bluuebunny/crossref_metadata_2025 huggingface dataset:
Arte Ativista e Arte Ecológica: Uma Discussão Sobre a Relação Entre Cultura, Ambiente e Sociedade, Abordagens Artísticas e Contextos de Produção Cultural
Authors: Lopes Vargas Tatiana
Published: June 2024

O ativismo ambiental, através da arte, estimula um processo de educação, ao mesmo tempo que gera reflexões e uma experiência de vulnerabilidade sentida pelos corpos humanos diante da realidade da emergência climática (Rodriguez-Labajos, 2022). Devido às subjetividades desencadeadas pela arte ecológica para a consciência e ação sobre as questões socioambientais, este artigo, de cunho teórico, reflexivo e interpretativo, tem o objetivo de abordar os conceitos de “arte ativismo”, “arte ecológica” e outras nomenclaturas análogas, de forma a analisar a relação entre cultura, ambiente e sociedade e as condições por meio das quais as práticas de produção cultural se desenvolvem. Para tanto, procurou-se compreender a perspetiva das três ecologias e da noção de “ecoarte” de Félix Guattari (1989/1990); a natureza das abordagens de arte ecológica e as principais causas ambientais associadas; o contexto em que ocorrem as práticas artísticas de ativismo ambiental e a atividade de produção cultural. Recorreu-se a exemplos de artistas e projetos portugueses para perceber: as particularidades das práticas e das estratégias criativas ligadas à sustentabilidade ambiental; os aspetos referentes à educação ambiental, às questões éticas e às políticas culturais que se adequam à arte ecológica. Com este artigo, pretende-se contribuir para a discussão sobre a arte ecológica sob a ótica da identidade política da arte e da análise necessária e intrínseca entre práticas culturais e ambiente.
Empowering women entrepreneurs in Saudi Arabia through Ar-Rahn financing: A dual analysis approach
Authors:   Department of Finance and Economics, College of Business, University of Jeddah, Jeddah, Saudi Arabia, Bakoben Hussam Buzaid M.
Published: June 2024

The main goal of this paper is to explore how the Ar-Rahn contract can be utilized by banks in Saudi Arabia to finance women's business ventures, thereby fostering women's empowerment. This study employs a dual approach: desktop and primary data analysis. Initially, a desktop approach is used to analyze the Ar-Rahn product by reviewing existing literature and examining its implementation in Saudi Arabia. Additionally, we use primary data analysis to enhance the robustness of our findings. The results suggest that Ar-Rahn is a promising tool for empowering women and encouraging entrepreneurship in Saudi Arabia. This analysis provides valuable insights for banks and financial institutions in Saudi Arabia to develop Shariah-compliant financing products tailored for women entrepreneurs, which could also benefit marginalized communities.
Accuracy Standards of Wearable Technologies for Assessment of Soccer Kicking: Protocol for a Systematic Literature Review
Authors: Palucci Vieira Luiz H , Clemente Filipe Manuel , Chang Marquez Felipe Armando , Rea Olivares Walter Manuel , Vargas Villafuerte Kelly R , Carpes Felipe P
Published: June 2024

Background

Wearable technology is widely applied in performance monitoring, an integral part of sports and exercise sciences. The kick movement in soccer exemplifies a sports technique that could benefit from appropriate biomechanics assessment methodologies. However, the accuracy of wearables in quantifying soccer kick mechanics, particularly under field conditions, remains unclear.

Objective

This study aims to present a protocol for a systematic review to discuss the measurement properties (validity, reliability, and/or accuracy aspects) of wearable technology systems explicitly used to measure ball-kicking features in soccer.

Methods

This review protocol was preregistered in the Open Science Framework. A total of 2 authors will perform searches in major electronic databases using specific keyword combinations in PubMed, Physical Therapy and Sports Medicine, Web of Science, ProQuest, IEEE Xplore, EBSCOHost, and Scopus. Following a specific population, intervention, comparison, outcome framework (population: soccer players and/or collected human data in a football-related environment; intervention: at least 1 wearable used; comparator: criterion measures, repeated testing sessions and/or actual values; outcome: ball kicking data), studies will be screened based on predetermined inclusion and exclusion criteria. The methodological quality of the included studies will be assessed using the “consensus-based standards for the selection of health measurement instruments” checklist (in studies concerning validity or reliability) or the “quality assessment of diagnostic accuracy studies” tool (in studies concerning accuracy). Data extraction will be conducted to determine the level of evidence according to the “best evidence synthesis method,” and an evidence gap map will be constructed. The Cohen κ coefficient will be used to estimate the interevaluator agreement.

Results

This ongoing systematic review has completed database searches and is currently in the screening phase. Depending on the number and consistency of studies, results may be presented by meta-analysis or qualitative synthesis, with subgroup analyses considering factors such as gender, age, and playing level. The final results are expected by July 2024, with manuscript submission anticipated by November 2024.

Conclusions

Our study will provide a comprehensive summary of the highest level of evidence available on the use of wearables for the assessment of soccer kick mechanics, providing practical guidance for athletes and sports sciences professionals regarding the validity and reliability aspects of using wearable technology to measure ball-kicking features in soccer.

Trial Registration

OSF registries https://osf.io/zm3j6

International Registered Report Identifier (IRRID)

DERR1-10.2196/57433
Digital and Hybrid Pediatric and Youth Mental Health Program Implementation Challenges During the Pandemic: Literature Review With a Knowledge Translation and Theoretical Lens Analysis (Preprint)
Authors: Lyzwinski Lynnette , Mcdonald Sheila , Zwicker Jennifer , Tough Suzanne
Published: June 2024

BACKGROUND

The pandemic brought unprecedented challenges for child and youth mental health. There was a rise in depression, anxiety, and symptoms of suicidal ideation.

