bluuebunny/crossref_metadata_2025 huggingface dataset:
Escala de evaluación de artículos con metodologías heterogéneas para revisiones integrativas
Authors:   Universidad de Concepción, Valencia Contrera Miguel
Published: June 2022

Recientemente ha sido publicada la escala de Evaluación de Artículos con Metodologías Heterogéneas para Revisiones Integrativas (EAMH)1, esta se generó en respuesta a la creciente necesidad de asegurar la calidad de los resultados en revisiones integrativas, la propuesta proporciona orientaciones sobre criterios básicos que cualquier artículo debe cumplir para ser incluidos en el análisis de los resultados. La escala consta de 6 preguntas evaluadoras, cuyas respuestas son dicotómicas “SI/NO”, cada respuesta “SI” presenta un punto, por lo tanto, su puntaje varía entre cero a seis puntos, y su interpretación es la siguiente: de 0 a 3 puntos “artículo no recomendable para el análisis”; de 4 a 5 puntos “artículo apto para el análisis”; y finalmente, 6 puntos “artículo ideal para el análisis”. A continuación, se expondrá los resultados de la aplicación de dicha escala en el análisis de artículos publicados en la presente revista, periodo 2021-2022 hasta el mes de abril (ver tabla 1). La base de datos fue almacenada en Mendeley Data2. Tras el análisis, el 13,4%(n=30) de los artículos usados como muestra en las revisiones analizadas3-11, obtuvieron de 0 a 3 puntos, clasificación correspondiente a “artículo no recomendable para el análisis”, ya que no lograron cumplir con la mayoría de las preguntas evaluadoras contenidas en la escala. Cabe destacar que del total de artículos usados como muestra, ninguno utilizó criterios de calidad en sus respectivas muestras, más bien se utilizaron: clasificaciones de nivel de evidencia; preguntas clínicas; o aplicación de Plantillas del Critical Appraisal Skills Programme en español (CASPe). Los resultados dan indicios que la aplicación de la escala en los artículos evaluados podría mejorar la calidad de la muestra en revisiones integrativas, considerado por el presente autor como una propuesta que contribuye al logro de la rigurosidad pletórica que ha de tener un investigador en su escrutinio. El presente documento no ha de tener una intención de criticar o cuestionar el trabajo de otros colegas, más aún cuando superaron una etapa de revisión, sino más bien, tributar hacia la acuciosidad que el proceso amerita, relevando la importancia de analizar la calidad de los artículos seleccionados en una revisión.
La educación ambiental en las universidades pedagógicas: un estudio de las representaciones sociales del uso del agua
Authors: Calixto-Flores Raúl , Ramírez-Sosa Ivonne
Published: June 2022

El artículo describe una investigación cualitativa fundamentada en el enfoque procesual de las representaciones sociales, desarrollada con el objetivo de describir las características de las representaciones sociales sobre el uso del agua y sus implicaciones para la educación ambiental en los estudiantes de las universidades pedagógicas de Colombia y México. La investigación se inscribe en el campo de la educación ambiental, ya que el agua es la fuente básica de la vida y constituye un problema ambiental cuando se representa como un recurso infinito. La indagación se realizó a través de una encuesta y entrevistas a una muestra de estudiantes de ambas universidades. En los resultados de la investigación predominan como representaciones sociales hegemónicas del agua las naturalistas y las antropocéntricas en los estudiantes de Colombia y antropocéntricas en los estudiantes de México; estos resultados implican que, en ambas instituciones, la educación ambiental ha tenido un diferente desarrollo. Entre las conclusiones se plantea la necesidad de repensar la educación ambiental con una visión más amplia en la formación de los docentes y profesionales de la educación con un enfoque crítico y global, en el que se forme a los jóvenes hacia el cambio ante la emergencia climática.
Factors associated with delay in specialized treatment after diagnosis of cervical cancer in Bahia State, Brazil
Authors: Silva Dândara Santos , Pinto Mônica Conceição , Figueiredo Maria Aparecida Araújo
Published: June 2022

This study aimed to analyze factors associated with delay in specialized treatment after diagnosis of cervical cancer in the State of Bahia, Brazil. This was a cross-sectional hospital-based study of women treated in accredited units in the Hospital-Based Cancer Registry (HBCR) system in the State of Bahia from 2008 to 2017. A descriptive analysis and logistic regression were performed with backward stepwise modeling to estimate crude and adjusted prevalence ratios (PR), defining statistical significance as p ≤ 0.05 in Pearson’s chi-square test. We analyzed 9,184 cases, and 65% had delayed treatment (time between diagnosis and first treatment > 60 days). Delayed treatment was more prevalent among women 65 years or older (PR = 1.30; 95%CI: 1.21-1.39), with no schooling (PR = 1.24; 95%CI: 1.15-1.33), and in advanced stages (PR = 1.17; 95%CI: 1.13-1.21). Most of the cases analyzed had delayed treatment, more prevalent among older women, with less schooling, and advanced tumor stages, highlighting the need to expand access to cancer treatment services in Bahia state, especially for these groups in worse conditions.
Chronic Chagas cardiomyopathy: characterization of cases and possibilities of action in primary healthcare
Authors: Peres Tiago Augusto Fernandes , Oliveira Stefan Vilges de , Gomes Denner Custódio , Prado Isabella Guzmán Núñez del , Lima Gabryella Londina Ribeiro , Soares Layanne Cintra , Limongi Jean Ezequiel
Published: June 2022

