bluuebunny/crossref_metadata_2025 huggingface dataset:
Recruitment and Retention Strategies Among Racial and Ethnic Minorities in Web-Based Intervention Trials: Retrospective Qualitative Analysis
Authors: Hwang DaSol Amy , Lee Alex , Song Jae Min , Han Hae-Ra
Published: April 2021

Background

Racial and ethnic minority groups are underrepresented in health research, contributing to persistent health disparities in the United States. Identifying effective recruitment and retention strategies among minority groups and their subpopulations is an important research agenda. Web-based intervention approaches are becoming increasingly popular with the ubiquitous use of the internet. However, it is not completely clear which recruitment and retention strategies have been successful in web-based intervention trials targeting racial and ethnic minorities.

Objective

This study aims to describe lessons learned in recruiting and retaining one of the understudied ethnic minority women—Korean Americans—enrolled in a web-based intervention trial and to compare our findings with the strategies reported in relevant published web-based intervention trials.

Methods

Multiple sources of data were used to address the objectives of this study, including the study team’s meeting minutes, participant tracking and contact logs, survey reports, and postintervention interviews. In addition, an electronic search involving 2 databases (PubMed and CINAHL) was performed to identify published studies using web-based interventions. Qualitative analysis was then performed to identify common themes addressing recruitment and retention strategies across the trials using web-based intervention modalities.

Results

A total of 9 categories of recruitment and retention strategies emerged: authentic care; accommodation of time, place, and transportation; financial incentives; diversity among the study team; multiple, yet standardized modes of communication; mobilizing existing community relationships with efforts to build trust; prioritizing features of web-based intervention; combined use of web-based and direct recruitment; and self-directed web-based intervention with human support. Although all the studies included in the analysis combined multiple strategies, prioritizing features of web-based intervention or use of human support were particularly relevant for promoting recruitment and retention of racial and ethnic minorities in web-based intervention trials.

Conclusions

The growing prevalence of internet use among racial and ethnic minority populations represents an excellent opportunity to design and deliver intervention programs via the internet. Future research should explore and compare successful recruitment and retention methods among race and ethnic groups for web-based interventions.

Trial Registration

ClinicalTrials.gov NCT03726619; https://clinicaltrials.gov/ct2/show/NCT03726619.
Establishing and Facilitating Large-Scale Manuscript Collaborations via Social Media: Novel Method and Tools for Replication
Authors: Acquaviva Kimberly D
Published: April 2021

Background

Authorship teams in the health professions are typically composed of scholars who are acquainted with one another before a manuscript is written. Even if a scholar has identified a diverse group of collaborators outside their usual network, writing an article with a large number of co-authors poses significant logistical challenges.

Objective

This paper describes a novel method for establishing and facilitating large-scale manuscript collaborations via social media.

Methods

On September 11, 2020, I used the social media platform Twitter to invite people to collaborate on an article I had drafted. Anyone who wanted to collaborate was welcome, regardless of discipline, specialty, title, country of residence, or degree completion. During the 25 days that followed, I used Google Docs, Google Sheets, and Google Forms to manage all aspects of the collaboration.

Results

The collaboration resulted in the completion of 2 manuscripts in a 25-day period. The International Council of Medical Journal Editors authorship criteria were met by 40 collaborators for the first article (“Documenting Social Media Engagement as Scholarship: A New Model for Assessing Academic Accomplishment for the Health Professions”) and 35 collaborators for the second article (“The Benefits of Using Social Media as a Health Professional in Academia”). The authorship teams for both articles were notably diverse, with 17%-18% (7/40 and 6/35, respectively) of authors identifying as a person of color and/or underrepresented minority, 37%-38% (15/40 and 13/35, respectively) identifying as LGBTQ+ (lesbian, gay, bisexual, transgender, gender non-conforming, queer and/or questioning), 73%-74% (29/40 and 26/35, respectively) using she/her pronouns, and 20%-23% (9/40 and 7/35, respectively) identifying as a person with a disability.

Conclusions

Scholars in the health professions can use this paper in conjunction with the tools provided to replicate this process in carrying out their own large-scale manuscript collaborations.
Using the Computer-based Health Evaluation System (CHES) to Support Self-management of Symptoms and Functional Health: Evaluation of Hematological Patient Use of a Web-Based Patient Portal
Authors: Lehmann Jens , Buhl Petra , Giesinger Johannes M , Wintner Lisa M , Sztankay Monika , Neppl Lucia , Willenbacher Wolfgang , Weger Roman , Weyrer Walpurga , Rumpold Gerhard , Holzner Bernhard
Published: April 2021

Background

Patient portals offer the possibility to assess patient-reported outcome measures (PROMs) remotely, and first evidence has demonstrated their potential benefits.

Objective

In this study, we evaluated patient use of a web-based patient portal that provides patient information and allows online completion of PROMs. A particular focus was on patient motivation for (not) using the portal. The portal was developed to supplement routine monitoring at the Department of Internal Medicine V in Innsbruck.

Methods

We included patients with multiple myeloma and chronic lymphocytic leukemia who were already participating in routine monitoring at the hospital for use of the patient portal. Patients were introduced to the portal and asked to complete questionnaires prior to their next hospital visits. We used system access logs and 3 consecutive semistructured interviews to analyze patient use and evaluation of the portal.