OBJECTIVE

The aims of this knowledge synthesis were to gain a deeper understanding of what types of mental health knowledge translation (KT) programs, mental health first aid training, and positive psychology interventions were developed and evaluated for youth mental health.

METHODS

We undertook a literature review of PubMed and MEDLINE for relevant studies on youth mental health including digital and hybrid programs undertaken during the pandemic (2020-2022).

RESULTS

A total of 60 studies were included in this review. A few KT programs were identified that engaged with a wide range of stakeholders during the pandemic, and a few were informed by KT theories. Key challenges during the implementation of mental health programs for youth included lack of access to technology and privacy concerns. Hybrid web-based and face-to-face KT and mental health care were recommended. Providers required adequate training in using telehealth and space.

CONCLUSIONS

There is an opportunity to reduce the barriers to implementing tele–mental health in youth by providing adequate technological access, Wi-Fi and stationary internet connectivity, and privacy protection. Staff gained new knowledge and training from the pandemic experience of using telehealth, which will serve as a useful foundation for the future. Future research should aim to maximize the benefits of hybrid models of tele–mental health and face-to-face sessions while working on minimizing the potential barriers that were identified. In addition, future programs could consider combining mental health first aid training with hybrid digital and face-to-face mental health program delivery along with mindfulness and resilience building in a unified model of care, knowledge dissemination, and implementation.
Potential Roles of Large Language Models in the Production of Systematic Reviews and Meta-Analyses (Preprint)
Authors: Luo Xufei , Chen Fengxian , Zhu Di , Wang Ling , Wang Zijun , Liu Hui , Lyu Meng , Wang Ye , Wang Qi , Chen Yaolong
Published: June 2024

UNSTRUCTURED

Large language models (LLMs) such as ChatGPT have become widely applied in the field of medical research. In the process of conducting systematic reviews, similar tools can be used to expedite various steps, including defining clinical questions, performing the literature search, document screening, information extraction, and language refinement, thereby conserving resources and enhancing efficiency. However, when using LLMs, attention should be paid to transparent reporting, distinguishing between genuine and false content, and avoiding academic misconduct. In this viewpoint, we highlight the potential roles of LLMs in the creation of systematic reviews and meta-analyses, elucidating their advantages, limitations, and future research directions, aiming to provide insights and guidance for authors planning systematic reviews and meta-analyses.
Efficacy of the mHealth App Intellect in Improving Subclinical Obsessive-Compulsive Disorder in University Students: Randomized Controlled Trial With a 4-Week Follow-Up (Preprint)
Authors: Lee Yoon Li Madeline , Lee Si Min Stephanie , Sündermann Oliver
Published: June 2024

BACKGROUND

Obsessive-compulsive disorder (OCD) is the third most prevalent mental health disorder in Singapore, with a high degree of burden and large treatment gaps. Self-guided programs on mobile apps are accessible and affordable interventions, with the potential to address subclinical OCD before symptoms escalate.

OBJECTIVE

This randomized controlled trial aimed to examine the efficacy of a self-guided OCD program on the mobile health (mHealth) app Intellect in improving subclinical OCD and maladaptive perfectionism (MP) as a potential moderator of this predicted relationship.

METHODS

University students (N=225) were randomly assigned to an 8-day, self-guided app program on OCD (intervention group) or cooperation (active control). Self-reported measures were obtained at baseline, after the program, and at a 4-week follow-up. The primary outcome measure was OCD symptom severity (Obsessive Compulsive Inventory–Revised [OCI-R]). Baseline MP was assessed as a potential moderator. Depression, anxiety, and stress (Depression Anxiety and Stress Scales-21) were controlled for during statistical analyses.

RESULTS

The final sample included 192 participants. The intervention group reported significantly lower OCI-R scores compared with the active control group after the intervention (partial eta-squared [ηp2]=0.031; P=.02) and at 4-week follow-up (ηp2=0.021; P=.044). A significant, weak positive correlation was found between MP and OCI-R levels at baseline (r=0.28; P<.001). MP was not found to moderate the relationship between condition and OCI-R scores at postintervention (P=.70) and at 4-week follow-up (P=.88).

CONCLUSIONS

This study provides evidence that the self-guided OCD program on the Intellect app is effective in reducing subclinical OCD among university students in Singapore. Future studies should include longer follow-up durations and study MP as a moderator in a broader spectrum of OCD symptom severity.

CLINICALTRIAL

ClinicalTrials.gov NCT06202677; https://clinicaltrials.gov/study/NCT06202677
Technological-Based Interventions in Cancer: What Factors are Associated with Use of Mobile Digital Wellness and Health Apps Among Seekers of Cancer Information (Preprint)
Authors: Ezeigwe Ogochukwu Juliet , Nwosu Kenechukwu Obumneme Samuel , Afolayan Oladipo Kunle , Ojaruega Akpevwe Amanda , Echere Jovita , Desai Manali , Onigbogi Modupe Olajumoke , Oladoyin Olajumoke Ope , Okoye Nnenna Chioma , Fwelo Pierre
Published: June 2024

BACKGROUND

Mobile digital wellness and health apps play a significant role in optimizing health and aiding in cancer management and decision-making

OBJECTIVE

This study aims to identify the factors influencing the use of mobile health and wellness apps among cancer information seekers in the United States.

