bluuebunny/crossref_metadata_2025 huggingface dataset:
An overall view of aerobic physical training for chronic heart failure patients: a review study
Authors: Silva Francisco José dos Santos , Santos-Silva Paulo Roberto , Greve Julia Maria D´Andrea
Published: June 2022

One of adjuvant treatment modalities for improving physical capacity and quality of life in patients with heart failure (HF) has been physical training. Objective: To update the knowledge on the effect of exercise training as an adjunct in the treatment of HF patients through a systematic review. Methods: A systematic review of randomized controlled trials was conducted using the electronic databases (PubMed/MEDLINE, EMBASE, CINAH and the Cochrane Library, searching over five years (2010-2015). Included were trials with at least three months of follow-up and the assessment of the effects of exercise interventions as a rehabilitation program component for patients with HF. Results: Seven clinical trials were included with 4000 participants, predominantly with reduced ejection fraction (≤ 50%) and clinical class II and III by the New York Heart Association. The exercise program, as the independent variable, reduced the general and specific risk of hospitalization for heart failure and resulted in a clinically significant improvement in the patients’ quality of life. Studies with univariate meta-regression analysis showed that these benefits were independent of the type, amount of exercise, and duration of follow-up. Conclusion: Within the limits of this review, it was possible to show that improvements in reducing hospitalizations and in health were related to quality of life based on the engagement of HF patients in supervised exercise programs and appear to be consistent in all patients, regardless of the program’s features and can increase life expectancy
Intensive rehabilitation model in Guillain-Barre syndrome: a case report
Authors: Montini Flavio Tanouye , Souza Daniel Rubio de , Ribeiro Fernando de Quadros , Battistella Linamara Rizzo
Published: June 2022

There is little information in the medical literature on the rehabilitation of patients with GuillainBarre Syndrome (GBS). There are clinical studies that demonstrate the effectiveness of a rehabilitation program using an interdisciplinary team, but without well-defined protocols and only performed on an outpatient basis. This case report aims to describe the evolution of a patient with GBS during the intensive multidisciplinary inpatient rehabilitation program, discussing the therapeutic possibilities for rehabilitation of the disease
Quality of life of people with Parkinson’s disease after treatment with non-immersive virtual reality
Authors: Sanguinet Danielle Carneiro de Menezes , Coriolano Maria das Graças Wanderley de Sales , Santana Charleny Mary Ferreira de , Ângelo Thaisa Damasceno de Albuquerque , Silva Juliana Patrícia de Araújo , Câmara Sarah Buarque , Asano Amdore Guescel , Lins Otávio Gomes
Published: June 2022

Objective: To analyze the influence of treatment with non-immersive virtual reality games (VR) on the quality of life (QOL) of people with Parkinson’s disease (PD). Methods: Uncontrolled clinical trial using 14 people with PD between stages I and IV of PD. Treatment with NIVR occurred for 6 months, 1 initial assessment and 2 quarterly re-evaluations. The instruments to measure the results were the Parkinson’s Disease Questionnaire (PDQ-39) and a Self-Perception of Performance Questionnaire. The treatment protocol used was Kinect® for Xbox 360, and the following games: Kinect Advenctures®, Your Shape: Fitness Evolved®, and Kinect Sports®. Statistical analysis of the PDQ-39 used the Wilcoxon test (p ≤ 0.05) while the Self-Perception of Performance Questionnaire was analyzed qualitatively for thematic content, identifying six categories. Results: There was a statistically significant difference after 3 months of treatment with the NIVR games in terms of mobility, emotional well-being, stigma, cognition, and total score of the PDQ-39. After 6 months of treatment the results were maintained, but no further gains. However, for a neurodegenerative disease this maintenance of gains is favorable for the functional prognosis of the patients. In the thematic categories, what stood out was an improvement of reports on mobility, activities of daily living, emotional well-being, stigma, and bodily discomfort. Conclusion: Treatment with NIVR benefits QOL of people with PD, especially including mobility, emotional well-being, stigma, and cognition
Development and validation of a quality of life questionnaire in individuals with spinal cord injury
Authors: Feniman Sibele Pelloso , Cardoso Jefferson Rosa , Villegas Isabela Lucia Pelloso , Bela Lais Faganello Dela , Santos Suhaila Mahmoud Smaili , Lavado Edson Lopes
Published: June 2022

Objective: Create and test the psychometric proprieties of the specific instrument for the quantification of the quality of life in subjects with spinal cord injuries. Methods: From the existing consensus methods was chosen the Delphi technique for the creation of the questionnaire and the SF-36 for criteria method. Results: The internal consistence was α=0,827. The intra and inter evaluators confidence shows itself high by the intra class correlation coefficient and the Brand and Altman test by the difference of average. Can be observed strong correlations between the QVLM and SF-36 in the functional capacity and physical aspects domains and moderate correlation in the health state and emotional aspects domains. There was a significant difference between the four applications of QVLM, demonstrating that the questionnaire is sensible to change. Conclusion: The QVLM was created with a suitable methodology and the evaluation of the psychometrics proprieties turn out to be on a valid, reliable, consisting and sensible to changes instrument
Analysis of psychomotor development and level of physical activity of children with extracurricular physical activities
Authors: Prado Maria Tereza Artero , Masset Thais , Fernani Deborah Cristina Gonçalves Luiz , Veríssimo Caroline Mariana Albertin , Romanini Maelis de Souza , Silva Talita Dias da , Alvarez Mayra Priscila Boscolo , Monteiro Carlos Bandeira de Mello
Published: June 2022