Despite the drastic decrease in the incidence of Chagas disease in Brazil, past cases still greatly impact health services in the country. Thus, this study aimed to characterize Chagas disease cases regarding their cardiac staging and death prognosis and, based on that, to propose primary healthcare (PHC) case follow-ups. This is a cross-sectional study based on secondary data from the medical records of patients with chronic Chagas cardiomyopathy (CCC). A logistic regression was applied to estimate crude and adjusted odds ratios (OR). A total of 433 medical records were evaluated. More severe CCC cases were associated with a greater number of hospitalizations (OR = 3.41; 95%CI: 1.59-7.30) and longer hospitalization (OR = 3.15; 95%CI: 1.79-5.53). Cases with a higher risk of death were associated with a higher number of hospitalizations (OR = 1.92; 95%CI: 1.09-3.37), longer hospital stays (OR = 2.04; 95%CI: 1.30-3.18), and visits to the outpatient clinic (OR = 2.18; 95%CI: 1.39-3.41) and the emergency department of the assessed hospital (OR = 3.12; 95%CI: 1.27-7.66). Analyzing the medical records at two moments, 72.9% of the cases remained in the stages in which they were initially evaluated. Overall, 44.4% of cases were classified as mild to moderate risk of death and 68.3% as low ones. The cases classified in the most severe stages of CCC and with high or intermediate risk of death were associated with greater hospital dependence. However, most cases were classified as milder forms of the disease, with a low risk of death and clinical stability. These findings aim to promote the role of PHC as a protagonist in the longitudinal follow-up of CCC cases in Brazil.
Normative decentralization of the food and nutrition security agenda: descriptive study of legislation published in Brazilian capitals
Authors: ORTHMANN Beatrice , MACHADO Mick Lennon , MARTINS Milena Corrêa , SOAR Claudia , PINTO Murilo Lyra , GABRIEL Cristine Garcia
Published: June 2022

ABSTRACT Objective This study aimed to identify and characterize the legislation published in Brazilian capitals regarding food and nutritional security. Methods This is a descriptive, exploratory, and documentary research, with a survey on public and free access websites to legislation published until July 2021 in the 26 Brazilian state capitals. Document characterization information was extracted, systematized, and systematically analyzed. Results Of the 1,390 legislations found, 307 were included in the analysis, 31% from the South region of Brazil and 23% from the Southeast region. The legislation mainly referred to the Structuring of the Brazilian System of Food and Nutritional Security (76.5%) and the Promotion of Universal Access to Adequate Food (17.3%). The categories less present were Evaluation and Monitoring of the Brazilian System of Food and Nutritional Security and Food and Nutritional Security (1.9%), Food and Nutrition Actions Aimed at Quilombolas and Traditional Communities (1.3%) and Universal Access to Water (0.7%), with 17 capitals (65.4%) having no localized legislation for these three themes. Conclusion The results point to the need for qualification of transparency mechanisms in public management and good governance, and demonstrate an incipient process of implementing the government food and nutrition security agenda in Brazilian capitals, with low incidence on different government sectors and other public policies
Consumo de lácteos de origem caprina e ovina no estado de Goiás e Distrito Federal
Authors: Heidorn Larissa Liane , Wander Alcido Elenor , Vilela Joelmir Divino Carlos Feliciano
Published: June 2022

Resumo: Com o objetivo de analisar a demanda por produtos lácteos de origem caprina e ovina foi realizada uma regressão logística binária para verificar o impacto de atributos descritos no rótulo dos produtos, características sociodemográficas e hábitos de consumo de lácteos sobre a disposição a pagar de consumidores do estado de Goiás e do Distrito Federal. A porcentagem de consumidores que já compraram produtos lácteos de origem caprina (42,7%) foi superior aos que já compraram os de origem ovina (24,8%). A intenção de compra de lácteos de cabra (55,9%) também foi maior do que a de lácteos de ovelha (48,5%). No entanto, as porcentagens de pessoas dispostas a pagar um preço prêmio nos produtos lácteos de cabra (48,2%) e ovelha (48,7%) foram semelhantes. Entre as diferentes categorias de produtos lácteos analisadas, os iogurtes foram os que apresentaram maior disposição a pagar em relação ao preço referência, 16% a mais para o de origem caprina e 21% a mais para o de origem ovina. Houve impacto significativo da cidade, idade e escolaridade dos consumidores sobre suas disposições a pagar.
An empirically oriented analysis of deliberative and participatory systems: health and policy for women's councils and conferences in Minas Gerais
Authors: Faria Cláudia Feres , Lins Isabella Lourenço
Published: June 2022

This article analyzes whether and how conferences and councils on policies for health and women in Minas Gerais interact with each other to shape a participatory and deliberative system in these policy areas. Thus, the article analytically and empirically evaluates: (1) how actors, topics, and norms act as connectors of these forums in each policy area; (2) whether those connections promote an integrated system in each policy area. To investigate the connections among the forums, we proposed four different techniques: observations of council meetings and conferences, document analysis, surveys, and interviews. We mixed these techniques to compare these two contrasting cases. As a result of this comparative analysis, we argue that the legal and political infrastructure in which policies are immersed induces the connectors to work systemically. Health policy, which is legally and institutionally more predictable than policy for women, ensures more favorable conditions for the actors to coordinate their actions, for the topics to be debated and transmitted, and for the norms to be disputed and legitimized. Therefore, we claim that the political-institutional resources are significant for the connectors to shape a participatory and deliberative system in each policy area.
Hearing screening analysis in children exposed to the Zika virus
Authors: Rios Adriana Salvio , Moreira Maria Elisabeth Lopes , Frota Silvana Maria Monte Coelho , Barros Letícia Baptista de Paula , Zin Andrea Araujo
Published: June 2022