METHODS

We conducted a cross-sectional study of adults using data from the Health Information National Trends Survey (HINTS). We performed weighted univariate and multivariable logistic regression to determine the association between the use of health and wellness apps and socio-economic factors, medical history and conditions, and lifestyle and behavioral factors

RESULTS

Adults with a family history of cancer were more likely to use digital health and wellness apps compared to those without any family history of cancer (82.7% vs 17.3%). Participants with household incomes ≥ $50,000 had 49% higher adjusted odds of using these apps than those with incomes < $50,000 (aOR=1.49, 95% CI: 1.03 - 2.17). College graduates and those with higher educational levels were avid users compared to those with a high school diploma or less (aOR=1.84, 95% CI: 1.29 - 2.62). Internet users had over three times the odds of using these apps compared to non-users (aOR=3.31, 95% CI: 1.70 - 6.46).

CONCLUSIONS

Age, education, household income, and use of the internet are the major determinants of the adoption of digital health and wellness apps among seekers of cancer information. Hence, public health programs could be directed toward addressing these factors to improve cancer diagnosis, treatment, and management using these apps

CLINICALTRIAL

None
Gamified fitness for healthy living (Preprint)
Authors: Sng Chee Ming Noel , Heng Jeshuan , Au Cheuk-Yan , Nguyen Thanh Tam , Yeo Joo Chuan , Saleem Bhagat Ali Asgar
Published: June 2024

BACKGROUND

Physical inactivity is a significant risk factor for chronic diseases and is often associated with physical disability. The World Health Organisation (WHO) has established guidelines on the amount of physical activity individuals should engage in each week. Nevertheless, a significant portion of the population fails to meet these guidelines due to insufficient motivation. The advent of digital technologies has led to the growing popularity of gamified exercise, or exergames, which aim to sustain user engagement and enhance adherence to physical activity routines for both physical and mental well-being.

OBJECTIVE

In this work, we evaluate the benefits of exergames in comparison to traditional video-based upper body strength training workouts.

METHODS

A two-arm experiment comparing exergames and traditional video-based workouts was designed. The experiment measures the percentage maximum heart rate (%MaxHR), muscle flexion, as well as muscle strength in both groups.

RESULTS

Our results indicate that participants in both groups exhibited a reduction in %MaxHR, while those in the exergame group showed a modest increase in biceps strength post-training.

CONCLUSIONS

The improvement in biceps strength post-training may be attributed to the consistency in muscle flexion observed in the exergame group, which can potentially promote better muscle hypertrophy or endurance. These findings highlight the potential of gamified fitness programs to address the issue of physical inactivity and improve overall population fitness.
Examining the Prevalence and Incidence of Suicidal Thoughts and Behavior in a Smartphone-Delivered Treatment Trial for Body Dysmorphic Disorder (Preprint)
Authors: Jaroszewski Adam C. , Bailen Natasha , Ipek Simay I. , Greenberg Jennifer L. , Hoeppner Susanne S. , Weingarden Hilary , Snorrason Ivar , Wilhelm Sabine
Published: June 2024

UNSTRUCTURED

People with prior suicidal thoughts and behavior (STB) are often excluded from digital mental health intervention (DMHI) treatment trials. This may perpetuate barriers to care and reduce treatment generalizability, especially in populations with elevated rates of STB, like body dysmorphic disorder (BDD). To address this, a recent randomized controlled trial (RCT) of a smartphone-based DMHI for BDD included people with prior STB, excluding only for past-month active suicidal ideation. We reviewed the suicide-risk mitigation procedures and completed secondary data analyses to (1) characterize the sample’s lifetime prevalence of STB and (2) estimate and predict STB incidence during the trial. At baseline, 40% of participants reported lifetime active suicidal thoughts and 10% reported lifetime suicide attempts. During the three-month trial, 42.5% reporting thinking about death- and/or suicide via weekly assessment. No participants reported frequent/acute suicidal thoughts, plans, or attempts. Lifetime suicide attempt (OR = 11.0, p < .01) and lifetime severity of suicidal thoughts (OR = 1.76, p < .01) were significant bivariate predictors of death-/suicide-related thought incidence reported during the trial. Multivariate models including STB risk factor covariates (e.g., age, sexual orientation) modestly improved prediction of death-/suicide-related thoughts (e.g., PPV = .91, NPV = .75, AUC =.83). Although some participants may think about death and/or suicide during a DMHI trial, it may be safe and feasible to include participants with most forms of past STB. Among other procedures, researchers should carefully select eligibility criteria, use frequent, ongoing, low-burden, and valid monitoring procedures, and implement risk mitigation protocols tailored to the presenting problem.
Study of the faults network of Kunashir Island (Kuril Islands) in order to reconstruct the features of its tectonic evolution
Authors: Krikun Nikita , Abdrahmanov Il'nur , Talovina Irina
Published: June 2024

The paper is devoted to the study of the faults on Kunashir Island, focusing on their classification, morphology, kinematics, timing, and causes of formation, which are key to understanding the tectonic evolution of the area. The magma-supporting role of these faults is noted, contributing to the understanding of the distribution of volcanic and plutonic formations in the Great Kuril Ridge. The ore-controlling role of the faults was evaluated, which may contribute to the discovery of new mineral deposits. Additionally, studying these faults is important for improving the prediction of earthquakes and tsunamis. The research methodology includes an integrated approach that combines traditional geological observations with modern remote sensing methods, allowing us to detail the map of the Kunashir Island rupture faults. The results of the work confirm the presence of three systems of tectonic structures that differ in depth of emplacement, length, timing, kinematics, and causes of formation. The study contributes to our understanding of the complex geological structure of Kunashir Island and the entire island arc and provides a basis for further research in this area."
Surviving the Sense of the Arab Family in the West: The Arab Moroccan Immigrant Family in Laila Lalami’s The Other Americans as a Case Study
Authors: Nasseur Hassan Ait
Published: June 2024

