bluuebunny/crossref_metadata_2025 huggingface dataset:
Taekwondo in the reflection of collectibles
Authors: Bugaevsky K.
Published: February 2021

Purpose: to study the reflection of taekwondo in a variety of collectibles, such as philately, faleristics and numismatics. Material and methods. This study was conducted in January 2021. In carrying out this research work, the method of in-depth literary-critical analysis of available scientific sources of information on the issue under study was used, using reference books, encyclopedias, catalogs, specialized periodicals, and Internet resources. Results: analysis of reference books, encyclopedias, catalogs, specialized periodicals, Internet resources showed that today there is a huge representation of taekwondo in modern collectibles. It was revealed that materials are presented in a fairly complete volume, telling about the popularity and place of taekwondo, among other types of martial arts, as well as about competitions of various levels in this sport held in the world. The processed most interesting, vivid and informative illustrative materials revealed that philatelic materials (postage stamps, envelopes, blocks) tell about taekwondo most fully. Also, taekwondo is most actively represented in foreign philately, commemorative coins and badges. Conclusions. According to the results of the study, it was determined that for many years, in the world's collectibles, taekwondo classes have been actively promoted, with reflection in philately, numismatics and faleristics, the most important sporting events in the world of this type of martial arts, both at the level of a separate state and championships of the continent, World and Olympic Games. Modern collectibles are capable, in a sufficiently full volume, accessible, colorful and informative, to convey all the necessary information about the events taking place in this type of martial arts, taking place all over the world. Modern collecting, primarily thematic, is one of the effective means of expanding the scope of knowledge in the issue under study, and a non-standard way of presenting interesting additional information. Keywords: taekwondo, collecting, philately, faleristics, numismatics.
Features of psychophysiological characteristics in skilled boxers
Authors: Korobeinikova L. , Go Chenpen , Korobeinikov G. , Wu Chuanzhong
Published: February 2021

Purpose: to study the features of psychophysiological characteristics in qualified boxers with different levels of performance. Material and methods. The study used the following methods: analysis of scientific and methodological information, Internet sources and generalization of practical experience, psychophysiological research methods, methods of mathematical statistics. A dynamometer «Spuderg» designed by M.P. Savchyn was used to assess the special performance. The index of creatine phosphate working capacity of boxers was determined (according to the test of the boxer's strikes fulfillment for 8 seconds at maximum speed). We examined 26 qualified boxers, members of the national team of Kiev at the age of 18-24 years. According to the creatine phosphate working capacity index, all boxers were divided into two conditional groups. The first group with a high level of working capacity (from 200 and more USD) and the group with a low level of special working capacity (below 200 USD). The first group included 12 people, the second - 14 athletes. Results: based on the analysis of scientific and methodological literature, it was revealed that a high level of special performance in qualified boxers is provided by a high lability of the nervous system and the speed of processing of visual information with simultaneous control over spontaneous actions under conditions of motor response. During the study, an assessment was made of: complex sensorimotor reactions (functional mobility of nervous processes; reaction to a moving object), specific perceptions (reaction rate to non-verbal stimuli). Conclusions. The study made it possible to establish that boxers with a high level of special working capacity have a balance between the processes of arousal and inhibition, while boxers with a reduced level of working capacity have a predominance of arousal processes and high values of impulsivity, which indicate the presence of spontaneous, unprepared actions when responding to external irritants. The connection between the quality and speed of perception of visual information and special performance in qualified boxers was also revealed. Keywords: qualified boxers, psychophysiological characteristics, special working capacity, types of control
A Prevention Program for Insomnia in At-risk Adolescents: A Randomized Controlled Study
Authors: Chan Ngan Yin , Li Shirley Xin , Zhang Jihui , Lam Siu Ping , Kwok Amy Pui Ling , Yu Mandy Wai Man , Chan Joey Wing Yan , Li Albert Martin , Morin Charles M. , Wing Yun Kwok
Published: February 2021

OBJECTIVES:

To prevent the future development of insomnia in at-risk adolescents.

METHODS:

A randomized controlled trial comparing 4 weekly insomnia prevention program with a nonactive control group. Subjects were assessed at baseline, postintervention, and 6 and 12 months after intervention. Assessors were blinded to the randomization. Analyses were conducted on the basis of the intention-to-treat principles.

RESULTS:

A total of 242 adolescents with family history of insomnia and subthreshold insomnia symptoms were randomly assigned to an intervention group (n = 121; mean age = 14.7 ± 1.8; female: 51.2%) or control group (n = 121; mean age = 15.0 ± 1.7; female: 62.0%). There was a lower incidence rate of insomnia disorder (both acute and chronic) in the intervention group compared with the control group (5.8% vs 20.7%; P = .002; number needed to treat = 6.7; hazard ratio = 0.29; 95% confidence interval: 0.12–0.66; P = .003) over the 12-month follow-up. The intervention group had decreased insomnia symptoms (P = .03) and reduced vulnerability to stress-related insomnia (P = .03) at postintervention and throughout the 12-month follow-up. Decreased daytime sleepiness (P = .04), better sleep hygiene practices (P = .02), and increased total sleep time (P = .05) were observed at postintervention. The intervention group also reported fewer depressive symptoms at 12-month follow-up (P = .02) compared with the control group.