ABSTRACT Purpose: to analyze the results of neonatal hearing screening examinations in newborns with and without microcephaly, exposed to the Zika virus, without other risk indicators for hearing loss, and verify the association between screening results, sample characteristics, and the gestational trimester when exposure took place. Methods: a descriptive cross-sectional study. Subjects included in the study had no risk indicator for hearing loss other than microcephaly, and presented, along with their mothers, positive RT-PCR results, respectively at birth and during pregnancy. The transient evoked otoacoustic emission and brainstem auditory evoked potential examinations were applied by the researcher between March 2016 and December 2017. Newborns failed the screening when they failed at least one retest in at least one ear. The data were descriptively analyzed, using the Fisher exact test; p-values equal to or lower than 0.05 were considered significant. Results: out of the 45 subjects, 30 (66.7%) were females, 6.7% were likely to have sensorineural hearing loss, with or without auditory neuropathy spectrum disorder - which was possibly present in only one ear of one of these three subjects. Failure in the screening was statistically significant in subjects with at least one of the congenital Zika syndrome characteristics and subjects with subcortical calcification and brain cortex thinning, macular chorioretinal atrophy with focal pigmentary mottling, and hypertonia with symptoms of extrapyramidal involvement. The gestational trimester of exposure was associated with screening results. Conclusion: the responses in screening point to the possibility of hearing loss in newborns with and without microcephaly, whereas the presence of microcephaly was not significant to examination failures. Exposure in the first gestational trimester indicated a possible relationship with screening failures.
Análise da triagem auditiva de crianças expostas ao vírus Zika
Authors: Rios Adriana Salvio , Moreira Maria Elisabeth Lopes , Frota Silvana Maria Monte Coelho , Barros Letícia Baptista de Paula , Zin Andrea Araujo
Published: June 2022

RESUMO Objetivo: analisar os resultados dos exames de triagem auditiva neonatal de recém-nascidos sem e com microcefalia expostos ao vírus Zika, que não apresentaram outros indicadores de risco para deficiência auditiva e verificar a associação entre o resultado da triagem, as características da amostra e o trimestre gestacional em que ocorreu a exposição. Métodos: estudo descritivo de corte transversal. Fizeram parte do estudo sujeitos sem indicadores de risco para deficiência auditiva, com exceção da microcefalia, cujas mães apresentaram na gestação o exame RT-PCR positivo e sujeitos que tiveram o RT-PCR positivo, ao nascimento. Os exames de Emissões Otoacústicas Transientes e Potencial Evocado Auditivo de Tronco Encefálico foram aplicados, pela pesquisadora, entre março de 2016 e dezembro de 2017. O recém-nato foi considerado reprovado na triagem quando apresentou falha em pelo menos um reteste, em ao menos uma orelha. Os dados foram analisados de forma descritiva e utilizando-se o teste estatístico exato de Fisher, p valor menor ou igual a 0,05 foi considerado significante. Resultados: dos 45 sujeitos, 30 (66,7%) eram do sexo feminino, 6,7% apresentaram a probabilidade de alteração do tipo sensorioneural, com ou sem espectro da neuropatia auditiva e somente um dentre esses três sujeitos apresentou uma das orelhas com chance do espectro da neuropatia auditiva, isoladamente. A falha na triagem foi estatisticamente significativa, nos sujeitos que apresentavam pelo menos uma característica da Síndrome da Zika Congênita e nos sujeitos com calcificação subcortical com afilamento do córtex cerebral, atrofia coriorretiniana macular com moteado pigmentar focal e hipertonia com sintomas de envolvimento extrapiramidal. Houve associação do trimestre gestacional da exposição com o resultado de triagem. Conclusão: as respostas verificadas pela triagem apontam para a possibilidade de alteração auditiva em recém-nascidos sem e com microcefalia, onde a presença da microcefalia não foi significante para falha nos exames. A exposição no primeiro trimestre gestacional indicou uma possível relação com falhas na triagem.
Na EKO na EBA, goes and comes from immigration: daily, identity and demands of African immigrants’ university students
Authors: Bezerra Jonathan Benedito , Alves Heliana Castro
Published: June 2022

Abstract Introduction By embracing cultural diversity, human rights, and social justice – in its practice and knowledge production –, occupational therapy has been interested in discussing the theme of Africa, problematizing different contemporary social dynamics. Objective To understand the trajectory, the construction of identity, and the demands of young African immigrant university students. Method Qualitative approach using semi-structured interviews for data collection and thematic content analysis. Results The first category, “Culture, identity, and daily life: crossing the Black Atlantic”, encompasses the perception of young people about otherness and cultural differences/identifications between Brazil and Africa in their daily lives. The second, “'A country of hunters?': prejudice, discrimination and colonial imaginary” dealt with reports of discrimination in everyday life and the imaginary about Africa in Brazil; The last category, “'The house belongs to the other': institutional support/helplessness and coping strategies”, discusses the conditions of reception and permanence of the African immigrant student at the university. Conclusion The trajectory of African students goes through institutional care, and social and relational needs, which overlap in daily life, culture, and academic performance, emphasizing the experience of racial discrimination inside and outside the university that guides otherness in the construction of subjectivity of young people. The appreciation of African themes demonstrates a tendency of the profession to seek new epistems and decolonial theoretical-methodological constructions that produce other looks for human action in the tension of culture and power relations established by the modern world system.
“I was raped inside, being in a place where I was supposed to be taken care of”: Experiences of oppression and violence in health contexts towards women with disabilities and approaches from feminist occupational therapy
Authors: Yupanqui-Concha Andrea , Arismendi Melissa Hichins , Godoy Daniela Mandiola
Published: June 2022