The sense of the Arab family as a social and cultural construct in Western societies is doomed to fluctuation and ongoing metamorphosis due to the new circumstances dictated and crafted by Western culture. The latter’s fierce pressure exerted on Arab immigrant families subverts these families' identity and culture from within. One manifestation, among others, of such subversion is the chasm that often happens between, on the one hand, first-generation Arab immigrants, and second and third-generation immigrants, on the other. This paper explores this often-overwhelming relationship between these immigrants. Also, it showcases the types of pressure that Western hegemony (through its culture and civilization) employs to culturally ‘tame’ the Arab family. This paper follows textual and discourse analysis methods to critically read Laila Lalami’s novel, The Other Americans (2019), principally through the characters of Maryam Guerraoui and her daughters, Nora and Salma. Would – or would not— the Arab family ‘go Western’ is, thus, the pivotal concern of this paper. This paper shows that it is normal for Arab families to receive pressure from Western mainstream culture, yet it is abnormal not to resist such pressure to maintain the sense of the Arab family.
Factibilidad de un programa preventivo del consumo de sustancias adictivas en estudiantes de secundaria de Sonora
Authors: López Sauceda María del Rosario , Marsiglia Flavio F. , González Lizárraga Ma. Guadalupe , Arreola Romero Fara Gisela
Published: June 2024

Objetivo: evaluar la factibilidad de Mantente REAL, un programa de prevención de sustancias adictivas en estudiantes de secundaria de Hermosillo, Sonora. Metodología: descriptiva transversal en la que participaron 198 estudiantes de secundaria y 31 facilitadores del programa. Los estudiantes respondieron una encuesta de opinión y los facilitadores participaron en grupos focales. Resultados: los participantes acogieron el programa con beneplácito. Les pareció interesante, divertido y útil, aunque no lo consideran muy afín a su vida. Los facilitadores reportaron satisfacción, pertinencia de los contenidos al contexto y edad de los participantes, aunque también identificaron barreras para la ejecución debido a la falta de equipo tecnológico (computadores, proyectores, bocinas), infraestructura, organización y compromiso. Sin embargo, hubo actividades para sortearlas. Valor: puesta en marcha y evaluación de un programa para prevenir el consumo de sustancias adictivas basado en evidencia científica y adaptado a una cultura y región específica. Limitaciones: la muestra estudiantil y docente son pequeñas debido a la pandemia de COVID-19. Conclusión: si se atienden los obstáculos, es factible que se pueda aplicar el programa para evitar que los estudiantes sonorenses de secundaria consuman las sustancias en cuestión.
DISTRIBUSI SPASIAL KESEHATAN TANAMAN KARET MENGGUNAKAN SENTINEL-1
Authors: Ayu Farida , Riesnandar Ariq Anggaraksa , Manessa Masita Dwi Mandini , Supriatna Supriatna , LESTARI Retno , Bustamam Alhadi , Sarwinda Devvi , Stevanuse Charlos Togi , Efriana Anisya Feby
Published: June 2024

Tanaman karet (Hevea brasiliensis) merupakan komoditas penting yang menjadi sumber pendapatan petani di Indonesia. Namun, dalam beberapa tahun terakhir perkebunan karet di Indonesia mengalami penurunan mutu dan produksi yang disebabkan oleh penyakit gugur daun Pestalotiopsis sp. Teknologi remote sensing dapat menjadi solusi dalam pemantauan kesehatan tanaman. Kendala tutupan awan dalam pemantauan perkebunan karet menggunakan citra optik menghambat keberlangsungan. Citra Sentinel-1 dilengkapi data Synthetic Aperture Radar (SAR) yang mampu untuk menembus awan. Sehingga, penelitian ini bertujuan untuk menganalisis distribusi spasial kesehatan tanaman dengan menggunakan multi indeks vegetasi RVI dan NDRVI pada citra Sentinel-1. Hasil penelitian menunjukan bahwa multi indeks vegetasi tidak memiliki hubungan yang signifikan dengan kelas kesehatan tanaman. Faktor noise, panjang gelombang, dan hamburan balik mengindikasikan rendahnya hubungan antar variabel.
Which entropy for general physical theories?
Authors: Perinotti Paolo , Tosini Alessandro , Vaglini Leonardo
Published: June 2024

We address the problem of quantifying the information content of a source for an arbitrary information theory, where the information content is defined in terms of the asymptotic achievable compression rate. The functions that solve this problem in classical and quantum theory are Shannon's and von Neumann's entropy, respectively. However, in a general information theory there are three different functions that extend the notion of entropy, and this opens the question as to whether any of them can universally play the role of the quantifier for the information content. Here we answer the question in the negative, by evaluating the information content as well as the various entropic functions in a toy theory called Bilocal Classical Theory.
PATRIMONIO FAMILIAR EN NUESTRO MUSEO
Authors: Cuevas Figueroa Catalina , Peralta Toledo Lilian Celedina
Published: June 2024

