bluuebunny/crossref_metadata_2025 huggingface dataset:
Capital Buffer, Risk, Profitability, Size, and Macroeconomics: Empirical Study on Islamic Banks
Authors: Septiarini Dina Fitrisia , Hisan Ulis Fajar Choirotun , Matsahri Matsahri , Filianti Dian
Published: July 2021

Abstract. The development of Islamic economics has led to the growth of Islamic banking, as a financial institution based on sharia principles. This research aims to analyze the relationship of risk, profitability, company size, and macroeconomics with capital buffer of Shariah Commercial Banks Indonesia during the period of 2015-2019. The study used a quantitative approach of the regression panel data with stata13 statistical tools. This study used secondary data with a population of 14 sharia commercial banks and a sample of 12 Islamic commercial banks using purposive sampling method. BOPO, NM, ROA, and KURS (exchange rate) were found to have significant positive effects on CB. SIZE has a significant negative effect, while NPF has positive  insignificant effect on CB. Islamic banks, regulators, and governments may consider risks, profitability, company size, and macroeconomic conditions in determining the size of capital buffers and maintaining the adequacy of capital owned by Islamic Banking.Keyword: Capital Buffer, Islamic Economic Systems, Shariah Banks. Abstrak. Ekonomi Islam menjadi paradigma baru yang komprehensif. Bank syariah dalam sistem ekonomi Islam merupakan lembaga keuangan dengan prinsip syariah. Penelitian ini bertujuan untuk menganalisis hubungan risiko, profitabilitas, ukuran perusahaan, dan makroekonomi dengan penyangga modal (CB) Bank umum syariah (BUS) di Indonesia pada tahun 2015-2019. Pendekatan penelitian menggunakan pendekatan data panel kuantitatif regresi dengan alat statistik stata13. Penelitian ini menggunakan data sekunder dengan populasi 14 Bank Islam dan sampel 12 bank umum syariah berdasarkan metode purposive sampling. BOPO, NM, ROA, dan KURS (nilai tukar) ditemukan memiliki pengaruh positif yang signifikan terhadap CB. SIZE memiliki hubungan negatif signifikan, sedangkan NPF positif tidak signifikan. Bank syariah, regulator, dan pemerintah dapat mempertimbangkan risiko, profitabilitas, ukuran perusahaan, dan kondisi makroekonomi dalam menentukan ukuran penyangga modal dan menjaga kecukupan modal yang dimiliki oleh Perbankan Syariah.Kata Kunci: Penyangga Modal, Sistem Ekonomi Syariah, Bank Syariah
Ijtihad Methods of The Prophet’s Companions and Its Influence on Islamic Legal Traditions
Authors: Kholiq Achmad , Zein Achyar
Published: July 2021

This study examines the influence of the ijtihad methods of the Prophet’s companion on two major schools of thought in Islamic legal tradition. These are the rational thinking of Abu Hanifah, known as ahl al-ra’y and Malik ibn Anas, known as ahl hadith. This study is a historical enquiry by critically analyzing significant events in the past around the lives of those two figures. Various historical resources are used, tarikh tashri’ and fiqh (Islamic jurisprudence) literature, etc. This study finds out that there is a positive influence of the Prophet’s companions’ ijtihad methods with the legal thinking of Abu Hanifah and Malik ibn Anas. This implies that the method significantly influences the formulation of Islamic jurisprudence by those two figures. Abstrak:Penelitian ini mengkaji pengaruh metode ijtihad para sahabat nabi terhadap dua mazhab besar dalam tradisi hukum Islam. Metode tersebut yakni  pemikiran rasional Abu Hanifah yang dikenal dengan ahl al-ra'y dan Malik bin Anas yang dikenal dengan ahl al-hadits. Kajian ini merupakan penyelidikan sejarah dengan menganalisis secara kritis peristiwa-peristiwa penting di masa lalu seputar kehidupan kedua tokoh tersebut. Untuk itu,  digunakan berbagai  sumber sejarah, literatur tarikh tashri’ dan kitab fikih, dll. Penelitian ini menemukan bahwa ada pengaruh positif metode ijtihad para sahabat nabi dengan pemikiran hukum Abu Hanifah dan Malik ibn Anas. Hal ini menunjukkan bahwa metode berpengaruh secara signifikan terhadap perumusan fikih Islam oleh kedua tokoh tersebut.
Upaya Restorative Justice Pada Tingkat Kejaksaan Sebagai Salah Satu Tindakan Upaya Hukum Pidana Anak
Authors: Wahyudi Anton
Published: July 2021

Anak adalah bagian yang tidak terpisahkan dari keberlangsungan hidup manusia dan keberlangsungan sebuah bangsa dan negara. Salah satu solusi yang dapat ditempuh dalam penanganan perkara tindak pidana anak adalah pendekatan restorative juctice, yang dilaksanakan dengan cara pengalihkan (diversi). Restorative justice merupakan proses penyelesaian yang dilakukan di luar sistem peradilan pidana (Criminal Justice System) dengan melibatkan korban, pelaku, keluarga korban dan pelaku, masyarakat serta pihak-pihak yang berkepentingan dengan suatu tindak pidana yang terjadi untuk mencapai kesepakatan dan penyelesaian. Restorative justice dianggap cara berfikir/paradigma baru dalam memandang sebuah tindak kejahatan yang dilakukan oleh seorang. Substansi yang paling mendasar dalam Undang-undang Sistem Peradilan Pidana Anak adalah pengaturan secara tegas mengenai keadilan restoratif dan diversi yang dimaksudkan untuk menghindari dan menjauhkan anak dari proses peradilan sehingga dapat menghindari stigmatisasi terhadap anak yang berkonflik dengan hukum dan diharapkan anak dapat kembali ke dalam lingkungan sosial secara wajar.
Preclinical toxicological evaluation of measles virus vaccine strain in non-human primates: A two-month intravenous study
Authors: Thanh Chung Dang , Thi Long Ho , Van Tong Hoang , Thu Hang Ngo , Thu Huong Ngo , Khac Cuong Bui , Van Tran Pham , Thuy Linh Nguyen , Dang Hien Nguyen , Van Mao Can , Duc Thuan Nguyen , Linh Toan Nguyen , Thanh Tung Nguyen , Anh Son Ho
Published: July 2021