Abstract Introduction The practices of violence in health contexts constitute one of the multiple manifestations of violence against women with disabilities. In Chile, as in the rest of the world, the development of studies on this violence is still incipient. Objectives To characterize practices of violence against women with disabilities in health contexts, and to characterize experiences of vindication of human rights of this group of women in Chile, from the voices of activists and professional occupational therapists. Method A secondary analysis of qualitative data from a study executed between 2015 and 2020 was conducted. From a qualitative approach and collective case study, a secondary thematic analysis of the data obtained from 8 interviewees was performed. Results From the perspective of the informants, women with disabilities experience structural violence in a systematic and transversal way, which crosses other various forms of violence: physical, psychological, sexual, obstetric, and symbolic-institutional. The experiences of this group in claiming their human rights reflect processes of emancipation, resistance, and construction of practices that transform these violations. Conclusion The practices of violence in health contexts toward women with disabilities in Chile is a situation visualized as manifestations of domination and oppression against them, which perpetuate their social exclusion and inequalities in health. Faced with this situation of social injustice, women activists and professional occupational therapists propose the need to implement strategies for the vindication of human rights, together with practices of collective resistance.
Pedagogies within occupational therapy curriculum: centering a decolonial praxis in community development practice
Authors: Galvaan Roshan , Peters Liesl , Richards Leigh Ann , Francke Mellisa , Krenzer Meghan
Published: June 2022

Abstract Introduction Critical occupational therapy aims to promote occupational justice through addressing the social determinants of health and the socio-political structures that affect peoples’ occupational engagement. Objective This paper reports on two objectives from a case study, namely: To describe the teaching and learning practices in South Africa, University of Cape Town Occupational Therapy, Community Development Practice curriculum, and the pedagogy informing it. Method Multiple methods were used as data in the construction of the case. These included the review of curriculum documents and a focus group discussion with academics who teach on the programme. These academics also wrote reflective journal entries which were included in our analysis. Data was analysed using a critical interpretive synthesis. Results An overarching theme emerged, namely “Modelling a development processes in a teaching and learning alliance”. This theme identified our key pedagogical approach, illustrating how a decolonial praxis that involves consciously resisting coloniality in the design and implementation of the curriculum occurred. This was made possible through pedagogical actions embedded in the approach and reflected in three categories: “Partnering to bring our critically reflexive and authentic selves”; “The labour of working with individual and systemic processes of struggle” and “Being committed to facing uncertainty together”. Conclusion Our interpretation of our pedagogical approach within the curriculum demonstrates how decolonial pedagogies open up pathways that promote the kind of dialogic and transformative learning that is important for critical occupational therapy. These decolonial pedagogies hold significance for addressing health inequities and developing a justice-oriented profession.
Justicia social como marco moral y normativo para la intervención social con ciudadanos migrantes
Authors: Pulido Julián Samacá
Published: June 2022

Resumen Se analizan teóricamente las perspectivas críticas de la justicia social de Fraser y Honneth, presentando su relación con la migración siendo fenómeno social actual; también los diferentes problemas sociales que enfrentan los migrantes los cuales requieren marcos normativos y morales, que propicien el reconocimiento social a través de la participación social en los espacios de vida cotidiana. A su vez, se presentan los diferentes tipos de justicia (distributiva y de reconocimiento) siendo la base teórica para el diseño de dispositivos de intervención para disminuir las brechas sociales que se originan a partir de las injusticias sociales: discriminación, xenofobia y racismo que experimentan los migrantes en los contextos sociales de llegada y que se agudizan por la falta de distribución, participación política y reconocimiento. Se concluye que es necesario incorporar el marco de la justicia social en las prácticas de intervención social desde una perspectiva centrada en los sujetos y el contexto en donde desempeñan su vida cotidiana y sus ocupaciones.
Terapia ocupacional social, justiça social e população LGBTI+: com quem produzimos nossas reflexões e ações?
Authors: Monzeli Gustavo Artur
Published: June 2022

