrigo eram delegadas às profissionais da equipe técnica da instituição. Observou-se que as dificuldades encontradas pelas cuidadoras diziam respeito à falta de segurança e preparação para responder e acolher as demandas emocionais das crianças, as quais estão presentes em diversos momentos do processo de acolhimento. Percebeu-se que as práticas institucionais afetaram decisivamente tanto as ações de acolhimento das participantes e o suporte emocional oferecido às crianças na passagem pela casa-abrigo quanto as cuidadoras, no sentido de vivenciarem no trabalho sentimentos de insegurança. Os resultados tensionam ecologicamente a interação nos processos proximais presentes no desenvolvimento humano. Advoga-se pela reflexão sobre as implicações das práticas institucionais de uma casa-abrigo e o desenvolvimento infantil, visando o cuidado integral dos acolhidos.
Notas para Decolonizar os Estudos Transpessoais no Brasil: Contribuições do Pluriperspectivismo Participativo
Authors: Ferreira Aurino Lima , Silva Silas Carlos Rocha da , Cunha Djailton Pereira da , Bezerra Marlos Alves
Published: July 2023

Resumo O campo dos estudos transpessoais tem avançado em diversas áreas no Brasil. Comemorou seus 40 anos com uma inserção ativa nas Instituições de Ensino Superior (IES) e uma ampliação de núcleos formativos e apoiadores de ensino, pesquisa e ações sociais, além de diálogos com o Sistema de Conselhos de Psicologia. Desafios são apresentados a partir do levantamento de uma série de questões importantes e ignoradas dentro da Psicologia Transpessoal no Brasil. Apresentamos o pluriperspectivismo participativo como possibilidade de decolonizar as matrizes eurocêntricas e estadunidenses, que dão suporte ao pensamento transpessoal brasileiro, buscando honrar nossas raízes históricas e incluir outras epistemologias e ontologias, que dão continuidade à crítica à lógica cartesiana moderna. Indicamos uma breve agenda de notas temáticas que carecem de um processo decolonizador no campo transpessoal: a) crítica às perspectivas de um pensamento hegemônico, em termos globais por meio da dominação Norte-Sul ou no campo das relações sociais; b) revisão das formas de “centrocentrismo”; c) questionamento da noção de universalismo das ciências e da ética; d) aprofundamento da análise crítica da supremacia restritiva da racionalidade formal técnico-científica em relação às formas de subjetividade, de vivências holísticas e integradoras e de valorização do corpo; e) revisão da noção de sujeito moderno desprovida da cocriação do humano com a comunidade, a história, a natureza e o cosmos.
Culture circle with community health workers about (lack of) knowledge and stigma of leprosy
Authors: Aquino Dorlene Maria Cardoso de , Monteiro Estela Maria Leite Meirelles , Coutinho Nair Portela Silva , Soeiro Vanessa Moreira da Silva , Santos Tamyris Arcoverde , Oliveira Eudijéssica Melo de , Pereira Débora Lorena Melo , Caldas Arlene de Jesus Mendes
Published: July 2023

ABSTRACT Objective: To describe the construction aboutthe (lack of) knowledge and stigma of leprosy by Community Health Workers participating in the Culture Circle. Method: Qualitative, action-research type study supported by the Paulo Freire Culture Circle framework, carried out with 21 Community Health Workers. Data collected in November 2021, in the municipality of São Luís, Maranhão. The following categories were evidenced: knowledge about leprosy, signs and symptoms, stigma. Results: The participants had knowledge about the disease, but they verbalized people’s disinformation about leprosy, disbelief in relation to the cure, and situations of prejudice and stigma that are still present today. Final considerations: The culture circle enabled the intertwining of scientific and empirical knowledge in the construction of a critical and reflective knowledge committed to welcoming and comprehensive care for people and families affected by leprosy.
Círculo de cultura com agentes comunitários de saúde sobre (des)conhecimentos e estigma da hanseníase
Authors: Aquino Dorlene Maria Cardoso de , Monteiro Estela Maria Leite Meirelles , Coutinho Nair Portela Silva , Soeiro Vanessa Moreira da Silva , Santos Tamyris Arcoverde , Oliveira Eudijéssica Melo de , Pereira Débora Lorena Melo , Caldas Arlene de Jesus Mendes
Published: July 2023

