bluuebunny/crossref_metadata_2025 huggingface dataset:
Managing Behavioral Issues in Child Care and Schools
Authors:   American Academy of Pediatrics
Published: November 2021

This new quick reference guide provides child care directors, teachers, and caregivers with essential information on managing emotional and behavioral issues in group care settings.

https://shop.aap.org/managing-behavioral-issues-in-child-care-and-schools-paperback/
Protecting Your Child's Health: Expert Answers to Urgent Environmental Questions
Authors: Etzel Dr. Ruth A. , Balk Dr. Sophie J.
Published: November 2021

Parents concerned about the effects of environmental hazards on their children's health will appreciate this accessible Q&A guide. Available for purchase at https://www.aap.org/protecting-your-childs-health-paperback/
The Working Mom Blueprint: Winning at Parenting Without Losing Yourself
Authors: Casares Whitney
Published: November 2021

In The Working Mom Blueprint, Dr Casares offers a practical plan that covers setting priorities, cultivating self-care, finding child care, establishing an equal parenting partnership, delegating whenever appropriate, and more.

https://shop.aap.org/the-working-mom-blueprint-paperback/
Pediatric ICD-10-CM 2022
Authors: Hughes Cindy , Dolan Becky
Published: November 2021

For pediatric provider, coder, and biller, here's the most helpful and easy-to-use manual on ICD-10-CM yet. Featuring a laser-sharp pediatric focus, it provides codes and guidelines in a simplified yet familiar format. The combination of hallmark features and easy-to-use format makes facing the challenge of accurate diagnosis coding easier.

https://shop.aap.org/pediatric-icd-10-cm-2022-7th-edition-paperback
Intranasal Surfactant for Acute Otitis Media: A Randomized Trial
Authors: Muniz Gysella B. , Shope Timothy R. , Bhatnagar Sonika , Shaikh Nader , Haralam Mary Ann , Liu Hui , Martin Judith M. , Pogoda Janice M. , Hoberman Alejandro
Published: November 2021

BACKGROUND

Acute otitis media (AOM) is the most frequent reason for children to be prescribed antimicrobial treatment. Surfactants are naturally occurring substances that may restore the eustachian tube’s function and potentially enhance resolution of AOM.

METHODS

This was a phase 2a, single-center, double-blind, randomized, placebo-controlled, parallel group clinical trial to assess safety, tolerability, and efficacy of 20 mg per day intranasal OP0201 as an adjunct therapy to oral antimicrobial agents for treating AOM in young children. We randomly assigned 103 children aged 6 to 24 months with AOM to receive either OP0201 or placebo twice daily for 10 days. All children received amoxicillin-clavulanate 90/6.4 mg/kg per day in 2 divided doses for 10 days. Participants were managed for up to 1 month. Postrandomization visits occurred between days 4 and 6 (visit 2), days 12 and 14 (visit 3), and days 26 and 30 (visit 4). Primary efficacy endpoints were resolution of a bulging tympanic membrane at visit 2 and resolution of middle-ear effusion at visit 3.

RESULTS

No clinically meaningful differences between treatment groups were apparent for primary or secondary endpoints. There were no safety concerns identified.

CONCLUSIONS

In young children with AOM, intranasally administered surfactant (OP0201) did not improve clinical outcomes. Further research may be warranted among children with persistent middle-ear effusion.
Effect of Phage SAvB14 combined with antibiotics on Staphylococcus aureus variant bovis
Authors: Horiuk Y. V. , Kukhtyn M. D. , Horiuk V. V. , Sytnik V. A. , Dashkovskyy O. O.
Published: November 2021

Because using antimicrobial drugs leads to development of resistance among bacterial isolates, the treatment with antimicrobial drugs in human and veterinary medicine in general should be reduced. Currently, therapeutic use of bacteriophages may be an alternative or addition to the treatment of bacterial infections of animals. The article presents the results of studying the effect of bacteriophage Phage SAvB14 on microbial biofilms of Staphylococcus aureus variant bovis both alone and in complex with antibiotics. For this purpose, we used strain S. aureus var. bovis 1491 f and bacteriophage Phage SAvB14, isolated at dairy farms. The effect of combined application of phage and antibiotics (gentamicin, tetracycline, сeftriaxone and enrofloxacin) were assessed after simultaneous and subsequent introduction of Phage SAvB14 in the dose of 105 plaque-forming units per milliliter (PFU/mL) and corresponding concentrations of antibiotics to 24h biofilms. We determined that of the tested antibiotics, only gentamicin and ceftriazone exerted synergic effects in combinations with Phage SAvB14. Combination treatment using gentamicin and the phage decreased the amount of S. aureus in biofilm by 39.81 times compared with the phage-only treatment. Significant synergic effect was also taken by ceftriaxone – it killed 1.26 times more bacteria in combination with the phage than alone. Other antibiotics did not increase antibiotic activity of the phage. Specifically, 1.11 and 1.26 times more vital cells remained after the actions of tetracycline and enrofloxacin than after the exposure to the bacteriophage only. Therefore, the obtained results indicate that biofilm of S. aureus var. bovis may be eliminated using Phage SAvB14 as an individual antibacterial agent, as well as in complex with antibiotics. However, complex treatment would imply introducing the phage and then antibiotic some time later.
Course correction of adjuvant arthritis with cryopreserved multipotent mesenchymal stromal cells
Authors: Vvedenskyi D. B. , Volkova N. O. , Yukhta M. S. , Ashukina N. O. , Goltsev A. M.
Published: November 2021