Objective: The objective was to evaluate the psychomotor development in the areas of global motor skills, balance and body structure and level of school extracurricular physical activity. Method: The sample consisted of 30 individuals of both sexes from 6 to 10 years old, divided into two groups: Active Extracurricular Group and Sedentary Extracurricular Group. Data collection included the characterization of the subjects, anthropometric data, and the tests Development Scale Motor and the IPAQ short version. The variables were expressed as frequencies and proportions, the normality was tested with the Shapiro-Wilk test. Student t test was used to determine the statistical significance of normal data and Mann Whitney test for the non-normal data. Statistical significance was set at p0.05. Results: The classification of BMI / age of both groups was eutrophic (53.3%) and the remainder (46.6%) were overweight. The sedentary group had better results in overall motor development, and the active group in balance and body scheme. Conclusion: The children who engage in extracurricular physical activity showed better development in balance and body structure, when compared to those that do not
Desempenho isocinético dos músculos do joelho de atletas de futsal durante a pré-temporada e o meio de temporada
Authors: Stedile Augusto Rech , Pasqualotto Lidiane Aparecida , Tadiello Gerson Saciloto , Finger André Luis Temp , Marchi Thiago de , Bonetti Leandro Viçosa
Published: June 2022

O futsal é um esporte de múltiplos sprints, com constantes mudanças de direção, de velocidade e chutes. Além disso, as demandas impostas aos atletas durante uma temporada regular podem resultar em desequilíbrios musculares entre os membros e entre os músculos extensores e flexores do joelho, consequentemente, diminuindo a performance muscular e aumentando o risco de lesões nos atletas. Objetivo: Analisar as diferenças bilaterais; e o impacto de uma temporada regular na força dos músculos do joelho e as relações entre os músculos extensores e flexores. Método: As informações provenientes de um banco de dados sobre as avaliações de pré-temporada e meio de temporada de 15 atletas profissionais de futsal do sexo masculino foram analisadas. O dinamômetro isocinético foi utilizado no modo concêntrico-concêntrico para avaliar os músculos extensores e flexores do joelho nas velocidades angulares de 60º/s, 120º/s, 180º/s e 240º/s.Resultados: Não foram encontradas diferenças significativas nos valores de pico de torque (PT) dos extensores e flexores do joelho e na razão flexores/extensores na comparação entre os membros quando comparados na mesma avaliação e velocidade angular. Entretanto, os valores de PT da avaliação do meio de temporada mostraram-se, em sua maioria, significativamente maiores quando comparados às avaliações de pré-temporada. Conclusão: Estes achados indicam que o treinamento prescrito durante a temporada foram adequados, permitindo aos atletas o aumento da força muscular e evitando desequilíbrios musculares.
Comparação entre alterações eletrofisiológicas e ganhos funcionais de pacientes com síndrome de Guillain Barré internados no Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER)
Authors: Melo Neto Cícero Soares , Jácomo Juliana Lima , Moreira Rickella Aparecida Alves , Pedroso João Henrique Vieira , Ferreira Joenice Almeida , Medeiros Rodrigo Parente
Published: June 2022

Polirradiculopatia inflamatória, aguda, de caráter progressivo, a Síndrome de Guillain Barré normalmente acontece pós exposição a um agente infeccioso, ou a um estímulo, desencadeando o comprometimento dos motoneurônios periféricos. Objetivo: Comparar alterações eletrofisiológicas com ganhos funcionais na SGB, observando a relação entre prognóstico e alteração no exame eletroneuromiográfico e verificando a condição dos pacientes após um ano do início do quadro clínico. Métodos: Revisão de prontuários dos pacientes atendidos no Centro de Reabilitação e Readaptação Dr. Henrique Santillo - CRER, no período de 2008 a 2014. Resultados: Inicialmente localizados quarenta e oito casos, destes apenas dezenove, inicialmente, foram selecionados por terem estado internados no CRER no período selecionado para o estudo, houve exclusão de um paciente por não constar em prontuário o resultado da eletroneuromiografia, permanecendo na pesquisa, então, dezoito pacientes. Conclusão: A reabilitação tem um papel fundamental no resultado final e cuidados ao longo prazo em pacientes que tiveram SGB, sendo um trabalho diferenciado a internação em centro de reabilitação melhorando a capacidade de diminuir os danos causados pela doença, independente dos déficits funcionais adquiridos. Os dados apontaram que os ganhos funcionais ao longo de um ano após início da doença, não têm relação direta com o que é encontrado no exame eletroneuromiográfico.
Análise do incremento da força muscular para reaquisição de ortostatismo em idosos com síndrome do imobilismo temporário
Authors: Silva Jefferson Lucio da , Eduardo Filoni Eduardo Filoni , Suguimoto Carolina Miyuki
Published: June 2022