RESUMO Objetivo: Descrever a construção sobre o (des)conhecimento e estigma da hanseníase pelos Agentes Comunitários de Saúde participantes do Círculo de Cultura. Método: Estudo qualitativo de tipo pesquisa-ação apoiado pelo referencial do Círculo de Cultura de Paulo Freire, realizado com 21 Agentes Comunitários de Saúde. Dados coletados em novembro de 2021, no município de São Luís, Maranhão. Foram evidenciadas as categorias conhecimento sobre a hanseníase; sinais e sintomas; estigma. Resultados: Os participantes possuíam conhecimento sobre a doença, mas verbalizaram a existência de desinformação das pessoas sobre a hanseníase, descrenças em relação à cura, além de situações de preconceito e estigma ainda presentes atualmente. Considerações finais: O círculo de cultura possibilitou o entrelace dos saberes científicos e empíricos na construção de um conhecimento crítico e reflexivo comprometido com o acolhimento e atenção integral às pessoas e famílias afetadas pela hanseníase.
Incidence of malaria among indigenous people associated with the presence of artisanal mining
Authors: Caldas Rosinelle Janayna Coêlho , Nogueira Laura Maria Vidal , Rodrigues Ivaneide Leal Ataíde , Andrade Erlon Gabriel Rego de , Costa Carla Monique Lavareda , Trindade Lidiane de Nazaré Mota
Published: July 2023

ABSTRACT Objective: To analyze the incidence of malaria among indigenous people associated with the presence of artisanal miningin the state of Pará. Method: Analytical, cross-sectional study conducted with 20,774 cases of malaria in indigenous people in the state of Pará (2011 to 2020). The data came from the Malaria Epidemiological Surveillance Information System, obtained from the Pará State Department of Public Health. In the analysis, Spearman’s correlation coefficient was used, with a significance of 5% (p < 0.05). Results: Incidence rates were high, especially in the Tapajós River Indigenous Special Health District (372.2/1,000 inhabitants). There was association between the incidence of malaria and the presence of indigenous people in artisanalmining activities on the Tapajós River (p=0.0008). Conclusion: The occurrence of malaria is unequal among the Special Indigenous Health Districts, being more frequent in those with greater mining activity, configuring exposure to the disease. It is necessary to adopt intersectoral measures, especially in areas of vulnerability to illness.
Incidência de malária entre indígenas associada à presença de garimpos
Authors: Caldas Rosinelle Janayna Coêlho , Nogueira Laura Maria Vidal , Rodrigues Ivaneide Leal Ataíde , Andrade Erlon Gabriel Rego de , Costa Carla Monique Lavareda , Trindade Lidiane de Nazaré Mota
Published: July 2023

RESUMO Objetivo: Analisar a incidência da malária entre indígenas associada à presença de garimpos no estado do Pará. Método: Estudo analítico, transversal, realizado com 20.774 casos de malária em indígenas do estado do Pará (2011 a 2020). Os dados foram oriundos do Sistema de Informação de Vigilância Epidemiológica da Malária, obtidos na Secretaria de Estado de Saúde Pública do Pará. Na análise, utilizou-se o coeficiente de correlação de Spearman, com significância de 5% (p < 0,05). Resultados: As taxas de incidência se mostraram elevadas, com destaque ao Distrito Sanitário Especial Indígena Rio Tapajós (372,2/1.000 habitantes). Houve associação entre incidência da malária e a presença dos indígenas nos garimpos no Rio Tapajós (p=0,0008). Conclusão: A ocorrência da malária é desigual entre Distritos Sanitários Especiais Indígenas, sendo mais incidente naqueles de maior atividade garimpeira, configurando exposição à doença. Faz-se necessária a adoção de medidas intersetoriais, sobretudo em áreas de vulnerabilidade ao adoecimento.
Perceptions of academics and nursing staff about the extension project: “Walking through the hospital”
Authors: Rosa Yasmin Lorenz da , Boni Fernanda Guarilha , Leite Renata Meirelles , Cunha Jéssica Rosa Thiesen , Echer Isabel Cristina
Published: July 2023