Rheumatoid arthritis is an inflammatory autoimmune disease that occurs as a result of impaired immune tolerance, leading to an aberrant immune response to autologous antigens. Multipotent mesenchymal stromal cells (MMSCs) and the biologically active substances they produce can promote the activation of regenerative processes in the organism not only by direct cell differentiation, but also due to their inherent trophic and immunosuppressive potentials. The aim of the study was to experimentally evaluate changes in the course of the acute phase of adjuvant arthritis upon local and generalized administration of cryopreserved MMSCs from adipose and cartilage tissues. The results of histological, imunohistochemical and biochemical studies showed that the animals of the control group throughout the observation period developed an inflammatory process, which manifested in joint swelling (increased arthritis index), leukocytosis, spread of chondrocyte-free zones, weakening of staining, loss of clarity of cartilage tissue contours, increased content of cyclooxygenase-2, reduced glycosaminoglycan content and total antioxidant defense system activity. At the same time, the local administration of cryopreserved MMSCs from adipose and cartilage tissues contributed to the normalization of the structural and functional organization, content of glycosaminoglycans and cyclooxygenase-2 with complete recovery of blood parameters. Less pronounced regeneration processes in articular cartilage occurred under generalized administration of cryopreserved MMSCs from adipose and cartilage tissues in comparison with the local method. However, the difference between the control and experimental groups indicates the ability of cryopreserved MMSCs to influence the intensity of regenerative processes in damaged cartilage tissue with both methods of administration. Comparative evaluation of the use of cryopreserved MMSCs from adipose and cartilage tissues showed the absence of significant changes in the studied indicators. These data can be used to substantiate and develop methods of arthritis treatment in clinical practice.
Tiempos y espacios para el cuidado: Perspectivas etnográficas desde la experiencia de quien cuida
Authors: Robledo Vanessa
Published: November 2021

A partir de la experiencia vivida como eje central del trabajo etnográfico, este artículo tiene como objetivo dar cuenta de las transformaciones de las percepciones del tiempo y el espacio, y su impacto en la vida de las personas cuidadoras a partir de sus relatos y de su participación en el programa Cuidando a cuidadores, desarrollado por la Facultad de Enfermería de la Universidad Nacional de Colombia, entre 2013 y 2014. Adicionalmente, propongo entender la experiencia de quien cuida en términos de habitus temporal, mediante la exploración de un campo de presencia particular, condicionado por la aparición y el avance de la enfermedad crónica, y a partir del cual se estructuran las prácticas de cuidado.
Relatos da subjetividade
Authors: Cavalheiro Juciane dos Santos , Júnior Augusto Silva
Published: November 2021

Os relatos sobre a Amazônia sofreram, em processos sócio-econômicos e históricos, uma associação subordinadora com relação aos discursos nacionais e internacionais. A literatura de Milton Hatoum surge como voz resistente neste contexto, reconstruindo discussão da imagem exótica da Amazônia brasileira. Os seus personagens, a partir de posições privilegiadas, valem-se da memória para orquestrar perspectivas que se fragmentam no tempo e no espaço. Os narradores das primeiras obras, a narradora inominada de Relato de um certo Oriente, Nael de Dois irmãos, Lavo de Cinzas do Norte, e Arminto de Órfãos do Eldorado, ao viverem à margem da casa principal (e da sociedade), reivindicam, via escrita, oralidade e estilização – modalidades facultadas pela prosa. Nessas obras, o relato, marca da escrita hatouniana, estabelece reconstrução de vozes para a consolidação de subjetividades. Analisaremos, pontualmente, as personagens subalternas Anastácia Socorro, de Relato de um certo Oriente, e Domingas, de Dois irmãos, que vivem, desde seu nascimento, em contexto de submissão social – figuras subalternizadas pela sociedade brasileira e forçadas a se destituírem de suas alteridades. Para entender esse processo, além de Gramsci e Spivak, recorremos à Walter Benjamin para mapear como essas vozes autonomizam-se e passam a habitar, de forma consciente, a história da cultura.
Dissonância no conto brasileiro contemporâneo de autoria feminina
Authors: Quadros Dênis Moura de
Published: November 2021

Ao traçarmos um perfil das autoras brasileiras contemporâneas que publicaram coletâneas de contos nos últimos trinta anos, percebemos uma gama de nomes. Dessa maneira, recortamos uma lista das vencedoras do prêmio Jabuti de 1990 a 2020 para, então, delineamos um perfil dessas escritoras. Notamos, então, que a única mulher negra a vencer a premiação nesses trinta anos foi Conceição Evaristo (1946- ). Descartando o argumento de que as mulheres negras não têm publicado, confrontamos o perfil canônico com a coletânea Cadernos Negros (FIGUEIREDO, 2009), elencando vários nomes, dentre eles, a própria Conceição. Ainda, percebendo que a estética dessas escritoras negras perpassa outras questões e, na tentativa de “ouvi-las” (KILOMBA, 2019; SPIVAK, 2010), elencamos o conceito de escrevivência (EVARISTO, 2005, 2007; FERREIRA, 2013) e de literatura afrofeminina (SANTIAGO, 2012) para analisarmos quatro contos da autora gaúcha Maria Helena Vargas da Siveira (1940-2009): “Rondas” e “Filosofia da farofa”, publicados em O sol de fevereiro (1991); e “Iniciação” e “Barro duro do Laranjal”, publicados em Odara: Fantasia e realidade (1993).
Conceição Evaristo
Authors: Champagnat Pauline
Published: November 2021