CONCLUSIONS:

A brief cognitive behavioral program is effective in preventing the onset of insomnia and improving the vulnerability factors and functioning outcomes.
Characterization of pregnant women who gave birth in 2016 at the Hospital de La Samaritana, Bogotá D.C., Colombia
Authors: Cruz Edwin Alfonso , García-Perlaza Carlos , Sánchez-Acosta Karen , Herrera-Aranguren Lorena , Davila-Romero Viviana , Martínez-Herrera Yeraldine
Published: February 2021

Introduction: Maternal mortality and severe maternal morbidity are serious public health problems, so it is essential to work on the identification, recognition and situation analysis of patients treated at high-risk pregnancy centers. Objectives: To characterize the pregnant women treated at the Hospital Universitario de la Samaritana (HUS), Bogotá, Colombia, from a demographic, social and clinical point of view in order to identify common factors that may be intervened and, thus, avoid adverse outcomes. Materials and methods: Cross-sectional study. 785 medical records of patients with a gestational age >24 weeks treated at the HUS in 2016 were analyzed. Sociodemographic data were collected, as well as data on the following variables: history of diseases, antenatal care, biopsychosocial risk, and obstetric outcomes. A univariate analysis was performed for each variable; measures of central tendency and dispersion and absolute and relative frequencies were calculated for quantitative and qualitative variables, respectively. Maternal health indicators were also calculated. Results: 47.51% of the pregnant women had a low educational level, 34.39% were single mothers, 32.10% had a previous comorbidity, and 5.85% had insufficient antenatal care. The proportion of preterm births was 23.6 (95%CI: 20.63%-26.69%), the severe maternal morbidity ratio was 157.96/1 000 live births, and the maternal mortality rate was 246/100 000 live births. Conclusions: Pregnant women treated at the HUS are mainly young women from areas where the health system is not easily accessible, and who have insufficient antenatal care and a low schooling level. This population has a high rate of severe maternal morbidity and maternal mortality compared to the national reference value, so they would benefit from educational interventions or risk approaches that prioritize these factors in order to prevent adverse maternal outcomes.
Assessment for learning in health sciences. An innovative pedagogical process
Authors: Beltrán-Véliz Juan Carlos , Tereucán-Angulo Julio César , Salazar-Ascencio José , Alarcón-Muñoz Ana María
Published: February 2021

Evaluation is a critical component of teaching because it promotes effective learning, which is why it must be done correctly. In health sciences, evaluation is reductionist and technical in nature, as it focuses on summative assessments by checking the extent to which a student achieves the intended objectives and verifying said achievement, as well as on the results obtained at the end of an academic year, which translates into a grade.
Terror en Costa Rica. El Diario Extra y el uso del discurso del miedo, entre 1979 y 1985
Authors: Marchena Sanabria Jorge
Published: February 2021

Este artículo analiza los discursos políticos y del miedo, dominantes en el periódico costarricense Diario Extra, entre 1979 y 1985, los cuales corresponden a narrativas amarillistas, que culparon al expresidente Rodrigo Carazo Odio (1926-2009) de la crisis que el país experimentó. El objetivo central es reconstruir las estrategias que el rotativo empleó para conformar una realidad alternativa, en la que, paralelo a la supuesta corrupción política, ocurrían milagros, apariciones de ovnis, entre otros. El resultado de esta estrategia fue la entronización de un discurso sensacionalista para distraer a la sociedad civil, mientras se despreciaba la importancia del creciente malestar popular y las protestas masivas de esos años. Este trabajo se elaboró a partir de referentes teóricos en torno al sensacionalismo y sus conexiones con el control social. Las principales fuentes correspondieron a notas del citado periódico y se utilizó el análisis de textos, buscando las principales narrativas, el contexto y las discursividades enmarañadas que la Extra publicaba.
Construction of the Definition of the “Credit” Category
Authors: Revtova Elena
Published: February 2021

The subject of the research is the essence, nature and meaning of the “credit” category. The goal is to develop a definition of the “credit” category reflecting the nature of the phenomenon it refers to. Hypothesis: the author believes that general scientific research methods based on the idea of triadicity will reveal and describe the nature of the phenomenon of credit, as well as formulate a scientifically based definition of the corresponding category. Methods: formal-logical method, method of triadic decoding of categories. As a result of using the formallogical method the author defined: a) the generic concept “loan” as a universe, part of which is the “credit” category; b) non-credit forms of loans: “bill”, “bond”, “factoring”, “leasing”; c) necessary and sufficient conditions for classifying an object as a “credit”. A scientifically grounded definition of the “credit” category was formulated. As a result of deciphering the “credit” category, the essential qualities in the “credit” object, which together make up its essence, nature and meaning, were revealed; a detailed definition of the “credit” category was received. The research into the nature of credit has shown that the closest generic concept of credit is a loan; a necessary condition for classifying a credit as a loan is the transfer or receipt of money and goods on loan; repayment, payment and urgency are sufficient conditions for classifying a credit as a loan category; as a result, “credit” is defined as a kind of loan categories, the objective essential properties of which are repayment, payment and urgency. The field of applicability of the results in theory: the possibility of using the formal-logical method to investigate the nature of the research object; to check the obtained definition of the object for logical correctness; to enter your own definitions of the research object into the subject field with the help of “triads”. In lending practice the results are applicable as follows: scientifically grounded definition of the “credit” category, understanding the essence and nature of credit, its properties: repayment, payment and urgency to determine the specific variety of credit.
Trauma Quality Indicators’ usage limitations in severe trauma patients
Authors: ANTUNES PEDRO DE SOUZA LUCARELLI , LIBÓRIO PAULA RIBEIRO , SHIMODA GIOVANNA MENNITTI , PIVETTA LUCA GIOVANNI ANTONIO , PARREIRA JOSÉ GUSTAVO , ASSEF JOSE CESAR
Published: February 2021