Results

Between July 2017 and August 2020, we approached 122 patients for participation in the study, of whom 83.6% (102/122) consented to use the patient portal. Patients were on average 60 (SD 10.4) years old. Of patients providing data at all study time points, 37% (26/71) consistently used the portal prior to their hospital visits. The main reason for not completing PROMs was forgetting to do so in between visits (25/84, 29%). During an average session, patients viewed 5.3 different pages and spent 9.4 minutes logged on to the portal. Feedback from interviews was largely positive with no patients reporting difficulties navigating the survey and 50% of patients valuing the self-management tools provided in the portal. Regarding the portal content, patients were interested in reviewing their own results and reported high satisfaction with the dynamic self-management advice, also reflected in the high number of clicks on those pages.

Conclusions

Patient portals can contribute to patient empowerment by offering sought-after information and self-management advice. In our study, the majority of our patients were open to using the portal. The low number of technical complaints and average time spent in the portal demonstrate the feasibility of our patient portal. While initial interest was high, long-term use was considerably lower and identified as the main area for improvement. In a next step, we will improve several aspects of the patient portal (eg, including a reminder to visit the portal before the next appointment and closer PROM symptom monitoring via an onconurse).
Accuracy of Smart Scales on Weight and Body Composition: Observational Study (Preprint)
Authors: Frija-Masson Justine , Mullaert Jimmy , Vidal-Petiot Emmanuelle , Pons-Kerjean Nathalie , Flamant Martin , d'Ortho Marie-Pia
Published: April 2021

BACKGROUND

Smart scales are increasingly used at home by patients to monitor their body weight and body composition, but scale accuracy has not often been documented.

OBJECTIVE

The goal of the research was to determine the accuracy of 3 commercially available smart scales for weight and body composition compared with dual x-ray absorptiometry (DEXA) as the gold standard.

METHODS

We designed a cross-sectional study in consecutive patients evaluated for DEXA in a physiology unit in a tertiary hospital in France. There were no exclusion criteria except patient declining to participate. Patients were weighed with one smart scale immediately after DEXA. Three scales were compared (scale 1: Body Partner [Téfal], scale 2: DietPack [Terraillon], and scale 3: Body Cardio [Nokia Withings]). We determined absolute error between the gold standard values obtained from DEXA and the smart scales for body mass, fat mass, and lean mass.

RESULTS

The sample for analysis included 53, 52, and 48 patients for each of the 3 tested smart scales, respectively. The median absolute error for body weight was 0.3 kg (interquartile range [IQR] –0.1, 0.7), 0 kg (IQR –0.4, 0.3), and 0.25 kg (IQR –0.10, 0.52), respectively. For fat mass, absolute errors were –2.2 kg (IQR –5.8, 1.3), –4.4 kg (IQR –6.6, 0), and –3.7 kg (IQR –8.0, 0.28), respectively. For muscular mass, absolute errors were –2.2 kg (IQR –5.8, 1.3), –4.4 kg (IQR –6.6, 0), and –3.65 kg (IQR –8.03, 0.28), respectively. Factors associated with fat mass measurement error were weight for scales 1 and 2 (P=.03 and P<.001, respectively), BMI for scales 1 and 2 (P=.034 and P<.001, respectively), body fat for scale 1 (P<.001), and muscular and bone mass for scale 2 (P<.001 for both). Factors associated with muscular mass error were weight and BMI for scale 1 (P<.001 and P=.004, respectively), body fat for scales 1 and 2 (P<.001 for both), and muscular and bone mass for scale 2 (P<.001 and P=.002, respectively).

CONCLUSIONS

Smart scales are not accurate for body composition and should not replace DEXA in patient care.

CLINICALTRIAL

ClinicalTrials.gov NCT03803098; https://clinicaltrials.gov/ct2/show/NCT03803098
Use of a Telemedicine Risk Assessment Tool to Predict the Risk of Hospitalization of 496 Outpatients With COVID-19: Retrospective Analysis (Preprint)
Authors: O'Keefe James B , Tong Elizabeth J , Taylor Jr Thomas H , O’Keefe Ghazala A Datoo , Tong David C
Published: April 2021

BACKGROUND

Risk assessment of patients with acute COVID-19 in a telemedicine context is not well described. In settings of large numbers of patients, a risk assessment tool may guide resource allocation not only for patient care but also for maximum health care and public health benefit.

OBJECTIVE

The goal of this study was to determine whether a COVID-19 telemedicine risk assessment tool accurately predicts hospitalizations.

METHODS

We conducted a retrospective study of a COVID-19 telemedicine home monitoring program serving health care workers and the community in Atlanta, Georgia, with enrollment from March 24 to May 26, 2020; the final call range was from March 27 to June 19, 2020. All patients were assessed by medical providers using an institutional COVID-19 risk assessment tool designating patients as Tier 1 (low risk for hospitalization), Tier 2 (intermediate risk for hospitalization), or Tier 3 (high risk for hospitalization). Patients were followed with regular telephone calls to an endpoint of improvement or hospitalization. Using survival analysis by Cox regression with days to hospitalization as the metric, we analyzed the performance of the risk tiers and explored individual patient factors associated with risk of hospitalization.

RESULTS

Providers using the risk assessment rubric assigned 496 outpatients to tiers: Tier 1, 237 out of 496 (47.8%); Tier 2, 185 out of 496 (37.3%); and Tier 3, 74 out of 496 (14.9%). Subsequent hospitalizations numbered 3 out of 237 (1.3%) for Tier 1, 15 out of 185 (8.1%) for Tier 2, and 17 out of 74 (23%) for Tier 3. From a Cox regression model with age of 60 years or older, gender, and reported obesity as covariates, the adjusted hazard ratios for hospitalization using Tier 1 as reference were 3.74 (95% CI 1.06-13.27; P=.04) for Tier 2 and 10.87 (95% CI 3.09-38.27; P<.001) for Tier 3.