O presente artigo visa a investigar algumas das características emblemáticas dos contos de Conceição Evaristo, ressaltando o aspecto da oralidade e o talento da autora como contadora de histórias, que transparece na sua escrita. Dessa maneira, resolvemos escolher três contos da autora: “Mansões e puxadinhos” (2017), “O sagrado pão dos filhos” (2017) e “A moça do vestido amarelo” (2017), todos tirados da coletânea de contos “Contos de leves enganos e parecenças” (2017) de Conceição Evaristo. Cada conto será analisado através de uma ou duas características mais marcantes como: a denúncia das injustiças, a representação de resistências, ou a evocação da ancestralidade e da resistência afro-brasileira. Para isso, iremos nos apoiar no conceito das memórias subterrâneas de Michael Pollak (1993) e no conceito da resiliência, desenvolvido por Eurídice Figueiredo (2020).
Cidade, vampiros e identidade
Authors: Pereira Marcio Roberto , Carneiro Ana Paula Vicente
Published: November 2021

Em uma leitura sociológica de “A noite não me deixa dormir” (2018), exploraremos a ambiguidade presente no conto que, assim como Piglia (2004) aponta como característica marcante do gênero, narra duas histórias, ao mesclar o real com o fantástico, indo desde um amante frustrado pelo abandono até o portador de uma misteriosa maldição. Para analisar o jogo verbal, assim como observado por Bosi (1974), presente na narrativa, que atualiza o arquétipo vampiresco de acordo com a permutabilidade do tema (HUMPHREYS, 2018), recorreremos a visão de Hall (1992) sobre a fragmentação da identidade do sujeito pós-moderno, a Bauman (2004), em referência aos relacionamentos sexuais conturbados presentes na narrativa, além de Augé (1994) e Benjamin (1987), nas discussões sobre os espaços e a representação destes nos conflitos autodiegeticamente narrados no conto.
“A vida que falhava”
Authors: Menezes Carlos Roberto dos Santos
Published: November 2021

A partir da revisitação da tradição teórica e crítica sobre o drama trágico, o presente texto busca analisar o conto “Feliz Aniversário”, de Clarice Lispector, associando a sua construção narrativa ao modelo trágico proveniente dos poetas excepcionais de outrora. Para tanto faremos uso da concepção da Fenomenologia das emoções da tragédia grega, de Ronaldes de Melo e Souza (2017), com o intuito de clarificar o nosso percurso na contraposição da definição de drama trágico difundida por Aristóteles em sua Poética.
Análise da categoria violência de gênero na obra Insubmissas Lágrimas de Mulheres, de Conceição Evaristo
Authors: Silva Franciane Conceição da , Leão Yve Almeida
Published: November 2021

O presente trabalho tem como objetivo analisar a categoria violência de gênero a partir do estudo dos contos “Aramides Florença” e “Shirley Paixão”, extraídos da obra Insubmissas Lágrimas de Mulheres (2011), da escritora Conceição Evaristo. Procedemos a uma análise de natureza qualitativa, partindo da categoria analítica que envolve dois fenômenos sociais complexos: a violência de gênero e a relação de poder exercida pelos homens sobre as mulheres. A fundamentação teórica é embasada em Pierre Bourdieu (2012) e Heleieth Saffioti (2015). Em uma análise preliminar, observamos que a violência praticada contra as personagens dos contos estudados, vítimas de espancamentos e estupros, representa a objetificação do corpo dessas mulheres e da perpetuação da dominação-exploração feminina, legitimados por um discurso sexista e patriarcal.
Correlación entre el estado nutricional y nivel de actividad física en escolares del sur de Sonora, México
Authors: Rojo Villa Jesús Alfredo , Rojo Villa Liliana Guadalupe , Martínez Félix Jhoanna
Published: November 2021

La falta de actividad física y presencia de malnutrición, son factores importantes que comprometen la salud de toda la población. El estudio tuvo como propósito determinar el grado de asociación entre el estado nutricional y el nivel de actividad física en escolares del sur del estado de Sonora, México. El estudio es de tipo cuantitativo, descriptivo y transversal. La muestra está conformada por 156 estudiantes de nivel primaria ambos sexos (mujeres 48.71% y hombres 51.28%) con rango de edad de 10 a 12 años (10.86±1.56). Las variables evaluadas fueron: nivel de actividad física con el cuestionario PAQ-C, estado nutricional utilizando los percentiles e IMC/E con referencias de la OMS en el año 2007. Los principales resultados indican que el 3.20% de los escolares cuenta con bajo peso, por otra parte, el sobrepeso y obesidad en conjunto suman 19.86% predominando el sexo masculino con mayor número de casos, el 23.76% cuenta con niveles moderados de actividad física, el sexo femenino cuenta con mayor presencia en los niveles bajos y muy bajos.  Se encontró una correlación inversa significativa entre el estado nutricional y nivel de actividad física tanto en el sexo femenino (r=-0,19; p=0,003) como en el masculino (r=-0,55; p<0,0001). En conclusión, la asociación entre malnutrición y bajos niveles de actividad física podrían ser considerados para establecer estrategias preventivas y de intervención.
NVSR 70-13. Evaluating the cause-of-death information needed for estimating the burden of injury mortality: United States, 2019
Authors: Hedegaard Holly , Warner Margaret
Published: November 2021

This study evaluated the quality of the cause-of-death information on death certificates for injury deaths, by determining the percentage of deaths for which the underlying cause was a nonspecific injury mechanism.
Perfect fluid spacetimes, Gray's decomposition and $f(\mathcal{R}, {T})$-gravity
Authors: GÜLER Sinem , DE U.c.
Published: November 2021