ABSTRACT Purpose: to analyze the relation between Trauma Quality Indicators (QI) and death, as well as clinical adverse events in severe trauma patients. Methods: analysis of data collected in the Trauma Register between 2014-2015, including patients with Injury Severity Score (ISS) > 16, reviewing the QI: (F1) Acute subdural hematoma drainage > 4 hours with Glasgow Coma Scale (GCS) <9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours; (F4) Admission-laparotomy time greater than 60 min in hemodynamically instable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time > 6 hours; (F10) Surgery > 24 hours. T the chi-squared and Fisher tests were used to calculate statistical relevance, considering p<0.05 as relevant. Results: 127 patients were included, whose ISS ranged from 17 to 75 (28.8 + 11.5). There were adverse events in 80 cases (63%) and 29 died (22.8%). Twenty-six patients had some QI compromised (20.6%). From the 101 patients with no QI, 22% died, and 7 of 26 patients with compromised QI (26.9%) (p=0.595). From the patients with no compromised QI, 62% presented some adverse event. From the patients with any compromised QI, 18 (65.4%) had some adverse event on clinical evolution (p=0.751). Conclusion: the QI should not be used as death or adverse events predictors in severe trauma patients.
Recommendations for perinatal care in the context of the COVID-19 pandemic
Authors: Oliveira Maysa Arlany de , Silva Natácia Élem Felix , Pereira Juliana de Castro Nunes , Oliveira Mayara Amanda de , Silva Suzana Lins da , Caminha Maria de Fátima Costa , Paula Weslla Karla Albuquerque Silva de , Quirino Glauberto da Silva , Oliveira Dayanne Rakelly de , Cruz Rachel de Sá Barreto Luna Callou
Published: February 2021

Abstract Objectives: to present scientific recommendations for perinatal care in the context of the COVID-19 pandemic. Methods: a narrative review was carried out between March and September in 2020 from BIREME, the Scientific Electronic Library Online and the Virtual Health Library databases, based on the descriptors: “Perinatal Care''; “Coronavirus”; “Coronavirus Infection''; “Obstetrics”and “Newborns”. The information was grouped into four categories, namely, prenatal care; labor and birthcare; care for puerperal women and the newborn. Results: 14 publications were found, 9 scientific articles and 5 technical standards pursuant to the Ministry of Health in Brazil. In the first category, generally, it is recom-mended that prenatal consultations should be continued, if necessary, by means of telemedi-cine; hospitalization of positive pregnant women in case symptoms are severe and consid-ering pregnant women’s clinical and emotional aspects. In the second, screening and testing on suspected cases, discouraging skin-to-skin contact and breastfeeding in the first hour of life. In the third, change the arrangement of beds in shared accommodations and have early discharge. In the fourth category, it is also recommended late clamping of the umbilical cord and observe differences in laboratorial testing of asymptomatic neonates. Conclusions: scientific evidence based on studies with methodological designs and more robust analyzes are necessary to guide perinatal care in the context of the harm-free COVID-19 pandemic.
Reading in developmental dyslexia: the role of phonemic awareness and executive functions
Authors: MEDINA Giovanna Beatriz Kalva , GUIMARÃES Sandra Regina Kirchner
Published: February 2021

Abstract This study investigated the correlations and the possible deficits in reading, phonemic awareness, and executive functions among students with developmental dyslexia. A total of 28 students participated in the study, between 9 and 11 years old, 14 with developmental dyslexia and 14 without reading difficulties. Specific instruments were used to assess reading, phonemic awareness, and executive functions. The Spearman test indicated moderate and very significant correlations between performance in tasks of phonemic awareness and reading (recognition and comprehension) and tasks that assessed cognitive functioning involving the following executive functions: cognitive flexibility, working memory, inhibitory control, and orthographic verbal fluency. No correlation was found between the reading and phonemic awareness assessments and the results of the planning done with the Tower of London instrument. The results allowed the researchers to hypothesize that an intervention planned for the development of phonemic awareness and executive functions may have an effect in improving the reading performance of dyslexics.
RESPONSIVENESS OF UPPER LIMB SCALES AND TRUNK CONTROL FOR THE EVOLUTION OF PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY
Authors: Maciel Flaviana Kelly de Lima , Santos Ana Lúcia Yaeko da Silva , Sá Cristina dos Santos Cardoso de
Published: February 2021