CONCLUSIONS

A telemedicine risk assessment tool prospectively applied to an outpatient population with COVID-19 identified populations with low, intermediate, and high risk of hospitalization.
Experiences of Blogging About Visible and Long-term Skin Conditions: Interpretative Phenomenological Analysis (Preprint)
Authors: Tour Selina K , Thompson Andrew , Howard Ruth A , Larkin Michael
Published: April 2021

BACKGROUND

Skin conditions can detract from people’s quality of life, much like conditions such as cancer, chronic pain, and depression. Visible skin conditions can lead to risk of stigmatization. It is acknowledged that there is a lack of available psychosocial support for people living with chronic skin conditions. One way in which individuals with long-term conditions are self-managing and providing peer support is through blogging and exchanging information on the web. To date, no research has specifically investigated how individuals with skin conditions experience the use blogging for self-management.

OBJECTIVE

This study sought to investigate the experiences of individuals with visible, long-term skin conditions when blogging about their conditions.

METHODS

A systematic blog search and a short survey were used for recruitment. A total of 4 participants took part in email interviews, which were analyzed using interpretative phenomenological analysis (IPA). Skin conditions included alopecia, psoriasis, and hirsutism. The content of these individuals’ blogs was also analyzed using a qualitative template method derived from the IPA analysis.

RESULTS

The interviews and accounts revealed a clear sense of uncertainty about the course of the bloggers’ skin conditions. This appeared to be associated with feelings of distress and isolation, searching for treatments, and ultimately a sense of defeat. The data revealed that blogging provided a space where this sense of defeat was managed and challenged. Posting on the web facilitated connection with others and enabled support networks to be established that assisted in challenging the feelings of isolation experienced. The data demonstrate the important role that blogging played for these participants in developing a sense of acceptance of their condition.

CONCLUSIONS

Blogging may provide a way for individuals to self-manage distress associated with visible skin conditions. It may provide similar benefits to those known to be derived from emotional disclosure that occurs during writing, with an added peer support dimension. Blogging has occurred naturalistically on web-based forums, and this study demonstrates how this form of interaction may warrant adaptation for use with web-based psychosocial interventions for people living with skin conditions. This study had a limited sample of 4 bloggers; therefore, further exploration would be needed to consider the utility of this approach.
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Authors: Novak L.P. , Tumanova O.V.
Published: April 2021

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Pengembangan Kegiatan Kreatif Berwawasan Eco-Pesantren menuju New Normal di Pondok Pesantren Pabelan Magelang
Authors: Ghaisani Marinda P.D. , Saputri Yunisda Dwi , Basuki Amin , Munjid Achmad , Munandar Aris
Published: April 2021

The dagradation of environment quality demands a change in the society’s attitude and behavior. Worsened by Covid-19 pandemy,  people are strongly advised to adopt the WHO protocol in order to prevent the spread of the virus. The main concern of the program is to convey the importance of personal hygiene and environmentally friendly mindset amidst the COVID-19 pandemic to pesantren community as well as to realize a sustainable future for human lives through the eco-pesantren concept. The program is carried out in three stages, namely gi ving motivation to live an optimistic life under COVID-19 thret, teaching various DIY activities such as making face mask from old clothes and disinfectant spray, and creating tutorial videos for the wider society through Instagram. Thss program strengthens the relation between pesantren community and higher learning institute and develops initiative to reduce the spread of COVID 19.

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Penurunan kualitas lingkungan menuntut perubahan sikap dan perilaku manusia dalam kehidupannya. Terlebih lagi dengan adanya wabah virus corono, manusia dituntut untuk menerapkan protokol kesehatan guna mencegah persebaran virus. Tujuan utama kegiatan ini yakni untuk menyampaikan pentingnya kebersihan diri dan pola pikir ramah lingkungan di tengah pandemi COVID-19 sekaligus sebagai usaha mewujudkan pembangunan berkelanjutan yang menjadi impian masyarakat global. Pelaksanaan program kegiatan ini dilakukan dalam tiga tahap, yakni penumbuhan motivasi melalui video untuk tetap optimis, praktik pembuatan masker wajah dari kain perca dan pembuatan desinfektan, serta pembuatan video tutorial ke Instagram untuk disebarkan ke masyarakat luas. Kegiatan pengabdian masyarakat ini menjadi sarana menumbuhkan relasi yang baik antara komunitas Pesantren dan Perguruan Tinggi sebagai usaha untuk mendukung pemerintah Indonesia menekan laju kasus COVID-19.
Thermal Comfort Condition in Affandi Museum Yogyakarta
Authors: Millatina Azka , Imam Syafii Nedyomukti
Published: April 2021

Thermal comfort is a basic human demand in interacting with space/architectural design. Determination of thermal comfort criteria can help the designer/architect in improving quality, function, and user thermal experience in an artificial environment. ISO 7730: 1994 standard states that the thermal sensation experienced by humans is the result of climate parameters (such as air temperature, radiation temperature, humidity, and wind speed) and human parameters (such as activity and clothing). These parameters were the focus of this study. The work program of this research collaboration was basically divided into 2 phases of activity, namely measuring and monitoring the conditions of thermal comfort in the Gallery 1 environment, Affandi Museum and providing recommendations for improvement of Gallery 1 thermal environment conditions. Primary data was taken from the indoor and outdoor measurement of air temperature, relative humidity and air velocity for 6 months. Physical architectural measurement of this study building and questionnaire methods followed the ASHRAE scale which was simplified to determine the level of thermal comfort, the scale of which was 2 (hot) to -2 (cold). The result of the measurement and analysis using a calculator based upon the ASHARE standard indicated that Gallery 1 of the Affandi Museum was in uncomfortable conditions. While the results of the questionnaire of 20 analyzes showed that at least 87,5% of respondents felt discomfort in Gallery 1, however, 60% of the respondent were still able to enjoy the collection and the atmosphere in gallery 1. The effective temperature index which provide 27,5-27,6 C and 66,7% RH as acceptable indoor environment in warm humid climate at Affandi museum case.
Downloadable Consciousness
Authors: Raymond Simon
Published: April 2021

