bluuebunny/crossref_metadata_2025 huggingface dataset:
The Cultural Genocide of the Children of the Country Road Programme and its Memorialisation in Mariella Mehr’s Stone Age and Dijana Pavlović’s Speak, My Life
Authors: Szőke Dávid
Published: April 2023

The present paper aims to discuss the memorialisation of crimes committed by the Children of the Country Road programme in Mariella Mehr’s novel Stone Age and its monodrama-adaptation, Dijana Pavlović’s Speak, My Life. The paper will examine actions taken by the Pro Juventute organisation against the Yenish minority community from 1926 to 1970, to ‘stop vagrancy’ and purify Swiss society from the ‘genetically degenerate’, during which almost 2,000 children were taken away from their families, put into psychiatric institutions, homes, prisons, or given to foster families, exposing them to mental and physical abuse. This work identifies Mehr’s novel as a pivotal work, one of the first to reveal the crimes of Pro Juventute by a survivor, and as such,an important part of European memory culture. In her novel, Mehr deconstructs the language of stigmatisation used by Swiss authorities in the files on Yenish children, raising questions about power, racial identity, uprootedness and survival. In Speak, My Life, Dijana Pavlović reassesses Mehr’s life and work as a ‘heroicnarrative’, which has allowed room for the Yenish community to represent itself and restore a positive self-image. The paper will discuss the following questions: How can both novel and drama explore the crimes of Pro Juventute in the context of a collective European memory culture? What challenges must this memorialisation face?
Romani Arts, Dance, and Advocacy Action in Wales: My Life and the Romani Cultural and Arts Company
Authors: Blake Isaac
Published: April 2023

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Mikey Walsh. 2010. Gypsy Boy. My Life in the Secret World of the Romany Gypsies. New York: Thomas Dunne Books St. Martin’s Press.
Authors: Cittadini Silvia
Published: April 2023

Book review
Representations of Romani Women in Contemporary Polish and Romani Literature
Authors: Matkowska Justyna
Published: April 2023

This paper summarizes and discusses the key findings of my research on representations of Romani woman in contemporary Polish and Romani literary texts. The first part of this paper discusses Romani women’s roles and positions in the Romani community. While the subsequent part describes Romani literature in Poland, the main focus of this article discusses images of Romani women in Polish and Romani literature. The article aims to reveal the process of shaping their description in Romani and Polish literature. The research result shows how the perception of Romani women influenced the artistic imagination of Poles and Roma (female and male) and their literary discourses. The study also indicates the degree of durability or variability of the compared images. The research is significant because of its intent to deepen the understanding of Romani imagology, as well as promoting the discourse of Romani Literature Studies.
Roma, Gypsies, and Travellers As a Community of Difference: Challenging Inclusivity As an Anti-racist Approach
Authors: James Zoë
Published: April 2023

In order to consider how white privilege functions in late modernity, this article engages with issues of identity and political economy to theorise the impact of racist discourse on Roma, Gypsies, and Travellers in the United Kingdmom (UK). The article specifically problematizes the increasing aggregation of Roma, Gypsies, and Travellers as one community of difference in the UK. The article expresses the author’s concern that contemporary discourse and associated policy developments have racialized communities, and in doing so negated them through a failure to acknowledge the breadth of experience of Roma, Gypsies, and Travellers. The article makes a theoretical argument, evidenced by a comprehensive review of literature in the social sciences and key policy documents in the UK. It also incorporates an analysis of reports produced by UKgovernment and civil society organisations over the past 15-year period. The article argues that the categorisation of Roma, Gypsies, and Travellers as one community of difference has occurred due tothe embedded racism within contemporary European society that functions through and is augmented by neoliberal capitalist norms. In conclusion the paper argues that the norms of neoliberal capitalism, that are typified by individualism, competition, and the primacy of capital over human experience, allow the  perpetuation of this racist discourse that is not challenged by narratives of inclusion but rather is augmented by them.
Futures Past Means Tajsa: Review of an Artwork by Krzysztof Gil
Authors: Weychert Monika
Published: April 2023