ABSTRACT Objective: To verify the interval of responsiveness to the scales Segmental Assessment of Trunk Control (SATCo-BR), Performance of Upper Limbs (PUL), and Jebsen Taylor Test (JTT) in patients with Duchenne Muscular Dystrophy (DMD). Methods: We assessed patients with DMD aged 6 to 19 years old and with mini-mental (MMSE) score above 10 points. The assessments were performed individually, in a single session. The upper limb function was performed by PUL and JTT, and trunk control by SATCo-BR. Assessments were repeated six and 12 months after the initial assessment. The repeated-measures analysis of variance model and Bonferroni’s multiple comparison method were employed as post hoc analysis; when the ANOVA assumptions were not met, the Friedman test was applied. Results: The sample consisted of 28 patients evaluated in three moments (initial, and six and 12 months after the beginning). There was a time effect for the Upper Limb function performance in the total JTT, and for the subtests, except for subtests 1 and 6, which did not show a difference between the different moments. There was also a time effect for the score of total PUL, proximal PUL, intermediate PUL, and distal PUL. In the SATCo-BR, this effect was observed between the initial and 6 months, and between the initial and 12 months. Conclusions: The JTT, PUL, and SATCo-BR scales can detect changes over time, and they showed responsiveness to detect the evolution of the disease in the 6-month interval.
METABOLIC CONTROL AND BODY COMPOSITION OF CHILDREN AND ADOLESCENTS WITH PHENYLKETONURIA
Authors: Nogueira Zeni Drubi , Boa-Sorte Ney , Leite Maria Efigênia de Queiroz , Toralles Maria Betânia Pereira , Amorim Tatiana
Published: February 2021

ABSTRACT Objective: To characterize metabolic control and verify whether it has any relation with socioeconomic, demographic, and body composition variables in children and adolescents with phenylketonuria (PKU) diagnosed in the neonatal period. Methods: This cohort study collected retrospective data of 53 phenylketonuric children and adolescents. Data on family income, housing, and mother’s age and schooling level were collected, and anthropometric measures of body composition and distribution were taken. All dosages of phenylalanine (Phe) from the last five years (2015-2019) were evaluated and classified regarding their adequacy (cutoffs: 0-12 years: 2-6 mg/dL; 12-19 years: 2-10 mg/dL). Adequate metabolic control was considered if ≥7%) of the dosages were within desired ranges. Results: The mean (±standard deviation) age in the last year was 10.1±4.6 years. Most of them were under 12 years old (33/53; 62.3%) and had the classic form of the disease (39/53; 73.6%). Better metabolic control was observed among adolescents (68.4 versus 51.4%; p=0.019). Overweight was found in 9/53 (17%) and higher serum Phe levels (p<0.001) were found in this group of patients. Metabolic control with 70% or more Phe level adequacy decreased along with the arm muscle area (AMA) (ptendency=0.042), being 70.0% among those with low reserve (low AMA), and 18.5% among those with excessive reserve (high AMA). Conclusions: Adequate metabolic control was observed in most patients. The findings suggest that, in this sample, the levels of phenylalanine may be related to changes in body composition.
Cenário da educação superior à distância em saúde no Brasil: a situação da Enfermagem
Authors: Soares Fabiana Alves , Rocha Karla Kelma Almeida , Portela Raquel de Aguiar , Silva Andréa Cristina Oliveira , Corrêa Rita da Graça Carvalhal Frazão , Oliveira Bruno Luciano Carneiro Alves de
Published: February 2021

Resumo Objetivo Analisar a oferta dos cursos de graduação em saúde na modalidade de Ensino a Distância no Brasil, destacando suas principais características para Enfermagem. Método Estudo transversal baseado em dados on line de cursos de graduação em saúde a distância, criados entre 2005 e 2020. Para doze graduações em saúde, destacaram-se características da criação e distribuição do ensino a distância, enfatizando-se a situação da Enfermagem. Realizaram-se testes de significância estatística (α=5%) e mapa. Resultados Verificaram-se 431 cursos de graduação em saúde, sendo a maioria deles criados entre 2017 e 2020 (≥61,4%). Para Enfermagem, o período de maior criação foi anterior (entre 2013 e 2016; 72,7%) (p=0,001). Todos os cursos eram vinculados a instituições privadas, que ofertavam 82.000 vagas, distribuídas em 1.363 Polos por todos os estados. Verificou-se predomínio em São Paulo (23,9%) e nas cidades localizadas no interior dos estados (64,3%) (p=0,001). Conclusão e implicações para prática Houve aumento significativo de cursos de graduação em saúde no ensino a distância no Brasil. Para Enfermagem, estes se caracterizaram por oferta privada e localizada no interior dos estados. Contudo, a distribuição regional ainda é desigual, concentrando Polos nas regiões mais ricas e centrais do país, e longe das áreas com maiores necessidades de saúde.
A inserção do brincar e brinquedo nas práticas de enfermagem pediátrica: pesquisa convergente assistencial
Authors: Claus Maria Izabel Sartori , Maia Edmara Bazoni Soares , Oliveira Ana Izaura Basso de , Ramos Aline Landim , Dias Patrícia Luciana Moreira , Wernet Monika
Published: February 2021

