bluuebunny/crossref_metadata_2025 huggingface dataset:
Aneurisma de arteria pulmonar: un hallazgo incidental
Authors: Ramírez-Ramos Cristhian Felipe , Saldarriaga Giraldo Clara Inés , Gallego Catalina , Parra Puentes Juan Sebastian , Torres Restrepo Juan Manuel , Méndez Diaz Jorge Luis , Areiza Páramo Juan David , Correa Orozco Laura , Ramírez Méndez Diego Alejandro , Lastra González Giovanni
Published: April 2021

Los aneurismas de la arteria pulmonar son entidades infrecuentes y su tratamiento es tema de discusión. Desde el punto de vista etiológico pueden ser congénitos o adquiridos. Los primeros, generalmente se asocian a malformaciones cardiacas que producen hipertensión pulmonar, siendo el ductus arterioso la más frecuente. Otras anomalías incluyen defectos auriculares o ventriculares. Las causas adquiridas pueden ser idiopáticas o estar asociadas a infecciones (tuberculosis, sífilis), traumatismos o colagenopatías. Presentamos el caso de una mujer de 62 años, quien consultó por un cuadro clínico en el que se destacaba su sintomatología neurológica e infecciosa, con posterior progresión a un choque séptico y en quien los hallazgos de las imágenes mostraron un aneurisma gigante de la arteria pulmonar siendo este un hallazgo incidental y sin relación a la sintomatología de la paciente
Aplicabilidad en Suramérica de escenarios de progresión de la infección por SRAS-CoV-2
Authors: Bastidas Pacheco Gilberto Antonio , Bastidas Delgado Daniel Alejandro
Published: April 2021

El brote epidémico por SRAS-CoV-2 y la enfermedad ocasionada, COVID-19, en poco tiempo se transformó en una emergencia de salud pública internacional que progresó rápidamente a pandemia con severo impacto sobre la salud y la economía de los países afectados. El objetivo del presente escrito es describir los escenarios epidemiológicos de progresión de la infección definidos y aplicables como marcos iniciales de la dinámica de transmisión de la enfermedad a Suramérica, salvando sus particularidades poblacionales, en la lucha por controlar la pandemia. Se trata de un estudio documental de revisión de la literatura especializada. Del análisis de esta información resultan dos secciones a saber: modelos epidemiológicos en infecciones y, escenarios de progresión de la pandemia de SRAS-CoV-2. Se concluye que los escenarios epidemiológicos de progresión de la infección de unas regiones pueden transpolarse a otras como marco para el control de la pandemia, salvando las particularidades de cada población en cuanto a características individuales, culturales, económicas y sanitarias.
Diagnóstico clínico de COVID-19 con pruebas moleculares negativas consecutivas
Authors: Ramírez-Vélez Andrés , Moreno Sara , Moncayo Giovanny , Ramírez Luisa , Arango Pablo
Published: April 2021

Una de las dificultades dentro de la pandemia actual por COVID-19 es la poca especificidad y sensibilidad de las pruebas diagnósticas. Distintas sociedades científicas han planteado algoritmos diagnósticos que incluyen pruebas moleculares, síntomas clínicos, pruebas de laboratorio e imágenes. En nuestro medio se utiliza la prueba de RT-PCR, obtenida de lavado nasofaríngeo, aun conociendo sus limitaciones en términos de sensibilidad. Se presenta el caso de un paciente masculino a quien finalmente se le confirma el diagnóstico de CoVID-19 a pesar de tener múltiples pruebas moleculares negativas previas.
Síndrome de burnout en los trabajadores de la salud en la era del COVID-19
Authors: Vasquez-Trespalacios Elsa Maria
Published: April 2021

En 1976, la psicóloga social Cristina Maslach comenzó a estudiar la forma en que las personas manejaban su relación con el trabajo, principalmente en sectores con altas demandas emocionales, encontrando que emergían tres aspectos importantes: desgaste emocional, falta de adhesión a las necesidades del cliente y un sentimiento de autoeficacia reducida (1), características definitorias del síndrome de burnout.
Compromiso cutáneo secundario al uso del equipo de protección contra COVID-19 en el personal de la salud
Authors: Galeano Piedrahita Estefania , Garcés Abad Maria Adelaida , Uribe Zapata David Esteban , Gaviria Andrés Felipe , Pérez Madrid Camila
Published: April 2021

Desde la declaración de pandemia del coronavirus el mundo entero ha encaminado sus esfuerzos a ayudar a mitigar sus efectos, especialmente el personal de la salud. En ese intento por ayudar, buscan evitar su propio contagio por medio del uso de materiales de protección como mascarillas, gafas y guantes. Aunque protectores, éstos materiales y sus componentes pueden ser altamente perjudiciales para la piel, causando dermatitis de contacto, ulceraciones y erosiones. En esta revisión se abordan dichas manifestaciones y se proponen medidas para prevenirlas o tratarlas.
Ventajas, desventajas y ocho recomendaciones para la educación médica virtual en tiempos del COVID-19: Revisión de Tema
Authors: Vásquez Daniel
Published: April 2021