In this paper, first we give the complete classifications of perfect fluid spacetimes under the Gray's decomposition. Then we investigate the condition under which the Ricci tensor is a conformal Killing tensor in a perfect fluid spacetime. Later, we study perfect fluid spacetimes in $f(\mathcal{R},T)$-gravity theory. We find some relations between isotropic pressure and energy density of the Ricci semisymmetric perfect fluid spacetimes satisfying $f(\mathcal{R},T)$-gravity equation to represent dark matter era.
Автоматизований засіб очищення повітря під час вантажних операцій з зерновими культурами у портах
Authors: Сандлер А. К. , Савчук О. С.
Published: November 2021

Забруднення повітря пилом промислового походження  з початку сторіччя набуло характеру техногенної катастрофи. При цьому погіршення екологічного стану повітряного середовища чітко локалізується на тільки у промислових та транспортних районах, але й стало поширюватися на міста, селища й зони відпочинку. Обсяги шкідливих викидів зважених речовин становлять сотні тисяч кубічних метрів, і лише невелика їх частина проходить убезпечення в очисних спорудах підприємств. Внаслідок недосконалості технологічного й допоміжного очисного встаткування, недосконалості технологічних процесів перевантаження сипучі вантажі, у морських та річкових портах утворюються значні обсяги запиленого повітря. При цьому недостатньо висока ефективність очищення забрудненого повітря приводить до погіршення якості вантажів, надмірного зношування обладнання і різкому погіршенню екологічної обстановки. Одним з домінуючим фактором утворення забруднених зон є негативний вплив на здоров'я  людей. Для боротьби з пиловим забрудненням використовують широкий спектр методів й засобів. Технічні засоби придушення пилу використовуються з різними фізико-хімічними властивостями, працюють у широкому діапазоні температур і концентрацій забруднюючих речовин. У той же час, внаслідок недосконалості відомих конструкцій і недостатнього розвитку теоретичних основ процесів, пилоочисні засоби нездатні ефективно вловлювати з газових потоків дрібні фракції пилу. В умовах, що склалися, доцільною стала розробка нового схемотехнічного рішення модифікатора. запропонований ротаційний пиловіддільник відрізняється тим, що корпус містить вихідні отвори та кришку у верхній частині, патрубок низьконапірного потоку та сопло високонапірного потоку, яке співвісне  дифузору з лопатями, який сполучається з корпусом підшипниками та у верхній частині має отвори, що сполучаються з циліндричним фільтром, відокремленим від підшипників герметичним ущільненням.
Newborn Skin Care is the Basis for Prevention of Atopic Dermatitis Development
Authors: Murashkin Nikolay N. , Opryatin Leonid A. , Epishev Roman V. , Materikin Alexander I. , Ambarchyan Eduard T. , Ivanov Roman A. , Fedorov Dmitriy V. , Kukoleva Daria S.
Published: November 2021

Healthy newborn skin care is challenging task. The basic principles of care should be taught to both medical staff and parents. This care is more crucial in children with atopic dermatitis who have abnormal skin acidity due to multifactorial exposure. Significant pH reduction leads to aggravation of the skin process that requires active therapeutic measures. The article presents guidelines for the first infant's skin cleaning, for conducting first and daily bathing, for using cleansing agents and daily care solutions to prevent skin acidity disorders and the development of atopic dermatitis.
Filaggrin and Atopic Dermatitis: Clinical and Pathogenetic Parallels and Therapeutic Possibilities
Authors: Murashkin Nikolay N. , Ivanov Roman A. , Ambarchian Eduard T. , Epishev Roman V. , Materikin Alexander I. , Opryatin Leonid A. , Savelova Alena A.
Published: November 2021

Atopic dermatitis (AtD) is multifactorial inflammatory skin disease, one of the aspects of its pathogenesis is epidermal barrier dysfunction. Early development of AtD is associated with filaggrin dysfunction. Filaggrin is a protein involved in aggregation of keratin filaments in the upper layers of epidermis and the retention of lipids and proteins between corneocytes. Frequently, filaggrin dysfunction can be accompanied with secondary infection and high risk of other allergic diseases development. This can happen due to disturbance in terminal differentiation of epidermal cells and, as consequence, malfunction of epidermal barrier. Thus, the long regular use of emollients is the basis of AtD therapy. New class of emollients (“emollents plus”) allowed us to achieve more significant treatment results in patients with AtD. These emollients reduce inflammatory process activity in the skin by replacing structural components of abnormal epidermal barrier.
Management of Children with Psoriasis During the COVID-19 Pandemic
Authors: Murashkin Nikolay N. , Materikin Alexander I. , Ambarchian Eduard T. , Epishev Roman V. , Opryatin Leonid A. , Ivanov Roman A.
Published: November 2021

The spread of new coronavirus infection (COVID-19) changes specialists' approaches to patients with chronic diseases, including those with chronic dermatoses. The high risk of COVID-19 complications in patients with psoriasis is connected to the features of disease pathogenesis (such as high activity of proinflammatory cytokines) and used immunosuppressive therapy. Psoriasis affects up to 1% of children in Europe, while 10-20% of them have moderate or severe form of disease. These children may require immunosuppressive treatment, including genetically engineered biological therapy. There is only limited data on adults and children with psoriasis during the COVID-19 pandemic.
CAD-FEA modeling and fracture resistance of bilayer zirconia crowns manufactured by the rapid layer technology
Authors: Lima Julia Magalhães Costa , Costa Anna Karina Figueiredo , Anami Lilian Costa , Souza Karina Barbosa , Silva Nathalia Ramos da , Marinho Renata Marques de Melo , Borges Alexandre Luis Souto , Bottino Marco Antonio , Özcan Mutlu , Souza Rodrigo Othávio Assunção
Published: November 2021