A Síndrome do Imobilismo (SI), frequente entre idoso, ocorre no indivíduo acamado por período prolongado, acarretando perda de força muscular (FM) e consequentemente morbidade e mortalidade. Objetivo: Analisar ganho de FM necessário para reaquisição de ortostatismo em idosos com SI temporário. Métodos: Trinta idosos com SI foram triados pelos critérios de inclusão/exclusão, e 14 idosos obedeceram aos critérios. Eles foram avaliados quanto à FM (em quilogramas) dos músculos quadríceps e glúteos, e posteriormente realizaram sessões de fortalecimento. Ao final do programa, realizou-se tentativa de ortostatismo. Aqueles que readquiriram a postura foram chamados de G1; aqueles que não readquiriram foram chamados de G2. Analisou-se incremento das cargas, número de sessões necessárias, peso do participante, idade e tempo de imobilismo. Resultados: Dez participantes (71,4%) readquiriram o ortostatismo (G1), obtendo média de 21,4 sessões e incremento de força para quadríceps em média de 6kg, correspondendo a um aumento de 177%; e G2 aumentou em média 4,125kg, aumentando-se 117% (p=0,001). Para m glúteo, houve ganho de FM em média de 2,2kg (aumento de 102%) para G1 e 1,625kg para G2, aumentando-se 39%. (p=0,0002). Houve forte correlação para peso do participante com ganho de FM de quadríceps e glúteos (-0,96 e -0,84 respectivamente) e moderada correlação com idade de G1 e G2 (0,59 e 0,58 respectivamente) e com tempo de imobilismo (0,53 para glúteos e 0,50 para quadríceps). Conclusão: O incremento da FM foi essencial para reaquisição do ortostatismo, e o peso, idade e tempo de imobilismo interferiram na reaquisição desta postura.
Performance of quality of life and functional capacity in women with knee osteoarthritis treated with viscosupplementation and strength training
Authors: Hamdan Paulo Cesar , Bica Blanca Elena Rios Gomes , Mendonça Laura Maria Carvalho de , Paula Thiago Gomes de , Cossich Victor Rodrigues Amaral , Nicoliche Eduardo Becker
Published: June 2022

The viscosupplementation and strength training are interventions accepted in the treatment of knee osteoarthritis. Objective: The study describes the effect of two interventions in quality of life and functional capacity. Method: Thirty women diagnosed with bilateral knee osteoarthritis of grade II and III by radiological criteria of Kellgren & Lawrence, were randomized into three groups with ten patients each: VSTF group submitted to viscosupplementation and strength training, TF group submitted only to strength training and VS group submitted only to viscossuplementation. Moments of the study were defined as pre-procedure (PRE), after 48 hours of VS (POS-VS) after 12 weeks of training (POS T) and after eight weeks of detraining (POS D). Quality of life was assessed by the SF-36 BRAZIL, functional capacity by Lequesne index. Intraarticular infiltrations were carried out with a single dose of 6 ml / 48 mg with 6,000,000 kDa Hylan GF-20 and strength training sessions were held for twelve weeks. Results: Strength training and viscosupplementation were effective in the treatment of knee osteoarthritis. Both interventions promoted improvements in quality of life and in functional capacity (p < 0.001), with advantage to the groups that trained force. Conclusion: Strength training is a possible replacement of viscosupplementation in the treatment of osteoarthritis of women's knees. However, the beneficial effect of viscosupplementation in pain reduction suggests better efficiency in the strength training execution which may be an advantage of the association of both.
A importância pratica da cinesioterapia em grupo na qualidade de vida de idosos
Authors: Vilela-Junio Juscelino Francisco , Soares Vitor Marcilio Gomes , Maciel Ana Maria Sá Barreto
Published: June 2022

Analisar o efeito da cinesioterapia em grupo sobre a qualidade de vida, adesão e desistência do programa, capacidade funcional, equilíbrio e marcha de idosas sedentárias. Método: Estudo experimental, amostra de idosas com média de idade de 69,83 (±7,76), que foram submetidas a um protocolo de cinesioterapia e randomizadas em três grupos (N=48), cinesioterapia em grupo (CG), cinesioterapia individual (CI) e controle (C); durante 12 semanas. A qualidade de vida foi avaliada por meio do questionário SF-36, e as variáveis de equilíbrio e marcha através do teste de Tinetti. Utilizando os procedimentos estatísticos descritivos (média e desvio padrão) e o teste de Wilcoxon, admitindo-se o nível de significância de p < 0, 05. Resultados: Taxa de permanência: CG:n=9; GI:n=10; C:n=8 ;Teste de Tinetti:Grupo CG: escore total 9.26 X 13.1; Grupo GI 11.37 X 14.5. Não houve melhora no grupo C. SF-36: média de escores: (CG) Dor: 33.2 X 70.7; Aspectos emocionais 33.3 X 66.6; (GI) Capacidade funcional: 64 X 85.5; Aspectos emocionais: 77.7 X 88; Limitação funcional: 72.5X 100. Não houve melhora estatisticamente significativas no grupo C. Conclusão: Não foram encontradas diferenças expressivas em relação a taxa de desistência entre a dinâmica em grupo e a dinâmica individual no programa de cinesioterapia, no entanto os grupos experimentais apresentaram diferenças significativas com os testes, antes e pós intervenção, para melhora nos aspectos emocionais, melhora de limitações físicas, redução de dor, melhora no equilíbrio e marcha, mostrando assim eficácia e importância dessa atividade.
Tratamento por ondas de choque extracorpórea na síndrome do estresse tibial: uma revisão da literatura
Authors: Pai Marcus Yu Bin , Nakagawa Mariana Hida , Toma Juliana Takiguti , Santos Bruno Schiefer dos , Santos Paulo Roberto Dias dos , Andreoli Carlos Vicente , Ejnisman Benno
Published: June 2022