La pandemia de COVID-19 ha llevado a la implementación del aislamiento preventivo como medida de salud pública y con esto, se presentan nuevos retos para las instituciones de educación superior y en especial para carreras con alto contenido presencial. Se realizó una revisión de la literatura en Pubmed en conjunto con textos de referencia en educación virtual, educación médica, opiniones de expertos y artículos derivados de estos por método bola de nieve. Las ventajas de la educación médica virtual hacen alusión, en su mayoría, a la flexibilidad en tiempo, espacios, oportunidades y recursos desde un enfoque individualizado. Las desventajas, por su parte, dependen de la falta de preparación en infraestructura, así como por parte de docentes y estudiantes para las nuevas modalidades. Las recomendaciones se basan en un cambio de estrategia en el que el estudiante pueda abordar los contenidos de forma amigable y resumida previo a las clases en-vivo y que estas últimas tengan un enfoque dirigido a la complementación y resolución de dudas. Se presentan recomendaciones para los docentes que actualmente dictan sus contenidos de manera virtual para favorecer el aprendizaje y cumplimiento de objetivos. Se incluye un anexo con herramientas para el desarrollo de clases y otros contenidos útiles para el estudio de temas en distintas áreas.
O ESTRUTURALISMO GENÉTICO DO EATING OUT
Authors: Noremberg Schubert Maycon
Published: April 2021

O objetivo desse artigo é analisar os sentidos e significados da prática do comer fora a partir dos indivíduos e seus coletivos, porém, indo além dessas definições, que muitas vezes são contraditórias, comparando dados de diferentes países, Brasil, Reino Unido e Espanha. Ademais, busca-se explicar o motivo que levam os atores a ver essa prática de uma ou outra forma, ou seja, a pergunta central é: “o que está na gênese dessas estruturas subjacentes a tal prática? ” Por outro lado, pretende-se ir além das definições mais restritas aos espaços, se ‘dentro’ ou ‘fora’ – consumido ou preparado –, que se supõe ter origem nos conceitos e definições historicamente utilizados pelos órgãos de estatística oficial de Estado. Ao final, se propõe um quadro de referência que reconstitui esse binômio entre o ‘dentro’ e o ‘fora’ a partir de uma dualidade – e não um dualismo – tendo em conta não somente a espacialidade, mas também questões que envolvam rotina, conteúdo e companhia. Os dados utilizados para esse artigo provêm de duas grandes fontes. A primeira fonte advém dos dados estatísticos oficias dos países que estão sendo comparados nesse artigo, principalmente os dados que se destinam a investigar os gastos com alimentação. A segunda grande fonte de dados advém de três grandes projetos de pesquisa, conduzidos por diferentes grupos de investigação de cada país em questão.
HERMAFRODITAS NOS SÉCULOS XVI E XVII
Authors: Vainfas Ronaldo
Published: April 2021

O artigo discute a relação entre o conceito tradicional de hermafroditismo e o atual conceito de intersexualidade, o primeiro excluindo ou punindo, o segundo afirmativo, tanto do ponto de vista médico quanto no campo das identidades coletivas e individuais. A análise empírica baseia-se em processos judiciais ibéricos dos séculos XVI e XVII, incluindo, finalmente, a transcrição de um manuscrito inédito do processo contra Claudiana da Natividade, freira portuguesa. Conclui a impossibilidade teórica para a formulação do conceito de intersexualidade no contexto intelectual, moral e científico da Era Moderna ou do Antigo Regime.
O IMPACTO DA FALTA DE ACESSO ÀS AÇÕES SANITÁRIAS SOBRE A SAÚDE NO AMAZONAS (1907-1912)
Authors: Teixeira do Nascimento Thais
Published: April 2021

Este texto tem como objetivo refletir acerca do impacto que as diferentes dinâmicas políticas tiveram sobre as ações sanitárias e a saúde durante parte do primeiro período republicano brasileiro (1889-1930). Usamos como fonte documental os relatórios do presidente de Estado aos membros da Assembleia Legislativa do Estado do Amazonas entre 1907 e 1912. Como suporte teórico-metodológico, utilizamos Ujvari (2003) para discutir a evolução do conceito de doença e das chamadas “artes de curar”, e Varga (2007), Peiter (2005) e Albuquerque Júnior (2008) para relacionar as fronteiras sanitárias “dos Amazonas” como um espaço de disputas. Em nossos resultados identificamos que as comissões sanitárias na construção da Estrada de Ferro Madeira-Mamoré não mudaram o quadro sanitário do Estado do Amazonas.
BIOPODER E SABER MÉDICO
Authors: Melo Francisco Egberto de , Gonçalves de Souza Raiza Amanda , Anjos Deyvillanne Santos Oliveira dos
Published: April 2021

Partindo dos conceitos de biopoder e de sociedade da normalização, analisamos a criação do Departamento Nacional de Saúde Pública (DNSP) e a luta contra a tuberculose, no Brasil, entre os anos de 1920 e 1970, utilizando documentos institucionais, relatos e jornais para identificar as articulações entre o saber médico e a legislação que geraram relações de poder capilarizadas nos espaços sociais, criando uma teia de regulação e disciplina normatizadora e normalizadora de hábitos e costumes individuais e da sociedade em geral. Identificamos essas práticas cotidianas como artes de viver que se retroalimentavam com a criação e redefinição de espaços de controle e vigilância da tuberculose e pessoas, como habitações, escolas, fábricas e hospitais, a exemplo do Hospital Manuel de Abreu na cidade de Crato, Ceará-Brasil.
DO IMPÉRIO À REPÚBLICA
Authors: Silva dos Santos Patrick
Published: April 2021