Introduction: Based on its ability to kill tumor cells, the vaccine strain of the measles virus is used for oncolytic virotherapy. However, the dose required for cancer therapy is much higher than that used for vaccination. Therefore, this study was conducted to evaluate the preclinical toxicology of the vaccine strain of measles virus in monkeys.
Methods: 16 healthy Macaca mulata monkeys were randomly divided into four groups, of which one was a control. A preclinical safety evaluation of the vaccine strain of the measles virus was performed, and the three experimental groups were intravenously injected with the strain at doses of 105 TCID50, 106 TCID50 and 107 TCID50 respectively.
Results: There were no significant abnormalities in the physical, clinical, haematological, and biochemical parameters following the intravenous injection with measles vaccine at doses of 105 TCID50, 106 TCID50 and 107 TCID50. The vaccine strain of measles virus remained in the plasma until the 30th day and disappeared on the 60th, and it did not persist in the tissues on days 30 and 60 post injection. Measles IgG antibody was negative on days 0, 1, 3, and 8 and was positive on days 15, 30, and 60 post administration of the measles virus. The histopathology of target organs was not affected in all groups on days 30 and 60 post injection.
Conclusions: The systematic preclinical safety data of the present study confirms the safety of two months of concentrated measles vaccine administration in the Macaca mulata monkey for clinical trials.
Developing a Questionnaire on Measuring the Learning Motivation in Reading Quran
Authors: Hanafi Yusuf , Saefi Muhammad , Ikhsan M. Alifudin , Diyana Tsania Nur , Hassan Abd Rauf , Murtadho Nurul
Published: July 2021

Learning motivation has been examined for its positive influence on learning outcomes. However, little attention has been addressed to the development of measuring instruments of learning motivation in the context of reading the Quran in Indonesian higher education. This study was designed to develop a Quran learning motivation questionnaire. The Self-Determination Theory (SDT) was applied as a theoretical framework to explore the type dan level of motivation. Participants involved in this study were 420 students. They were divided into subsample one for exploratory factor analysis (N = 200) and subsample two with confirmatory factor analysis (N = 220). The questionnaire was developed with 12 item-three factors using five points Likert scale that can measure the learning motivation in reading Quran. The results of the study show that the level of student motivation is relatively low (M= 3.12), and the intrinsic motivation type (M= 3.99) is more dominant than extrinsic motivation survival (M= 2.99) and approval (M= 2.38) with a p-value of 0.000. In addition, it was found that female students (M= 3.19) had significantly higher motivation than male students (M= 3.04), with a p-value of 0.017.
Implementing of Science-Social Integration in Islamic Education Learning
Authors: Hidayat Wahyu , Ibrahim Tatang
Published: July 2021

Theoretically, religion and social science have an integrative relationship because they originate from God developed by human. However, practically, the relationship occurs in a dichotomy so that it has implications in learning activities at Islamic educational institutions, especially in the classroom context. The gap between those theories and practice generates the idea of integrating religious science and social science in Islamic universities. Therefore, this article describes the implementation of social science in Islamic religious education learning at the Department of Islamic Education State Islamic University of Sunan Gunung Djati Bandung. Based on the theory of scientific integration, this study applied observation, interviews, and documentation techniques. The result shows that social science can be integrated into Islamic education learning related to learning (philosophical) competencies, learning materials, learning strategy; and the learning evaluation.
Contemporary State and Prospects of Female Protest Development: from Deprivation to Mobilization
Authors:   Volgograd State University, Makarenko Kirill , Pankratova Liliia ,   Saint Petersburg State University
Published: July 2021

Introduction. The article presents the analysis of the сontemporary state and prospects for the development of women’s protest in a global perspective. The research focuses on the study of the causes and nature of mass women’s protest in the context of the formation of a new system of relations between the authorities and society represented by certain social groups. The relevance of the problem is determined by the need for a political science analysis of modern practices, causes and forms of women’s protest, making a forecast of the prospects for the development of women’s social movements. Methods and methodology. The methodological basis of the research is the synthesis of the relative deprivation theory by T.R. Gurr and the resource mobilization theory by Ch. Tilly, which makes it possible to present women’s protest through the prism of both psychological (deprivation) and institutional determinants. The empirical basis of the work is the data (338 cases) of the quantitative study “The Women in Resistance (WiRe)”, that is available for secondary analysis in the Harvard Dataverse Repository. Analysis. Women’s protests represent an institutional and non-institutional form of changing the “political field”. A common peripheral role of women in the political space serves as a basis for the formation of a common identity among them. A high degree of consolidation, as well as an active role of women in protest, correlates with the success of collective action. Protests in which women play an active role are more peaceful in nature. This is due to the mediating role of women, which prevents the growth of tension in the conflict. Results. Based on the analysis of statistical information and case-study, it was revealed that the economic and legal structural similarity of states does not determine the nature of women’s protest participation in politics, which is more dependent on historical practices, previously achieved results of women’s protest, the presence of institutional structures that organize protests, as well as on the specific problems of women in the state. The prospects for the development of women’s protest and women’s social movements are determined by the level of success achieved. While in Western Europe and the USA, women’s social movements are fighting for the achievement of postmaterial values, due to the solution of the economic differentiation problems, in Latin America, women are fighting for their natural right to life and their own bodies. A vector of women’s protest is aimed at combating all types of discrimination, but the nature of specific problems is fundamentally different.
Integration of Public Government Institutions in the Process of the State Social Policies Formation in the South of Russia
Authors:   Volgograd State University, Gavrilov Sergey , Azizova Diana
Published: July 2021