A síndrome do estresse tibial medial é uma lesão comum devido a sobrecarga mecânica, principalmente em atletas, devido a inflamação local e estresse ósseo. A terapia de ondas de choque (TOC) vem sendo utilizada como tratamento para esta patologia por seus efeitos analgésicos e anti-inflamatórios. Objetivo: Avaliar a eficácia da TOC no tratamento analgésico da síndrome do estresse tibial medial e medidas de funcionalidade. Métodos: Foi realizada uma revisão da literatura, sendo incluídos estudos clínicos em humanos. Resultados: 3 artigos preencheram os critérios de inclusão, incluindo 166 pacientes. Os trabalhos trouxeram uma ampla variedade de intervenções, tipos de aparelhos, frequência e energia utilizada, além de diferenças nas quantidades de sessões e tipos de ondas de choque utilizado no tratamento. Conclusão: Ainda não há evidências consistentes quanto ao uso da TOC no tratamento conservador da síndrome do estresse tibial medial, com estudos pequenos, de qualidade metodológica baixa. Os estudos inclusos no trabalho não relataram efeitos colaterais significativos.
Physiotherapy prescription among elderly users of primary healthcare facilities
Authors: Terada Natalia Akemi Yamada , Santos Scarlet Feitosa , Zucoloto Miriane Lucindo , Martinez Edson Zangiacomi
Published: June 2022

The physiotherapy has an important role in the health promotion and autonomy for the elderly, and the healthcare system should be able to provide adequate support for older age groups. Objective: The objectives of this cross-sectional study were to determine the lifetime prevalence of physiotherapy utilization among elderly users (60 years of age or more) of primary healthcare facilities in Ribeirão Preto, Brazil, and to investigate its association with variables such as sex, age, educational level and socioeconomic status. Methods: Data were collected during face-to-face interviews. Participants were invited to participate in the study while they waited for their medical appointment in a primary healthcare facility. Log-binomial regression models were used for adjusting the data. The sample was composed of 224 (63%) women and 133 (37%) men. Results: Overall, 141 (39.5%) individuals reported undertaking physiotherapy sessions some time along their lifetimes. The prevalence of physiotherapy utilization among women was 42.0% (95% CI: 35.4 - 48.7) and among men was 35.3% (95% CI: 27.2 - 44.1). The utilization of physiotherapy was more frequent among elderlies who had health insurance coverage, higher socioeconomic status and higher educational level. This suggests that some groups of population have more access to physiotherapy due to a higher capacity to pay for healthcare when compared to uninsured people. Conclusion: The participation of physiotherapists in the primary care setting should be encouraged, in order to reduce inequalities in access to such resources.
A correlation between clinical severity and functional state with nerve conduction studies findings in patients with carpal tunnel syndrome: a systematic review
Authors: Nunes Andressa Silvia Faé , Nunes Lucas Martins de Exel , Dotta Luciana , Chung Tae Mo , Battistella Linamara Rizzo , Riberto Marcelo
Published: June 2022

Carpal Tunnel Syndrome is the most common compressive neuropathy in the general population, and it may lead to disabling symptoms and significant functional limitation. This systematic review covered Pubmed, Medline, Embase, Cochrane, CINAHL, LILACS, and SCIELO databases, with no time or language delimitations. The PICO strategy defined the search strategy with keywords extracted from the Medical Subjects Headings, and the quality of the studies was evaluated by the Agency for Healthcare Research and Quality (AHRQ) scale. Overall, 857 studies were identified, of which only 10 fulfilled the inclusion criteria. Despite the good results shown, a noticeable heterogeneity was observed among the studies included, associated with methodological discrepancy and to limited sample size in a few of them. Four studies showed no correlation between electrophysiological findings and clinical symptoms and signs, whereas three could demonstrate such association and other three studies had equivocal results. Other studies are necessary, with better methodological standards and more homogeneous and precise evaluations, so as to improve the level of scientific evidence.
A reabilitação das alterações cognitivas após o acidente vascular encefálico
Authors: Schewinsky Sandra Regina , Alves Vera Lucia Rodrigues
Published: June 2022

O Acidente Vascular Encefálico (AVE) exerce forte impacto no panorama global da saúde do país, sendo a uma das maiores causas de deficiências no mundo, pois geram sequelas motoras, sensitivas, de linguagem, cognitivas, emocionais e comportamentais. A pessoa que sofreu um AVE necessita de atendimento integrativo, motivo que o presente artigo visa demonstrar como o Serviço de Psicologia no Instituto de Medicina Física de Reabilitação do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (IMREA HC FMUSP) atua no estado da arte da reabilitação neuropsicológica/cognitiva, em que se faz necessário conceituar a Neuropsicologia e sua interface com o diagnóstico diferencial, com compreensão do funcionamento das atividades mentais na normalidade e suas alterações, para finalmente discorrer sobre a estruturação do programa de reabilitação neuropsicológica/cognitiva no processo de Reabilitação Integral da pessoa vítima de AVE no IMREA FMUSP.
Análise crítica de parâmetros de qualidade de vida de pacientes com fibromialgia
Authors: Martinez José Eduardo , Barauna Filho Iulo Sergio , Kubokawa Karen , Pedreira Isabela , Machado Luciana , Cevasco Guilhermo
Published: June 2022