Este artigo tem por objetivo fazer uma reflexão crítica em relação aos processos de reorganização da cidade do Rio de Janeiro orientadas ideologicamente pela perspectiva do combate ao outro, “enfermo” e portador a priori das moléstias que assolaram à capital imperial, mais tarde capital da república. As muitas epidemias que eclodiram no Rio de Janeiro, desde os tempos do império foram creditadas aos segmentos populacionais já estigmatizados daquela sociedade: negros, mulatas, mestiços e brancos pobres. Portanto, o que orienta esta reflexão, é como o advento das epidemias, das doenças proporcionaram as populações pobres quando operadas como justificativas ideológicas pelos agentes do Estado. Metodologicamente à análise se utilizou de instrumental histórico-sociológico.
INVENTARIANDO O PATRIMÔNIO URBANO NÃO-TOMBADO
Authors: Silva Aline Canuto da
Published: April 2021

Esse texto trás a experiência de campo e identificação de patrimônio edificado não-tombado no município de Guarulhos-SP, em via do instrumento de inventário do patrimônio, baseado no modelo do Instituto Estadual do Patrimônio Cultural (INEPAC). Entendendo o inventário como formatador do ato de historiar e preservar, remontamos textuais, iconografia e bibliografia visando a trajetória, particularidades, pluralidade dos usos e as relações sociais e atores em torno da edificação. Mobilizando análises de Atique (1999; 2016), Lerner e Serra (2010) e Pignatarri et all (2020), problematizamos a temática da representatividade do patrimônio cultural urbano nas dinâmicas de espacialidade em âmbito público-privado, isto é, a existência e/ou ausência(s) de políticas e práticas de preservação, em face de outras políticas pactuadas, como da especulação imobiliária.
A QUESTÃO DA SAÚDE INDÍGENA NOS TERRITÓRIOS SOCIAIS DO RIO GRANDE DO NORTE
Authors: Da Silva Victor André Costa
Published: April 2021

Este artigo se propõe a discutir os principais desafios encarados pelos povos indígenas no Rio Grande do Norte quanto à questão da saúde em seus territórios sociais – conceito proposto pelo antropólogo Paul Little – suscitando reflexões referentes tanto ao período colonial quanto aos dias atuais no contexto da pandemia da covid-19, ao dialogar com a Antropologia Histórica, por meio de autores como Barth; Almeida; Pacheco; Neves; entre outros. Através da análise de fontes documentais do período colonial; de dados oficiais dos governos mais recentes; e relatos orais de lideranças indígenas no estado, percebeu-se as intensas relações entre o acesso à terra e à saúde de qualidade, assim como, a contínua resistência dos povos indígenas, no período colonial e também atualmente no Rio Grande do Norte.
O REGIME POLÍTICO DA HETEROSSEXUALIDADE E A MIGRAÇÃO SEXUAL
Authors: Frisso Gustavo Luiz
Published: April 2021

Este trabalho contribui com a discussão sobre a migração sexual, unindo o HIV/Aids à relação espacial, a partir de perspectivas complementares, como as práticas do cotidiano de Certeau (1984) são adequadas à migração sexual de Carrillo (2004, 2010) sob a óptica da Nação Heterossexual de Ochy Curiel (2013). Essa revisão bibliográfica é complementada por Susan Sontag (1984, 1989) ao discutir os efeitos das metáforas sobre a doença e sobre o HIV/Aids na vida social de pessoas com HIV. As práticas do cotidiano de um homem, homossexual e migrante, moldam-se às implicações heteronormativas da família, símbolo da nação heterossexual, e às limitações de se relacionar afetiva e sexualmente nos espaços onde habitam. A partir da idealização de liberdade afetiva e sexual no outro lado da fronteira, eles decidem migrar e se expõem ao vírus.
Implantation of mechanical prosthesis in the pulmonary artery after radical correction of the common arterial trunk followed by xenopericardial conduit replacement: a case report
Authors: Barbukhatti K.O. , Belash S.A. , Shevchenko S.S. , Amari M.M. , Karakhalis N.B. , Shadrin A.K. , Porhanov V.A.
Published: April 2021