Futures Past Means Tajsa: Review of an Artwork by Krzysztof Gil
The Roma and the Question of Ethnic Origin in Romania during the Holocaust
Authors: Turda Marius , Furtuna Adrian Nicolae
Published: April 2023

This article suggests that the arguments used to justify the deportation of Roma to Transnistria in 1942 were racial and eugenic. As a selfstyled scientific theory of human betterment, eugenics aimed to sanitize Romania’s population, proposing a new vision of the national community, one biologically purged of those individuals believed to be “defective”, “unfit”, and “unworthy” of reproduction. Based on new archival material we suggest that the racial definition of Romanianness that prevailed at the time aimed to remove not just Jews but alsoRoma from the dominant ethnic nation (“neamul românesc”). To define Romanianness according to blood, ethnic origin, and cultural affiliation had been an essential component of Romania’s biopolitical programme since the 1920s. During the early 1940s, it served as the political foundation upon which the transformation of Romania into an ethnically homogeneous state was carried out. At the time, the “Roma problem”, similar to the “Jewish Question”, was undeniably premised on eugenics and racism.
Eliyana R. Adler and Katerina Capková, eds. 2020. Jewish and Romani Families in the Holocaust and Its Aftermath. Newark: Rutgers University Press.
Authors: Daróczi Anna
Published: April 2023

Book Review
Foreword
Authors: Foisneau Lise , Talewicz Joanna
Published: April 2023

Foreward of the thematic issue Roma Holocaust, Memory, and Representation
Do French ‘Nomads’ Have a War History? A Review of Seventy-five Years of Historiography
Authors: Foisneau Lise
Published: April 2023

Through a study of the historiography of the persecution of “Nomads” in France from 1939 to 1946, this article offers a critical analysis of methodological and thematic biases present in much historical research on the topic. Historical studies on “Nomads” have significant practical implications today: this article examines how the history of French Roma and Travellers during the Second World War was written. It shows how French institutions have relied on historical work to deny the racial character of the persecution of the so-called“Nomads”. The paper emphasizes that internment and enforced residence were not so much an absolute break but rather part of a particularly virulent moment in the long history of persecution of “Nomads” in the twentieth century in France.
Introducción temprana de alimentos potencialmente alergénicos en pacientes pediátricos menores de seis meses de edad
Authors: Romero-Velarde Enrique , Caro-Sabido Érika , Flores-Limón Verónica Alejandra
Published: April 2023

Objetivo: Revisar la evidencia disponible acerca de la introducción temprana de alimentos alergénicos y la posible protección en la aparición de alergia alimentaria en etapas posteriores.
Métodos: Se realizó una revisión exploratoria de ensayos clínicos aleatorizados, cuya población de estudio incluyera lactantes menores de 6 meses al momento del reclutamiento con o sin diagnóstico de alergia alimentaria. Se incluyeron como alimentos potencialmente alergénicos el huevo, cacahuate y trigo. Se consultaron las bases de datos: Medline, EBSCO, OVID, Science Direct y JSTOR (Journal Storage), Scielo, LILACS, Redalyc e Imbiomed del mes de agosto a diciembre de 2021.
Resultados: Se identificaron 429 artículos, se excluyeron 412 y el análisis final incluyó 9 estudios que cumplieron con los criterios de inclusión. Seis ensayos corresponden a alergia al huevo, dos al cacahuate y uno a trigo.  La reducción del riesgo de alergia alimentaria se presentó en niños con riesgo de alergia. Las reacciones adversas fueron comunes, particularmente con la introducción de huevo.
Conclusiones: No existe evidencia que la introducción temprana (< 6 meses de edad) de alimentos alergénicos reduzca el riesgo de alergia alimentaria en lactantes sin factores de riesgo.
THE IMPACT OF THE COVID-19 PANDEMIC ON THE PERFORMANCE OF MAMMOGRAPHIES IN THE BRAZILIAN NORTHEAST: AN ECOLOGICAL STUDY
Authors: Novaes Danyelle Santos , Santos João Paulo Medrado , Almeida Camille Teles Ferreira de , Ramos Dandara Rocha , Aguiar Manuela Santana
Published: April 2023