None.
“Gosto de ser desafiada intelectualmente”: a construção identitária de professores do ensino superior em uma atividade formativa
Authors: Frank Kersch Dorotea , Klering Emily Haubert
Published: April 2021

O mundo tem passado por profundas transformações, muitas delas motivadas pelas tecnologias digitais, que acabam por modificar a forma como nos relacionamos, trabalhamos, lemos e comunicamos, bem como a maneira como percebemos a nós mesmos. Uma vez que a forma como ensinamos e aprendemos é impactada por essas mudanças, passa a ser dever das universidades, responsáveis pela formação dos professores, inserir os seus educadores na cultura híbrida e multimodal. Pensando nisso, desenvolveu-se uma formação em uma universidade comunitária e confessional no Sul do Brasil para estimular os professores da graduação e pós-graduação a entrarem na cultura híbrida e multimodal. A atividade requereu a criação de cartas contendo uma foto e uma curta narrativa sobre si mesmos. Partindo da percepção de que identidades surgem na construção feita da imagem própria e da dos outros (DE FINA, 2015) e considerando que a escolha de palavras contém imagens reveladoras da maneira como o narrador percebe a si mesmo (DAVIES; HARRÉ, 1990), o objetivo deste artigo é analisar a maneira como professores universitários constroem suas identidades e se posicionam discursivamente numa narrativa multimodal. Para esta pesquisa, participaram três profissionais da Escola Politécnica e três da Escola das Humanidades. Os resultados mostram que as mídias sociais interferem na forma como escrevem e que um dos fatores que distingue um grupo do outro é a maior identificação com a profissão docente por parte dos professores da Escola das Humanidades.
O controle de traços semântico-pragmáticos sobre possessivos no português
Authors: Siqueira Manoel
Published: April 2021

Os possessivos são considerados como uma categoria de palavras que estabelece relação de posse entre um ser possuidor e um elemento possuído. Contudo, apenas em um sentido amplo a relação de posse pode ser considerada como sua função, já que os possessivos podem assumir outras relações. É objetivo deste estudo relacionar traços semântico-pragmáticos com o uso de possessivos pré-nominais com base numa perspectiva cognitivo-funcional. Adotamos as categorias metafóricas apresentadas em Heine et al. (1991), que vão desde o nível mais forte de concretude até o nível mais forte de abstração, organizadas ao longo de uma escala metafórica de pessoa > objeto > atividade > espaço > tempo > qualidade. Utilizamos uma amostra de fala retirada do banco Falares Sergipanos, da qual extraímos 1267 ocorrências de possessivos pré-nominais. Os dados mostram que o controle de traços semântico-pragmáticos é produtivo para a descrição do funcionamento dos possessivos no português, com predomínio da categoria mais concreta, pessoa, e da mais abstrata, qualidade; os menores números são encontrados na categoria tempo. A ocorrência dos possessivos parece estar interligada com a pessoa que produz o enunciado, com o falante, visto que as maiores ocorrências são em categorias relativas ao traço de [+pessoa].
Revelando o Brasil em Marighella: entre a recepção cinematográfica e a perspectiva bakhtiniana
Authors: De Moura Cunha Guilherme
Published: April 2021

Este artigo visa analisar, através de um olhar diacrônico sobre a formação do cinema nacional, uma série de reações expressas diante da produção de Marighella (2019), filme de Wagner Moura. A partir de um recorte da estética da recepção de Metz (1977), formulada pela semiologia do cinema, pretende-se discutir como a obra brasileira é vista na emergência de seu lançamento, considerando aspectos ideológicos que moldam a representação social e a crítica cinematográfica. Para depreender as ideologias em jogo, faz-se também um diálogo com as noções de interação verbal e dialogismo, de Bakhtin (2002; 2003; 2013a; 2013b) e Bakhtin/Volóchinov (2014), que preconizam a articulação semiótico-ideológica do signo como expressão máxima da linguagem humana. A partir dessas bases, realiza-se um estudo na rede social brasileira Filmow, destinada à catalogação e à avaliação de obras fílmicas, para analisar a natureza dos comentários publicados sobre o filme selecionado. Dessa maneira, por uma observação qualitativa de vinte críticas, depreende-se um efervescente embate em torno da imagem do guerrilheiro e uma sobreposição da metacrítica, que lança juízos de valor sobre as avaliações dos demais usuários.
Organized structure of real-world evidence best practices: moving from fragmented recommendations to comprehensive guidance
Authors: Jaksa Ashley , Wu James , Jónsson Páll , Eichler Hans-Georg , Vititoe Sarah , Gatto Nicolle M
Published: April 2021

Decision-makers have become increasingly interested in incorporating real-world evidence (RWE) into their decision-making process. Due to concerns regarding the reliability and quality of RWE, stakeholders have issued numerous recommendation documents to assist in setting RWE standards. The fragmented nature of these documents poses a challenge to researchers and decision-makers looking for guidance on what is ‘high-quality’ RWE and how it can be used in decision-making. We offer researchers and decision-makers a structure to organize the landscape of RWE recommendations and identify consensus and gaps in the current recommendations. To provide researchers with a much needed pathway for generating RWE, we discuss how decision-makers can move from fragmented recommendations to comprehensive guidance.
Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease
Authors: Godeberge Philippe , Sheikh Parvez , Lohsiriwat Varut , Jalife Abel , Shelygin Yury
Published: April 2021