Herein, we report the successful surgical treatment of the case of a 13-year-old patient with combined pulmonary artery stenosis, critical stenosis of the xenopericardial conduit and aortic valve insufficiency after two previous operations (radical correction of the common arterial trunk during the neonatal period and replacement of the right ventricular excretory tract conduit with branch plasty at three years of age). According to echocardiography, the peak pressure gradient across the conduit was 110 mmHg, along with aortic valve regurgitation of the third degree. According to computerised tomography angiography, there was narrowing of the right pulmonary artery up to 3 mm distally along with total calcification of the conduit and branches of the pulmonary artery with an intimate fit to the chest wall. The trunk of the pulmonary artery was replaced with a valve-containing conduit CARBOMEDICS СARBO-SEAL No.25 (LivaNova PLC, London, United Kingdom); right pulmonary artery plasty was performed with a xenopericardial patch; aortic valve was replaced with CARBOMEDICS СARBO-SEAL No.23 (LivaNova PLC, London, United Kingdom), a mechanical prosthesis, and supracoronary prosthetics were used for the ascending aorta. The duration of cardiopulmonary bypasswas 309 minutes, cross-clampwas 142 minutes and circulatory arrest was 49 minutes, with 26°C hypothermia. Extubation was performed 10 hours after surgery, and he spent 3 days in intensive care. The duration of hospitalisation was 26 days. He was examined after 6 months, and there were no complaints. The presented clinical case shows that implantation of a mechanical prosthesis is justified with repeated reoperations on the outflow tract of the right ventricle and the pulmonary trunk, and it may be the surgery of choice.Received 3 September 2020. Revised 1 October 2020. Accepted 5 October 2020.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributionsDrafting the article: S.A. Belash, M.M. AmariLiterature review: S.A. Belash, M.M. AmariIllustrations: S.S. Shevchenko, A.K. ShadrinCritical revision of the article: K.O. Barbukhatti, S.A. Belash, N.B. Karakhalis, V.A. PorkhanovFinal approval of the version to be published: K.O. Barbukhatti, S.A. Belash, S.S. Shevchenko, M.M. Amari, N.B. Karakhalis, A.K. Shadrin, V.A. Porkhanov
Acute kidney injury in cardiac surgery: preoperative predictive diagnostics
Authors: Kamenshchikov N.O. , Podoksenov Yu.K. , Diakova M.L. , Boyko A.M. , Kozlov B.N.
Published: April 2021

Acute kidney injury (AKI) and its delayed diagnosis often lead to an increase in the number of patients with chronic kidney disease. There is no denying the importance of studying the pathogenetic mechanisms of AKI, timely predictive identification of patients at high risk of CSA-AKI, as well as the need to search for and improve perioperative strategies to prevent CSA-AKI. The development of new approaches regarding predictive diagnostics of AKI and their widespread introduction into a wide clinical practice will improve the prognosis and survival of these patients.The modern diagnostic continuum of AKI considers risk factors as pre-existing conditions against which adverse factors of the perioperative period are realised. Risk factors for AKI in cardiac surgery are divided into two categories: 1) patient-dependent and 2) operations-associated or modifiable risk factors for the development of AKI, to some extent secondary to iatrogenic effects (adverse factors of the perioperative period). A clear understanding of the significance of these factors regarding the development of AKI in cardiac surgery patients allows us to form risk scales for predicting CSA-AKI in the postoperative period. This review presents the following work, which is a milestone for the predictive diagnosis of AKI in cardiac surgery: model Association of Nephrology and the Association of Anaesthesiologists and Reanimatologists of Russia, the scale EuroSCORE II, the STS Score, Score Mehta, ‘risk index perioperative renal dysfunction/failure’, S. Aronson et al., scale S.Y. Ng et al., model K. Birnie et al.The use of predictive models for the predictive diagnosis of CSA-AKI is an important strategy for identifying high-risk patients. This approach allows active application of preventive strategies regarding AKI in routine clinical practice. It also has distinct advantages regarding conducting cohort clinical studies of new renoprotective technologies. To date, there is no ‘gold standard’ scale for predicting the risk of cardiac AKI. The authors propose consideration of their application as a weighted ‘Solomon’ solution, according to a specific clinical situation.Received 10 July 2020. Revised 9 September 2020. Accepted 10 September 2020.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributionsConception and design: N.O. Kamenshchikov, Yu.K. Podoksenov, M.L. DiakovaDrafting the article: N.O. Kamenshchikov, M.L. Diakova, A.M. BoykoCritical revision of the article: M.L. Diakova, Yu.K. PodoksenovFinal approval of the version to be published: N.O. Kamenshchikov, Yu.K. Podoksenov, M.L. Diakova, A.M. Boyko, B.N. Kozlov
Evaluation of quality of care for patients with congenital heart disease using ECHSA Congenital Database integrated tools
Authors: Kornoukhov O.Yu. , Karimov A.A. , Ilyin V.N.
Published: April 2021

Background. A quality of surgical care evaluation based solely on workload and hospital mortality is incomplete. ECHSA Congenital Database integrated tools provide complexity-adjusted methods to evaluate surgical results and the surgical performance of a hospital, and make it possible to demonstrate hospital service level among other congenital heart programmes.Methods. Data on 2,521 operations in a population of children, including 532 newborns, with congenital heart disease (CHD) were uploaded on the European Congenital Heart Surgeons Association Congenital Database. These data were collected between 2012 and 2018 at the Filatov Children's Hospital. We compared our personal results with database mean values according to the following criteria: 1) proportion of newborns among all paediatric surgical cases, 2) hospital mortality, 3) Aristotle Basic Score (ABS) value, 4) STS-EACTS Mortality Score (MtS) value, and 5) MtS Performance value. All data on the database website were analysed using integrated database tools.Results. The proportion of newborns in the Filatov Children's Hospital was 21.1%, while the database mean value was 18.6%, and hospital mortality values were 3.89% and 3.61%, respectively. The mean ABS in the Filatov Children's Hospital was 6.78 ± 2.08, while that on the database was 6.57 ± 2.12 (Z-score = 0.075). The mean MtS values for the hospital and database were 0.74 ± 0.59 and 0.72 ± 0.64, respectively (Z-score = 0.031). The calculated MtS performance for the Filatov Children's Hospital was 0.72 ± 0.56, while that for all European respondents was 0.54 ± 0.29 (Z-score = 0.603).Conclusion. Cooperation with a multicentre international database, such as ECHSA Congenital Database, provides modern complexity-adjusted tools for evaluation of quality of care for children with CHD. The Filatov Children’s Hospital is a high-volume cardiac surgery centre that demonstrates an adequate survival rate regarding complexity level and surgical risk compared to European respondents of the ECHSA Congenital Database.
Received 19 October 2020. Revised 18 November 2020. Accepted 19 November 2020.
Funding: The study did not have sponsorship.
Conflict of interest: Authors declare no conflict of interest.
Imprint and spreading techniques for the isolation and identification of subungueal fungi in claws of healthy cats
Authors: Oliveira Camilla Freitas , Carvalho Jamille Bispo de , Castro Luiza Montenegro Cintra , Guedes Paula Elisa Brandão , Santos Katharine Costa dos , Andrioli João Luciano , Ribeiro Antônio Roberto Paixão , Carlos Renata Santiago Alberto
Published: April 2021