ABSTRACT Objective: To know the perception of academics and nursing staff about the extension project “Walking through the hospital”. Method: Qualitative study conducted in a Brazilian university hospital from November/2019 to April/2022 with nursing students and professionals participating in a university extension project. Data were collected using instruments on the Google Forms® platform and submitted to Content Thematic Analysis. The project was approved by the Ethics Committee. Results: Fifteen academics, four nurses and six nursing technicians participated in the study. Four categories emerged from the analysis: “Knowing the hospital environment/dynamics”, “Articulation between theory and practice”,“Bond between academics and health care professionals” and “Work process in the unit”. Final considerations: The findings highlight the importance of university extension in providing knowledge and experienceof hospital clinical practice, which can contribute to strengthening teaching and academic training in nursing.
Play into the domestic routine to promote child development: cross-sectional study
Authors: Solís-Cordero Katherine , Rocha Julia Carlla Abrantes , Marinho Patricia , Camargo Patricia , Fujimori Elizabeth
Published: July 2023

ABSTRACT Objective: To analyze the association between the incorporation of play into the domestic routine of caregivers, and the child development of children under their care. Method: Cross-sectional study conducted with 129 caregiver-child dyads aged 12-23 months, living in the southern region of São Paulo. Child development was assessed using the Ages & Stages Questionnaire-3, and the incorporation of play into the domestic through a questionnaire and filming of the dyads in activities related to the domestic routine. Results: Almost all the caregivers were the mother (98%), who, when answering the questionnaire, reported incorporating play into their domestic routine (93%), however in the video, only one third played with the child (34%). There was a positive association between playing in moments of domestic routine and domains of child development in children aged 18 months or less. Conclusions: A positive association was found between the incorporation of play into the domestic routine and child development.
O brincar na rotina doméstica para a promoção do desenvolvimento infantil: estudo transversal
Authors: Solís-Cordero Katherine , Rocha Julia Carlla Abrantes , Marinho Patricia , Camargo Patricia , Fujimori Elizabeth
Published: July 2023

RESUMO Objetivo: Analisar a associação entre a incorporação do brincar na rotina doméstica de cuidadoras e o desenvolvimento infantil de crianças sob seu cuidado. Método: Estudo transversal conduzido com 129 díades cuidadora-criança de 12-23 meses, na região sul de São Paulo. O desenvolvimento infantil foi avaliado com a utilização do Ages & Stages Questionnaire-3, e a incorporação do brincar na rotina doméstica, por meio de questionário e filmagem das díades em atividades relacionadas à rotina doméstica. Resultados: Quase a totalidade das cuidadoras era a mãe (98%) que, ao responder ao questionário, referiu incorporar o brincar na rotina doméstica (93%), porém, no vídeo, apenas um terço brincou com a criança (34%). Verificou-se associação positiva entre brincadeiras em momentos da rotina doméstica e domínios do desenvolvimento em crianças com idade igual ou inferior a 18 meses. Conclusões: Constatou-se associação positiva entre a incorporação do brincar na rotina doméstica e o desenvolvimento infantil.
Nursing educational intervention in hysterectomized women: a mixed method study protocol
Authors: Izurieta María Indira López , Molina Alide Alejandrina Salazar , -Barboza Vivian Vílchez , Saez-Carrillo Katia Lorena
Published: July 2023

ABSTRACT Objectives: To know the meaning of education in the perioperative period, in women undergoing hysterectomy for benign causes and to determine the effectiveness of educational nursing intervention in improving female sexual function, quality of life and self-esteem in women undergoing hysterectomy for benign causes. Methods: Mixed design, exploratory sequential Qualitative phase semi-structured interviews and content analysis. Quasi-experimental study quantitative phase, non-equivalent control group. 26 women in 2 groups. Instruments: Biosociodemographic, Female Sexual Function Index, SF-36 Questionnaire, Rosenberg Scale. Both groups will receive traditional care and the experimental group will receive nursing educational intervention with web page support. Ethical requirements will be considered. Expected results: The women in the experimental group will improve their sexual function, health-related quality of life and self-esteem in relation to the comparison group. Conclusions: Education in the perioperative period of hysterectomy is essential for the recovery of women who go through this experience.
A assistência à saúde mental na pandemia em uma ala hospitalar infantojuvenil de desintoxicação
Authors: Sczepanhak Bruna Fatima , Zack Bruna Tais , Machineski Gicelle Galvan
Published: July 2023