Resumo Objetivo analisar o processo de apreensão e transformação do uso do brincar e brinquedo pela equipe de enfermagem de uma unidade pediátrica. Método estudo apoiado na pesquisa convergente assistencial, envolvendo rodas de conversas com 11 profissionais de uma equipe de enfermagem, atuantes em uma unidade de internação pediátrica de um hospital de ensino. Foi desenvolvido entre Dezembro de 2018 e Maio de 2019. Resultados Houve reconhecimento do brincar como inerente à criança e benéfico na interação com esta, quando hospitalizada. Os participantes percebem a não apropriação do brincar estruturado em suas práticas, prospectam ampliação, porém identificam entraves associados ao pouco apoio institucional. Dos desdobramentos, decidiram por inserção do fantoche e capacitação para o uso do brincar estruturado. Conclusões e implicações para a prática a inserção do brincar no hospital demanda ruptura com o modelo biomédico em saúde e apostas em uma cultura institucional de reconhecimento do brincar. O brincar ao longo da hospitalização integra um cuidado justo, humano e integral, que deve ser para a equipe de enfermagem motivo de luta e garantia, correspondendo às instituições, o dever de dar suporte, tanto no âmbito dos processos de trabalho, quanto no da educação permanente.
Psicotrópicos e Atenção Primária à Saúde: a subordinação da produção de cuidado à medicalização no contexto da Saúde da Família
Authors: Molck Bárbara Vukomanovic , Barbosa Guilherme Correa , Domingos Thiago da Silva
Published: February 2021

Este estudo teve como objetivo compreender o fenômeno da medicalização e do uso de psicotrópicos em longo prazo com base na percepção dos usuários de uma Unidade de Saúde da Família (USF). Trata-se de um estudo qualitativo, fundamentado no método autobiográfico e na narrativa do sujeito. Utilizou-se um roteiro para conduzir entrevistas semiestruturadas, realizadas com usuários intencionalmente selecionados. A análise temática possibilitou vislumbrar a incorporação da medicamentalização nas concepções de vida e de sofrimento dos usuários no contexto da Saúde da Família (SF), perspectiva que vai ao encontro da medicalização social e tem subsídio no modelo biomédico que subordina o processo de trabalho da Atenção Primária à Saúde (APS).
Abordagem profissional em tempos de pandemia: o que aprendemos com o Zika vírus?
Authors: Mocelin Helaine Jacinta Salvador , Freitas Paula de Souza Silva , Lamonato Larissa Carolina Xavier Lacerda , Mascarello Keila Cristina , Maciel Ethel Leonor Noia
Published: February 2021

A formação de vínculo entre famílias de crianças com Síndrome Congênita do Zika (SCZ) e profissionais de saúde é condição sine qua non para o desenvolvimento das crianças afetadas. O estudo objetiva compreender a perspectiva de mães de crianças com SCZ acerca da abordagem profissional e da formação de vínculos no processo de cuidado em saúde durante a epidemia de Zika vírus. Trata-se de uma pesquisa qualitativa, descritivo-exploratória que entrevistou 25 mães. Os resultados revelam que os profissionais de saúde tiveram práticas de desumanização da assistência e cometeram violência obstétrica. Contrapondo a desumanização, também houve casos esporádicos de práticas humanizadas com formação de vínculo. Os resultados deste estudo apontam a necessidade de estratégias e intervenções em prol de melhor atendimento à gestante com diagnóstico de malformação congênita e adequado manejo na abordagem de doenças emergentes e pandemias.
Fare well to Nova Scotia? Public health investments remain chronically underfunded
Authors: Caldwell Hilary A. T. , Scruton Sarah , Fierlbeck Katherine , Hajizadeh Mohammad , Dave Shivani , Sim S. Meaghan , Kirk Sara F. L.
Published: February 2021

Inspired by Fiset-Laniel et al.’s (2020) article entitled “Public health investments: neglect or wilful omission? Historical trends in Quebec and implications for Canada”, we assessed public health investments since the establishment of the Nova Scotia provincial health authority in 2015. We analyzed Nova Scotia Department of Health and Wellness budgets from 2015−2016 to 2019–2020 and observed that less than 1% of funding was budgeted for public health annually, an amount well below the recommendation that 5–6% of healthcare funding be spent on public health. Healthcare spending has increased annually since 2015–2016, but proportions of funding to different programs and services have remained static. Specifically, we did not observe a change in investment in public health over time, suggesting that while the government does not necessarily spend too much or too little on healthcare, it spends far too little on public health. This chronic under-funding is problematic given the high rates of non-communicable diseases in Nova Scotia and health inequities experienced within the population. The 2020 COVID-19 pandemic has highlighted the importance of public health work, and the need for a pandemic recovery plan that prioritizes investment in all areas of public health in Nova Scotia.
How Do Scholars Communicate the ‘Temporary Turn’ in Urban Studies? A Socio-Semiotic Framework
Authors: Chang Robin A.
Published: February 2021

Interdisciplinarity broadens urban planning praxis and simultaneously deepens how urban research unfurls. Indeed, this breadth and depth diverges and converges the understanding of current and popular concepts such as temporary use (TU)—also recognized as short-term or temporally undefined use of space. Through a meta-research, or research about research approach employing socio-semiotics and bibliometric analyses for the first time in relation to TU, I clarify the increasing scholarly attention to urban interventions by asking: How are urban scholars communicating the TU discourse? A socio-semiotic framework helps unpack the production of meanings as well as symbols channeled through the scholarly institutionalization of TU. Supporting this, I use bibliometric analyses to explicate the production and reproduction of meaning through keywords and citation networks in research literature. This study illuminates epistemological activities and reflects on directions tied to our understanding and articulation of a potential ‘Temporary Turn’ in theory and practice.
Brazilian translation, cross-cultural adaptation and validation of the MG Composite scale and Quantitative Myasthenia gravis testing form: a multicentric study protocol.
Authors: Oliveira Ezequiel Fernandes de , Urbano Jessica Julioti , Santos Israel Reis , Silva Anderson Soares , Guimarães Letícia Lopes , Peixoto Roger André Oliveira , Perez Eduardo Araújo , Bosio Paulo Cesar , Polaro Melissa Nunes , Valério Berenice Cataldo Oliveira , Stirbulov Roberto , Pereiro João R , Nacif Sergio Roberto , Cavalcante Valéria , Oliveira Acary Souza Bulle , Oliveira Claudia Santos , Oliveira Luis Vicente Franco de
Published: February 2021