Objetivo: Determinar quais sintomas ou distúrbios funcionais correlacionam-se com o impacto da fibromialgia (FM) na qualidade de vida de pacientes do sexo feminino. Vinte e seis mulheres que preencheram os critérios de classificação de fibromialgia do Colégio Americano de Reumatologia. Métodos: Estudo transversal para análise dos seguintes parâmetros: intensidade da dor (escala analógica numérica de dor – 0 a 10 – END); intensidade de fadiga (escala analógica numérica de fadiga – 0 a 10 – ENF); no de pontos dolorosos/gatilho; capacidade funcional (Health Assessment Questionnaire – 0 a 3 – HAQ); qualidade do sono (Postsleep Inventory – 0 a 120 – PSI); intensidade de sintomas depressivos (Beck Depression Inventory – 0 a 60 – BDI); e qualidade de vida global (Fibromyalgia Impact Questionnaire – 0 a 100 – FIQ). Os parâmetros foram analisados através do Coeficiente de Correlação de Spearman. Resultados: Houve correlação estatisticamente significante entre a qualidade de vida global (FIQ) e intensidade da dor (END), intensidade da fadiga (ENF) e capacidade funcional (HAQ). Houve correlação fraca com a qualidade do sono (PSI). Não se observou correlação entre o FIQ e a depressão (BDI). Por sua vez, a capacidade funcional (HAQ) correlaciona-se fortemente com a intensidade da dor e da fadiga. Não houve correlação entre o HAQ e o BDI. Conclusão: O impacto na qualidade de vida da fibromialgia correlaciona-se fortemente com a intensidade da dor, fadiga e decréscimo da capacidade funcional.
Epidemiologia da paralisia cerebral
Authors: Pato Tamara Rodrigues , Pato Thais Rodrigues , Souza Daniel Rúbio de , Leite Heitor Pons
Published: June 2022

Introdução: existe grande interesse em encontrar um fator etiológico determinante para a paralisia cerebral, pois seria possível realizar uma abordagem profilática para a doença. Na literatura são acusados diversos fatores de risco, e muitos autores sugerem que seja uma doença multifatorial.Também se pesquisou sobre possíveis fatores protetores, expectativa de vida e principais causas de morte, visando encontrar possíveis formas de prevenção de acidentes ou de melhora de qualidade de vida. Materiais e métodos: revisão sistemática da literatura, baseada em 40 artigos encontrados nos sites da Bireme, Lilacs e Pubmed, além de dois livros de edição recente. Resultados: os fatores de risco mais citados foram hipóxia perinatal, prematuridade e infecção materna intra-uterina. Outros fatores apontados são gestação múltipla, corioamnionite e trombofilia. O uso de corticóide no período antenatal foi referido como fator protetor. Alguns autores também referem pré-eclâmpsia e a administração de sulfato de magnésio, entretanto, ainda há controvérsias.As principais causas de morte apontadas foram as respiratórias, principalmente as pneumonias. Outras causas são obstrução intestinal (como volvo), afogamentos e atropelamentos. Conclusão: não existe um fator determinante específico para a paralisia cerebral (PC). A hipóxia e a isquemia perinatal têm maior contribuição que outros fatores, mas dependem da intensidade e do período em que ocorrem. Os trabalhos sobre fatores protetores são insuficientes para confirmar sua real eficácia. A principal causa de morte são as doenças respiratórias. É possível reduzir a incidência de afogamentos e atropelamentos por meio de orientação e reabilitação.
Reintegração corporal em pacientes amputados e a dor-fantasma
Authors: De Benedetto Kátia Monteiro , Forgione Maria Cristina Rizzi , Alves Vera Lúcia Rodrigues
Published: June 2022

Estudos mostram que a dor-fantasma em pacientes amputados pode expressar uma tentativa de reintegração corporal, visto que a amputação pode alterar a imagem corporal, comprometendo o sentido de integridade do indivíduo. Deste modo, ressaltam-se as etapas de reintegração corporal nestes pacientes e a importância de evitar o uso maciço da negação como mecanismo de defesa no processo de elaboração da perda física. Conclui-se que, apesar de a dor-fantasma ter uma função de reintegração corporal, pode-se mostrar como uma alternativa não produtiva ao processo de reabilitação global do paciente amputado.
Indoleamine 2,3-Dioxygenase 1 Deletion–Mediated Kynurenine Insufficiency in Vascular Smooth Muscle Cells Exacerbates Arterial Calcification
Authors: Ouyang Liu , Yu Changjiang , Xie Zhiyong , Su Xiaoyan , Xu Zengmei , Song Ping , Li Jian , Huang Hui , Ding Ye , Zou Ming-Hui
Published: June 2022

Background:

IDO1 (indoleamine 2,3-dioxygenase 1) is the rate-limiting enzyme for tryptophan metabolism. IDO1 malfunction is involved in the pathogenesis of atherosclerosis. Vascular smooth muscle cells (VSMCs) with an osteogenic phenotype promote calcification and features of plaque instability. However, it remains unclear whether aberrant IDO1-regulated tryptophan metabolism causes VSMCs osteogenic reprogramming and calcification.

Methods:

We generated global
Apoe
(
apolipoprotein E
) and
Ido1
double knockout mice, and
Apoe
knockout mice with specific deletion of IDO1 in VSMCs or macrophages. Arterial intimal calcification was evaluated by a Western diet–induced atherosclerotic calcification model.

Results:

Global deficiency of IDO1 boosted calcific lesion formation without sex bias in vivo. Conditional IDO1 loss of function in VSMCs rather than macrophages promoted calcific lesion development and the abundance of RUNX2 (runt-related transcription factor 2). In contrast, administration of kynurenine via intraperitoneal injection markedly delayed the progression of intimal calcification in parallel with decreased RUNX2 expression in both
Apoe
−/−
and
Apoe
−/−
Ido1
−/−
mice. We found that IDO1 deletion restrained RUNX2 from proteasomal degradation, which resulted in enhanced osteogenic reprogramming of VSMCs. Kynurenine administration downregulated RUNX2 in an aryl hydrocarbon receptor–dependent manner. Kynurenine acted as the endogenous ligand of aryl hydrocarbon receptor, controlled resultant interactions between cullin 4B and aryl hydrocarbon receptor to form an E3 ubiquitin ligase that bound with RUNX2, and subsequently promoted ubiquitin-mediated instability of RUNX2 in VSMCs. Serum samples from patients with coronary artery calcification had impaired IDO1 activity and decreased kynurenine catabolites compared with those without calcification.