Introduction. The study is devoted to the analysis of modern integration processes in the context of the state social policy implementation, taking the specifics of the public policy space in the macroregional dimension into account. The research problem is to clarify the optimal predictive scenarios for the development of the integration of public government institutions in the decision-making process aimed at the formation of social policy in the South of Russia. Methodology and methods. The study was conducted in the context of two methodological foundations (structural functionalism as interpreted by T. Parsons and M. Olson’s theory of collective action). The choice of methodological tools is due to the presence of two components in the object of analysis – the functional process of implementing social policy and the communicative nature of institutional integration. Quantitative content analysis is used to clarify the priorities of the socio-political development of the southern Russia regions. The sources and materials of the study were official documents (strategies for the socio-economic development of the southern Russia regions), reports on the implementation of state programs, as well as materials of state statistics of the Russian Federation. Analysis. The modern political and communicative environment in Russia is characterized by the public sphere transformation in the context of constitutional changes and modernization reforms. Social policy is presented as a product that addresses a fundamental function – the achievement of social welfare. Regionalization of Russia determines the direction and form of communications regarding the implementation of social policy. At the same time, in the southern Russia regions, a positive practice of integration interaction is recorded in the form of the adoption of a fundamentally new document “social code”, which unites many social practices. Results. Based on the results of the study, it was revealed that the existing practices of regional integration are based on replicating the best practices in the South of Russia. The formation of state social policy in the macro-regional dimension is based on the implementation of federal target programs and state projects. At the same time, each of the regions has its own request for the formation of social policy priorities, which allows them to be segmented into two groups: regions with existing infrastructure for the development of the social sphere, as well as regions that systematize the best practices of social project management in order to form their own development infrastructure.
Russian Ethnofederalism: Evolution and Development Prospects
Authors:   Saint Petersburg State University, Achkasov Valery , Abalian Anna
Published: July 2021

Introduction. The authors analyze the peculiarities of the formation, evolution and prospects of Russian ethnofederalism, based on the achievements of Russian and Western researchers. Methods and materials. Along with classical approaches to the nature of ethnofederalism, the authors proceed from the concept that relations between the elites of the center and the regions in the Russian Federation are based on the so-called “incomplete contract”, which is characterized by the absence of guarantees for its implementation. Analysis. This political practice comes as a source of the elites desire to change the distribution of power and resources in their favor while the Constitution remains unchanged, the “pendulum” nature of relations along the “federal center – regions” line. In modern Russia federalism does not have a value dimension, both for the elites of the center and the elites of most regions, and it remains a purely instrumental concept. The authors build their analysis of interethnic relations and the prospects of ethnic federalism in Russia, proceeding not from any ideal model, but starting from the existing ethnic political reality with its already existing imperfect institutions of ethnic federalism. At the same time, a differentiated approach is used to assess the correlation between federalism and ethnicity. Results. The authors come to the conclusion that, despite the numerous shortcomings of the ethnic model of federalism (organizational complexity, special requirements for political elites, asymmetry with its inherent “injustice”, etc.), there is no real alternative to it in Russia.
Forming The Consumer Society in the USSR: Challenges for Authorities (1964–1982)
Authors:   Institute of World History of the Russian Academy of Sciences, Sinitsyn Fedor
Published: July 2021

Introduction. In the 1960s, the formation of a consumer society began in the USSR. At the same time, the differences in living standard and quality of life between the segments of the population became more and more noticeable. These phenomena were in conflict with the Soviet ideology – the basis of the political system of the USSR. However, the problem of the consumer society formation in the USSR and the associated challenges to the Soviet system have not yet been sufficiently studied in historiography. Methods and materials. The methodological background of the research is based on the principles of scientific objectivity and historicism, as well as the general scientific and special methods typical for historical research. The research base includes both published and unpublished documents found by the author in the Russian State Archive of Contemporary History, the Russian State Archive of Socio-Political History and the Central State Archive of the City of Moscow. Analysis. The Soviet power tried to respond to the challenges of consumer society within the framework of the new political and ideological concept of Developed Socialism. One of the tasks of the country’s development at this stage was declared to be the achievement of a high standard of living in the country, as well as the widespread introduction of a system of material incentives. This policy has had a certain effect. However, the previous challenges for the Soviet system remained, and new problems arose. The wage growth outstripped the growth of labor productivity, and the commodity deficit became one of the main reasons for the decline in the effectiveness of the material incentive system. To solve the problems listed above, the authorities introduced innovations in policy: reducing the rate of income growth and the population’s desire to consume, increasing the role of moral incentives, fighting surplus money, and pursuing people for non-labor income. These innovations were in conflict with the policy aimed at increasing the welfare of the population. Results. Thus, the response of Soviet ideology to the challenges of the consumer society was to implement mutually exclusive measures. First, the authorities, while officially promoting a policy of increasing living standards, in practice sought to limit the growth of consumption. Second, material incentives to work and the rejection of equalization were introduced simultaneously with the censure of enrichment. In addition, the authorities failed to eradicate the negative manifestations of the consumer society for the Soviet ideology. In general, the inability of Soviet ideology to provide an adequate response to the challenges of consumer society was one of the manifestations of the ideological impasse in which the country was during the period under review. Problems related to the standard of living of the population became one of the time mines that undermined the Soviet system and led to its collapse.
Urinary Tract Stones Risk Factors in Patients with Benign Prostatic Hyperplasia in West Java, Indonesia
Authors: Tjahjodjati Iman Surendroputro , Noegroho Bambang Sasongko , Sihombing Aaron Tigor
Published: July 2021