Hemorrhoidal disease (HD) is common in adults. Treatment is largely conservative, although more invasive procedures may be required. Venoactive drugs such as micronized purified flavonoid fraction (MPFF) are widely used, but a recent and comprehensive review of supporting evidence is lacking. In acute HD, MPFF can reduce HD symptoms such as bleeding, pain, anal discomfort, anal discharge and pruritus. In patients undergoing surgery, postoperative adjunct MPFF consistently reduces pain, bleeding duration and use of analgesia. MPFF treatment is appropriate and effective both as a first-line conservative treatment and as a postoperative adjunct treatment. MPFF reduces the duration of hospital stay following surgery, facilitating a return to normal activity and improving quality of life. MPFF may also prevent HD recurrence.
H2 Super: Inovasi Pupuk Organik Cair dari Sampah Pasar H2, Desa Sido Mukti, Kecamatan Gedung Aji Baru
Authors: Fattur Rachman , Octalyani Erninda , Maulana Ardan , Safina An-Najjah Izzah , Dani Fauzan Naufal
Published: April 2021

Pasar H2 merupakan pasar tradisional yang berada di Desa Sido Mukti, Kecamatan Gedung Aji Baru, Kabupaten Tulang Bawang. Pasar ini sudah memiliki tempat pembuangan sampah di tiap sudut pasar namun, sampai saat ini sampah organik tersebut hanya di buang dan belum dimanfaatkan dengan baik. Untuk itu, fokus pengabdian masyarakat ini yaitu pengelolaan limbah organik Pasar H2 menjadi pupuk organik cair yang dapat menyuburkan tanaman dan memiliki nilai ekonomis. Bahan utama yang digunakan adalah sampah pasar, air bersih, dekomposer EM-4, dan air gula. Peserta menunjukkan respon yang sangat positif dan berpartisipasi aktif dalam kegiatan penyuluhan. Setelah penyuluhan berakhir, peserta diberikan lembar petunjuk untuk membuat pupuk organik cair agar bisa dipraktekkan di rumah. Dengan adanya inovasi ini diharapkan peserta dapat memanfaatkan limbah organik tersebut untuk menjadi pupuk organik cair yang dapat meningkatkan kesuburan tanah sekaligus menjadi produk khas Desa Sido Mukti yang memiliki nilai ekonomis dan dapat di pasarkan melalui BUMDes (Badan Usaha Milik Desa).
Comparison of serum corrected and ionized calcium levels in patients with acute kidney injury
Authors: AKMAN Canan , BAKİRDOGEN Serkan , DAŞ Murat , BALCI Serdal , AYKAN Okyanus Necdet
Published: April 2021

Introduction: Acute kidney injury (AKI) is common in hospitalized patients (1.92%). The effect of serum corrected and ionized calcium levels in predicting emergency hemodialysis in patients with AKI is unknown. In this study, we aimed to compare serum corrected and ionized calcium levels in patients who were diagnosed with AKI in the emergency service.Methods: Our study was planned retrospectively. Group 1: Patients with AKI who underwent at least one session of emergency hemodialysis. Group 2: The patients with AKIN stage 1-3 who did not undergo hemodialysis. Serum corrected and ionized calcium, creatinine and albumin values of the patients at the time of admission were analyzed. All data of the study were recorded by SPSS 19.0. For statistical significance, p <0.050 was accepted.Results: The mean serum corrected calcium levels were lower in group 1 than in group 2, and the difference was statistically significant (p <0.001). The mean ionized calcium levels in blood gas were lower in group 1 than in group 2, and the difference was statistically significant (p = 0.002).Conclusions: Serum corrected, and ionized calcium levels can be useful in predicting emergency hemodialysis in patients with AKI.
Inovações democráticas e força institucional: os conselhos gestores no Brasil
Authors: Almeida Carla , Martelli Carla Giani , Lüchmann Lígia , Coelho Rony , Bernardi Ana Julia Bonzanini
Published: April 2021

Inserido nos estudos sobre inovações democráticas, este artigo avalia a força institucional dos conselhos gestores municipais brasileiros. Para tanto, com base nos dados de 34 mil conselhos de uma série de políticas disponibilizados pela base das Pesquisas de Informações Básicas Municipais 2013 e 2014, propõe o Índice de Potencial Participativo dos conselhos. Utilizado aqui como indicador da força institucional dessas instâncias, o índice foi composto por variáveis que permitem um amplo diagnóstico a) da sua presença no território nacional, b) do formato institucional que assumem em termos de composição e poder de incidência nas políticas e c) do grau em que são valorizados por atores sociais e estatais como espaços de representação. Os resultados permitem um retrato da participação típica conselhista nos municípios e um diagnóstico da disseminação dessa inovação democrática pelo Brasil, país com características desafiadoras por sua dimensão continental e desigualdades sociais.
Juventudes e educação para a diversidade em tempos pandêmicos: a experiência do Núcleo de Estudos e Pesquisas em Gênero e Sexualidade do IFRS Campus Bento Gonçalves
Authors: Rodrigues Robert Reiziger de Melo , Ferreira Leticia Schneider
Published: April 2021