Conclusions:

Kynurenine, an IDO1-mediated tryptophan metabolism main product, promotes RUNX2 ubiquitination and subsequently leads to its proteasomal degradation via an aryl hydrocarbon receptor–dependent nongenomic pathway. Insufficient kynurenine exerts the deleterious role of IDO1 ablation in promoting RUNX2-mediated VSMCs osteogenic reprogramming and calcification in vivo.
Two new species of the genus Zhengitettix (Orthoptera: Tetrigidae: Scelimeninae) from China
Authors: CHEN YA-ZHEN , DENG WEI-AN
Published: June 2022

New species, Zhengitettix convexa Deng , sp. nov. from Yunnan and Zhengitettix fengyangshana Deng, sp. nov. from Zhejiang, are described and illustrated. Z. convexa can be easily distinguished from other species of the genus by the disc of pronotum slightly convex between shoulders and interspersed with sparse carinae on the protuberance, slightly concave behind shoulders. Z. fengyangshana is similar to Z. transpicula Zheng & Jiang, 2002, but differs in narrow frontal ridge, with interhumeral carinae, shape of median carina of pronotum and posterior angles of pronotal lateral lobes. An updated key to all species of the genus Zhengitettix is given.
One new species of the genus Microconema Liu, 2005 (Orthoptera: Tettigoniidae: Meconematinae) from Yunnan, China
Authors: DUAN YANHAO , LIU QING , CHANG YANLIN
Published: June 2022

This paper reports one new species of the genus Microconema Liu, 2015, i.e. Microconema arctilamina sp. nov., and provides the characteristics and habitus photographs. Illustrations of important morphology of Microconema clavata (Uvarov, 1933) are also provided for the first time. The materials examined (including type specimens) are deposited in the Museum of Hebei University.
“Stop Calling Me a Youth!”: Understanding and Analysing Heterogeneity Among Ugandan Youth Agripreneurs
Authors: Declich Maya , Swedlund Haley J. , Schut Marc , Muchunguzi Perez
Published: June 2022

The African “youth” population is growing at a fast and steady pace, attracting attention from scholars, policymakers, and politicians. Yet, we know relatively little about this large and heterogeneous segment of the population. This paper presents data from 110 interviews and ten focus groups with youth engaged in commercial agriculture across all four regions of Uganda. Capitalising on this ethnographic data, we provide an analytical framework for studying complexity among the heterogeneous social category of youth agripreneurs. The aim of the paper is twofold: First, to reconcile anthropological studies that highlight the heterogeneity of African youth with demographic understandings of youth as a statistical category defined by an age bracket. Second, to advance an operational definition of youth that allows for more context-sensitive and tailored programmes. Our results suggest that while “youth” is an important category demographically, the opportunities and challenges faced by youths are often not related to age.
“We are what we are”: Christian identity in conflict with powers and principalities
Authors: Boesak Allan Aubrey
Published: June 2022

This article argues that Archbishop Desmond Tutu’s submission to the apartheid government’s Eloff Commission of Inquiry in 1982 is his most important, most thorough theological achievement. It was foundational for the work of the South African Council of Churches of which he was General Secretary. As such, its contribution to ecumenical theology and the work of ecumenical organizations globally remains invaluable. It also still stands as a singularly important testimony in the areas of political responsibility of churches, Christian organizations, and Christians individually. The issues Tutu raises in his submission, Christian identity, of obedience to God, justice, compassion, and solidarity are crucial matters as powerfully relevant today as they were at the time of the inquiry, and they are of universal import.
Networks of Grievances: Social Capital and Mainstream Party Decline
Authors: Colombo Francesco , Dinas Elias
Published: June 2022

Why does support for mainstream parties decline? A growing literature points to economic loss as a source of political resentment. We bring this explanation one step further. We posit that the local economy qualifies the role of social capital in forging systemic support. When the economy thrives, social capital buffers discontent via interpersonal interactions. When the economy declines it exacerbates discontent, leading to a diffusion of grievances. We test our “networks of grievances” hypothesis in two settings. We first test our theory in Italy, which offers individual-level information together with fine-grained municipality-level social capital data. Second, we test the mechanism underlying our theory combining survey and local administrative data across 18 European countries. The results suggest that “networks of grievances” operate as channels of political discussions with peers, converting retrospective evaluations into systemic discontent bringing non-mainstream parties into voters’ choice sets.
Examining the Foundations of Culturally and Linguistically Sustaining School Leadership: Towards a Democratic Project of Schooling in Dual Language Bilingual Education
Authors: Leu Bonanno Sandra
Published: June 2022