La presente propuesta didáctica es una alternativa de trabajo a una temática invisibilizada en el currículum nacional chileno, como lo es la Educación Patrimonial para estudiantes de Primer Ciclo de Educación Básica en colegios chilenos, con estudiantes de un rango etario de 7 a 12 años de edad, para ser desarrollada de forma extracurricular. En esta propuesta se combina la escuela y el museo no sólo como un espacio de aprendizaje, sino que pretende exponer parte de la historia personal de los niños participantes. Esta propuesta pedagógica parte desde una investigación bibliográfica sobre los conceptos de Educación Patrimonial, patrimonio familiar, identidad, memoria y museo, investigación desde la que se construyó la propuesta didáctica. El objetivo de esta propuesta didáctica es indagar, comprender y valorar la identidad familiar de las y los estudiantes, a través de una investigación y exposición de objetos de patrimonio familiar presentes en un museo auto-gestionado. Para lograr lo anteriormente señalado, hemos organizado el escrito de la siguiente manera: primero, señalaremos la introducción, contexto y la explicación teórica de los conceptos claves. En segundo lugar, presentaremos la propuesta didáctica organizada en nueve clases, instrumentos de evaluación y guion de entrevista. En tercer lugar, se comparten las proyecciones y conclusiones finales.
Empresarios, turismo y la promoción de una cultura del servicio
Authors: Yáñez Andrade Juan Carlos
Published: June 2024

El presente artículo, estudia la historia de los empresarios hoteleros en Chile entre 1930 y 1950, destacando su participación en el desarrollo del turismo. Para ello, se analiza la formación de la Asociación de Propietarios Hoteleros y Similares de Chile (APH) fundada en 1929. Como resultado se señala que la estrategia de la APH fue vincular el desarrollo del turismo con el crecimiento de la industria hotelera, luchando en contra de una serie de medidas que consideraban atentatorias para su sector, como la legislación social y los impuestos. Estas disputas favorecieron la articulación del gremio de los hoteleros, logrando, con el tiempo, el apoyo del Estado en la construcción de hoteles. Una dimensión más cultural, aunque vinculada con lo económico, es el aporte que hizo la APH en la promoción de una cultura del servicio, ante la ausencia de centros de formación profesional en el país.
Técnicas reconstrutivas pós exérese de neoplasia cutânea em abdômen de cães: revisão bibliográfica
Authors:   , Silva Paula Felismino da , Miranda Ana Paula Sanches
Published: June 2024

As técnicas cirúrgicas reconstrutivas são amplamente utilizadas para correção de feridas irregulares e extensas que possuem as mais variadas causas. Na cirurgia oncológica esse tipo de técnica é uma grande ferramenta para fechamento de lesão cirúrgica após retirada de neoplasia, principalmente no abdômen, devido ao conteúdo vital armazenado nesta região. Para realizar o procedimento reconstrutivo é necessário levar em consideração todo o planejamento a fim de obter resultados satisfatórios que tragam maiores benefícios e recuperação rápida para o paciente. As técnicas de retalho devem ser executadas preservando sua irrigação sanguínea e mantendo as bordas intactas para melhor aderir à cicatrização da ferida em pele. Este estudo teve como objetivo abordar sobre as principais técnicas que podem ser utilizadas pós exérese de neoplasia cutânea em abdômen de cães na rotina cirúrgica.
Atuação do cirurgião buco maxilo facial frente à fratura de mandíbula causada por violência doméstica em mulheres: uma revisão de literatura
Authors:   , Silva Juliana Barbosa Machado da , Rodrigues Larissa Martins
Published: June 2024

O ato de violência contra a mulher é responsável por promover o sofrimento social, psicológico e físico. Na maioria dos casos, o ato é precedido de ameaças, repressão ou privação arbitrária de liberdade, ocorrendo em vida pública ou privada. A violência contra a mulher tem maior incidência em face, com intuito de causar dor e humilhação, gerando um domínio sobre a vítima, depreciando sua imagem e tornando-a submissa. No Brasil a cada 4 minutos uma mulher é agredida e os principais agressores são parceiros (65,6%), seguido de ex-companheiros (24,2%), conhecidos (8,73%) e desconhecidos (1,47%). São inúmeros os traumas causados pela violência, sendo classificados em traumas dentários, periodontais e ósseos. A detração mais recorrente em violência contra a mulher são fraturas de mandíbula, e isso se deve pela proeminência dos ossos faciais. Dentro deste contexto, o objetivo do presente trabalho foi realizar uma revisão de literatura acerca do tratamento cirúrgico de fratura de mandibula e discorrer sobre a violência de gênero que pode resultar em complicações como esta, além da atuação do cirurgião buco maxilo facial frente à escolha da melhor conduta de tratamento e auxílio à vítima. A pesquisa dos artigos foi realizada através das bases de dados do PUBMED, SCIELO, GOOGLE SCHOLAR entre os anos de 2020 a 2023, em português e inglês. Conclui-se que os casos de violência doméstica aumentam progressivamente e a falta de impunidade contra o agressor dificulta a denúncia por parte da vítima.
Carcinoma de células escamosas em orofaringe associado ao HPV: uma revisão de literatura
Authors:   , Rosa Amanda Aparecida de Oliveira , Rolim Ana Clara Rodrigues , Barros Giulia de , Gonçalves Julia Beatriz , Lembo Renata
Published: June 2024