Objective: The aim of this study was to evaluate breast cancer screening according to demographic data, year of completion, age group, and geographic distribution in the pandemic period. Methods: An ecological study was carried out using data collected by the Departamento de Informática do Sistema Único de Saúde (DATASUS). The study population included patients who underwent screening for breast cancer in northeastern Brazil between 2019 and 2021. Results: The National Cancer Institute recommends biannual breast cancer screening through mammography for women aged 50–69 years. However, in 2020, the COVID-19 pandemic generated consequences such as the withdrawal of patients from health services, interfering with the performance of preventive mammography. In northeastern Brazil, 879,903 mammograms were performed on female patients in 2019, a number that was reduced by 39.23% in 2020 (534,647) and 5.68% in 2021 (829,902). A drop was also found in the number of examinations per target audience, especially in the year 2020 (40.36%) when compared to the year 2019, with the age group 50–54 years having the largest reduction, with a drop of 40.05%. It was found that between 2019 and 2020, all northeastern states had a drop in the number of examinations performed, with the largest drop being in Sergipe (52.54%). Despite this, in 2021, some states showed an increase in the number of examinations performed when compared to 2019, with Piauí standing out (50.54%). Conclusion: In the COVID-19 pandemic, there was a decrease in breast cancer screening between the years 2019 and 2020 in northeastern Brazil, with a discrete rise in the number of examinations performed in some states in 2021. The youngest age group of the target audience was the most negatively impacted. Thus, the need to use these data to formulate public policies to encourage screening and reduce morbidity and mortality from breast cancer is evident.
EVALUATION OF AN E-HEALTH PROGRAM: RESULTS IN THE EMOTIONAL WELL-BEING OF BRAZILIAN PATIENTS WITH BREAST CANCER
Authors: Tumeh Isabella Barros Rabelo Gontijo , Bergerot Cristiane Decat , Jacinto Mizza Nery Rocha , Santos Isabella Ferreira , Sousa Moisés de , Mollina Lorena Nascimento Manrique , Barbosa Daniel Fernandes , FreitasJunior Ruffo
Published: April 2023

Objective: The use of e-Health-based technologies has been boosted with COVID-19. This study evaluated the effectiveness of a program developed specifically for women with advanced breast cancer, users of the Unified Health System, in the course of outpatient chemotherapy. Methods: An e-Health program, called Conforto, was developed by a Brazilian group. Patients were followed up on a virtual platform and received psychosocial support via telehealth. In this longitudinal study, female patients diagnosed with locally advanced and metastatic breast cancers (IIIb, IIIc, and IV) undergoing outpatient chemotherapy were recruited. Symptom burden was assessed weekly and the EQ-5D-3L monthly in conjunction with the Perceived General Health (PSG) scale over 6 months with a 2-month follow-up. Results: A total of 71 patients were recruited; 71.8% (n=51) participated for at least 3 months and 39.4% (n=28) participated for 6 months. At baseline, patients had a higher burden of anxiety, distress, and insomnia. The results showed improvement in anxiety (p<0.001), distress (p <0.001), insomnia (p=0.03), sadness (p<0.001), and inappetence (p=0.01). PSG was significantly altered while remaining at follow-up (p=0.006). Most patients (70%), despite not having shown a history of symptoms to the attending physician, spoke with them about the symptoms. Conclusion: To date, this is the first study with e-Health technology developed for Brazilian cancer patients. Routine screening in the virtual modality and telephone service aimed at promoting self-management promotes emotional well-being even in an economically vulnerable population. Although being exploratory data, the findings suggest the effectiveness and feasibility of a sustainable intervention for women with locally advanced and metastatic breast cancers. The results facilitate access to supportive care and thus equity. For better results, it is necessary to include other professionals in the remote monitoring.
DIAGNOSIS OF BREAST CANCER IN BRAZIL: REFLECTION ON THE IMPACT OF THE COVID-19
Authors: Ramos Maria Fernanda Passos Rocha , Ramos Dandara Rocha , Ramos Paulus Fabricio Mascarenhas , Avena Katia de Miranda
Published: April 2023