Este relato apresenta os resultados de uma série de ações realizadas pelo Núcleo de Estudos e Pesquisas em Gênero e Sexualidade (NEPGS) do Campus Bento Gonçalves do IFRS, em 2020. O NEPGS BG apresenta-se como um espaço de pluralidade e de incentivo ao respeito e a diversidade, constituindo-se como um espaço primordial na promoção dos direitos humanos no espaço escolar. Por ser uma política institucional do IFRS, a cada ano mais campi institucionalizam o seu Núcleo. No entanto, o NEPGS BG foi criado em 2015 pela demanda dos próprios estudantes, que primavam por uma escola livre de preconceitos e discriminações. Isso significa que, desde sua constituição, esse núcleo é pautado pelo protagonismo estudantil. Dessa forma, o objetivo deste trabalho é divulgar a importância da autonomia discente na promoção da educação para a diversidade em tempos pandêmicos, utilizando-se de recursos digitais e pesquisas com foco em temas de interesse dos próprios estudantes.
Tensões entre a inclusão e a exclusão na iniciação científica no ensino médio: objetivos, processos seletivos e os jovens estudantes iniciados
Authors: Arantes Shirley De Lima Ferreira , Peres Simone Ouvinha
Published: April 2021

O artigo discute os objetivos, os processos seletivos e a caracterização dos estudantes inseridos em programas de iniciação científica no ensino médio, com o objetivo de analisar as tensões entre a inclusão e a exclusão social das juventudes nessas iniciativas, enquanto contradições produzidas pelo capital, constitutivamente presentes na educação. Os limites das considerações da revisão narrativa estão dados pelo universo empírico dos programas em tela, que são independentes entre si. Desse modo, o artigo sinaliza as dificuldades de generalização da dinâmica sociocultural dos diversos contextos da iniciação científica no ensino médio, mediante suas especificidades. Ao mesmo tempo, demonstra que a estrutura dos diversos programas de iniciação científica no ensino médio pode vir a favorecer a outorga de capital social, engendrando rede extrafamiliar fonte de benefícios, principalmente a outorga de capital cultural. Portanto, favorecem a ruptura da circularidade dos capitais detidos pelos segmentos sociais desfavorecidos, constituindo-se em espaços de inclusão social.Esta constatação não obsta a importância da democratização da modalidade para as juventudes historicamente alijadas dos contextos de produção científica, corroborando também a importância da construção de critérios objetivos contra a reprodução de desigualdades associadas aos estabelecimentos escolares da rede pública de ensino e padrões de raça e gênero.
Expectativas profissionais de alunos de camadas populares: apontamentos sobre o papel da escola pública estadual
Authors: Da Costa André Wiliam De Novais , Silva Tiago Magaldi Granato
Published: April 2021

O presente trabalho investiga o papel da escola na produção de expectativas profissionais e educacionais de seus alunos. A partir do mapeamento das perspectivas de futuro de jovens do terceiro ano do ensino médio de uma escola pública estadual do Rio de Janeiro, realizado por meio de instrumento do tipo survey, bem como entrevistas em profundidade, apontamos como os próprios alunos elaboram acerca das oportunidades para atingir seus objetivos escolares e profissionais. Chega-se à conclusão de que os alunos incorporam o desejo de trajetórias plausíveis para eles, reafirmando os achados da “teoria da reprodução”, mas, longe da resignação, desenvolvem estratégias de ascensão, das quais a escolha pelo militarismo é a melhor ilustração, por sua aparência de estabilidade remuneratória e garantia de manutenção do vínculo “empregatício”, elementos percebidos como cruciais para as estratégias de ascensão profissional. Para sustentar esta interpretação mobilizamos não apenas autores que tomaram exclusivamente a escola por objeto, mas também os que o fizeram para o trabalho e a política, vez que tratamos aqui da produção social de expectativas de acesso a bens. Nesse sentido, o artigo se situa, teoricamente, nas fronteiras das sociologias da educação, do trabalho e da política.
Estudantes concluintes do ensino médio público de Porto Alegre: entre a expansão do acesso à escolarização e a seletividade escolar
Authors: Caregnato Célia Elizabete , Raizer Leandro , Marreco Pedroso Murilo , De Andrade Rufato Marcela
Published: April 2021

O objetivo do presente artigo é analisarelementosdo perfil de estudantes que frequentam o terceiro ano do ensino médio de escolas públicas da cidade de Porto Alegre. Para tanto, revisou-seaspectosda ampliação do acesso à educação formal e da política curricular para esse nível de ensino no Rio Grande do Sul. Os dados foram obtidos por meio de survey, aplicado em 2018, entre estudantes de escolas públicas das redes municipal, estadual e federal. Detalhou-se as respostas às questões do survey relativas acaracterísticas familiares e de hábitos de estudos. Identificou-se que, majoritariamente,seus paispossuem formação secundária e com renda familiar pouco acima da média nacional; têm hábito de leitura abaixo da média nacional e dedicam poucas horas a estudos paraalém do tempo na escola. Esses resultados evidenciaram um viés reprodutivo do capital escolar acumulado pelas famílias e uma relativa homogeneidade entre os estudantes,indicando um que há umprocesso de seletividade no próprio percurso do ensino médio.
De sujeito a colaborador: a privação dos direitos das juventudes na era da liberdade neoliberal
Authors: Koralewski Rocheli , Argenton Gabriel Tamanchieviz
Published: April 2021

Neste estudo é analisada a noção de liberdade difundida pelo neoliberalismo nas juventudes. A pluralidade de contradições que reverbera a partir da lógica do empreendedorismo, em vez de conceber a promessa de autonomia financeira, gera uma massiva privaçãode direitos sociais. Desde 2013, com a promulgação do Estatuto da Juventude (Lei 12.852), são previstas garantias que deveriam balizar ações do poder público no intuito de promover dignidade às pessoas de 15 a 29 anos. Todavia, mesmo compreendidas como sujeitos de direitos, as/os jovens experienciam uma condição juvenil marcada pela expansão de graves problemas estruturais. Assim, os discursos que impactam as juventudes são baseados no individualismo e na meritocracia: juntos geram uma sensação de liberdade que ocasiona uma superexploração. A construção de alternativas que valorizam a coletividade é uma forma de transgredir os valores neoliberais e construir uma liberdade que seja comungada por todas e todos.
Arte-educação, juventudes e emancipação: reflexões a partir de um estudo exploratório em Porto Seguro - BA
Authors: Moraes dos Santos Emily Stephanie , Ferreira de Oliveira Carolina Bessa
Published: April 2021