Background: Urinary tract stones are common in patients with benign prostatic hyperplasia (BPH); therefore, an imaging test is needed for patients who have risk factors for the formation of urinary tract stones. The purpose of this study was to explore the factors associated with the presence of urinary tract stones in patients with BPH as information to conduct imaging tests.Methods: A cross-sectional quantitative analytic study was conducted on medical records of patients with BPH, both with and without urinary tract stones, or patients with urinary tract stones registered at the Department of Urology, Dr. Hasan Sadikin General Hospital, Indonesia, from 2015 to 2018. Data on age, body mass index, hypertension, use of antihypertensive drugs, diabetes mellitus, and hyperuricemia were collected and analyzed using the Mann-Whitney, Chi-square, Fisher exact test, and multivariate logistic regression statistical test to compare variables between BPH with and without urinary tract stones.Results: In total, 235 BPH patients were registered, of whom 74 (31.5%) had urinary tract stones. The median age was 64 years old. There was a relationship between age (p=0.030), diabetes mellitus (p=0.043), and the occurrence of urinary tract stones in patients with BPH. The most dominant risk factor was diabetes mellitus (OR=3.000, 95%CI 1.03-8.69).Conclusions: Age and diabetes mellitus are the risk factors for urinary tract stones in patients with BPH. BPH patients with diabetes mellitus are at a 3-fold risk for urinary tract stones. Diabetes mellitus in BPH patients is an indication to conduct imaging tests.
Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
Authors: Tessy Dennis Bonang , Pramudyo Miftah , Cool Charlotte Johanna
Published: July 2021

Background: Acute Coronary Syndrome (ACS) is a severe manifestation of coronary artery disease, classified into unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). In-hospital mortality in patients with ACS remains high despite the advancement of therapy. This study aimed to evaluate the characteristics of in-hospital mortality among ACS patients in West Java, Indonesia.Methods: This descriptive cross-sectional study analyzed retrospective secondary data of ACS patients who died during hospitalization in the period of July 2018 to June 2019 that were recorded in the ACS registry.Results: A total of 17 patients died during hospitalization in the study period. The mean age was 64.1 years, predominantly female (n=10). The prevalent diagnoses were STEMI (n=11) and NSTEMI (n=6). Interestingly, no patients had died from UA. Hypertension was the most frequent risk factor (11 of 17). Mortality among Killip Class I, II, III, and IV were 7, 5, 1, and 4 patients, respectively. The number of patients who died after underwent Percutaneous Coronary Intervention (PCI) was lower (n=6) than those who did not undergo PCI or those without revascularization (n=11).Conclusions: The incidence of in-hospital mortality with acute coronary syndrome is high in females, STEMI diagnosis, Killip Class I, and no revascularization.
Knowledge, Attitude, and Practices towards the COVID-19 Pandemic among Undergraduate Students
Authors: Limbong Joy , Kuswinarti Kuswinarti , Sitorus Truly Deti Rose
Published: July 2021

Background: Coronavirus disease-2019 (COVID-19) has caused serious implications and has received a lot of international attention, especially in public health sector. The main strategy for containing the COVID-19 pandemic includes preventive methods such as wearing masks, which requires individual awareness and initiative to adhere to the protocol. This study described the level of knowledge, attitude, and practices towards the COVID-19 pandemic among undergraduate students who were selected due to their high mobility and rate of activity.Methods: This study used a descriptive design and a cross-sectional approach, conducted from October to November 2020. Undergraduate students from all faculties of Universitas Padjadjaran Year 2017– 2019 were invited to participate, using an online questionnaire to assess the knowledge, attitude, and practices towards the COVID 19 pandemic. The result was given numeric values and scored. The mean value of the scores was used as a reference value to describe the level of knowledge, attitude, and practices.Results: From a total of 483 students, 99.5% had good knowledge, 87.9% had good attitude, and 67% had a good practices towards COVID-19.Conclusions: The overall levels of knowledge, attitudes, and practices towards COVID-19 among undergraduate students are good, as well as the adherence to government health protocols and initiatives in seeking information regarding COVID-19. Several specific areas such as transmission through dead bodies, exercise and vitamin supplementation, and anxiety when reading information about COVID-19 are areas of interest for the improvement of education.
Disponibilidade de insumos para o planejamento reprodutivo nos três ciclos do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica: 2012, 2014 e 2018
Authors: Ruivo Ana Carolina Oliveira , Facchini Luiz Augusto , Tomasi Elaine , Wachs Louriele Soares , Fassa Anaclaudia Gastal
Published: July 2021