RESUMO Objetivo: Conhecer a percepção dos profissionais sobre a assistência oferecida, durante o período da pandemia, no atendimento a crianças e adolescentes usuários de álcool e outras drogas em uma ala de desintoxicação. Método: Pesquisa descritiva,qualitativa, realizada no período de setembro a dezembro de 2021, mediante entrevistas com a equipe multiprofissional da ala de desintoxicação de um hospital universitário, sistematizadas e analisadas de acordo com Minayo. Resultados: Participaram 19 profissionais, sendo principalmente da enfermagem e mulheres. Identificaram-se quatro unidades temáticas: sobre as dificuldades enfrentadas no cotidiano; sobre as facilidades no cuidado; sobre a adaptação da equipe às facilidades e/ou dificuldades; sobre a relação equipe-família, equipe-paciente e paciente-família. Conclusão: A capacidade de se reinventar foi imprescindível para a equipe atender as demandas das crianças e adolescentes institucionalizados.
Crianças e adolescentes que vivem com HIV: proposta de cuidado participativo em saúde
Authors: Kinalski Daniela Dal Forno , Antunes Bibiana Sales , Motta Maria da Graça Corso da
Published: July 2023

RESUMO Objetivo: Apresentar uma proposta de cuidado participativo em saúde embasado nos Direitos Humanos de crianças e adolescentes que vivem com HIV. Método: Estudo qualitativo com abordagem participativa que utilizou o Método Criativo Sensível. Os participantes foram 16 profissionais de saúde de três Serviços de Assistência Especializada do Sul do Brasil. Os dados foram submetidos à Análise de Discurso na corrente francesa. Resultados: A primeira categoria temática evidenciou as perspectivas a respeito do direito à participação como um novo sentido na ciência do cuidado. A segunda categoria revelou a construção de uma proposta de cuidado participativo, pelos profissionais de saúde, que poderá ser implementada na prática diária das equipes diante de seis momentos. Considerações finais: A implementação tem potencial para promover a legitimidade do direito à participação e, consequentemente, à qualificação do cuidado em saúde.
Avaliação de Quarta Geração enquanto percurso para a Translação do Conhecimento na saúde mental
Authors: Pavani Fabiane Machado , Pires Ananda Ughini Bertoldo , Wetzel Christine , Olschowsky Agnes , Duarte Maria de Lourdes Custódio
Published: July 2023

RESUMO Objetivo: Discutir o uso da metodologia da Avaliação de Quarta Geração como um percurso teórico-metodológico potente para implementação da Translação do Conhecimento na saúde mental infantojuvenil. Método: Compreende a descrição das etapas e do trabalho de campo de uma pesquisa que avaliou as práticas em saúde mental voltadas aos adolescentes em um Centro de Atenção Psicossocial infantojuvenil, entre agosto e dezembro de 2018, com a equipe assistencial do serviço. Resultados: A utilização de estratégias para envolver os trabalhadores em todas as etapas, a construção do conhecimento de maneira dialética, a adaptação do percurso ao campo - com a realização de intervenções sugeridas pelos participantes - e o próprio percurso da pesquisa,em sua condição de produto/resultado, viabilizam a interface com a Translação do Conhecimento. Considerações finais: As características discutidas possibilitam sugerir que se utilize a Avaliação como alternativa à implementação da Translação, sobretudo no campo da saúde mental.
Factors associated with cholestasis in newborns with gastroschisis
Authors: Bigio Juliana Zoboli Del , Tannuri Ana Cristina Aoun , Falcão Mário Cícero , Matsushita Felipe Yu , de Carvalho Werther Brunow
Published: July 2023