O artigo visa apresentar reflexões sobre a arte-educação como potencializadora da garantia de direitos para as juventudes, sobretudo as que residem em bairros periféricos. Ele resulta de pesquisa realizada no município de Porto Seguro, no Estado da Bahia, que tomou como base a legislação vigente e utilizou, como procedimento metodológico, o levantamento bibliográfico e documental com foco na compreensão do papel da arte-educação para a efetivação de direitos e a emancipação de jovens periféricos. Como resultados, aponta-se a arte-educação como um possível mecanismo para abordar discussões emergentes na sociedade, dado seu papel socializador e potencializador de ações criativas em espaços escolares e não escolares, bem como para promover diferentes formas de expressão e participação política e social. Nas periferias, também foi possível identificar o seu potencial no compartilhamento de vivências e anseios, como também a sua atuação nas formas de expressão e interação das juventudes, incluindo-se a dimensão dos seus direitos.
O desafio da juvenilização em classes de alfabetização de jovens e adultos
Authors: Soares Deivid de Souza , Santos Raquel Amélia dos , Santos Guilherme Mendes Tomaz dos
Published: April 2021

O presente artigo teve como objetivo geral analisar como a juvenilização da Educação de Jovens e Adultos pode afetar o processo de alfabetização em duas escolas públicas que oferecem tal modalidade de Ensino nos municípios de Canoas/RS e Porto Alegre/RS. Quanto aos caminhos metodológicos, foi desenvolvida uma pesquisa qualitativa, de campo, que fez uso de um questionário como instrumento de coleta de dados, aplicado a duas professoras alfabetizadoras de jovens e adultos, tendo-se a análise de conteúdo como recurso metodológico para analisar os dados emergentes da pesquisa. Os principais resultados do estudo apontaram que a juvenilização na EJA é uma realidade presente no cotidiano da sala de aula. Constatamos, também, que para contemplar os jovens nas classes de alfabetização, é necessário que exista a disponibilidade do diálogo, para que assim possa ser construído um ambiente escolar que respeite a multiplicidade de formas de ser jovem, bem como a diversidade encontrada nesta modalidade de ensino.
Juventudes e Educação: apresentação do dossiê / Juventudes y Educación: presentación del dossier
Authors: Nedel Oliveira Victor Hugo , Pires Corrêa de Lacerda Miriam
Published: April 2021

JUVENTUDES E EDUCAÇÃO: APRESENTAÇÃO DO DOSSIÊ
The analysis of the correlations between HBsAg quantitation level, virological markers and histopathological findings in patients with chronic hepatitis B
Authors: Cerrah Serkan , Deveci Ozcan , Bekçibaşı Muhammed , Mermutluoğlu Çiğdem , Çelen Mustafa Kemal
Published: April 2021

In recent years, several studies suggested that HBsAg titers in blood
samples obtained during Hepatitis B treatment could be used to estimate
the treatment outcomes. The present study aims to discuss the
correlation between HBsAg quantification levels and the virological,
serological and histopathological findings in chronic hepatitis B
patients.The study included chronic hepatitis B patients who underwent
liver biopsy between 2011 and 2013 at Dicle University, Faculty of
Medicine, Infectious Diseases and Clinical Microbiology Clinic.. The
patient demographics were recorded (age, gender). Patient AST tests were
conducted with the spectrophotometric method. After the DNAs were
isolated with AmplipPrep Total Nucleic Acid Isolation Kit, DNA level was
determined with the COBAS® Amplip / Cobas® Taqman® HBV test V2.0 for
HBV. The patient HBV DNA levels were recorded as IU / ml. HBsAg
quantitation was studied with the Access device and the Elisa method.The
study was conducted with 53 patients. The mean patient age was 28,73 ±
8.15. Out of the 53 patients, 35 (66%) were male and 18 (34%) were
female. The mean patient HBsAg quantitation was 631,42 ± 406.55,
fibrosis score was 1,35 ± 0.87, ALT index score was 67,07 ± 53.37, and
HAI index score was 4,54 ± 1.55. In the statistical analysis, it was
determined that there were negative correlations between the HBsAg DNA
level (R: -0,273, P: 0.048) and HBSAG quantitation (R: -0,273, P:
0.048), fibrosis score , ALT (R: -0,477, P: 0.001), and HAI index scores
(R: -034, P: 0,013), while there was a positive correlation with the
HBeAg positivity (R: 0.477, p: 0.001). There were negative correlations
between the HBsAg quantitation level and virological (HBV DNA level),
histopathological (fibrosis score, HAI index) findings and a positive
correlation with serological (HBeAg positivity) findings. As HBsAg
quantitation level increased, fibrosis score and HBV DNA level
decreased.
EVALUATION OF THE ASSOCIATION BETWEEN PROPER INHALER TECHNIQUE AND ANXIETY IN ASTHMA AND COPD PATIENTS DURING COVID-19 PANDEMIC
Authors: Durmus Mefkure , Gök Selim , Bahçecioğlu Ömer Faruk , Hacıevliyagil Süleyman Savaş
Published: April 2021