Introduction: Myasthenia gravis (MG) is a chronic and inflammatory disease characterized by progressive weakness of the skeletal muscles due to changes in the synaptic junctions between nerves and muscle fibres. Typically, patients have a history of progressive weakness and fatigue in skeletal muscles, which occurs during sustained or repeated activities and improves after rest. Scoring systems to assess the degree of disease severity are commonly used in clinical drug trials. Further, specific instruments to assess health-related quality of life (HRQOL) have been designed to measure self-perception of symptoms and wellness during the disease or after disease treatment. HRQOL is an important component of patient evaluation, as some individuals can tolerate severe impairment and disability, while others may be very unhappy even with less severe symptom profiles. The objective of the proposed study is to translate and perform a cultural adaptation and validation of two specific instruments for assessing the clinical course of patients with MG. These instruments include the Quantitative Test for Myasthenia gravis (QMG) and Myasthenia gravis Composite Scale (MGC). Methods and analyses: The study design will follow a multi-method approach, and will be conducted in three stages consisting of translation, cultural adaptation, and validation of the QMG and MGC for Brazilian Portuguese patients. This multi-step process will consider aspects of construct and predictive validity as well as reliability and structure of the instrument. The entire process will follow the procedures proposed and developed in other linguistic and social-cultural contexts based on previous studies. Ethics: This study has received approval from the Human Research Ethics Committee of Nove de Julho University (Brazil) under process no. 360.488 based on the Helsinki declaration and is registered with the World Health Organization (WHO) under Universal Trial Number (UTN) U1111-1147-7853 and the Brazilian Registry of Clinical Trials (REBEC) RBR -7ckpdd.
The respiratory diaphragm in osteopathic vision: a literature review
Authors: Sagrillo Luiza Minato , Frigo Letícia Fernandez
Published: February 2021

Introduction: Considering the osteopatic reasoning, and possible to establish a two-way interaction of direct contact or indirect of the respiratory diaphragm Several abdominal and thoracic viscera, as well as, of your skeletal inserts relations. Objective: This study aimed to investigate how anatomical and physiological relations of the diaphragm in both painful processes of the spine, in bodies Associates. Method: This study was a literature review, with searching online data PubMed, the published articles in the last ten years as associating keywords this study. Results: Ten articles contemplated the criteria for inclusion and exclusion this research and related disorders such as diaphragmatic as possible causes of low back and neck pain, and gastroesophageal reflux disease, as well as, stressed its importance as respiratory-venous-lymphatic pump. Conclusion: The respiratory diaphragm is no link anatomical and physiological interaction between the various body systems, and therefore, may be involved in dysfunctional chains que manifest signs and symptoms and local said. It is involved in several causes of pain on which to observe biomechanical changes in functional or column viscera next or correlated.
The Finnish National Seismic Network: Toward Fully Automated Analysis of Low-Magnitude Seismic Events
Authors: Veikkolainen Toni , Kortström Jari , Vuorinen Tommi , Salmenperä Ilmo , Luhta Tuija , Mäntyniemi Päivi , Hillers Gregor , Tiira Timo
Published: February 2021

We present an overview of the seismic networks, products, and services in Finland, northern Europe, and the challenges and opportunities associated with the unique combination of prevailing crystalline bedrock, low natural intraplate seismic background activity, and a high level of anthropogenic seismicity. We introduce national and local seismic networks, explain the databases, analysis tools, and data management concepts, outline the Finnish macroseismic service, and showcase data from the 2017 M 3.3 Liminka earthquake in Ostrobothnia, Finland.
Causas del fracaso escolar en contextos de vulnerabilidad sociocultural desde la perspectiva docente
Authors: Diez-Elola Mariana
Published: February 2021

Latinoamérica se caracteriza por ser una región desigual, con altos niveles de exclusión social y desigualdad educativa. Desde este referente, el artículo sistematiza las hipótesis explicativas que elaboran los maestros sobre las causas de la estratificación en los resultados educativos. Se plantea un enfoque metodológico cualitativo, de carácter exploratorio, descriptivo e interpretativo, basado en el estudio de caso, a partir del cual, se estudian las representaciones sociales de los maestros sobre las causas del fracaso escolar, en una escuela de contexto sociocultural vulnerable en Montevideo (Uruguay). El fracaso escolar es entendido como el desempeño académico por debajo de lo esperado para el grado escolar que se cursa. Los resultados permiten reconstruir cuatro hipótesis explicativas que ubican las causas del fracaso escolar en: 1) la herencia genética, 2) la familia, 3) la institución educativa y 4) el contexto socioeconómico. Las explicaciones más prevalentes, fuertemente asociadas al ideal meritocrático y a una perspectiva medicalizadora de las dificultades escolares en contextos vulnerables, responsabilizan al niño o a su familia por el fracaso. Se concluye que es necesario considerar el impacto que el contexto social tiene en la determinación del problema del fracaso escolar.
Prevalence of infectious abortion and its complications in pregnant women hospitalized in Ardabil city hospital during 2011-2018
Authors: Jalilvand Faranak , Farzipour Shahla , Mohammadshahi Jafar , Kabood Mehri Amir
Published: February 2021