Resumo Este artigo de reflexão teve a proposta de discutir possíveis relações entre terapia ocupacional social, o conceito de justiça social e as possíveis justificativas para a produção de conhecimentos e práticas junto à população LGBTI+. Para isso, tomou-se como base a produção conceitual de justiça social elaborada por Nancy Fraser, o que, para a autora, pode ser analisada por meio de demandas de redistribuição, reconhecimento e representação. Além disso, buscou-se, na história de constituição da terapia ocupacional social, os principais elementos para a identificação e delimitação conceitual dos sujeitos junto aos quais essa perspectiva teórico-metodológica decide focar suas reflexões e ações em conjunto. Foi possível destacar a relevância dos temas de gêneros e de sexualidades para a produção de reflexões e práticas pela perspectiva teórico-metodológica da terapia ocupacional social, uma vez que os sujeitos e grupos dissidentes de gêneros e sexualidades experienciam, em seus cotidianos, desigualdades e injustiças sociais que os impedem de acessar determinados direitos sociais, exercerem sua cidadania, terem suas demandas representadas nas dimensões políticas estatais e terem suas existências reconhecidas nas diferentes realidades sociais. Esta proposta de reflexão não parte da compreensão de que esses sujeitos e grupos demandam ações profissionais por serem considerados “vulneráveis”, mas por compreender que, ao produzir experiências para além das normas de gêneros e de sexualidades, esses sujeitos e grupos passam por inúmeras situações de violências e opressões, diferentes formas de injustiças sociais e negligências de direitos sociais.
Social occupational therapy, anti-oppression and freedom: considerations about the revolution of/in everyday life
Authors: Farias Magno Nunes , Lopes Roseli Esquerdo
Published: June 2022

Abstract Social occupational therapy has been concerned with dealing with social inequalities, especially with regard to the structure of multiple oppressions. Taking this assumption as a parameter, it is urgent to advance in the consolidation of theoretical-methodological references that allow problematizing the role of the profession, in the dimension of society and the performance on it, in order to offer proposals for a socially referenced practice. Thus, this essay presents contributions to compose the debate about a social therapeutic-occupational thinking/doing for anti-oppression and intended for freedom. It is about turning to a professional action that fights oppressive structures and aims at expanding the life possibilities of subjects, individual and collective, with whom we work. The focus of this praxis is in the dimension of the individuals' everyday life, which is marked by alienation, but also by the possibility of liberation, which is effective as opportunities are created for an untested feasibility and the revolution (humanization) is carried out in this everyday life, while the occupational therapist can be a mediator/articulator in this process. For this, the praxis proposed is permeated by the promotion of interventions that apprehend and deal with violence to everyday life (justified anger and indignation), with the suspension of everyday life (effort to problematize where one comes from and to where you can go) and move towards the permanent creation of everyday life (the transformation).
Developing groundwater contaminant remediation strategies for seven regional aquifers
Authors: Vasin Sandra , Gzyl Grzegorz , Bellotti Marina , Colombo Loris , Ghirardi Marco , Gjetvaj Goran , Kohout Petr , Prestor Joerg , Rollwagen Susanne
Published: June 2022

A common challenge in many cities in Europe is endangerment of natural resources due to soil and water pollution. Despite extensive investigation and remediation measures over decades and current practices of environmental management, residues of pollutants persist in soil and groundwater, reducing the functionality of many urban areas. In complex hydrogeological systems, where contaminated plumes are overlapping and/or diffuse contamination is present, technical and administrative activities have to be thoroughly planned and executed in the long term to secure the recovery of groundwater quality. Communities need a management strategy (MS) to manage soil and groundwater contamination in urban areas, especially where contamination exceeds local scales but does not reach the national level. A MS drives administrations to understand hydrogeological system properties, define new, reachable target values and give practical guidance for the implementation of necessary measures. Implementation of a MS fosters the early involvement of key stakeholders and their contribution to the development of MS itself. The strategy has proven to be an appropriate and flexible tool for the transfer of scientific knowledge to the planning, coordination and implementation necessary for the remediation of large-scale groundwater contamination.
Management of serious arterial injuries of the limbs
Authors: Hafedhhttps://orcid.org/0000-0001-7392-0615 Daly , Abderrahim Hmidi , Cyrine Mnassri , Sandess Smari
Published: June 2022

Introduction: The majority of arterial traumas concern the arteries of the limbs and today most often occur in a multiple lesion context. In addition, the iatrogenic pathology due to catheterizations, and the specific accidents of drug addiction have been added to classic vascular trauma and pose a specific management problem. Objective: The objective of this study is to compare the results of our series with other data from the literature. This, in order to elucidate the intersections as well as the differences, the purpose of which is to codify the principles of management of serious vascular trauma to the limbs. Patients and methods: A retrospective review was conducted in the Cardiovascular Surgery Department of Gafsa Hospital, of 23 patients with severe vascular limb trauma between 2012 and 2020. Patient data included socioeconomic data, mechanism lesion, the clinical admission profile, the vascular axis affected, whether or not an additional examination is carried out, the associated lesions as well as the therapeutic management and evolution. Our series excluded patients lost to follow-up as well as those admitted for minor arterial trauma. Results: The average age of our patients was 38.3 years (extremes: 3 and 81), with a clear male predominance of 86.7%. The mechanism was primarily weapon assault white (39%) followed by iatrogenic accidents (35%) and public road accidents (13%). The upper limb was the most traumatized (52%). In the most affected territories, there was the wound of the brachial artery in the first place (34.8%), followed by the territory of the common femoral artery (21.7%). The most frequent clinical picture was the association of hemorrhage with ischemia (34.8%), followed by hemorrhage (30.8%) then false aneurysms (21.7%). During our series, CT angiography was requested in 30.7% of patients, and arterial echo-Doppler for 26% of patients. The surgical intervention was an end-to-end suture (34.7%), the interposition of a venous graft was performed in 4.3% of cases, and 5 patients benefited from a bypass (21.7%). Limb salvage was 100%. Conclusion: The management of serious vascular trauma has experienced great development in terms of diagnostic and therapeutic means which aim to revascularize the affected limb and stop the bleeding, on which the functional and vital prognosis depend respectively.
‘Community-Case-Study-Reports’ of ‘Spices-Community-Biomedicines-Physiology’ Act as ‘Archives of Preventive-Booster-Community-Vaccines’ Against ‘Any-‘A-Z’-Diseases’ By Immunizing Public-Health-Socio-Economy-Environment-Wildlife-Biodiversity-Conservation-Science-Technology-Communication-Applications-Ecology
Authors: Subhas Chandra Datta
Published: June 2022