ABSTRACT Objective: To describe the incidence and to analyze risk factors associated with cholestasis in neonates with gastroschisis. Methods: This is a retrospective cohort study in a tertiary single center analyzing 181 newborns with gastroschisis between 2009 and 2020. The following risk factors associated with cholestasis were analyzed: gestational age, birth weight, type of gastroschisis, silo closure or immediate closure, days of parenteral nutrition, type of lipid emulsion, days of fasting, days to reach a full diet, days with central venous catheter, presence of infections, and outcomes. Results: Among the 176 patients evaluated, 41 (23.3%) evolved with cholestasis. In the univariate analysis, low birth weight (p=0.023), prematurity (p<0.001), lipid emulsion with medium-chain triglycerides and long-chain triglycerides (p=0.001) and death (p<0.001) were associated with cholestasis. In the multivariate analysis, patients who received lipid emulsion with fish oil instead of medium chain triglycerides/long chain triglycerides (MCT/LCT) emulsion had a lower risk of cholestasis. Conclusions: Our study shows that lipid emulsion with fish oil is associated with a lower risk of cholestasis in neonates with gastroschisis. However, this is a retrospective study and a prospective study should be performed to confirm the results.
Reports by explorers and travelers and the first scientific studies on ayahuasca (dating from 1850 to 1950) within the current debate on the “psychedelic renaissance”
Authors: Lima Vinícius Maurício de , Marinho Maria Gabriela Silva Martins da Cunha
Published: July 2023

Abstract This article describes the associations and controversies between indigenous and western uses of ayahuasca between 1850 and 1950 in relation to the “psychedelic renaissance.” This movement has gained scientific attention since 2000, but hearkens back to the 1960s and 1970s, when anti-drug policy halted research on the “therapeutic potential” of psychoactive substances. Pioneering studies on ayahuasca date back to the early twentieth century and mention reports of expeditions to Amazonia from 1850 onward. Here, these articles and reports are analyzed according to the historical aspect of actor-network theory and recent studies. We infer that history casts light on the current political debate about indigenous uses, classifications, and meanings, pharmaceutical interest in ayahuasca, and the debate on “drugs.”
The effects of river impoundment on artisanal fishers in the Middle Tocantins River, Brazil
Authors: Santos Marco Aurélio Alves , Pelicice Fernando Mayer
Published: July 2023

Abstract: Aim The present study investigated the social impacts caused by the construction of a large hydropower dam (Lajeado Dam) on artisanal fishers in the Middle Tocantins River, evaluating how the impoundment affected fishing techniques (locations, transport and gears), operation (income, effort and costs), and fisher’s well-being. Methods The study interviewed 30 artisanal fishers (Colony Z-04, Porto Nacional, TO) between August and October 2018 with the application of a structured questionnaire. Results Results indicated that fishing is socially important as a source of income and occupation, carried out essentially by men with low levels of formal education. Fishers reported, however, significant changes in the fishery system after the impoundment of the Tocantins River. The main fishing area was maintained, but fishers abandoned some sites. There were significant changes in fishing equipment, with an increase in the use of aluminum boats and outboard engines, and a reduction in the use of various gears, replaced by the use of gillnets. Almost all fishers (96.6%) declared that fishing effort and the financial costs increased after damming. Many also reported an increase in financial income (70%), but part reported a decrease, no change or could not say. The majority reported that the impoundment damaged the fishing activity (80%) and their well-being (individual and their families; 83.3%); dissatisfaction with the profession also increased. Conclusions Results indicated that the impoundment created by Lajeado Dam impacted several aspects of artisanal fisheries in the Middle Tocantins, with a wide perception of damage, which indicates that working conditions of fishers have declined. This information is relevant and can support fisheries management in the Tocantins River Basin, in order to balance societal demands with sustainability goals and fisher’s needs.
RECENT ADVANCES IN MODELING AND EXPERIMENTAL PREDICTION OF PROPERTIES OF GRAPHENE REINFORCED NATURAL RUBBER COMPOSITES: A REVIEW (PART 2)
Authors: Hussain Syed Asad , Sharma Sumit
Published: July 2023