Resumo: O objetivo do estudo foi avaliar a disponibilidade de insumos para o planejamento reprodutivo em unidades básicas de saúde (UBS) que aderiram ao Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), e sua distribuição segundo fatores contextuais. Estudo de comparação dos três ciclos do PMAQ-AB (2012, 2014 e 2018). Foi avaliada a disponibilidade física na UBS de etinilestradiol + levonorgestrel, noretisterona, noretisterona + estradiol, levonorgestrel, medroxiprogesterona, preservativos masculino e feminino, DIU e teste rápido de gravidez. Considerou-se disponibilidade adequada a presença de todos os insumos. A disponibilidade foi avaliada segundo fatores contextuais do município sede da UBS. A disponibilidade de todos os insumos aumentou de 1,5% para 10,9%. Em todos os ciclos avaliados, etinilestradiol + levonorgestrel e preservativo masculino apresentaram a maior disponibilidade e DIU a menor. A disponibilidade de cada insumo também aumentou, sendo o maior aumento de 36p.p. para preservativo feminino, teste rápido de gravidez e noretisterona + estradiol, e o menor de 15p.p. para etinilestradiol + levonorgestrel, noretisterona e DIU. A Região Norte apresentou os piores resultados. Os maiores incrementos foram nas UBS de municípios com o menor IDH e nas que aderiram a todos os ciclos do PMAQ. Somente os preservativos estão amplamente disponíveis, é importante ampliar a disponibilidade dos demais insumos, principalmente de DIU e teste rápido de gravidez. Houve promoção de equidade no período, mas é preciso superar as desigualdades regionais. É fundamental monitorar a disponibilidade dos insumos para qualificar o planejamento reprodutivo.
CLINICAL RESULT OF PATIENTS WITH DISTAL BICEPS TENDON RUPTURE WITH ENDOBUTTON
Authors: ALENCAR NETO JONATAS BRITO DE , BERNARDES DIEGO FRADE , SOUZA CLODOALDO JOSÉ DUARTE DE , GIRÃO MARCOS ANTÔNIO SILVA , ROCHA PEDRO HENRIQUE MESSIAS DA , FAÇANHA FILHO FERNANDO ANTÔNIO MENDES
Published: July 2021

ABSTRACT Objective: To evaluate the results obtained in the repair of distal biceps injury using the single-incision approach with endobutton use; complications; and ability to return to sport. Methods: 14 athletes with rupture of the distal tendon of the biceps brachii submitted to surgical repair using a single route with endobutton were evaluated. The parameters analyzed were: Mayo Elbow Performance Score (MEPS), flexion-extension range of motion and pronation-supination, and the ability to return to sports practice. Results: Most injuries were related to weightlifting (57.1%), vaquejada (35.7%) and judo (7.2%). All operated patients returned to sports activities, maintaining the elbow range of motion. Two cases faced complications due to neuropraxia (one case affecting the posterior interosseous nerve and the other the radial sensitive nerve). However, there was spontaneous resolution in 10 weeks of follow-up. One case - due to the late presentation and presence of fibrotic adhesions - evolved with a deficit of the lateral cutaneous nerve of the forearm and later with osteolysis and heterotopic ossification. Conclusion: Repair of the distal tendon of the biceps by the one-way technique is a safe method, with a low complication rate and a short rehabilitation period. Level of Evidence III, Retrospective comparative study.
WHICH CLINICAL OUTCOME SCORES ARE MORE FREQUENTLY USED IN THE LITERATURE ON OSTEOCHONDRAL LESIONS OF THE TALUS? A SYSTEMATIC REVIEW
Authors: SATO GUSTAVO EIJI NODU , PAGNANO RODRIGO GONÇALVES , DUARTE MARIANYI PAOLA MARTINEZ , DINATO MAURO CESAR MATTOS E
Published: July 2021

ABSTRACT Objective: This study aimed to identify the most used scales in the assessment of the clinical outcomes for the treatment of osteochondral lesions of the talus. Methods: We performed a systematic review of the PubMed/MEDLINE databases from September 1999 to September 2019, based on the guidelines established by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The research strategy was: osteochondral [All Fields], AND (“talus” [MeSH Terms] OR “talus” [All Fields]) AND lesion [All Fields]. Of the 364 articles found in the literature, 166 (45%) were included in the study and 198 (55%) excluded. In total, 23 clinical assessment tools were used in the studies. Results: We found 49.4% of the studies to use the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS Ankle-Hindfoot Scale) and 29.5% the Visual Analogue Scale (VAS). Conclusion: The use of AOFAS increased in relation to VAS in the last 6 years (p = 0.046), and these two scales, either alone or combined, were the most used for studying osteochondral lesions of the talus. Level of Evidence III, Systematic Review of Level II studies.
LEVER SIGN TEST FOR CHRONIC ACL INJURY: A COMPARISON WITH LACHMAN AND ANTERIOR DRAWER TESTS
Authors: SOBRADO MARCEL FARACO , BONADIO MARCELO BATISTA , RIBEIRO GABRIEL FERNANDES , GIGLIO PEDRO NOGUEIRA , HELITO CAMILO PARTEZANI , DEMANGE MARCO KAWAMURA
Published: July 2021