The aim of this study was to compare imprint and spreading techniques for the isolation and identification of colonies of pathogenic and non-pathogenic fungus in the claws of semidomiciliated cats. For that propose, 150 cats were evaluated, subdivided into three groups of 50 animals. In the first and second groups, the cats were submitted to the imprint technique in Petri dishes containing Selective Mycobiotic Agar: In the first group, the cats were subjected underwent antisepsis with 70% ethanol of the claws of the thoracic limbs and in the second group the animals were subjected underwent antisepsis with 70% ethanol of the claws of only one of the thoracic limbs. The third group was submitted to the spreading technique, whose material was collected by rubbing a sterile swab moistened with brain-heart infusion broth, in the claws of the forelimbs, where an aliquot of the material was transferred to Petri dishes containing Selective Mycobiotic Agar. The material was stored at 25°C for 30 days. The readings were performed on days 5, 7, 15, and 30 post incubation. Using the imprinttechnique performed under the conditions of this experiment, we were not able to isolate and identify the colonies because since day 5, they were overlapped. From the spreading technique, Mucor sp. (54,34%), Rhodotorula sp. (28,26%), Fusarium sp. (21,73%), Aspergillus sp. (21,73%), Trichoderma sp. (19,56%), Penicillium sp. (19,56%), Cladosporium sp. (10,86%), Rhizopus sp. (8,68%), Acremonium sp. (6,5%), Exophialia sp. (6,5%), Paecilomyces sp. (4,34%), Trichosporon sp. (4,34%), and Geotrichum sp. (2,17%) were isolated. It was concluded that the spreading technique proved to be useful in isolating fungal colonies from feline claws, and the animals do not present symptoms, which signals the importance of them as possible sources of exposure for tutors. The cats were negative for Sporothrix sp. by the imprint and spreading techniques.
Autochthonous case of Canine Visceral Leishmaniasis and presence of sand flies in a high altitude area
Authors: Ubirajara Filho Carlos Roberto Cruz , Ramos Carlos Alberto do Nascimento , Giannelli Alessio , Alves Leucio Câmara , Carvalho Gílcia Aparecida de , Ramos Rafael Antonio Nascimento
Published: April 2021

Visceral leishmaniasis (VL) is a disease that affects dogs. The aim of this study was to describe an autochthonous case of VL and to report the presence of sand flies in a high-altitude area of Northeastern Brazil. In February 2019, a sampling was performed of a suspected animal (n=1), and the presence of sand flies was investigated using CDC light traps. The dog scored positive for Leishmania infantum, and four specimens of sand flies were captured and classified as Lutzomyia evandroi. This study detected the first autochthonous case of canine visceral leishmaniasis (CVL) in an area of high altitude were only L. evandroi has been collected.
Clinical, imaginological and pathological aspects of umbilical panvasculitis in calves: case report
Authors: Silva Amabile Arruda de Souza e , Pequeno Walter Henrique Cruz , Siqueira Raoane Silva , Malta Karla Campos , Milken Vanessa Martins Fayad , Araújo Suzana Aparecida Costa de , Lucena Ricardo Barbosa de , Simões Sara Vilar Dantas
Published: April 2021

The diagnosis of umbilical infections in neonates can be obtained from clinical signs, but the intracavitary involvement of structures and associated complications can be underestimated, compromising the establishment of adequate therapeutic approaches or prognosis. This case report presents the clinical, imaging, pathological and microbiological aspects of an umbilical infection in calves. Physical examination of the animal identified apathy, low body score, increased volume in the umbilical region and joints. The abdominal palpation identified firm structures in topography of the arteries and umbilical vein. Imaging examinations of the abdomen and joints were performed. Multiple, hyperechogenic focal structures have been identified in the liver, as well as cylindrical and firm structures in topography of the arteries and umbilical vein. In the joints, osteolytic changes, periosteal reactions, subchondral sclerosis and formation of osteophytes were seen. Umbilical panvasculitis triggered arthritis and an infectious process in the liver, the case being assessed as having an unfavorable prognosis and the animal being referred for euthanasia. At necropsy, multifocal abscesses were observed in the pleura, ribs, omentum, spleen and liver. There was granulomatous exudate in the urinary vesicle. The affected joints presented thickening of the joint capsule with the presence of exudate. In the microbiological analysis of liver fragments, urinary vesicle content and joint exudate, Proteus mirabilis with resistance to antimicrobials was identified. Imaging studies collaborated with the establishment of the prognosis and conduct adopted, and must, whenever possible, be included in the clinical examination. In case of death, necropsy allows a correct association of clinical signs and imaging findings.
Anti-Leptospira spp antibodies in cart horses of the city of Guaíba, Rio Grande do Sul State, Brazil
Authors: Teixeira Elisa de Menezes , Rodrigues Rogerio Oliveira , Rosa Veronica Bueno da , Bertagnolli Angélica Cavalheiro
Published: April 2021