This review paper is a continuation of Recent Advances in Modeling and Experimental Prediction of Properties of Graphene Reinforced Natural Rubber Composites: A Review (Part 1). In Part 2 of the review paper, the need for molecular dynamics for predicting the properties of graphene-reinforced natural rubber composites has been highlighted. The state of the art in the field of rubber composites using molecular dynamics has been presented. Furthermore, the applications and research gaps related
to the field of graphene-reinforced rubber composites have been identified.
Optimal adaptive decision rules in geotechnical construction considering uncertainty
Authors: Bismut Elizabeth , Cotoarbă Dafydd , Spross Johan , Straub Daniel
Published: July 2023

To design a geotechnical engineering structure optimally, an iterative decision-making process is required due to the prevailing uncertainty of the ground conditions. At present, these decisions are taken based on simple deterministic rules and models. This paper proposes a risk-based decision-theoretic framework to the optimal planning for geotechnical construction. This framework combines geotechnical probabilistic models, cost analysis using Monte Carlo simulation and the observational method. The framework is illustrated on the design of the surcharge for an embankment on soft soil, whereby the optimal preloading sequence of added surcharge is adapted to the observed settlement. The approach balances the cost of surcharge material against financial penalties related to project delays and insufficient overconsolidation, which causes damage due to residual settlement. The result is a preloading strategy that optimally accounts for information obtained from settlement measurements under uncertain ground conditions. The findings highlight the potential of using risk-based decision planning in geotechnical engineering, in particular when combined with the observational method. For the investigated case study, a reduction in the expected cost in the order of 25% is observed.
Finerenone Added to RAS/SGLT2 Blockade for CKD in Alport Syndrome. Results of a Randomized Controlled Trial with Col4a3 −/− Mice
Authors: Zhu Zhihui , Rosenkranz Karoline A.T. , Kusunoki Yoshihiro , Li Chenyu , Klaus Martin , Gross Oliver , Angelotti Maria-Lucia , Antonelli Giulia , Cirillo Luigi , Romagnani Paola , Bouteldja Nassim , Sadr Alireza Vafaei , Bülow Roman D. , Boor Peter , Anders Hans-Joachim
Published: July 2023

Significance Statement

We hypothesized that triple therapy with inhibitors of the renin–angiotensin system (RAS), sodium–glucose transporter (SGLT)-2, and the mineralocorticoid receptor (MR) would be superior to dual RAS/SGLT2 blockade in attenuating CKD progression in Col4a3-deficient mice, a model of Alport syndrome. Late-onset ramipril monotherapy or dual ramipril/empagliflozin therapy attenuated CKD and prolonged overall survival by 2 weeks. Adding the nonsteroidal MR antagonist finerenone extended survival by 4 weeks. Pathomics and RNA sequencing revealed significant protective effects on the tubulointerstitium when adding finerenone to RAS/SGLT2 inhibition. Thus, triple RAS/SGLT2/MR blockade has synergistic effects and might attenuate CKD progression in patients with Alport syndrome and possibly other progressive chronic kidney disorders.

Background

Dual inhibition of the renin–angiotensin system (RAS) plus sodium–glucose transporter (SGLT)-2 or the mineralocorticoid receptor (MR) demonstrated additive renoprotective effects in large clinical trials. We hypothesized that triple therapy with RAS/SGLT2/MR inhibitors would be superior to dual RAS/SGLT2 blockade in attenuating CKD progression.

Methods

We performed a preclinical randomized controlled trial (PCTE0000266) in Col4a3-deficient mice with established Alport nephropathy. Treatment was initiated late (age 6 weeks) in mice with elevated serum creatinine and albuminuria and with glomerulosclerosis, interstitial fibrosis, and tubular atrophy. We block-randomized 40 male and 40 female mice to either nil (vehicle) or late-onset food admixes of ramipril monotherapy (10 mg/kg), ramipril plus empagliflozin (30 mg/kg), or ramipril plus empagliflozin plus finerenone (10 mg/kg). Primary end point was mean survival.