ABSTRACT Objective: This study aims to evaluate the sensitivity and specificity of the lever sign test in patients with and without chronic Anterior Cruciate Ligament (ACL) injuries in an outpatient setting and the inter-examiner agreement of surgeons with different levels of experience. Methods: 72 consecutive patients with a history of previous knee sprains were included. The Lachman, anterior drawer, and Lever Sign tests were performed for all subjects in a randomized order by three blinded raters with different levels of experience. Sensitivity, specificity, positive predictive value, negative predictive value, and inter-rater agreement were estimated for all tests. Results: Among the 72 patients, the prevalence of ACL injuries was 54%. The lever test showed sensitivity of 64.1% (95% CI 0.47-0.78) and specificity of 100% (95% CI 0.87-1.00) for the senior examiner. For the less experienced examiner the sensitivity was 51.8% and the specificity was 93.7%. Positive predictive values (PPV) and negative predictive values (NPV) were 100% and 70.2%, respectively. Conclusion: Lever Sign test shows to be a maneuver of easy execution, with 100% specificity and 100% PPV. Moderate agreement between experienced examiners and low agreement among experienced and inexperienced examiners was found. This test may play a role as an auxiliary maneuver. Level of Evidence I, Diagnostic Studies - Investigating a Diagnostic Test.
A implantação em larga escala da Estratégia de Saúde da Família na cidade do Rio de Janeiro, Brasil: evidências e desafios
Authors: Costa Nilson do Rosário , Silva Iandara de Moura , Lima Paula Travassos de , Silva Thaís Severino da , Costa Isabel Cristina Maria da , Figueiredo Iara Veloso Oliveira
Published: July 2021

Resumo A cidade do Rio de Janeiro implantou em larga o modelo das Organizações Sociais (OSS) para a gestão da Atenção Primária à Saúde (APS). Esta opção torna a compreensão da experiência da cidade muito relevante, especialmente porque até então o modelo organizacional das OSS tinha sido adotado dominantemente na gestão hospitalar do SUS. Assim, é analisada a experiência de desenvolvimento da APS em dois momentos conflitantes da gestão municipal em relação ao modelo das OSS: a implantação e desenvolvimento das PPP (2009-2016); e o seu desmantelamento (2017-2020). Utilizou-se o Estudo de Caso, Revisão Bibliográfica e análise dos dados públicos do DATASUS/Ministério da Saúde. Identificou-se que: a adoção da terceirização com base nas OSS pode ser diretamente associada à rápida expansão da APS na cidade e a melhoria de indicadores de cobertura da APS; que a difusão do modelo das OSS está associada à alta prioridade dada ao gasto com saúde no orçamento municipal; que a sustentabilidade da adoção do modelo da OSS não foi dependente da condição econômica do município, mas da escolha política do governo no período 2009-2016. O arranjo das PPP produziu avanços organizacionais importantes, mas não impediram o veto ao modelo das OSS levada adiante ao longo da gestão de 2017-2020.
Saúde em vista: uma análise da Atenção Primária à Saúde em áreas ribeirinhas e rurais amazônicas
Authors: Lima Rodrigo Tobias de Sousa , Fernandes Tiótrefis Gomes , Martins Júnior Paulo Jorge Alves , Portela Cleudecir Siqueira , Santos Junior James Dean Oliveira dos , Schweickardt Júlio Cesar
Published: July 2021

Resumo A Política Nacional de Atenção Básica proporcionou uma mudança significativa no que se refere às ações da saúde no território ribeirinho, criando equipes e equipamentos de saúde. As equipes de Saúde Ribeirinha e Saúde Fluvial para as áreas da Amazônia Legal e Pantanal foram inovadoras na atenção integral das populações da floresta. Esse estudo tem como objetivo analisar a atenção primária em saúde no contexto rural e ribeirinha no território amazônico, a partir da produção de ações individuais e coletivas das equipes de saúde, bem como o seu desempenho por meio de serviços ofertados nos municípios. O estudo é transversal, com delineamento descritivo-analítico e abordagem quantitativa, analisando a cobertura das ações de atenção básica de equipes da estratégia saúde da família em áreas urbanas, rurais e ribeirinhas de oito municípios situados no estado do Amazonas. Os resultados mostraram que houve aumento da cobertura da atenção básica em quase todos os municípios analisados, indicando que modelos tecnoassistenciais como das equipes ribeirinhas e fluviais produziram a inclusão de uma população que está dispersa em longas áreas do território dos municípios. Uma política de saúde com equidade produz mudanças e transformações nos modos de vida e nas condições de saúde das populações amazônicas.
Otras voces de la locura cantada: usos y significados de la locura en la subcultura punk española (1981-2010)
Authors: Reyes Fabián A. Pavez , Parra Erika Saura , Campos Pedro Marset
Published: July 2021

Resumen El estudio de las descripciones de los trastornos mentales en la música es escaso, pese a que la reproducción de visiones estigmatizantes puede afectar la búsqueda de tratamiento. El propósito de este artículo es describir los usos y significados de la locura en el punk español como base para la comparación con otros ámbitos. Análisis de contenido. Se revisó las letras de 3.653 canciones buscando los vocablos “loco”, “locura” y otros relacionados. Se identificó 174 obras, analizadas posteriormente por dos codificadores. El manual de codificación abarcó 28 códigos para 4 categorías: usos, sentidos y significados de la locura; tema central de la canción; término “loco” en frases hechas; el loco como personaje. Primaron los usos de la locura como descontrol, desenfreno e impredecibilidad. Entre las frases hechas, también fueron más frecuentes las asociaciones con descontrol. El vocablo loco predominó como expresión de cualidad. La comparación con datos previos sugiere que las ideas de la locura como “patología”, “pérdida de control” y “oposición a la razón” tendrían mayor universalidad. Los aspectos identitarios del punk español fueron el telón de fondo para los contenidos identificados, emergiendo la locura como seña de identidad y manifestación de alteridad.
Multilevel elements associated with HIV serosorting for sexual encounters: a scoping literature review
Authors: Villa-Rueda Alma Angélica , Onofre-Rodríguez Dora Julia , Churchill Siobhan , Ramírez-Barajas Fernanda , Benavides-Torres Raquel Alicia
Published: July 2021