Objective: The objective of this study was to verify if the COVID-19 pandemic impacted the screening of breast cancer in women in Brazil. Methods: This is an observational, cross-sectional study with a descriptive and quantitative approach, carried out with secondary data provided by the Cancer Information System (SISCAN/DATASUS), considering two temporal clippings — before the pandemic (2015–2019) and during the pandemic (2020 and 2021). Women diagnosed with breast cancer who underwent mammography between 2015 and 2021 were included in the study. Review by the Research Ethics Committee was waived because public, aggregated, and unidentified data were used. Results: Between 2015 and 2021, 17,229,218 mammograms were performed in Brazil. The temporal analysis showed a gradual upward trend in all years, reaching 49.6% growth in the period before the pandemic (from 2,047,504 mammograms in 2015 to 3,063,618 mammograms in 2019). During the COVID-19 pandemic, there was a change in the Brazilian epidemiological behavior, as evidenced by a significant decrease in the number of examinations performed. In 2020, 1,864,891 mammograms were recorded, representing a 39.1% drop, while in 2021, 2,606,074 mammograms were recorded, representing a 39.7% increase over the previous year, but if compared to the last pre-pandemic year, there is an important decrease in the number of mammograms performed (14.9%). Besides this, another consequence was the underdiagnosis of some diseases, such as breast cancer. The estimate stipulated by the National Cancer Institute (INCA) for each year of the triennium between 2020 and 2022 was 66,280 new cases of breast cancer in Brazil. As with mammograms, in 2020, there was a 10.3% drop in diagnoses (n=46,509), which represent only 70.2% of the estimate made by INCA for 2020. In 2021, this drop was even more significant (n=24,446), representing only 36.9% of the expected for the period. Conclusion: Due to the emergence of COVID-19 and the magnitude of the pandemic, there was an epidemiological change in public health in Brazil, significantly impacting the screening, monitoring, and treatment of diseases with high incidence in the country. It is believed that this panorama will reflect in the increase of cases and their severity, besides impacting the costs of public health worldwide.
COMPARATIVE ANALYSIS BETWEEN SCREENING MAMMOGRAPHY PERFORMED IN PATIENTS AT USUAL RISK AND PATIENTS AT HIGH RISK FOR BREAST CANCER
Authors: Pannain Gabriel Duque , Antonini Marcelo , Ferraro Odair , Mattar Andre , Lopes Reginaldo Guedes Coelho , Real Juliana Monte
Published: April 2023

Objective: The aim of this study was to analyze the incidence of reports highly suggestive of malignancy in patients undergoing mammography in Brazil between 2013 and 2021. Methods: This is a retrospective and analytical cross-sectional study. A retrospective analysis of the reports available in the cancer information system (SISCAN) was performed, comparing the incidence of BI-RADS 4 (B4) and BI-RADS 5 (B5) reports between high-risk women (HRW) and women at risk (WAR) for breast cancer. Those women who registered in the system as high-risk with a positive family history or personal history of breast cancer were considered HRW. The B6 reports were excluded from the analysis since they are not a screening test but a follow-up test. Results: Of the total, 31,045 HRW had B4 on mammography, 76,329 WAR had B4 on mammography, 6,484 HRW had B5, and 12,757 WAR had B5. Using the SPSS Statistics software, the difference in proportion between them was calculated, and it was observed that being a WAR is a protective factor when compared to HRW for the diagnosis of B4, with the relative risk (RR) being 0.5412 (95%CI 0.5341–0.5483) for B4 and RR 0.433 (95%CI 0.4203– 0.4462) for B5. The number needed to cause harm was also evaluated and showed that 203 (95%CI 198–209) mammograms with B4 in HRW are needed to diagnose a B4 in WAR and that 788 mammograms with B5 in HRW (95%CI 754–825) are needed to diagnose a B5 in WAR. Conclusion: This study showed an increased prevalence of reports suggestive of malignancy in high-risk patients when compared to usual-risk patients. Such findings may mean that high-risk patients have a higher prevalence of malignancy, but also that physicians analyze high-risk patient examinations more carefully, potentially increasing the rate of reports suggestive of malignancy in these patients.
A RETROSPECTIVE ANALYSIS OF 4,466 LUMINAL BREAST CANCER TREATED IN A REFERENCE CENTER
Authors: Mattar Andre , Amorim Andressa , Shida Jorge Yoshinori , Gebrim Luiz Henrique
Published: April 2023