Background: Infectious abortion and its mortality is one of the most serious health threats to women. Infectious abortion with high prevalence rate is more accessible in many of developing countries. The aim of current study, was to investigate the prevalence of infectious abortion and its complications in pregnant women hospitalized in Ardabil city hospital during 2011-8.Methods: In this retrospective cross-sectional study which done on pregnant women with symptom of infectious abortion who admitted to Alavi hospital in Ardabil city during the years 2011-2018. Data collected by a checklist including demographic and clinical information and then analyzed by statistical methods in SPSS version 20. Results: The rate of infectious abortion in this study was 40 people per 50,000 live births. The mean age of the studied women was 32.58±5.35 years. The highest number of infectious abortion was related to the women in the gestational age group over 13 weeks (50%). Most of women with 80% had fever and 52.5% of women had an open cervix at the time of referral. Complications of infectious abortion included peritonitis, uterine rupture, septic shock, and DIC.Conclusions: Results showed that the rate of infectious abortion in this study was 22.5% that generally due to manipulation by methods such as curettage, drug use and its side-effects. By considering the average age of women about 32 years and problems related about pregnancy, so programing and training in this themes could prevent many of these problems in pregnant women in future.
Seroprevalence of hepatitis a virus antibody in 11-15 years old children in Vijayawada and age-related incidence of hepatitis a virus in GGH, Vijayawada
Authors: Anumolu Srimukhi , Jarjapu Kireeti , Rahman M. A.
Published: February 2021

Background: To estimate seropositivity of hepatitis A virus Ig G antibody (HAV Ig G antibody) in 11 to 15 years aged children in Vijayawada.Methods: The study group includes 265 consecutive children aged 11 to 15 years attending GGH, Vijayawada and had a blood sample taken for any reason. The serum samples collected were screened for Anti HAV IgG antibody using commercially available Elisa kit (WANTAI). Information related to various socio demographic factors also were elicited by interview method. All the Anti-Hepatitis A virus IgM antibody positive individuals list are collected from 1stJuly 2015 to 1st august 2017 and were categorized based on age and analysed.Results: The total seropositivity against Hepatitis A virus is 71%. The number of children in the urban population showing IgG antibodies is lower compared to that of rural population (p value-0.028). The highest number of Hepatitis A virus infected population (positive IgM) is between 10-14 years (50), followed by 15-19 years (45) and 5-9 years (43). This shows that there is increased risk of infection in the older age group and there is a shift to 2nd and 3rd decade (p value – 0.045).Conclusions: The seropositivity of HAV IgG antibody in children aged 11-15 years is 71% in Vijayawada. Seroprevalence in the nearby area, Chennai, ten years back was found to be 95% by 12 years of age. This indicates there is a shift from high to intermediate endemicity in Vijayawada. There is need for vaccination in the susceptible individuals.
A comparative study of surgical procedures in neonatal intestinal atresia - resection and anastomosis, Bishop Koop, Santulli and Mikulicz procedure
Authors: Basak Aniruddha
Published: February 2021

Background: The aim of this work was to assess the outcome for patients with jejunoileal atresia who underwent primary anastomosis, Bishop–Koop, Santulli procedure and Mikulicz procedure. Intestinal atresia is one of the most common causes of intestinal obstruction in neonates. But ideal surgical management of this condition remains controversial.Methods: During the period from January 2017 to January 2019, 112 neonates (62 males and 50 females) suspected to have intestinal atresia were operated in NRSMCH, Kolkata. 30 patients were treated with primary resection/ anastomosis, 30 patients underwent Bishop-koop (BK) technique, 27 patients who were treated with Santulli technique and 25 patients who were treated with Mikulicz procedure. Demographics, treatment and outcomes including mortality, morbidity and nutrition status were reviewed and were compared among the four groups.Results: 20 patients (17.86%) died during the perioperative period. Among them, 10 died due to uncontrolled sepsis and 10 due to malnutrition. Mortality was highest in Primary anastomosis group (33.33%) followed by BK group (13.3%), Santulli group (11.1%) and lowest in Mikulicz group (4%). The Mikulicz group experienced the lowest re-operation rate (4%) and Primary anastomosis group experienced highest re-operation (26.7%). This difference was statistically significant (P<0.003).Conclusions: Using Mikulicz procedure in the current study has improved the survival of these patients and minimized the post-operative complications.
The circumcision blues: a case report with literature review
Authors: Li Meng , Lee Kristen C. , Nakagawa Thomas A.
Published: February 2021

An 11-day-old Caucasian male developed acquired methemoglobinemia as a result of repeated exposure to topical lidocaine/prilocaine cream following a circumcision. Our patient responded well with treatment of a single dose of intravenous (IV) methylene blue. Methemoglobinemia is a rare but well-explained complication of local anesthetics. It is important for providers to prescribe local anesthetics safely to avoid serious complications, especially with neonates who are at higher risk of developing methemoglobinemia.
An infant with hypertriglyceridemia presenting as failure to thrive: a case report
Authors: Srinivas Rajesh K. , Gupta Ashok , Mathur Priyanshu , Agarwal Kamlesh , Sharma Anil
Published: February 2021