Results

Mean survival was 63.7±10.0 days (vehicle), 77.3±5.3 days (ramipril), 80.3±11.0 days (dual), and 103.1±20.3 days (triple). Sex did not affect outcome. Histopathology, pathomics, and RNA sequencing revealed that finerenone mainly suppressed the residual interstitial inflammation and fibrosis despite dual RAS/SGLT2 inhibition.

Conclusion

Experiments in mice suggest that triple RAS/SGLT2/MR blockade may substantially improve renal outcomes in Alport syndrome and possibly other progressive CKDs because of synergistic effects on the glomerular and tubulointerstitial compartments.
The influence of shared accommodation consumption value on user satisfaction, intention to reuse and image of the tourist destination
Authors:   The Tourism Sciences Society Of Korea, Hur Seo-Young , Chun Byung-Gil
Published: July 2023

This study has demonstrated the effect of shared accommodation consumption value on user satisfaction, intention to reuse, and image of the destination. For the empirical study, 233 questionnaires have been collected from recent users of shared housing. The following are the study's key findings. First, functional value and emotional value have positively affected user satisfaction, whereas economic value has had no significant impact. Second, it was discovered that the functional value, economic value, and emotional value of shared accommodation consumption value all had a significant positive (+) effect on the intention to reuse. The economic value dimension had the most significant effect on the intention to reuse. Only emotional value among the sub-dimensions of shared accommodation consumption value was found to have a significant positive (+) effect on the image of the tourist destination. Therefore, the greater the emotional value perceived by users of shared accommodation, the greater the likelihood that they will form a positive image of the tourist destination. Lastly, it was determined that satisfaction with shared accommodation had a significant positive (+) effect on the intention to return and the image of the tourist destination. Based on the findings of the study, it has been confirmed that the operation of high-quality shared accommodation in the region can result in a rise in the number of tourists as well as a rise in reuse, which is the result of local tourism businesses.
Colaboración entre fonoaudiólogos y profesores de aula: determinantes del trabajo colaborativo
Authors: González-Fernández Daniela , Flores-González Juan Felipe , Gambetta-Tessini Karla , Segura-Pujol Hugo
Published: July 2023

La colaboración entre fonoaudiólogo y profesor es una práctica esencial para el desarrollo de la inclusión educativa; sin embargo, esta aún está muy poco desarrollada y se ve afectada por diferentes factores. El objetivo de esta investigación fue determinar las variables sociodemográficas y laborales que influyen en la posibilidad de desarrollar diferentes niveles de colaboración entre fonoaudiólogo y profesor en contextos educativos. En esta investigación se aplicó un cuestionario online a 108 fonoaudiólogos y se realizó un análisis descriptivo de antecedentes sociodemográficos, análisis bivariado y de regresión binaria para determinar las variables que podrían aumentar o disminuir la posibilidad de que los fonoaudiólogos desarrollen menor o mayor colaboración. El 70 % (n= 76) de los fonoaudiólogos autorreporta un alto nivel de colaboración y el 30 % (n= 32) un bajo nivel de colaboración. La experiencia laboral del fonoaudiólogo (or= 1,27, ci= 0,03-0,45) y la frecuencia de reuniones entre ambos profesionales (or=14,5, ci= 0,59-4,76) aumentan la probabilidad de colaborar, mientras que el número de empleos disminuye la probabilidad de avanzar en la colaboración (or= 0,19, ci= -2,78 – -0,45). Se concluyó que la mayoría de los fonoaudiólogos autorreportan un alto nivel de colaboración y que existen variables que impactan el desarrollo de esta, como los años de experiencia, el número de empleos del fonoaudiólogo y la frecuencia de reuniones junto al profesor. Esta investigación podría ser un aporte para la toma de decisiones tanto a nivel central como local que favorezcan la colaboración en ambientes educativos inclusivos.
Mountain tundra vegetation in the axial part of the Polar Urals
Authors:   Central Siberian Botanical Garden SB RAS, Telyatnikov Michael Yu. , Khitun Olga V. ,   V.L. Komarov Botanical Institute RAS, Kudr Ekaterina V. ,   M.V. Lomonosov Moscow State University, Department of Ecology and Plant Geography, Pisarenko Olga Yu. ,   Central Siberian Botanical Garden SB RAS, Pristyazhnyuk Sergei A. ,   Central Siberian Botanical Garden SB RAS, Ermokhina Ksenia A. ,   A.N. Severtsov Institute of Ecology and Evolution RAS
Published: July 2023