Abstract A scoping literature review to identify the multilevel HIV serosorting related elements was developed. Articles from EBSCO, PubMed, PsyNET and Science Direct with serosort* or serosorting at the tittle or abstract, written in English or Spanish were included. No restriction in type of population or design were applied. 239 records were retrieved after duplicates removed, but 181 references were extracted for full-text review. Individual level: HIV knowledge, serostatus, risk perceptions, abilities to disclose and for condom use negotiation, motivations, use of drugs, stigma, attitudes toward condom use, and perceptions/beliefs about the HIV and related treatments, HIV infection rates/testing and behavioral factors. Interpersonal level: social networks, abilities (sexual behavior negotiation, and communication). Community level: stigma, social norms, access to HIV related services. Structural level: political context, HIV related funding and public policies. HIV Serosorting is not solely an interpersonal behavior it involves multilevel elements that must be acknowledged by professionals and stakeholders.
Modificações do consumo de cigarros e bebidas alcoólicas em adolescentes de Curitiba, Paraná: um estudo longitudinal
Authors: Silva Michael Pereira da , Fantineli Edmar Roberto , Bacil Eliane Denise Araújo , Piola Thiago Silva , Malta Neto Nicolau Augusto , Campos Wagner de
Published: July 2021

Resumo A presente investigação objetivou verificar modificações no consumo de cigarro e álcool em uma amostra de adolescentes do sistema estadual de ensino da cidade de Curitiba, Paraná, Brasil entre 2015 e 2017. Estudo longitudinal de coorte prospectivo realizado com 799 adolescentes, entre 11 e 15 anos. O consumo leve e excessivo de álcool e de cigarro foram avaliados através do questionário Youth Risk Behavior Survey (YRBS). Modificações do consumo de álcool e cigarro foram avaliadas através de modelos de Equação de Estimação Generalizável com distribuição de Poisson para obtenção de razões de taxas de incidência (RTI) com intervalos de confiança de 95% (IC95%). A variável “tempo” foi tratada como variável independente, juntamente com demais possíveis preditores (sexo, faixa etária, estado nutricional, nível socioeconômico, escolaridade do chefe da família, atividade física e tempo em tela). O consumo de cigarros (RTI= 1,32, IC95%= 1,02; 1,71), consumo leve (RTI= 1,32, IC95%= 1,13; 1,53) e excessivo de álcool (RTI= 1,21, IC95%= 1,04; 1,40) cresceram significativamente entre 2015 e 2017. O presente estudo denota que os adolescentes participantes desta investigação estão modificando seus comportamentos em direção a um estilo de vida menos saudável.
The relationship between level of education and moral judgment toward who abuse drugs
Authors: Donatti Gallassi Andrea , Oliveira Karina Diniz , Silva Maria de Nazareth Rodrigues Malcher de Oliveira , Machado Isabela Alves , Wagner Gabriela Arantes
Published: July 2021

Abstract The aim of the present study is to verify the differences of the moral judgment toward the people who abuse drugs according to the schooling of the participants. This is the Brazilian part of a multicentric study. N=180 individuals in a community in Brasília, DF, Brazil; following consent, descriptive data were collected by anonymous interviewer-administered questionnaire that included socio-demographic, educational level and the history of drug use. Participants were predominantly females, middle-aged, married, employed, religious, with high school education; higher schooling considered alcohol abusers, marijuana, cocaine and crack are important as anyone else; the majority with lower education level knew someone who used drugs, but no association was found regarding drug use and schooling; in the unadjusted logistic regression model, positive associations were found between higher schooling and ‘who use drugs are as important as anyone else’ for all drugs studied; after adjusted, the association remained only for marijuana (all p<0.05). The negative attitude surrounding drugs issue can be an important obstacle. The results suggest that education can help to reduce the stigma associated; public policies would be important to minimizing social harm caused by stigmatized visions of drug users.
Territorialização com uso de georreferenciamento e estratificação de vulnerabilidade social familiar na Atenção Básica
Authors: Calistro Monyelle de Oliveira , Teixeira Ygor , Lacerda Izabel Ricaelle Argentino Silva , Sousa Samara Mendes de , Agostinho Neto João , Duavy Sandra Mara Pimentel , Brito Júnior Francisco Elizaudo de
Published: July 2021

Resumo O presente artigo objetivou descrever a territorialização com uso do georreferenciamento e da construção de mapeamento geográfico e a estratificação de vulnerabilidade social familiar na Atenção Primária à Saúde vivenciado por uma equipe de residentes do programa de Residência Multiprofissional em Saúde Coletiva baseada nos principais problemas sociais. Para territorialização utilizou-se dos programas SW Maps e Google Earth Pro e para caracterização sociodemográfica e clínica das famílias fichas A e B do e-SUS, transcritas em planilha para cálculo da estratificação. Através do score final gerado com o preenchimento de sentinelas, o programa estratificou as famílias em graus de vulnerabilidade de diferentes possibilidades, sendo elas, sem risco, baixo risco, médio risco, alto risco e altíssimo risco. Na territorialização identificou-se ruas, travessas e georreferenciou-se pontos de riscos, equipamentos sociais, famílias com e sem cadastros do e-SUS e casas desocupadas. Das 615 famílias georreferenciadas, 316 (51,38%) não tinham cadastro ou esses estavam incompletos no momento da coleta, enquanto que 299 famílias possuíam cadastro preenchido nas quais observou-se que a maioria (60,53 %) apresentou situação de baixo risco e uma parcela considerável foi considerada de médio risco.
Avaliação da qualidade da Atenção Primária à Saúde em Fortaleza, Brasil, na perspectiva dos usuários adultos no ano de 2019
Authors: Costa Lourrany Borges , Mota Maria Vaudelice , Porto Magda Moura de Almeida , Fernandes Carla Salles Gazeta Vieira , Santos Eveline Torquato , Oliveira João Pedro Marques de , Mota Thayná Custódio , Porto Andrea Lima da Silva , Alencar Maria Nice Almeida
Published: July 2021