The objective of this study was to evaluate the occurrence of antibodies against Leptospira spp in horses used by communities of informal waste collectors who use horse-drawn cartsin Guaíba, Rio Grande do Sul. Additionally, interviews were conducted with owners to assess the characteristics of the horses, their environment, and work. Serological testing for Leptospira spp. was performed on blood samples collected from 54 horses using the microscopic agglutination test. Results showed that 50.0% of the horses were seropositive for Leptospira spp and the most frequent serogroup was LeptospiraCanicola (88. 8%), followed by Leptospira Pyrogenes (11.1%), Leptospira Bataviae (7.4%), Leptospira Hebdomadis (7.4%), Leptospira Icterohaemorrhagiae (3.7%), Leptospira Australis (3.7%), Leptospira Pomona (3.7%) and Leptospira Copenhageni (3.7%). There were no statistically significant associations between seropositivity for Leptospira spp and age, gender, body score, water source, type of food storage, cohabitation with dogs, rodent infestation, residential flooding, and waste removal services. The prevalence of the Canicola serogroup, as well as a large number of dogs in close relationship with thehorses and the waste collectors, draws attention to the potential of these animals to become a source of Leptospira spp. infection in humans and other animals.
Tambang dan Masyarakat: Dampak Ekonomi dan Kesehatan Dumping Tailing bagi Masyarakat Pesisir Lingkar Tambang
Authors:   FISIP Universitas Brawijaya, Aziz SR Abdul , Pudjantoro Petir ,   FIS Universitas Negeri Malang, Rusdianto Rusdianto ,   FKIP Universitas Samawa, Yani Muhamad ,   CBES Mataram
Published: April 2021

The gold mining company PTAMNT, which operates in West Sumbawa, discharges its mine waste into the middle of the sea using the deep sea tailing placement (DSTP) method. For local people, the presence of foreign goods is seen as dangerous for their economic life and health. The toxins in it can contaminate sea water and fish. Even though their life depends a lot on the sea. Therefore, society rejects its existence. This study questions the level of acceptance of the local community as well as the economic and health impacts of tailings dumping. This study uses a qualitative method, by putting forward case studies. Data collection used the method of observation, in-depth interviews, focused group discussion, and document searches. Initially, the economic life and health of the community were considered to be affected by tailings dumping. However, local people's understanding turned out to be dynamic. When the knowledge and experience of the community increases and is in different contexts, the perspective on tailings (DSTP) changes and can accept it. Their knowledge and experience shows that tailings dumping using the DSTP method does not have any (bad) impacts on both economic life and health. It was understood later that the real big problem for the local community was not tailings dumping and its impacts, but rather the existence of the mining company itself as a whole which was seen as not always giving significant meaning to daily economic and social life.
Agenda Setting Kebijakan Pilkada Serentak Tahun 2020 Dengan Menggunakan Multiple Streams Framework
Authors:   Peneliti Independen, Ilman Ghulam Maulana , Fitrie Revienda Anita ,   Peneliti Independen
Published: April 2021

This paper discusses the agenda setting policy for 2020 simultaneous regional elections which were carried out in the midst of the Covid-19 pandemic. Various rejection that have arisen and facts in the field seem to confirm that continuing to carry out the election is an inaccurate decision. The government decisions are classified and analyzed based on three streams, namely problem stream, political stream, and policy stream. This study uses a qualitative descriptive method with a multiple stream perspective adopted from Kingdon's 2014 theoretical framework. The results of this study reveal that the public's desire to postpone the implementation of regional elections in the midst of a pandemic has been ignored by the government, considering that no one can confirm when this pandemic ends. Strong political stream more dominate because this election contestation is full of various political interests. The enactment of Perppu No. 2/2020 immediately terminate the various policy alternatives that had been offered.
El papel de los equipos caninos detectores de restos humanos en la investigación criminal
Authors: Rojas-Guevara Jorge Ulises , Córdoba-Parra Juan David , Bohórquez Gabriel Antonio , Vega-Contreras Ricardo Antonio , Prada-Tiedemann Paola
Published: April 2021

Este artículo busca determinar el impacto de los equipos caninos detectores de restos humanos de la Policía Nacional de Colombia durante 10 años, desde que en 2007 se inició un protocolo con binomios (guía-canino). Mediante el estudio de 5 binomios que han desarrollado búsquedas en varias regiones colombianas, se establecen los factores ambientales, el tipo de terreno, el posible grupo criminal implicado y la ubicación geográfica, entre otras muchas variables que participan en los registros realizados tanto en desastres naturales como en casos de desaparición y delitos asociados. Como resultado del análisis de estos escenarios, se hace un aporte a la estrategia para el abordaje de homicidios y desapariciones y el hallazgo de elementos materiales probatorios para la justicia.
Protocolo de informática forense ante ciberincidentes en telemedicina para preservar información como primera respuesta
Authors: Tejo-Machado Nadjila , Rodrigues-Martinez-Basile Felipe , Cezar-Amate Flavio , Ramírez-López Leonardo Juan
Published: April 2021