Abstract In the RLT (Rapid Layer Technology), veneering ceramic and framework are fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) and then cemented to obtain the restoration. This study aimed to evaluate the effect of the thickness of veneering ceramic manufactured by the RLT technique on the fracture resistance (FR) of bilayer crowns with zirconia frameworks. Twenty zirconia frameworks and twenty feldspathic posterior crowns with two different veneering ceramic occlusal thicknesses (1mm=TF1; 2mm=TF2) were manufactured using CAD/CAM system. The specimens were luted to an epoxy resin abutment with resin cement and mechanically cycled (200N and 4.5×105 Pa, 37°C, 2×106 cycles, 3Hz). The FR test was performed (10kN, 0.5mm/min), and the specimens were analyzed in a stereomicroscope. For the stress analysis (finite element analysis, FEA), a 10kN load was equal to the in vitro test, and the principal stress was evaluated. The FR data were analyzed by Student’s t-test and Weibull's analysis. The thickness influenced the FR of bilayer crowns. The FR was higher in the TF2 than in the TF1 group. The TF2 group presented the highest characteristic strength compared to the group TF1. The predominant type of failure was delamination. The FEA showed higher stress concentrations below the loading application point at the veneering cement interface in the 1-mm-thick model. The bilayer crowns manufactured using the approach of 2mm of veneering ceramic promoted higher FR compared to the group with 1mm veneering ceramic. Also, the FEA showed that the veneer ceramic thickness has an effect on stress distribution in zirconia-based bilayer crowns.
Effect of fluoridated water on dental caries and fluorosis in schoolchildren who use fluoridated dentifrice
Authors: Silva Mikaelle Claro Costa , Lima Cacilda Castelo Branco , Lima Marina de Deus Moura de , Moura Lúcia de Fátima Almeida de Deus , Tabchoury Cinthia Pereira Machado , Moura Marcoeli Silva de
Published: November 2021

Abstract This cross-sectional study evaluated the prevalence and severity of dental caries and fluorosis in children and adolescents using fluoridated toothpaste, from areas with and without fluoridated water. Parents of 5-year-old children and 12-year-old adolescents from neighbourhoods that are supplied with and without fluoridated water answered questionnaires for determining socio-economic and demographic characteristics and habits related to oral health. The individuals were examined, and dental caries and fluorosis were measured by dmft/DMFT and TF indexes, respectively. Descriptive, bivariate and logistic regression analyses were performed (p < 0.05). Of 692 participants, 47.7% were 5-year-olds and 52.3% were 12-year-olds. The mean dmft/DMFT in the 5-year-olds/ 12-year-olds from Exposed and Not Exposed fluoridated water groups was 1.53 (± 2.47) and 3.54 (± 4.10) / 1.53 (± 1.81) and 3.54 (± 3.82), respectively. Children (OR = 2.86, 95% CI = 1.71-4.75) and adolescents (OR = 1.95, 95% CI = 1.24-3.05), who did not consume fluoridated water, had greater caries experience. Among adolescents, there was an association between fluoridated water and the prevalence of very mild/mild fluorosis (OR = 5.45, 95% CI: 3.23-9.19) and moderate fluorosis (OR = 11.11, 95% CI = 4.43-27.87). Children and adolescents, who consumed fluoridated water, presented lower prevalence and severity of dental caries compared to those who used only fluoridated toothpaste as the source of fluoride. There is an association between water fluoridation and very mild/mild and moderate fluorosis in adolescents.
Validation of the Brazilian Version of the RMS Tactile Scale (B-RMS-TS)
Authors: Teles Lucas Rodrigues , Perazzo Matheus França , Paiva Saul Martins , Shetty Raghavendra , Huebner Rudolf , Martins-Júnior Paulo Antônio , Serra-Negra Júnia Maria
Published: November 2021

Abstract This study aimed to validate the Brazilian version of the RMS Tactile Scale (B-RMS-TS) in children and adolescents with visual impairment. Ten visually impaired children and adolescents between 10 and 17 years old of an Educational Center for Visually Impaired People answered the verbalized Dental Anxiety Scale (DAS), and the DAS in Braille to evaluate their dental anxiety levels. B-RMS-TS construct validity was assessed by convergent and discriminant validity. Convergent validity was tested in two ways: Pearson's correlation between the B-RMS-TS and the overall anxiety question; Pearson's correlation between B-RMS-TS and verbalized DAS and DAS in Braille. B-RMS-TS reliability was measured by internal consistency (Cronbach's alfa and McDonald's omega) and test-retest reliability (ICC). B-RMS-TS was moderately correlated to the overall anxiety question (r=0.493;p=0.147). B-RMS-TS showed excellent correlation with verbalized DAS (r=0.971;p<0.001) and DAS in Braille (r=0.934;p<0.011). B-RMS-TS was able to discriminate dental anxiety levels between male and female (p=0.008). The B-RMS-TS demonstrated excellent reliability (Cronbach's alpha=0.661, McDonald's omega=0.700 and ICC=0.987; 95%CI=0.817-0.999). B-RMS-TS is valid and reliable to measure dental anxiety levels in Brazilian children and adolescents with visual impairment.
Tolerance of sugarcane cultivars to Mahanarva fimbriolata
Authors: Dinardo-Miranda Leila Luci , Fracasso Juliano Vilela , Silva Higor Domingos Silvério Da , Miranda Isabella Dinardo
Published: November 2021