Introduction: Both the 1st-and 4th-pandemic outbreaks by SARS-CoV-2/3 causing COVID-19, starts in Wuhan, China, badly affecting human civilization with sever-post-COVID-diseases weakening the ability of COVID-19-vaccines to prevent-SARS-CoV-2/3-infection-or-reinfection with side effects. So, it will require proper COVID-booster-community-vaccines-doses to prevent ‘Omicron’ like any-‘A-to-Z’-diseases as early-as-possible, fulfilling the main objectives of the current ‘Community-Case-Study-Reports’ are to find out the most suitable ‘Biomedicines-Vaccine’. Methods: The ‘community-treatments’ were done with the mixture-extract of spices; Ginger, Garlic, and Turmeric forming the high-diluted ‘Spices-Community-Biomedicines’ dissolving @ 5-10 drops / 50ml-100ml (a half to a full cup) of moderately hot drinking water, orally administered @ 3-5 times/day at an interval of 1- 2hrs, against naturally occurring coronavirus-infections-or re-infections, for 45-60 days, before-symptom-onset OR illness-onset (as a vaccine). Results: The present-oral-‘community-treatments’ of ‘Spices-Community-Biomedicines-Physiology’ are very-much-effective in controlling-diseases-by-boosting-natural-immunity-against coronavirus-2/3 with no side effects among the students and their parent’s-community. Conclusion: The present “Community-Treatments-Case-Study-Reports of Spices-Community-Biomedicines-Physiology Act as Archives of Preventive-Booster-Community-Vaccines Against Omicron-Like-Any-‘A-to-Z’-Diseases By Immunizing Public-Health-Socio-Economy-Environment-Wildlife-Biodiversity-Conservation-Science-Technology-Communication-Applications-Ecology-Retaining-the-World-in-Old-Forms”. And only ‘Archives-community-biomedicines-physiology’ may save the world.
[RETRACTED] PureThriv Cream [SHARK TANK PURETHRIV SKIN CREAM] What Customer Need to Know? v1
Authors: Douglas Morris H
Published: June 2022

[RETRACTED]

PureThriv Cream is the primary item throughout the entire existence of skincare creams that has acquired such a lot of adoration and a ton of distinction and notoriety and furthermore a lot of progress all through the whole United States in only fourteen days from its launch.
[RETRACTED] Open Eye CBD Pain Relief Roller (2022 Reviews) - Trusted Shark Tank, v1
Authors: not provided opencbdeye
Published: June 2022

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There are lots of people who are suffering from a pain that disturbs their whole life. People are seeking the Pain relief solution that not only gives a relief to their life but also give necessary elements to their body and that is safe and natural.
[RETRACTED] Uly Keto CBD Gummies Reviews: (Uly Keto CBD Cubes) Does it Work for Weight Loss? v1
Authors: CBD Gummies Uly
Published: June 2022

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Uly Keto CBD Gummies
Preparation of agarose pads suitable for viewing filamentous cyanobacterial microbial communities using time-lapse imaging v1
Authors: Rosko Jerko
Published: June 2022

This protocol is for viewing cultures on top of agar pads, e.g filamentous cyanobacterial microbial community (from a freshwater environment) that form biofilms and granular structures, using time-lapse imaging.
[RETRACTED] Green Galaxy CBD Gummies: Reviews, Benefit, Buy | How Does It Work | Scam Alert! v1
Authors: not provided frankusa
Published: June 2022

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Green Galaxy CBD Gummies are fairly effective gummies that enhance your health in a brief period.
DTS-TOT protocol v1
Authors: not provided marcel.hinss
Published: June 2022

Cognitive Flexibility, the ability to adapt behavior and thought to the environment is one of the most important aspects of human cognition. A classical paradigm to study cognitive flexibility is the task-switching paradigm. These paradigms require the participant to switch between two or more relatively simple tasks continuously. Results consistently show that switching between tasks results in task-switching costs (TSC) in the form of increased reaction times and error likelihood following a switch. These effects have been shown in a wide array of circumstances, however, several factors have yet to be investigated within the context of cognitive flexibility. Similarity is an important factor for research within cognitive flexibility as most fundamental research has only focused on very similar tasks, rather than being ecologically valid. Beyond similarity conflict, which is elicited when a participant is confronted with incongruent information as to the correct response during a task, needs to also be accounted for. Finally, in the context of increasing ecological validity mental fatigue with its established effect on cognitive flexibility needs to also be taken into consideration.
[RETRACTED] Capsules Viaketo– Prix – composition – avis, où acheter v1
Authors: not provided ViaKetoGummies
Published: June 2022

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ViaKeto Capsules acheter au meilleur prix en ligne, un moyen sain de réduire le poids et d'obtenir une silhouette mince, voir l'avis des clients et acheter !
[RETRACTED] Fit Form Keto Pills Reviews, Shark Tank, Where To Buy 2022 v1
Authors: not provided ketopills
Published: June 2022