Resumo A Atenção Primária à Saúde (APS) é porta de entrada e eixo estruturante do Sistema de Saúde brasileiro, o que impõe a necessidade de avaliação de sua qualidade. Este estudo objetivou avaliar os serviços públicos de Atenção Básica quanto aos atributos da APS por meio do PCATool na ótica de usuários em Fortaleza. Trata-se de um estudo transversal, de junho a dezembro de 2019, com 233 usuários adultos de 19 Unidades de APS (UAPS). Foram coletados dados sociodemográficos e epidemiológicos dos usuários e sobre a estrutura das UAPS. Utilizou-se modelo multinível para analisar características de usuários e UAPS em relação ao escore de APS medido via PCATool. Participantes foram, na maioria, mulheres, de 30 a 59 anos, pardos, com Ensino Médio completo, sem seguro privado, com moradia própria do tipo casa, de famílias até 4 pessoas. “Acessibilidade” obteve o menor escore, 2,8, e “Utilização” obteve o maior escore, 8,1. O Escore Essencial da APS foi 6,0, enquanto o Escore Geral foi 5,7. Houve influência positiva (p<0,05) no Escore Geral por: equipes completas, maior número de agentes comunitários e presença de residência de Medicina de Família e Comunidade. Concluiu-se que os serviços públicos de Fortaleza avaliados possuem baixo desempenho de APS na ótica dos usuários adultos.
Ações de vigilância à saúde integradas à Atenção Primária à Saúde diante da pandemia da COVID-19: contribuições para o debate
Authors: Prado Nilia Maria de Brito Lima , Biscarde Daniela Gomes dos Santos , Pinto Junior Elzo Pereira , Santos Hebert Luan Pereira Campos dos , Mota Sara Emanuela de Carvalho , Menezes Erica Lima Costa de , Oliveira Josilene Silva , Santos Adriano Maia dos
Published: July 2021

Resumo Trata-se de uma revisão de síntese integrativa com objetivo de refletir sobre os desafios atinentes às ações de vigilância em saúde no enfrentamento da COVID-19, no âmbito da Atenção Primária à Saúde (APS), em sistemas de saúde de países selecionados. Foram incluídos, no estudo, países com modelos de APS distintos, mas que adotaram a vigilância nos territórios como premissa para o controle da transmissão da COVID-19. Houve a revisão bibliográfica da literatura científica e a análise documental de normas e diretrizes relacionadas à organização da APS para enfrentamento da pandemia. A produção dos dados ocorreu no período entre abril e julho de 2020 e envolveu a busca de documentos sobre o enfrentamento da COVID-19, no que se refere à APS, nos sites oficiais governamentais de cada país e nas bases de dados científicas Web of Science e Science Direct. Ações integradas de vigilância em saúde demonstraram atuação mais direcionada sobre riscos, sendo possível respostas inovadoras e mais efetivas para enfrentamento da COVID-19, considerando necessidades emergentes no âmbito da APS. Contudo, experiências desenvolvidas por alguns países apresentaram controvérsias éticas e operacionais além dos desafios de acesso às tecnologias decorrente das desigualdades sociais.
Promoção em saúde mental de adolescentes em países da América Latina: uma revisão integrativa da literatura
Authors: Souza Thaís Thaler , Almeida Ana Carolina de , Fernandes Amanda Dourado Souza Akahosi , Cid Maria Fernanda Barboza
Published: July 2021

Resumo A Promoção em Saúde (PS) apresenta um fortalecimento recente dentro das políticas públicas e quando se trata da infância e adolescência na América Latina (AL) observa-se ainda forte consonância com as determinações internacionais. Considerando o aumento de prevalência de sofrimento psíquico nesta faixa etária e a construção histórica política dos países latino-americanos abordar a PS se torna mais urgente. O objetivo desta pesquisa foi identificar e analisar, por meio de uma revisão integrativa da literatura, produções acadêmicas que tratam de estratégias de PS mental de adolescentes na AL e, assim, visibilizar as ações e provocar reflexões dialogadas com as críticas Sulistas, representadas pela declaração de Bogotá. Após a aplicação dos critérios de inclusão e exclusão, foram selecionados 6 estudos. Identificou-se que o principal espaço onde as ações são desenvolvidas é a escola. Além disso, como medidas potenciais foram identificadas a capacitação dos profissionais, a ação grupal e o fortalecimento da atenção primária e territorial. Discute-se que a realidade socioeconômica estruturada historicamente da AL reflete uma organização própria das ações em PS. Com isso, a visibilização das estratégias que potencializam a baixo custo uma melhora na saúde mental de adolescentes pode contribuir com a reflexão atual.