ABSTRACT: Mahanarva fimbriolata (Stål) (Hemiptera: Cercopidae), the sugarcane spittlebug, is one of the most important pests of this crop in Brazil. The magnitude of its damage depends on the pest population, the plants size when they are infested and the cultivar tolerance. The knowledge about those parameters allows the elaboration of the spittlebug management matrix, in which small plants and less tolerant varieties fields are prioritized for sampling and controlling in relation to developed plants and tolerant varieties fields. Therefore, this study aimed to evaluate the response of sugarcane genotypes to M. fimbriolata, so that they can be correctly allocated in the management matrix. Two experiments were carried out under laboratory conditions using a randomized block design with treatments in a factorial arrangement of 2×11 (experiment 1) and 2×21 (experiment 2), with six (experiment 1) or five replicates (experiment 2). The first factor included two levels of infestation (infested and noninfested plants with spittlebugs), while the second consisted of the cultivars. Cultivars IACSP01-5503, CTC 9004 and RB925211 were considered tolerant to spittlebug, they did not show significant reductions in aboveground biomass, despite showing symptoms of pest attack, as leaves yellowing, while CV6654 and IACSP01-3127 were the least tolerant cultivars, showing the highest reduction in aboveground biomass due to M. fimbriolata infestation. Thus, CV6654 and IACSP01-3127 should be prioritized for sampling and control over the others. On average, spittlebug infestations caused 30.9 % of reduction of aboveground biomass.
Anxiety and its influence on maternal breastfeeding self-efficacy
Authors: Melo Luciana Camargo de Oliveira , Bonelli Marina Cortez Pereira , Lima Rosa Vanessa Alves , Gomes-Sponholz Flávia Azevedo , Monteiro Juliana Cristina dos Santos
Published: November 2021

Objective: to identify the levels of anxiety and breastfeeding self-efficacy in puerperal women at the intervals of 60, 120, and 180 days postpartum; and to verify the influence of anxiety on breastfeeding self-efficacy among these puerperal women. Method: an analytical, longitudinal and prospective study, conducted with 186 puerperal women, and which used a sociodemographic and obstetric characterization questionnaire, the State-Trait Anxiety Inventory, and the Breastfeeding Self-Efficacy Scale - Short Form. The analyses were performed by means of descriptive statistics, and Fisher’s Exact Test was used. Results: most of the puerperal women presented low levels of trait anxiety (55.4%) and of state anxiety (66.2% at 60 days, 72.8% at 120 days, and 75.5% at 180 days), and a high level of self-efficacy (77.3% at 60 days, 75.3% at 120 days, and 72.1% at 180 days of puerperium). Low levels of trait anxiety and state anxiety were associated with high self-efficacy at 60 days (p=0.0142 and p=0.0159, respectively). Conclusion: it is necessary to pay greater attention to the mental health of puerperal women, considering that those who presented low levels of anxiety had higher levels of self-efficacy, a situation that can result in longer exclusive breastfeeding.
Use of the prone position in pregnant women with COVID-19 or other health conditions
Authors: Cavalcante Francisco Marcelo Leandro , Fernandes Cristina da Silva , Rocha Luanna dos Santos , Galindo-Neto Nelson Miguel , Caetano Joselany Áfio , Barros Lívia Moreira
Published: November 2021

Objective: to analyze, in the scientific literature, the knowledge available on the use of the prone position in pregnant women diagnosed with COVID-19 or other health conditions. Method: an integrative literature review developed through the following guiding question: What is the scientific knowledge available on the use of the prone position in pregnant women with COVID-19 or other health conditions? The search for studies was carried out in eight databases. Results: using the prone position in pregnant women with Acute Respiratory Distress syndrome allowed for improvements in lung compliance and oxygenation. It also allowed reducing uterine compression on the maternal large vessels, and a reduction in blood pressure was observed in pregnant women with pre-eclampsia. The prone position was also safe in the surgical management of pregnant patients. In addition, the following conditions stood out as disadvantages related to the prone position in pregnant women: possibility of aortocaval compression, causing severe hypotension, and inability to easily monitor fetal status or to perform emergency Cesarean sections. Conclusion: the prone position was considered safe, reliable and comfortable for its use in the clinical management of pregnant women, where specific care measures must be taken to avoid compression of gravid abdomen, as well as fetal monitoring is important to detect placental circulation impairment.
Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis
Authors: Prado Carolina Beatriz Cunha , Machado Elaine Alves Silva , Mendes Karina Dal Sasso , Silveira Renata Cristina de Campos Pereira , Galvão Cristina Maria
Published: November 2021

Objective: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. Method: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. Results: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I2 = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I2 = 0%). The assessment of certainty of evidence was moderate. Conclusion: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.
Prevalence of suicidal behavior in young university students: A systematic review with meta-analysis
Authors: Crispim Marília de Oliveira , Santos Cândida Maria Rodrigues dos , Frazão Iracema da Silva , Frazão Cecília Maria Farias de Queiroz , Albuquerque Rossana Carla Rameh de , Perrelli Jaqueline Galdino Albuquerque
Published: November 2021

Objective: to identify the prevalence of suicidal behavior in young university students. Method: a systematic review with meta-analysis of cross-sectional studies based on the Joanna Briggs Institute proposal, and carried out in the PubMed, Web of Science, Scopus, PsycINFO and LILACS databases and in the Brazilian Digital Library of Theses and Dissertations, with no language or year restrictions. A total of 2,942 publications were identified. Selection, data extraction and methodological evaluation of the studies were performed by two independent researchers. The meta-analysis was performed considering the random effects model. Results: eleven articles were included in this review. The prevalence variation for suicidal ideation was from 9.7% to 58.3% and, for attempted suicide, it was from 0.7% to 14.7%. The meta-analysis showed a 27.1% prevalence for suicidal ideation in life, 14.1% for ideation in the last year, and 3.1% for attempted suicide in life. Conclusion: the high prevalence of suicidal behavior, even with the considerable heterogeneity of the studies, raises the need to implement interventions aimed at preventing suicide and promoting mental health, especially in the academic environment.
Postoperative complications in adult patients undergoing surgery with confirmed infection by SARS-CoV-2: An integrative review
Authors: Favaro Erica , Fernandes Daiane Rubinato , Vieira Leticia Genova , Margatho Amanda Salles , Mendes Karina Dal Sasso , Silveira Renata Cristina de Campos Pereira
Published: November 2021