Objective: Medication nonadherence (MNA) is a main problem in patients
with asthma and COPD. Association of anxiety and MNA is confusing and is
not clear. Improper inhaler technique is an unintentional component of
inhaler MNA. In this study, we aimed to investigate the association
between inhaler medication usage skills and general anxiety or
coronavirus anxiety scales. Materials and methods: Inhaler usage
techniques of 70 asthma and COPD patients were evaluated by three
clinical pharmacists. The anxiety scores of the patients were calculated
by a pulmonologist according to the Hamilton Anxiety Rating Scale
(HAM-A) and Coronavirus Anxiety Scale (CAS). Results: Only 32.9% of the
patients were using their inhalers properly. There were only 10 (%13.3)
patients who had all steps correct. CAS score, age, comorbidity and
inhaler type were not found to be associated with proper inhaler
technique. Only the HAM-A stage (p=0.096) and educational status
(p=0.074) approached statistical significance in affecting the proper
inhaler technique. A weak correlation was found between age and CAS
score (r=-0.278, p=0.02). Coronavirus anxiety rate is higher in asthma
patients than in COPD patients (p=0.036). HAM-A and CAS scores of female
patients were higher than men (p<0.05). There was a moderate
correlation between HAM-A score and CAS score (r=0.407,
p<0.001). The correlation between HAM-A score and inhalation
skills score approached statistical significance (r=-0.208, p=0.083).
Conclusion: Most COPD and asthma patients use their inhalers improperly.
More attention should be paid to inhaler use skills training, especially
in the low education level group and moderate-severe anxiety group.
Impact of Intraprocedural Pressor Use on Catheter Ablation for Ventricular Tachycardia
Authors: Sandhu Amneet , Graham Jeffrey , ROSENBERG MICHAEL , Zipse Matthew , Tumolo Alexis , Sanchez Jose , West John , Aleong Ryan , Borne Ryan , Varosy Paul , Sauer William , Tzou Wendy , Nguyen Duy
Published: April 2021

Background: Ventricular tachycardia (VT) remains a leading cause of
morbidity and sudden death. Improvements in catheter ablation have
significantly advanced this option as a treatment method for refractory
VT. Despite advances, use and impact of inotrope and vasodepressor
medicines as part of intraprodcedural management during VT ablation have
been understudied. Methods: We conducted a exploratory, retrospective
analysis of consecutive patients undergoing VT ablation. Patient, intra
and peri-procedural data, focusing on pressor use and hemodynamics
through ablation, and procedural endpoint data were collected. Results:
From 2014-2017, 149 patients underwent VT ablation of which 67%
exhibited cardiomyopathy (53% ischemic). Most procedures (71%) were
conducted under general anesthesia. In those with cardiomyopathy,
steady-state use of dobutamine and dopamine was more common though
substantial use of phenylephrine was noted. In adjusted analyses, (1)
dobutamine was associated with increased procedure time (402.5±18.8 vs
347.2±14.0 min, p = 0.03), (2) dopamine was associated with increased
number of distinct VTs (2.8 vs. 2.2, p<0.001) while both
dopamine and dobutamined resulted in increased intra-procedural
cardioversions (1.3 vs. 0.6, p<0.001 and 1.34 vs. 0.66,
p=0.001, respectively) and (3) dobutamine dose exhibited a linear
correlation with post-ablation length of stay. Conclusions: In this
exploratory work, we sought to understand effects of hemodynamic drug
use on short-term, procedural outcomes of VT ablation. Salient findings
include: (1) arrhythmogenic nature of inotropes resulting in an increase
in intraprocedural cardioversions, (2) greater propensity for induction
of non-clinical VTs with use of intraprocedural dopamine and (3)
substantial use of phenylephrine in those with underlying
cardiomyopathy.
Atrial fibrillation ablation in Athletes vs. non-Athletes: 5-year experience of a single Italian third-level center.
Authors: Pizzamiglio Francesca , Dessanai Maria Antonietta , Tondo Claudio , Sicuso Rita , Fassini Gaetano , Bonomi Alice , Russo Antonio Dello , Andreini Daniele , Zeppilli Paolo , Riva Sfefania Isabella
Published: April 2021

Introduction. Few data exist about effectiveness of atrial fibrillation
(AF) catheter ablation (CA) in athletes and feasibility of resuming
vigorous exercise afterwards. Aims of our study were to analyze the
efficacy and safety of AF CA in athletes, to compare AF CA outcomes in
athletes vs Non-Athletes (NA) and to evaluate the feasibility of
resuming vigorous exercise. We additionally analyze the outcome of
patients that underwent concomitant cavo-tricuspid isthmus (CTI) CA.
Methods and results. From January 2015 to October 2019, 38 athletes were
retrospectively matched with 38 NA that underwent first time AF CA.
After a median follow-up of 787 days, 62.5% of athletes were free from
recurrences after one CA procedure and mostly without antiarrhythmic
drugs (87%). Seven athletes underwent a redo procedure and all of them
were then free of recurrences with an overall freedom from recurrences
of 84%. No major complications were observed. After the first year of
follow-up, athletes had a 48% reduced risk of recurrences than NA
[adjusted hazard ratio (HR) on antiarrhythmic drugs, LA volume and AF
subtype, HR 0.52]. Athletes that underwent also CTI ablation showed a
positive trend in terms of freedom from recurrences (50% vs 21%). Most
(72%) of the athletes resumed vigorous exercise after at least 3 months
from the CA. Conclusion. AF CA is a safe and efficient therapeutic
option in athletes and it should be considered instead of drugs to early
resume competitive sport activity. Concomitant CTI ablation may have a
favorable role.