Purpose: Building upon the positive findings from culturally sustaining pedagogical studies, this paper explores how culturally sustaining approaches might operate on an organizational level. Examined in the context of dual language bilingual education (DLBE), this paper proposes a conceptually and empirically-guided culturally and linguistically sustaining school leadership approach (CLSL) as one option for researchers and practitioners to reimagine schools to be more affirming and sustaining for Students of Color (SOC). Research Methods: This project employed a constant comparative analysis across case studies to describe and compare culturally and linguistically sustaining mindsets and practices of DLBE principals in the state of Utah ( Miles et al., 2014 ). Data collection involved participant methods and data analysis was completed through cycles of inductive and deductive qualitative coding. Findings and Implications: The study unveiled four leadership dimensions – cultivating critical consciousness for self and community, fostering a culturally and linguistically sustaining school climate, supporting culturally sustaining pedagogies, and enacting democratic structures—that operated in tandem to configure a culturally and linguistically sustaining school leadership. The themes bridge existing literature to define culturally sustaining tenets represented in the leadership role by describing ways principals reimagined schools to benefit SOC rather than solely responding to students’ identities and maintaining assimilative student outcomes.
Development of three-dimensional printed cultural fashion products using symbols of longevity
Authors: Lee Sung Kyu , Koo Sumin
Published: June 2022

The COVID-19 pandemic has impacted the tourism industry, which makes it necessary to consider a variety of ways to overcome these challenges. The continuous effort to develop unique cultural fashion products and their original designs is necessary. This study aimed to develop cultural fashion products that people want to wear and purchase to revive the traditional symbols of longevity, called “shipjangsaeng,” with three-dimensional (3D) printing technology. Modernizing the symbols and the 3D printing technology can create new values of the convergence of tradition and technologies while providing customized benefits without inventory concerns. To achieve this, firstly, the preferred traditional symbols were extracted through a preference survey. Secondly, designs were virtually three-dimensionally simulated and surveyed to investigate the preferred designs. Thirdly, the selected designs were three-dimensionally modeled and printed, their flexural strength was tested, and they were fabricated into wearable products. The major results were as follows: (a) the most preferred patterns of longevity symbols were the sun and water/a wave; (b) the preferred item types were dresses and T-shirts using new technology such as 3D printing in achromic colors; (c) eight designs were proposed and the most preferred designs were designs 4 (a mini dress with water/wave patterns), 6 (a dress with a sun pattern), 7 (a T-shirt with a sun pattern), and 8 (a dress with a sun pattern); and (d) the four designs were fabricated into wearable cultural fashion products. The results of this study can provide insights to fashion designers and product developers when developing cultural fashion products by modernizing and reviving traditional symbols, enabling new values.
Migrant Workers in the Coal Mines of India: Precarity, Resilience and the Pandemic
Authors: Nayak Suravee
Published: June 2022

This article analyses the lived experiences of migrant workers in India under different regimes of coal mining and engages with their contemporary precarious labouring conditions and resilience. Drawing from ethnographic fieldwork undertaken in the Talcher coalfields of Odisha, I argue that the labouring lives of migrant workers from marginalised communities have been invisiblised in a ‘shadow economy’ of coal extraction through subcontracting and labour recruitment by local contractors working with state-owned coal companies. The process of invisiblisation has taken place at three levels: first, at the workplace which includes recruitment patterns, contracting systems and precarious labouring conditions inflicted by the employer; second, through the exclusion of migrant workers in the land and labour politics of local dispossessed communities for coal mining jobs; and finally, caused by the COVID-19 pandemic and the consequent lockdowns, observed as ‘invisible’ essential workers under the Essential Services Maintenance Act of 1981.
State-Migrant Relations in India: Internal Migration, Welfare Rights and COVID-19
Authors: Agarwal Pankhuri
Published: June 2022

Through a multi-sited ethnographic study of 30 internal migrants working in informal occupations in Delhi, I show that the everyday lived experience of these migrants in India is negotiated by multiple and often intersecting forms of inequalities and exclusion. To that end, I give an overview of their efforts to access available social welfare schemes. Their interactions with street-level bureaucrats and the paperwork (such as an Aadhaar card or a ration card) required to access welfare schemes show how their mobility is restricted, compelling them to enter into a relationship of dependency with brokers, employers and others. The article explicitly centres on state-migrant relations and provides tools to understand the efficacy of social welfare policies in contemporary Indian bureaucratic transformations. It reveals the multitude of complex factors that motivate workers to move and find work that must be acknowledged in any administrative effort to ensure access to rights and legal aid. In doing so, the article also raises pertinent questions on the move towards digitisation and the creation of a central database of migrant workers.
Research Education Program for Underrepresented Minority Students: Students’ Perception of Academic Enrichment and Research Activities
Authors: Edwards Nishika , Nathaniel Thomas , Goodwin Richard , Khalil Mohammed , McPhail Brooks , Fowler Lauren , Russ-Sellers Rebecca , Chosed Renee
Published: June 2022

The Research Education Program (REP) is an NIH R25-funded training grant designed to increase the pipeline of underrepresented minority (URM) students entering graduate programs and pursuing biomedical research and health care careers. Each week, students participated in different academic enrichment activities during morning sessions. Research activities were during afternoon sessions. URM students presented their research findings in a local poster session with their peers, graduate medical students, and faculty members. They also attended national conferences to gain experience and expand their professional networks. Our participants included 14.3% rural, 42.85% suburban, and 42.85% urban students. Of this, 83.33% were females, while 16.67% were males. In addition, 100% of students indicated exceptional satisfaction in 64.0% of the academic enrichment activities offered by the REP, and 100% indicated exceptional satisfaction in 63.0% of the research activities. Future research will investigate the long-term effects of REP and graduate enrollments.
Superior electromagnetic interference shielding effectiveness of functionalized MWCNTs filled flexible thermoplastic polymer nanocomposites
Authors: Sit Subhashis , Nath Krishnendu , Das Narayan Chandra , Chakraborty Goutam
Published: June 2022