Objective: to analyze the evidence available in the literature about postoperative complications in adult patients undergoing surgical procedures with confirmed infection by SARS-CoV-2. Method: an integrative literature review conducted in the CINAHL, EMBASE, LILACS, PubMed, Scopus and Web of Science databases, as well as in the gray literature. The references identified were exported to the EndNote manager and, subsequently, to the Rayyan web application for study selection. The stages of sampling, categorization of studies, evaluation of the studies included, interpretation of the results and knowledge synthesis were performed by two reviewers independently and in a masked manner. The data were analyzed descriptively. Results: of the 247 articles identified, 15 were selected to comprise this review. The prevalent postoperative complications in patients infected with SARS-CoV-2 were the following: cough, dyspnea and hypoxia, need for invasive mechanical ventilation or not, admission to the intensive care unit and death. Conclusion: the most reported postoperative complications in the studies evaluated were respiratory-related, followed by cardiovascular complications. The importance of preoperative screening for COVID-19 is highlighted, as well as of the monitoring and tracking of confirmed cases in the postoperative period, as these actions exert an impact on reducing the occurrence of complications related to SARS-CoV-2.
Adherence to safety barriers in medication administration: patients’ perception
Authors: Fleck Juliana Machado Campos , Pereira Rosana Aparecida , Silva Ana Elisa Bauer de Camargo , Gimenes Fernanda Raphael Escobar
Published: November 2021

Objective: to analyze the perception of patients about health professionals’ adherence to safety barriers in medication administration. Method: cross-sectional and correlational study carried out in a hospital in the countryside of São Paulo, with a total of 249 adult patients admitted to the medical clinic. An electronic form developed by the researcher was used. Quantitative variables were analyzed in mean, median and standard deviation. Likert-type variables were calculated according to the perception score and the Bayesian Information criterion was used. The cutoff point for positive assessment of the patients’ perception was 0.75. Results: the average perception score was 0.29 and, of the 15 barriers analyzed, eight are never adhered by professionals, in the opinion of most patients. Also, age was the only variable with statistical significance. Conclusion: the younger the patient, the better their perception of health professionals’ adherence to safety barriers in medication administration.
Análise da eficiência das unidades locais da Emater em Goiás: uma abordagem quantitativa
Authors: Ramos Érica Basílio Tavares , Ferreira Marcelo Dias Paes , Oliveira Guilherme Resende
Published: November 2021

Resumo: Este trabalho teve por objetivo analisar a eficiência técnica das unidades locais da Emater no estado de Goiás. A abordagem metodológica consiste em um procedimento de dois estágios. O primeiro estágio foi realizado pela Análise Envoltória de Dados (DEA). No segundo estágio, foram utilizadas a regressão Tobit e a Análise de Fronteira Estocástica (SFA) para avaliar as fontes de eficiência. Os resultados do primeiro estágio mostraram que o nível médio da eficiência técnica das unidades locais da Emater em Goiás foi de 0,4013, o que significa que o uso dos insumos poderia ser reduzido em 59,87%, mantendo-se constante a produção. Foi identificado também que a eficiência de escala média foi de 81,67%, o que significa dizer que questões relacionadas à escala reduziram a eficiência VRS em 18,33%, indicando que havia unidades locais atuando com retornos crescentes de escala e com retornos decrescentes de escala. Apenas 15 unidades locais foram eficientes para o modelo com retornos variáveis de escala. No segundo estágio, variáveis como distância da unidade municipal até Goiânia, dependência municipal, rebanho bovino, proporção de funcionários com nível superior e técnico, entre outras, apresentaram significância estatística para explicar a eficiência das unidades locais da Emater em Goiás.
Production potential of beef cattle in tropical pastures: a review
Authors: Barbero Rondineli Pavezzi , Ribeiro Anna Carolina de Carvalho , Moura André Morais , Longhini Vanessa Zirondi , Mattos Thiago Freitas de Almeida , Barbero Marina Mortati Dias
Published: November 2021

Abstract The expression production potential represents the maximum amount of products that can be obtained per unit area. However, what is the maximum amount of product that can be obtained in a pasture area? To answer this question, it is necessary to understand the factors related to forage accumulation, grazing efficiency, chemical composition of the forage plant, forage intake and nutritional requirements of animals, management, genetics, and management of the production system. The average annual productivity of beef cattle in Brazil is approximately 120 kg of body weight (approximately 60 kg of carcass) per hectare. This index is below the parameters reported in the literature. Adequate management of pastures with tropical forages usually provides a stocking rate above one animal unit (450 kg) per hectare. The increase in the stocking rate, combined with high individual body weight gain, provides high productivity, which may exceed 1260 kg of body weight (approximately 630 of carcass) per hectare per year. The production of beef cattle in tropical pastures has a high response potential with regard to the adoption of technologies to increase productivity indices.
Redução da renda familiar dos professores da educação básica de Minas Gerais na pandemia da Covid-19
Authors: Lima Cássio de Almeida , Oliveira Ana Júlia Soares , Freitas Wesley Miranda Lourenço de , Lopes Heráclito Henrique Santana , Montes Guilherme Adriano dos , Silva Priscylla Guimarães , Lima Celina Aparecida Gonçalves , Leite-Filho Geraldo Alemandro , Parrela Ellen de Cássia Sousa , Haikal Desirée Sant’Ana , Brito Maria Fernanda Santos Figueiredo , Silveira Marise Fagundes
Published: November 2021