Familial hypertriglyceridemia is rare in infancy. Diagnosis in infancy is very difficult and is usually diagnosed when acute pancreatitis sets in. Early diagnosis is important as it can prevent the complications associated with acute pancreatitis and pancreatic necrosis. Here is a case familial hypertriglyceridemia in an infant who presented to us with failure to thrive but was diagnosed early due to presence of highly viscous and milky blood. This holds importance as early treatment can reduce the complications and morbidity associated with familial hypertriglyceridemia.
Serum thyroglobulin level in newly detected thyrotoxicosis and its role in differential diagnosis of thyrotoxicosis
Authors: Faruque Mohammad Omar , Kamrul-Hasan A. B. M. , Kabir M. Ahamedul , Nasim Rehnuma , Alam Mohammad Jahangir , Selim Shahjada , Hasanat Muhammad Abul , Uddin M. Farid
Published: February 2021

Background: Elevated serum thyroglobulin (Tg) level is commonly observed in various forms of thyrotoxicosis; the levels vary according to different etiologies. This study aimed at identifying the value of serum Tg level in the differential diagnosis of common etiologies of thyrotoxicosis.  Methods: This cross-sectional study was conducted at the endocrine outpatient department of a tertiary hospital in Bangladesh from March 2015 to May 2017. In this study, 200 subjects with newly detected untreated thyrotoxicosis were evaluated. Serum Tg was assayed by chemiluminescent immunometric assay.  Results: Serum Tg level was raised in 48% of subjects. Subjects aged ≥40 years, and those having a family history of thyroid disorders had relatively higher thyroglobulin levels. The frequency of subjects with an elevated Tg was highest in subacute thyroiditis (89.5%) followed by toxic nodular goiter (77.3%) and Graves’ disease (32.9%); the difference in the frequencies was statistically significant (p<0.001). Median Tg was highest in the subjects with subacute thyroiditis (132.6 ng/ml) followed by toxic nodular goiter (99.55 ng/ml); those with Graves’ disease had the lowest Tg level (12.5 ng/ml); the differences in median Tg levels across the three groups were also statistically significant (p<0.001).  Conclusions: Serum thyroglobulin level may be useful for the etiological diagnosis of thyrotoxicosis.
The treatments of COVID-19 patient with diabetes mellitus: a case report
Authors: Pratamawerdi I. Gede Sadu , Hotama Jason Raymond , Wirawan I. Made Suma
Published: February 2021

Diabetes mellitus or uncontrolled blood sugar is one of the factors causing the severity risk of COVID-19 infection. The researchers from China and Italy also find a profound connection of the old age patients who have chronic illness comorbid are tend to have a higher risk of enduring serve COVID-19, and have a higher number of deaths. Until this report is written, there are no medicines nor vaccines to treat COVID-19 completely. This article reports KTK, a 57 years old woman, Balinese, was diagnosed with COVID-19 and was treated because of the loss of consciousness. Patient had already done the op debridement amputation for left foot digit II-V and the wound of the patient got worsen. Patient also had blood sugar variability which complicated the insulin therapy and inhibits the patient’s recovery. On her way, the patient’s respiratory system got worsen. Diabetes is strongly connected with a higher risk of severe COVID-19 and has a higher death rate compared to controlled blood sugar. The purpose of the guidance for COVID-19 patients with Diabetes is to prove that comprehensive glycemic control and blood glucose monitoring have a good result of the treatments for COVID-19 patients with Diabetes, also reduce the complication from the comorbid of chronic illness (diabetes), and avoiding the undesirable possibilities about the treatments.
Normal anatomical variations of tibial plateau geometry in Indian population: a magnetic resonance image-based study
Authors: Ghosh Gopal , Roy Shabarna
Published: February 2021

Background: Geometry of tibial plateau characterized by its medial tibial plateau slope (MTS), lateral tibial plateau slope (LTS), depth of concavity of medial tibial plateau (CMT), convexity of lateral tibial plateau on sagittal section and coronal tibial plateau slope (CTS) on coronal section of tibia.

Methods: 500 subjects (male-250, female-250) were included in the study. Various tibial slopes of each subject were measured using magnetic resonance image (MRI) of knee joint. Data was analysed using appropriate statistical analysis.

Results: When considering male and female one group (total population) mean (±SD) of MTS, LTS, CMT, CTS were 7.73±3.200, 4.68±2.750, 2.56±0.56 mm and 2.61±2.150 respectively. In male population mean (±SD) of MTS, LTS, CMT, CTS were 6.94±3.20, 3.77±1.850, 2.7±0.55 mm, 3.06±2.390 respectively. In female population population mean (±SD) of MTS, LTS, CMT, CTS were 9.28±2.650, 6.45±3.360, 2.28±0.48 mm, 1.75±1.240 respectively. Over all MTS and LTS was poorly correlated (r=0.43). Female had significant steeper MTS (p=0.013) and LTS (p=0.001) but had less CTS (p=0.04) and shallow CMT (p=0.012) compared to male.

Conclusions: Knowledge of this study could be used in different operative orthopaedic procedures (like knee arthroplasty, high tibial osteotomy, tibial plateau fracture fixation), non-contact ACL injury risk assessment.

 