The syntaxonomic diversity of mountain tundra vegetation within the axial part of the Polar Urals is described. We distinguished 5 associations and 3 subassociations assigned to 3 classes of phytosociological classification. 4 associations and 3 subassociations are described for the first time: Pediculari lapponicae–Betuletum nanae ass. nov., Dactylino arcticae–Empetretum subholarctici ass. nov. and Br yocaulo diverg entis–Vaccinietum uliginosi solorinetosum croceae subass. nov. we assigned to the class Loiseleurio procumbentis–Vaccinietea Eggler ex Schubert 1960; Dicrano laevidentis– Bistortetum viviparae ass. nov. – to the class Carici arctisibiricae– Hylocomietea alaskani Matveyeva et Lavrinenko 2023, Rhytidio rugosi–Dryadetum octopetalae ass. nov. with 2 subassociations – typicum subass. nov. and salicetosum arcticae subass. nov. – to the class Carici rupestris–Kobresietea bellardii Ohba 1974. Specificity of altitudinal and latitudinal distribution of different syntaxa in Polar Urals is shown. Communities of the mountain tundra in the southern part of the Polar Urals are analogous to the zonal communities of the southern tundra, those in the middle part of Polar Urals are similar to such in the southern stripe of the typical tundra, and those in the northern part are analogous to the northern stripe of the typical tundra subzone.
Low Civility and High Incivility in Russian Online Deliberation
Authors: Volkovskii Daniil , Filatova Olga
Published: July 2023

One of the most studied fields in deliberative research is (in)civility in Internet-based political discussions on issues of common concern. Uncivil behaviour demonstrated by participants in online communication has various forms and negative effects on the process and outcomes of e-deliberation as well as on deliberators’ reactions and attitudes, which have been predominantly investigated in Western democracies. However, this issue has been poorly covered in the countries with less stable democratic traditions and values. This paper explores speech culture with a focus on civility and incivility in Russian political conversations conducted on Russian social media. The authors analyse mass-scale web political discussions on a polarising issue of the court sentence of the politician Alexei Navalny (2021), taking one of the most popular Russian social networks VKontakte. For this study, scholars use discourse analysis based on the works on deliberative democracy proposed by J. Habermas (1996). They conclude that Russian political speech regarding Navalny’s sentence and conducted on the VKontakte social media platform can be characterised by a great extent of uncivil speech unbalanced by a low extent of civil speech. The conversations are not oriented towards mutual recognition or reaching a consensus, as participants are often distracted from the main issue being discussed, and turn to interpersonal topics instead.
Aggressive fibromatosis – Case report and brief review of literature
Authors: T Pratap Reddy , Surana Shitalkumar , G Lalitha, Jagadishwar Goud , M Sailaja
Published: July 2023

Aggressive fibromatosis is a benign tumor which arises from deep musculoaponeurotic structures and can occur anywhere in the body. It is characterized by local invasion and recurrence. It has been reported to occur in the head and neck (H & N) region, with 179 cases documented between 1968 and 2008.
Tumor lysis syndrome – An overview and current perspective
Authors: K Jain Piyush , Vajrala Gangadhar
Published: July 2023

Tumor lysis syndrome (TLS) is an oncological emergency where in spontaneous or treatment-induced cell death leads to a constellation of metabolic abnormalities that can result in potentially life threatening complications. It is characterized by hyperkalemia, hyperuricemia, hyperphosphatemia and hypocalcemia. Etiopathogenesis is related to spontaneous cell death of rapidly growing tumor or more commonly to administration of cytotoxic chemotherapy in patients with hematologic malignancies and less so with solid malignancies. The precise incidence of TLS is not known, and neither racial nor gender predilection exists. Approximately 18% of the patients who develop TLS die of its complications [1]. The cornerstone of the management of TLS includes knowledge of its causes, recognition of high-risk patients, vigilant monitoring and prompt initiation of appropriate preventive and therapeutic measures when indicated.