Resumo O objetivo do estudo foi identificar as características socioeconômicas e ocupacionais e condições de saúde autorrelatadas associadas à redução da renda dos professores da educação básica do estado de Minas Gerais durante a pandemia da Covid-19. Tratou-se de um inquérito epidemiológico do tipo websurveys. Participaram do estudo 15.641 professores, com respostas obtidas de agosto a setembro de 2020. Os dados foram tratados com estatísticas descritivas, teste qui-quadrado para avaliar a associação entre as variáveis e modelo múltiplo de regressão de Poisson, com variância robusta, para estimar a magnitude das associações. Os resultados evidenciaram que a redução na renda familiar afetou 40,9% dos docentes, principalmente da zona urbana. A redução na renda familiar durante a pandemia foi mais prevalente entre os docentes que viviam com o(a) companheiro(a), possuíam vínculo precário (contratado) com a escola, com tempo de trabalho na docência até vinte anos, que trabalhavam até dez horas/semana e entre professores com hipertensão, episódios de tristeza, ansiedade e dificuldade no sono.
Jacob’s Disease: case report
Authors: LEAL Marilia de Oliveira Coelho Dutra , MOREIRA Leonard Duarte , PASSADOR-SANTOS Fabrício , SOARES Andressa Borges , TEIXEIRA Rubens Gonçalves , JODAS Cláudio Roberto Pacheco
Published: November 2021

ABSTRACT Jacob’s disease or osteochondroma is a rare disease that presents as a pseudo-joint between the coronoid process of the mandible and the posterior surface of the zygomatic bone. The present case report is of an 11-year-old female patient with a maximum mouth opening of 2mm. When evaluating computed tomography with three-dimensional reconstruction, a mushroom-shaped increase in the coronoid process of the mandible on the left side was observed, intimately connected to the zygomatic bone (inferoposterior region of the body of the zygoma), which suggests a pseudoarticulation. Surgical removal of the tumor mass was performed under general anesthesia via intraoral access and is called coronoidectomy. Histopathological, the presence of hyaline cartilage was observed, a condition that is pathognomonic for Jacob’s Disease. Jacob’s disease case reports are still rare in the literature, with mushroom shape and histopathological confirmation due to the presence of hyaline cartilage.
Responsabilidade intergeracional e pandemia de covid-19
Authors: Oliveira Marcus Vinicius Borges , Mazuchelli Larissa Picinato
Published: November 2021

RESUMO A pandemia da covid-19 já levou mais de 150.000 brasileiros a óbito. Destes, mais de 70% são idosos. Ainda que a dinâmica dessa doença implique evitar a transmissibilidade do vírus, há uma forte pressão para a retomada das atividades, relevando e reafirmando uma lógica de indiferença com os idosos. Argumentamos que a contenção da pandemia exige um outro tipo de responsabilidade, de caráter intergeracional. Para tanto, além de refletir sobre a relação entre identidade e alteridade no envelhecimento, nós nos valemos das reflexões de Bakhtin sobre a filosofia do ato responsável, dando ênfase aos conceitos de arquitetônica e de excedente de visão. Por fim, pensando a partir da alteridade enquanto elemento constitutivo da subjetividade, refletimos sobre a importância do encontro entre diferentes gerações para o reconhecimento dos álibis que têm eximido os sujeitos de tomarem as devidas ações no enfrentamento desta pandemia.
Fotobiomodulação com laser de baixa potência na área de motricidade orofacial: uma análise comparativa a partir do conhecimento dos especialistas
Authors: Freire Maria Louize Justino , Coêlho Julyane Feitoza , Correia Paula Rayana Batista , Almeida Larissa Nadjara Alves , Pernambuco Leandro de Araújo , Alves Giorvan Ânderson dos Santos
Published: November 2021

RESUMO Objetivo comparar os conhecimentos e interesses dos fonoaudiólogos especialistas em motricidade orofacial quanto ao uso do laser de baixa potência antes e após a aprovação da Resolução nº 541 do Conselho Federal de Fonoaudiologia. Métodos trata-se de um estudo observacional, transversal e quantitativo, de caráter comparativo. Foi composto por dois momentos distintos: uma primeira coleta de dados, realizada em 2016, antes da aprovação da resolução e a segunda coleta, realizada em 2020, após a publicação das normativas. A primeira amostra foi constituída por 25 participantes e a segunda por 49, todos especialistas em motricidade orofacial. O instrumento de coleta consistiu em um formulário online elaborado no Google Forms, composto por questões do perfil do fonoaudiólogo, conhecimentos, interesses e aplicabilidades da fotobiomodulação com o laser de baixa potência. Os dados foram analisados utilizando estatística descritiva e inferencial. Resultados nos dois momentos, a expressiva maioria dos profissionais indicou saber o que é fotobiomodulação e concordou que o especialista em motricidade orofacial pode atuar com a técnica. Além disso, os profissionais apontaram a disfunção temporomandibular e a paralisia facial como principais casos para aplicações. Foram encontradas diferenças estatisticamente significativas entre os resultados obtidos antes e após a publicação da resolução, verificando-se aumento expressivo no acesso à bibliografia, capacitação, conhecimento das normas de biossegurança, acesso ao aparelho de laser e utilização na prática clínica. Conclusão constatou-se mudança no perfil profissional em relação ao uso da fotobiomodulação, com aumento dos conhecimentos, interesses e aplicabilidades pelos especialistas em motricidade orofacial, após a publicação da resolução normativa.