O carcinoma de células escamosas de orofaringe HPV-positivo representa um tumor maligno de difícil diagnóstico precoce. O seu principal fator etiológico é, portanto, o papilomavírus humano (HPV), principalmente o subtipo 16. Os indivíduos que apresentam risco aumentado para esta infecção pelo HPV são aqueles que possuem inúmeros parceiros sexuais e praticam sexo oral desprotegidos. Dentro deste contexto, o objetivo desse trabalho é salientar os profissionais da área da saúde sobre a existência do câncer orofaríngeo relacionado ao HPV, mencionando a sua etiologia, epidemiologia, aspectos clínicos, histopatológicos, prevalência, fatores de risco, detecção precoce, formas de diagnóstico, prevenção e prognóstico. Foi realizada uma revisão de literatura em artigos científicos utilizando as seguintes plataformas: Biblioteca Virtual em Saúde (BVS), PubMed, Medline, Scielo, Lilacs e Google Scholar. Após a leitura criteriosa dos artigos encontrados, nota-se que é fundamental o conhecimento dos profissionais acerca deste tema e, além disso, é de suma importância a conscientização da população, pois se trata de um câncer com altas taxas de metástase, que se apresenta assintomático em fase inicial e de difícil visualização. Porém, quando diagnosticado precocemente, nota-se um bom prognóstico, com maior taxa de sobrevida e com tratamentos que proporcionam melhor qualidade de vida aos pacientes. Vale ainda ressaltar que a vacinação, além da conscientização da população quanto ao uso de preservativos, é essencial para auxílio na prevenção desta doença.
Efeitos da radioterapia na cavidade oral em pacientes portadores de câncer de cabeça e pescoço: uma revisão da literatura
Authors:   , Nanini Alessandra Nunes , Ruberti Bruna Lopes , Pereira Giovanna Camargo de Freitas , Camargo Laura Paladini
Published: June 2024

Cirurgia, radioterapia e quimioterapia são modalidades terapêuticas disponíveis para o tratamento de pacientes diagnosticados com câncer de cabeça e pescoço, as quais podem ser utilizadas isoladas ou associadas. Todavia a modalidade terapêutica mais comumente utilizada no combate a esse tipo de câncer é a radioterapia. A radiação ionizante possui uma alta eficácia em erradicar células cancerígenas, contudo a radiação pode atingir os tecidos sadios localizados próximo ao tumor em função de estarem inclusos no campo de radiação ocasionando efeitos adversos na cavidade oral. As sequelas orais provenientes da radioterapia podem aparecer durante e após a terapia de radiação e são determinantes para qualidade de vida dos pacientes. O objetivo deste trabalho foi identificar os principais efeitos adversos que acometem a cavidade oral decorrentes do tratamento radioterápico do câncer de cabeça e pescoço e as condutas realizadas pelo cirurgião-dentista para prevenir e tratar dessas complicações. O estudo foi realizado com base em uma revisão de literatura e conclui que o cirurgião-dentista possui um papel significativo para a manutenção da qualidade de vida desses pacientes, desde o diagnóstico até o tratamento das manifestações orais que podem aparecer durante e após o tratamento radioterápico.
Trastuzumab in combination with capecitabine plus cisplatin for the treatment of advanced HER2-positive gastric cancer: A systematic review and meta-analysis
Authors: guoxiong Hao , yu Liu , qian Xu , Yafeng Qi , zhongyang Song , peng Zhu , zhiming Zhang
Published: June 2024

Purpose：The primary objective of this study was to
comprehensively evaluate and compare the therapeutic efficacy of
trastuzumab in combination with capecitabine plus cisplatin versus
capecitabine plus cisplatin in the management of patients diagnosed with
advanced human epidermal growth factor receptor 2 (HER2)-positive
gastric cancer. Aiming to facilitate clinical decision-making and
ultimately improving treatment outcomes for this specific patient
population. Methods：A comprehensive computerized search was
conducted across multiple databases, including Cochrane Library, Web of
Science, PubMed, Embase, CNKI, CBM, VIP, and Wanfang to identify
domestic and foreign clinical randomized controlled trials (RCTs),
investigating the efficacy of trastuzumab in combination with
capecitabine plus cisplatin for the treatment of patients with advanced
HER2-positive gastric cancer. The search encompassed articles published
from the inception of the databases until July 1, 2022.
Results：This meta-analysis comprised 12 studies involving a
total of 1199 patients diagnosed with advanced HER2-positive gastric
cancer. The results revealed that the experimental group exhibited
significantly higher rates of total effectiveness and control compared
to the control group. Moreover, the experimental group showed a
significant increase in median survival time compared to the control
group. Additionally, the experimental group exhibited a significantly
higher quality of life score and demonstrated improved prognosis in
terms of carbohydrate antigen 19-9 (CA19-9) levels, with a lower
recurrence rate. The experimental group showed a decrease in the stage
of gastric cancer based on carbohydrate antigen 72-4 (CA72-4) levels and
(CEA) levels compared to the control group.. Furthermore, the
experimental group exhibited a notable enhancement in the therapeutic
efficacy of vascular endothelial growth factor (VEGF) and a superior
prognosis compared to the control group.
Conclusion：Trastuzumab in combination with capecitabine plus
cisplatin can be a preferred first-line treatment option for advanced
HER2-positive gastric cancer, accompanying by a promising therapeutic
efficacy.
Сhickenpox and complications in children in modern conditions
Authors: Skripchenko E. Yu. , Petrov I. V. , Astapova A. V. , Klimkin A. V. , Skripchenko N. V. , Ivanova G. P. , Goleva O. V. , Marchenko N. V. , Golubeva A. V. , Verbenko P. S.
Published: June 2024

In the article, we characterize clinical manifestations of varicella-zoster infection in children. The observation of complications of acute period and period of late reconvalescence of chicken-pox is given. We give description of possible factors, which lead to complicated case of acute varicella zoster infection and further virus persistence with neurological damage.
Effects of bone anchored maxillary protraction on patients with unilateral cleft lip/palate or isolated cleft palate and hypoplastic maxilla: a 6-year follow-up case control study
Authors: Kiukkonen Anu , Rice David , Railavo Sirpa
Published: June 2024

Objectives

To evaluate the effects of bone-anchored maxillary protraction (BAMP) treatment and longterm stability in growing cleft lip and palate and isolated cleft palate (CLP/CP) patients with mild maxillary hypoplasia and to compare maxillary growth patterns of BAMP-treated patients to matched control CLP/CP patients.