Carbon nanotubes (CNTs) impart great multi-functionality when reinforced with a polymer matrix. This paper shows the qualitative and quantitative improvements of the mechanical, electrical, and electromagnetic interference shielding effectiveness properties with the additions of the multiwalled carbon nanotubes (MWCNTs) and functionalized MWCNTs (FMWCNTs) in ethylene methyl acrylate (EMA) polymer. Mechanical characterization is performed through tensile testing, and electromagnetic interference shielding effectiveness (EMI SE) is calculated from the scattering parameters obtained from the vector network analyzer. Both properties improve compared to neat polymer with the reinforcement loadings up to a critical value, from where the properties start to degrade due to the agglomeration of the CNTs. FMWCNTs provide better performance in terms of properties over the MWCNT reinforced nanocomposites. Morphological characterization using a scanning electron microscope justifies a lower percolation threshold of FMWCNT/EMA composite by better electrical conductive network formation. At 10 wt% of FMWCNT loading, the FMWCNT/EMA composite shows 25.1 dB of EMI shielding efficiency combined with excellent mechanical and electrical properties extending its potential use in both industry and academia as an excellent flexible EMI shielding material.
A critical comparison of the Indian school food and nutrition guidelines with the WHO-nutrition friendly school initiative and the review of existing implementation scenario
Authors: Matela Hema , Panchal Pooja , Yadav Surabhi Singh , Muley Arti , Medithi Srujana , Menon Kavitha
Published: June 2022

Background: The school-based food and nutrition guidelines approach has the potential to combat undernutrition, overnutrition and micronutrient deficiencies among children and adolescents and set the foundation for a healthy adult lifestyle. Aim: To critically compare the Nutrition Friendly School Initiative (NFSI) of the World Health Organization (WHO) with the Food Safety and Standards Authority of India (FSSAI) and the Indian Academy of Pediatrics (IAP) guidelines to gauge the strengths and limitations. Additionally, to summarize the existing studies on implementing school food and nutrition guidelines. Methods: Policy documents of the above guidelines were critically evaluated, and narrative analysis was conducted. An electronic search was conducted for full-text research articles published in the English language between January 2007 to September 2021 in Science Direct, PubMed, Web of Science, and SCOPUS databases. Results: Upon critical comparison of the three guidelines, it was found that the NFSI and FSSAI guidelines shared similarities in many components and the FSSAI guidelines, if implemented adequately, could improve the school food environment and combat the triple malnutrition burden in India. After screening the articles based on the eligibility criteria, 11 studies were included in the preparation of the review. Studies reported partial or inadequate implementation and poor compliance with the guidelines or approach. A few studies identified barriers to guideline implementation. Conclusion: Implementation of school food and nutrition guidelines could improve the nutritional outcomes in children and adolescents. To sustain the effective implementation, adequate resources and preparedness are essential in low-and middle-income countries, including India.
Benefit–Cost-Based Method to Determine When Safety Performance Functions Should be Redeveloped for Use in Intersection Network Screening
Authors: Zarei Mohammad , Hellinga Bruce , Izadpanah Pedram
Published: June 2022

Network screening is the process of identifying the sites within the road network that are of highest priority for detailed safety audits and interventions. Contemporary road safety network screening methods rely on safety performance functions (SPFs), which are statistical models relating site characteristics to the number of crashes. SPFs are developed on the basis of historical crash and traffic volume data and should be periodically redeveloped to accurately reflect changes in the underlying relationships that result from changes in the network, traffic behavior, operational performance of vehicles, rules of the road, and other contributing factors. However, presently, there is no guidance available to practitioners to enable them to objectively decide when redevelopment of SPFs is warranted. In this study, we present a practical method to provide this guidance for network screening of intersections that reflects both the expected benefits of SPF redevelopment in relation to improved network screening accuracy and the cost of redevelopment. The data required for this method are either already available in municipalities which have locally developed SPFs or can be easily estimated. The estimation models for the method are created based on real data sets and were successfully tested on validation data sets.
Understanding Evaluations of Kamala Harris in 2020: Political Ideology Qualifies Perceived Communality Effects When Communal Cues Are Present
Authors: Liebenow Hayley A. , Boucher Kathryn L. , Cassidy Brittany S.
Published: June 2022

Women of color (vs. White women) are underrepresented in the United States government. Identifying factors that affect evaluations of these women is important to understand their underrepresentation. Deviating from communal expectations contributes to backlash against women. Being perceived as prioritizing communality thus appears key for women to receive support. Little work, however, has examined this relation in actual politicians and how perceiver political ideology may affect it. We examined how gendered trait inferences and political ideology affected evaluations of Kamala Harris, the first woman of color elected to the executive branch, before the 2020 election. People perceived Harris as more agentic than communal (Studies 1–2). Communal trait inferences and having a more liberal political ideology each positively related to evaluations of Harris. More liberal relative to more conservative perceivers had weaker positive communality effects when evaluating her expected success (Studies 1–2) and when a description conveyed Harris’s communality (vs. agency; Study 2). These findings highlight communality effects on evaluations of Harris and suggest a context under which she was likely more supported by co-partisans. Moreover, these studies identify potential sources of bias toward female candidates of color, illustrating a need for gendered trait inferences to be thoroughly considered in campaign strategies. Online slides for instructors who want to use this article for teaching are available on PWQ’s website at http://journals.sagepub.com/doi/suppl/10.1177/03616843221104383 .