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Fit Form Keto Pills Reviews, Shark Tank, Where To Buy 2022
A EVOLUÇÃO DOS DIREITOS HUMANOS NO MUNDO OCIDENTAL
Authors: Zanin Henrique da Silveira
Published: June 2022

Esse ensaio buscou abordar a evolução do que se chamaria contemporaneamente de direitos humanos desde a sua gênese, passando pela evolução, consolidação e as teorias mais atuais sobre o assunto. Para esse fim, desenvolveu-se pesquisa qualitativa descritiva, baseada em uma revisão de literatura sobre o tema abordado por esse trabalho. A gênese dos direitos humanos pode ser observada por diferentes momentos históricos, mas haveria certo consenso doutrinário sobre a conexão entre Iluminismo, jusnaturalismo moderno e os direitos humanos como chamados hoje. Também há consenso sobre o marco da consolidação de tais direitos no pós-Segunda Guerra Mundial, com a Declaração Universal dos Direitos Humanos. Após este momento, houve a expansão dos direitos humanos, influenciando o direito internacional e a criação de organizações internacionais de direitos humanos. Apesar de haver dissenso sobre os chamados direitos humanos e seu viés ocidental, a corrente contemporânea defenderia o diálogo entre culturas, já que todas possuiriam concepções, mesmo que distintas, sobre a dignidade humana. Afirmariam, ainda, ser o respeito à diversidade o núcleo duro dos direitos humanos, e que esse respeito poderia criar condições adequadas para se celebrar uma cultura de direitos humanos. Diante disso, espera-se que esse ensaio contribua para a elaboração de outros trabalhos que se foquem, por exemplo, nas diferentes concepções de direitos humanos existentes hoje em diversas culturas não-ocidentais, o que contribuiria ainda mais para um conceito compreensivo sobre o que seriam, portanto, direitos humanos numa concepção global.
Features of surgical treatment of the apical right lung cancer
Authors: Epifantsev E. A. , Gritsun V. Yu. , Deryabin S. V. , Ivanov Yu. V.
Published: June 2022

The tumor of the upper sulcus of the lung is an atypical form of cancer, which is characterized by invasion into the aperture of the chest and mediastinum, which in turn determines the manifestation of the disease of neurological symptoms.

Tactical approaches in the treatment of this disease are well known. To date, complex treatment is used, which includes neoadjuvant chemoradiotherapy followed by surgical treatment. This approach gives the best result in terms of prognosis and survival of patients.

Considering the local invasion, planning the surgical stage in the treatment of this group of patients is a difficult task and requires a multidisciplinary approach to determine the optimal surgical tactics.

This paper presents our own clinical observation of the successful surgical treatment of a 54‑year‑old patient with a tumor of the upper sulcus of the right lung. In order to adequately visualize the pathological process, safety and convenience of surgical intervention, Hemi‑Clamshell access was used, which combined the advantages of sternotomy and thoracotomy. Taking into account the topical location of the tumor, the greatest technical difficulties during the operation arose when performing mobilization of the upper lobe of the right lung, adequate lymph dissection near large arterial and venous vessels, removal of part of the chest wall of the pleural cavity dome.

Also, one of the important issues when planning surgical treatment of this group of patients is to determine the indications for restoring the skeletal function of the chest after rib resection. In our case, despite the resection of the posterior segments of the I–III ribs, all the muscles of the anterior chest wall were preserved, which took over part of the skeletal function of the chest. There was no development of paradoxical breathing in the postoperative period.

Surgical interventions of this amount should be performed in specialized thoracic oncology clinics and multidisciplinary medical institutions. At the same time, a multidisciplinary approach of doctors of various specialties, the experience of the operating team in performing such operations and the appropriate anesthesiological and resuscitation service is needed.
Сurrent state of clinical significance of early kidney injury markers
Authors: Khotko D. N. , Khotko A. I. , Tarasenko A. I. , Efimova A. O.
Published: June 2022

Study objective was to reflect the current state of the early kidney damage markers clinical significance in patients with urolithiasis. Authors performed a literature review of articles (original studies and reviews) published between 2018 and February 2022 on the study of pro‑inflammatory, profibrotic and angiogenic factors in urolithiasis. Bibliographic, informational and semantic source search methods in Google Scholar, PubMed, Scopus and Embase databases were used. Analysis of a legalistic and systematic sources was carried out.

Proteinuria, serum creatinine and glomerular filtration rate are now accepted as the main diagnostic markers of renal lesions. These markers already allow to reveal lesions at the stage of chronic kidney disease, when the lesion process is practically irreversible. Today it is most relevant to conduct the search for biomarkers of acute and chronic renal lesions at patients with urolithiasis to detect pathological changes in the kidneys and to determine their nature at an early stage of diagnosis.

Improved diagnostic techniques destined to provide a detailed picture of the development of the pathological process in patients with urolithiasis will make it possible to prevent renal failure development at an early stage in this category of patients.
Androgens and severity of the new coronavirus infection course
Authors: Gritskevich A. A. , Prokhorova Ya. D. , Baitman T. P. , Gritskevich E. Yu. , Kostin A. A.
Published: June 2022

The analysis results of work in the conditions of a pandemic of a new coronavirus infection pandemic showed that patients with malignant neoplasms (ZNO) belong to a group of high risk of infection and severe course of this infectious disease. The incidence of COVID‑19 complications in this group of patients is 3.5 times higher than in the general population, which is largely due to the immunosuppressive effect of both oncological diseases themselves and their treatment.