Este estudio presenta un protocolo de preservación de rastros y evidencias digitales ante ciberincidentes por medio de diferentes niveles de acceso de usuarios, con base en la informática forense. La aplicación de nuevas herramientas y sus funciones permite conservar información que puede esclarecer los tipos de ataques, la dinámica del delito, su materialidad y su autoría. Este es un protocolo que determina la primera respuesta digital, clasificada por niveles de urgencia, para apoyar la toma de decisiones manteniendo la cadena de custodia según el riesgo de volatilidad de los datos. Se concluye que este protocolo apoya el esclarecimiento de un ciberincidente y permite la correcta conservación de los datos, de manera que cada organización atacada pueda decidir qué datos debe priorizar en la identificación y la protección de la información.
Influencia de los estilos de liderazgo en el comportamiento innovador de cadetes peruanos
Authors: Norena-Chavez Diego , Céliz-Kuong Jorge Orlando , Guevara Rubén
Published: April 2021

Esta investigación busca determinar la influencia de los estilos de liderazgo transaccional y transformacional en el comportamiento innovador. La investigación siguió un enfoque metodológico cuantitativo, de corte transversal, de alcance correlacional explicativo y con diseño no experimental. Se empleó una muestra de 386 cadetes de la Escuela Militar de Chorrillos Coronel Francisco Bolognesi (Perú). Los resultados se evaluaron mediante el modelamiento de ecuaciones estructurales utilizando mínimos cuadrados parciales. Se encontró que existe una influencia de los dos estilos de liderazgo estudiados sobre el comportamiento innovador de los cadetes. De acuerdo con la varianza explicada, el liderazgo transaccional explicaría el 22 % y el liderazgo transformacional, el 31 % de la variabilidad del comportamiento innovador. Esta investigación contribuye a comprender esta relación entre liderazgo y comportamiento innovador en el ámbito militar.
Quantitative Assessment of the Newly MRT System from the Rider’s Perspectives
Authors: Bachok Syahriah , Mohamad Muhammad Rijal , Oladejo Aliou Olabayonle , Mohd Zahari Mohammad Zarif
Published: April 2021

New rail systems developed in many cities have received significant attention from public transportation researchers globally and regionally. One such system is the Mass Rapid Transit system in Klang Valley, Malaysia. The quality of services’ perception has been captured through the questionnaire survey. Preliminary analysis showed that passengers were satisfied and indicated a great willingness to repeat usage. Likewise, dissatisfaction was only expressed on the feeder bus system services to and from the rail stations. This research explains the rationales for the disproportionately high satisfaction levels and betterment of the support infrastructure, including the feeder services.
Keywords: high satisfaction, passengers, public transport, rail system
eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v6i16.2602
Development and Validation of Clinical Prediction Models for Surgical Success in Patients With Endometriosis: Protocol for a Mixed Methods Study
Authors: Marlin Nadine , Rivas Carol , Allotey John , Dodds Julie , Horne Andrew , Ball Elizabeth
Published: April 2021

Background

Endometriosis is a chronic inflammatory condition affecting 6%-10% of women of reproductive age and is defined by the presence of endometrial-like tissue outside the uterus (lesions), commonly affecting the pelvis and ovaries. It is associated with debilitating pelvic pain, infertility, and fatigue and often has devastating effects on the quality of life (QoL). Although it is as common as back pain, it is poorly understood, and treatment and diagnosis are often delayed, leading to unnecessary suffering. Endometriosis has no cure. Surgery is one of several management options. Quantifying the probability of successful surgery is important for guiding clinical decisions and treatment strategies. Factors predicting success through pain reduction after endometriosis surgery have not yet been adequately identified.

Objective

This study aims to determine which women with confirmed endometriosis benefit from surgical improvement in pain and QoL and whether these women could be identified from clinical symptoms measured before laparoscopy.

Methods

First, we will carry out a systematic search and review and, if appropriate, meta-analysis of observational cohort and case-control studies reporting one or more risk factors for endometriosis and postsurgical treatment success. We will search PubMed, Embase, and Cochrane databases from inception without language restrictions and supplement the reference lists by manual searches. Second, we will develop separate clinical prediction models for women with confirmed and suspected diagnoses of endometriosis. A total of three suitable databases have been identified for development and external validation (the MEDAL [ISRCTN13028601] and LUNA [ISRCTN41196151] studies, and the BSGE database), and access has been guaranteed. The models will be developed using a linear regression approach that links candidate factors to outcomes. Third, we will hold 2 stakeholder co-design workshops involving eight clinicians and eight women with endometriosis separately and then bring all 16 participants together. Participants will discuss the implementation, delivery, usefulness, and sustainability of the prediction models. Clinicians will also focus on the ease of use and access to clinical prediction tools.

Results

This project was funded in March 2018 and approved by the Institutional Research Ethics Board in December 2019. At the time of writing, this study was in the data analysis phase, and the results are expected to be available in April 2021.