Materials and Methods

Ten patients with CLP/CP were treated with BAMP; they were compared to the maxillary growth pattern of 10 age-matched cleft control patients with no maxillary protraction treatment, who later received surgical Le Fort I maxillary advancement after the growth period. The assessment of maxillary growth and the occlusion started at mean 8 years of age and continued until mean 18 years of age.

Results

The use of BAMP orthopedic traction changed the growth pattern of mild hypoplastic maxilla toward a more anterior direction and advanced the face even above the level of Le Fort lll with only a minor effect on dentoalveolar units. The correction of occlusion and facial convexity were stable in the long term.

Conclusions

The using BAMP may improve the position of the maxilla relative to the anterior cranial base for the correction of mild maxillary hypoplasia in adolescent patients with CLP/CP. The achieved results are rather stable in the long term.
The Association Between Depressive Symptoms, Access to Diabetes Care, and Glycemic Control in Five Middle-Income Countries
Authors: Merkel Lena , Teufel Felix , Malta Deborah Carvalho , Theilmann Michaela , Marcus Maja-Emilia , Flood David , Geldsetzer Pascal , Manne-Goehler Jennifer , Petrak Frank , Vollmer Sebastian , Davies Justine
Published: June 2024

OBJECTIVE

The relationship between depression, diabetes, and access to diabetes care is established in high-income countries (HICs) but not in middle-income countries (MICs), where contexts and health systems differ and may impact this relationship. In this study, we investigate access to diabetes care for individuals with and without depressive symptoms in MICs.

RESEARCH DESIGN AND METHODS

We analyzed pooled data from nationally representative household surveys across Brazil, Chile, China, Indonesia, and Mexico. Validated survey tools Center for Epidemiologic Studies Depression Scale Revised, Composite International Diagnostic Interview, Short Form, and Patient Health Questionnaire identified participants with depressive symptoms. Diabetes, defined per World Health Organization Package of Essential Noncommunicable Disease Interventions guidelines, included self-reported medication use and biochemical data. The primary focus was on tracking diabetes care progression through the stages of diagnosis, treatment, and glycemic control. Descriptive and multivariable logistic regression analyses, accounting for gender, age, education, and BMI, examined diabetes prevalence and care continuum progression.

RESULTS

The pooled sample included 18,301 individuals aged 50 years and above; 3,309 (18.1%) had diabetes, and 3,934 (21.5%) exhibited depressive symptoms. Diabetes prevalence was insignificantly higher among those with depressive symptoms (28.9%) compared with those without (23.8%, P = 0.071). Co-occurrence of diabetes and depression was associated with increased odds of diabetes detection (odds ratio [OR] 1.398, P < 0.001) and treatment (OR 1.344, P < 0.001), but not with higher odds of glycemic control (OR 0.913, P = 0.377).

CONCLUSIONS

In MICs, individuals aged 50 years and older with diabetes and depression showed heightened diabetes identification and treatment probabilities, unlike patterns seen in HICs. This underscores the unique interplay of these conditions in different income settings.
Health Care Utilization and Costs Associated With Empagliflozin in Older Adults With Type 2 Diabetes
Authors: Htoo Phyo Than , NajafZadeh Mehdi , Tesfaye Helen , Schneeweiss Sebastian , Wexler Deborah J. , Glynn Robert J. , Schmedt Niklas , Déruaz-Luyet Anouk , Koeneman Lisette , Paik Julie M. , Patorno Elisabetta
Published: June 2024

OBJECTIVE

We compared health care resource utilization (HCRU) and costs for inpatient and outpatient services and dispensed medications in older adults with type 2 diabetes initiating empagliflozin versus dipeptidyl peptidase 4 inhibitors (DPP-4is).

RESEARCH DESIGN AND METHODS

The study population included U.S. Medicare fee-for-service beneficiaries with diabetes (age ≥65 years) initiating empagliflozin or DPP-4is (August 2014 to September 2018). We estimated rate ratios (RRs) for HCRU outcomes using zero-inflated negative binomial regression and per-member per-year (PMPY) cost differences using generalized linear model with gamma distributions, overall and stratified by baseline cardiovascular disease (CVD), after adjusting for 143 baseline covariates using 1:1 propensity score matching.

RESULTS

We identified 23,335 matched pairs (mean age 72 years, 51% with baseline CVD). HCRU rates were lower in empagliflozin versus DPP-4i initiators (number of inpatient days, RR 0.89 [95% CI 0.82, 0.97]; number of emergency department [ED] visits, 0.86 [0.82, 0.91]; number of hospitalizations, 0.86 [0.79, 0.93]; number of office visits, 0.96 [0.95, 0.98]). Inpatient cost (−$713 PMPY [95% CI −847, −579), outpatient cost (−$198 PMPY [−272, −124]), and total cost of care (−$1,109 PMPY [−1,478, −739]) were lower for empagliflozin versus DPP-4is, although diabetes medication cost was higher in empagliflozin initiators ($454 PMPY [95% CI 284, 567]). In the CVD subgroup, total cost was lower for empagliflozin initiators (−$2,005 PMPY [−2,451, −1,337]), while the difference was attenuated in the non-CVD subgroup (−$296 PMPY [−740, 148]).