Many attempts have been held to identify and validate other risk factors for severe COVID‑19. Epidemiological data indicate that elderly patients with chronic diseases, including diabetes mellitus (DM), arterial hypertension (AH), obesity, are susceptible to a more severe course of COVID‑19 with a higher frequency of deaths. A number of studies have noted a higher incidence of severe forms of the infectious process and a higher level of COVID‑19‑associated mortality in men. Currently new aspects of the influence of hormonal changes, including iatrogenic ones, on the course of coronavirus infection are being identified. In particular, the data of clinical studies demonstrate a correlation between the level of testosterone in the blood serum and the level of inflammatory cytokines, the features of viral entry into cells, the course of the disease as a whole. This is especially important for understanding the features of the new coronavirus infection in patients with prostate cancer (PC), including for the development of a therapeutic algorithm, indications and contraindications to certain methods of treating PC in a pandemic, as well as ways of additional therapeutic effects when combined with PC and COVID‑19.

The review presents the results of studies on the potential mechanisms of increased susceptibility of men to SARS‑CoV‑2 and discusses the search for new therapeutic targets in COVID‑19, discusses the features of the course of COVID‑19 in patients with PC depending on the level of androgens, including androgen deprivation therapy (ADT).
Endotoxemia in immunotherapy with dendritic cell vaccine in patients with advanced cervical cancer
Authors: Goroshinskaya I. A. , Menshenina A. P. , Frantsiyants E. M. , Kaplieva I. V. , Moiseenko T. I. , Verenikina E. V. , Nemashkalova L. A.
Published: June 2022

Purpose of the study. Assessment of albumin and endogenous intoxication levels in patients with locally advanced cervical cancer receiving immunotherapy with dendritic cell vaccine.

Materials and methods. The study included 27 patients with advanced cervical cancer (CC) divided into 3 groups: 1) patients receiving dendritic cell vaccine (DCV) during primary chemoradiation treatment; 2) patients with the disease progression receiving DCV during second‑line chemotherapy; 3) patients with advanced disease with contraindications for chemo‑radiation treatment receiving DCV only. The comparison group included 20 healthy women. All groups were tested for levels of medium‑weight molecules (MWM254 and MWM280), total and effective concentrations of albumin (TCA and ECA), toxicity index (TI) characterizing the sorption capacity of albumin, and the coefficient of intoxication (CI) reflecting the balance between the accumulation and binding of toxic ligands.

Results. Initial elevation of MWM was observed in all patients. Levels of MWM254 were the highest in patients with progression. TI in patients with primary and progressive CC was increased before the treatment by 1.7 and 2.2 times, and after CT (without DCV) – by 2.6 and 3.8 times. In group 3, TI was increased by 4 times, and CI by 2.5 times, being 81 % higher than in group 1. In primary patients, TI after 6 and 7 DCVs was similar to the normal values, and CI was increased during the treatment because of the accumulation of MWM254 due to disintegration of tumor masses in these patients, and then it was normalized after 7 DCVs. CI in patients of groups 2 and 3 decreased after each DCV session. 4 and more DCVs restored the functional activity of albumin and normalized the MWM content.

Conclusion. Administration of DCV (at least 7–8 sessions) in CC patients receiving anticancer treatment or as monotherapy decreases endotoxicosis and restores detoxification capacity of albumin.
ISCHEMIA-REPERFUSION SYNDROME AND RESULTS OF OPEN AND ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM
Authors: Karpenko A A , Dyussupov Alt A , Shilova A N , Dyussupov A Z , Dyussupov Alm A , Dyussupova A A , Sabitov E T , Grjibovski A M
Published: June 2022

In the period from March 2013 to May 2014, in order to study the syndrome of ischemia-reperfusion and immediate treatment results, a prospective non-randomized clinical study of 43 patients with infrarenal abdominal aortic aneurysm (AAA) was realized. The patients, depending on the method of treatment, divided into 2 groups: 26 patients with open repair (OR) and 17 patients with endovascular repair (EVAR). The main criteria for inclusion into the study were AAA of II and III type by A. V. Pokrovsky and elective repair of the AAA. As markers of ischemia-reperfusion C-reactive protein, proinflammatory cytokine IL-6, anti-inflammatory cytokine IL-10 and oxidative status were investigated. The level of ischemic inflammation and reperfusion markers in patients with OR was generally higher than in patients with EVAR, and the level of IL-6 excess was statistically significant (p = 0.001). The longer the time compression of the abdominal aorta in the OR the higher the level of markers of ischemia-reperfusion. In patients with a time compression of the abdominal aorta more than 30 minutes there was a significant excess of IL-6 before removing the clamp from the abdominal aorta (p = 0.035) and after the start of the magistral blood flow to both lower extremities (p = 0.050), as well as significant excess of indicator of oxidative status of the blood Oxystat before removing the clamp from the abdominal aorta, after the launch of the main blood flow to the feet and 30 minutes after the end of surgery (p = 0.001). The number of local and systemic complications at the early postoperative period was significantly higher in patients undergoing OR (p = 0.002), which for this indicator shows the benefits of EVAR.