Conclusions

This study is the first to aim to predict who will benefit most from laparoscopic surgery through the reduction of pain or increased QoL. The models will provide clinicians with robustly developed and externally validated support tools, improving decision making in the diagnosis and treatment of women.

International Registered Report Identifier (IRRID)

DERR1-10.2196/20986
Comparing Single-Page, Multipage, and Conversational Digital Forms in Health Care: Usability Study
Authors: Iftikhar Aleeha , Bond Raymond R , McGilligan Victoria , Leslie Stephen J , Rjoob Khaled , Knoery Charles , Quigg Ciara , Campbell Ryan , Boyd Kyle , McShane Anne , Peace Aaron
Published: April 2021

Background

Even in the era of digital technology, several hospitals still rely on paper-based forms for data entry for patient admission, triage, drug prescriptions, and procedures. Paper-based forms can be quick and convenient to complete but often at the expense of data quality, completeness, sustainability, and automated data analytics. Digital forms can improve data quality by assisting the user when deciding on the appropriate response to certain data inputs (eg, classifying symptoms). Greater data quality via digital form completion not only helps with auditing, service improvement, and patient record keeping but also helps with novel data science and machine learning research. Although digital forms are becoming more prevalent in health care, there is a lack of empirical best practices and guidelines for their design. The study-based hospital had a definite plan to abolish the paper form; hence, it was not necessary to compare the digital forms with the paper form.

Objective

This study aims to assess the usability of three different interactive forms: a single-page digital form (in which all data input is required on one web page), a multipage digital form, and a conversational digital form (a chatbot).

Methods

The three digital forms were developed as candidates to replace the current paper-based form used to record patient referrals to an interventional cardiology department (Cath-Lab) at Altnagelvin Hospital. We recorded usability data in a counterbalanced usability test (60 usability tests: 20 subjects×3 form usability tests). The usability data included task completion times, System Usability Scale (SUS) scores, User Experience Questionnaire data, and data from a postexperiment questionnaire.

Results

We found that the single-page form outperformed the other two digital forms in almost all usability metrics. The mean SUS score for the single-page form was 76 (SD 15.8; P=.01) when compared with the multipage form, which had a mean score of 67 (SD 17), and the conversational form attained the lowest scores in usability testing and was the least preferred choice of users, with a mean score of 57 (SD 24). An SUS score of >68 was considered above average. The single-page form achieved the least task completion time compared with the other two digital form styles.

Conclusions

In conclusion, the digital single-page form outperformed the other two forms in almost all usability metrics; it had the least task completion time compared with those of the other two digital forms. Moreover, on answering the open-ended question from the final customized postexperiment questionnaire, the single-page form was the preferred choice.
Racial and Ethnic Differences in COVID-19 Outcomes, Stressors, Fear, and Prevention Behaviors Among US Women: Web-Based Cross-sectional Study
Authors: Stockman Jamila K , Wood Brittany A , Anderson Katherine M
Published: April 2021

Background

In the United States, racial and ethnic minorities are disproportionately affected by COVID-19, with persistent social and structural factors contributing to these disparities. At the intersection of race/ethnicity and gender, women of color may be disadvantaged in terms of COVID-19 outcomes due to their role as essential workers, their higher prevalence of pre-existing conditions, their increased stress and anxiety from the loss of wages and caregiving, and domestic violence.

Objective

The purpose of this study is to examine racial and ethnic differences in the prevalence of COVID-19 outcomes, stressors, fear, and prevention behaviors among adult women residing in the United States.

Methods

Between May and June 2020, women were recruited into the Capturing Women’s Experiences in Outbreak and Pandemic Environments (COPE) Study, a web-based cross-sectional study, using advertisements on Facebook; 491 eligible women completed a self-administered internet-based cross-sectional survey. Descriptive statistics were used to examine racial and ethnic differences (White; Asian; Native Hawaiian or other Pacific Islander; Black; Hispanic, Latina, or Spanish Origin; American Indian or Alaskan Native; multiracial or some other race, ethnicity, or origin) on COVID-19 outcomes, stressors, fear, and prevention behaviors.

Results

Among our sample of women, 16% (73/470) reported COVID-19 symptoms, 22% (18/82) were concerned about possible exposure from the people they knew who tested positive for COVID-19, and 51.4% (227/442) knew where to get tested; yet, only 5.8% (27/469) had been tested. Racial/ethnic differences were observed, with racial/ethnic minority women being less likely to know where to get tested. Significant differences in race/ethnicity were observed for select stressors (food insecurity, not enough money, homeschooling children, unable to have a doctor or telemedicine appointment) and prevention behaviors (handwashing with soap, self-isolation if sick, public glove use, not leaving home for any activities). Although no racial/ethnic differences emerged from the Fear of COVID-19 Scale, significant racial/ethnic differences were observed for some of the individual scale items (eg, being afraid of getting COVID-19, sleep loss, and heart racing due to worrying about COVID-19).

Conclusions

The low prevalence of COVID-19 testing and knowledge of where to get tested indicate a critical need to expand testing for women in the United States, particularly among racial/ethnic minority women. Although the overall prevalence of engagement in prevention behaviors was high, targeted education and promotion of prevention activities are warranted in communities of color, particularly with consideration for stressors and adverse mental health.