CONCLUSIONS

Among older adults with diabetes, empagliflozin was associated with a lower number of inpatient days, hospitalizations, ED visits, and office visits and with lower costs of care compared with DPP-4is, especially in those with history of CVD.
Üniversite Öğrencilerinde İlişki Doyumu ile Sosyal Medya Kullanımı Arasındaki İlişkinin İncelenmesi
Authors: Ekinci Nilsu , Kabasakal Hatice Zekavet
Published: June 2024

Bu araştırmada, üniversite öğrencilerinin sosyal medya kullanım alışkanlıkları ile romantik ilişkilerinden aldıkları doyum arasındaki ilişkinin incelenmesi amaçlanmıştır. Dokuz Eylül Üniversitesinde öğrenim görmekte olan öğrencilere uygun örnekleme yöntemiyle (224’ü kadın, 163’ü erkek, 387 öğrenci) ulaşılarak Kişisel Bilgi Formu, Sosyal Medya Kullanım Ölçeği ve İlişki Doyum Ölçeği uygulanmıştır. Verilerin analizinde bağımsız örneklem t Testi, tek yönlü varyans analizi (One-Way ANOVA) Pearson korelasyon analizleri kullanılmıştır. Sosyal medya kullanım sıklığı, sosyal medyada geçirilen zaman, sosyal medya kullanım nedenleri, sosyal medyaya dair ifadeler ve ilişki doyumu cinsiyet, yaş ve romantik ilişki süresine göre incelenmiş, sosyal medya kullanımı ve ilişki doyumu arasındaki ilişki analiz edilmiştir. İlişki doyumu, sosyal ağ, mesleki ağ, fotoğraf paylaşım siteleri, mikroblog ve forumlar için cinsiyete göre anlamlı farklılık tespit edilmiştir. İlişki doyumu ile sosyal medya kullanım nedenlerinden “kendini ifade/gerçekleştirme”, “haberdar olma” ve “eğlence” alt boyutları için pozitif yönde zayıf ilişki tespit edilmiştir. İleride yapılabilecek çalışmalara dair öneriler araştırmanın sonunda yer almaktadır.
Assessment of structural and functional changes in recipient's transplanted heart in the long-term postoperative period
Authors: Khubutiya M. Sh. , Alidzhanova Kh. G. , Dyatlov A. V. , Ivannikov A. A. , Shemakin S. Yu. , Kosolapov D. A.
Published: June 2024

Introduction. Heart transplantation is an effective way of treating patients with end-stage heart failure. Echocardiography allows for the assessment of the transplanted heart functions at all stages of follow-up. The clinical implementation of myocardial deformation imaging by the speckle tracking echocardiography has made it possible to detect subtle changes in myocardial contractility.

Objective. To study the structural and functional state of myocardium in recipients in the long term after orthotopic heart transplantation.

Material and methods. The study included 13 orthotopic heart transplant recipients (11 men and 2 women) at a mean age of 54.1±9.1 years who underwent orthotopic heart transplantation at the N.V. Sklifosovsky Research Institute for Emergency Medicine. The mean follow-up period after orthotopic heart transplantation was 6±0.7 years. All patients underwent transthoracic echocardiography according to the standard protocol, including determination of left ventricular myocardial deformation.

Results. The median volume of the left atrium was 60 (53;76) ml, the left ventricular end-diastolic volume was 76 (70;90) ml, and the end-systolic volume was 30 (24;36) ml. The median ejection fraction of the left ventricle in the studied sample was 64 (57;66)%. The median interventricular septum thickness was 12 (11;13) mm, the left ventricular posterior wall thickness was 9 (8;10) mm. At the same time, the left ventricular myocardial mass and the left ventricular myocardial mass index were within the normal range and amounted to 140 (121;155) g and 65 (58;76) g/m2, respectively. The right heart chambers were not dilated, as the volume of the right atrium was 41 (40;56) ml, and the right ventricular enddiastolic dimension was 32 (30;33) mm. The right ventricular systolic function was unimpaired: the tricuspid annular plane systolic excursion was 18 (17;19) mm, and the right ventricular fractional area change was 46 (37.5;47.0)%. The calculated systolic pulmonary artery pressure was within the normal range 24 (21;28) mm Hg. The measurements of left ventricle global longitudinal and circumferential strains were -19.6 (-18.6;-21.2)% and -30.9 (-28.8;-32.0) %, respectively. Patients in the study sample showed a decrease in the left ventricular global function index to 25 (24.2;29.6)%. The diastolic dysfunction of a restrictive type was present in 10 patients (76.9%).

Conclusions. In the long-term period after heart transplantation, the recipients were found to have a low left ventricular ejection fraction and a diastolic dysfunction of the restrictive type. Considering the normal values of left ventricular myocardial strains, we can assume that after 6 years post-orthotopic heart transplantation, the recipients have restored the heart adaptive functions, and a favorable outcome has been achieved. However, long-term monitoring is required.
Internalization of Character Values within the Frame of Religious Moderation in Students with Intellectual Disabilities
Authors: Kirani Cahya , Saidah Nur , Gumilang Ahmad Naufal
Published: June 2024

This research is motivated by the urgency of creating equality in the context of religion for students with intellectual disabilities who have been marginalized. Character values within the frame of religious moderation are important to internalize in intellectually disabled children as well. Even though they experience delays in learning. This study aims to analyze the process of applying values to students with intellectually disabled and the application of instilling values to them and teachers. The research was carried out using a qualitative descriptive approach with data sources in the form of documentation, interviews, and observations which were then analyzed using the Miles and Huberman data analysis model to obtain in-depth results. This research found that: instilling character values is based on indicators of religious moderation in the form of national commitment by implementing nationality-based school activities, tolerance is taught through habituation, and non-violence by being aware of mistakes and accommodating. towards local culture by organizing various cultural events. Implicitly increasing teacher creativity in implementing learning and strengthening collaboration with parents. So, it can be concluded that students with intellectual disabilities (mild and moderate categories) can internalize character values of religious moderation.