Objective: The aim of this study was to evaluate HER2-negative estrogen receptor and or progesterone receptor positive and describe treatments and overall survival (OS) of patients treated in a reference center. Methods: We enrolled retrospectively 5,510 patients in Perola Byington’s database from 2010 to 2021. After excluding patients without minimal complete records, a total of 4,855 were analyzed and clinical and pathological data were collected (date of diagnosis, first treatment, type of treatment, stage, type of surgery, disease-free survival, and OS). This study was approved by our ethics committee. Results: Most of our patients were diagnosed in stages I (26.9%) and II (38.2%). There was 23.4% in stage III, only 3.1% in stage IV, and 5.7% in stage 0, and in 2.6% the information was incomplete. The mean age at diagnosis was 57.6 years. We identified 4,761 (86.4% of 5,510) patients who underwent 4,848 surgical procedures. Of the total, 47.2% were mastectomies, 50.9% were sectorectomy, and 1.9% were adenectomy or adenomastectomy. Immediate reconstruction was done in 470 patients (69.8% underwent reconstruction with an expander, 22.3% with flap rotation and 7.9% with implants). The mean and median time between diagnosis and the beginning of treatment were analyzed; in the sample, it was observed that patients who were diagnosed in stages I, II, and IV had the same mean of 2.6 months, but stage IV had the lowest median 1.9 months. OS for patients diagnosed in stages I and II did not reach the median in the available period; for patients in stages III and IV, a median of 80.4 and 41.2 months of OS were identified, respectively. Conclusion: These are the first results of this large cohort of luminal patients treated in the public service of a referral center. Most patients are diagnosed in stage I or II and more than half undergo conservative surgery. Immediate reconstruction is not routinely performed. Stage III survival is 80.4 months and stage IV survival is 41.2 months in this analysis.
FEATURES AND PROGNOSIS OF STAGES I–IV BREAST CANCER SUBTYPES AT THE CLINICAL HOSPITAL OF BOTUCATU MEDICAL SCHOOL – UNESP
Authors: Pessoa Eduardo Carvalho , Pina Ana Beatriz da Silva , Pessoa Carla Priscila Kamiya Carvalho , Vespoli Heloisa Maria de Lucca , Almeida Filho Benedito de Souza , Oliveira Julia Araujo de , Schmitt Fernando
Published: April 2023

Objective: This study is proposed to assess the survival of patients with breast cancer according to the molecular classifications estimated by immunohistochemistry (IHQ) and to evaluate the importance of Ki-67 proliferation index in the distinction of luminal subgroups and as a prognostic factor for Brazilian women with breast cancer in clinical stages I–IV. Methods: This is a retrospective, observational cohort study that included 842 patients with invasive breast cancer diagnosed between 2009 and 2016 who were treated at the Clinical Hospital of Botucatu Medical School – UNESP. Data collection was performed from June 2020 to May 2021 with the observation of a minimum survival time of 5 years and a maximum of 12 years. The study was approved by the institution’s ethics committee. Inclusion criteria were women with at least 18 years of age who were diagnosed with invasive breast carcinoma registered as new cases in stages I–IV between 2009 and 2016 and whose treatment was initiated at the Clinical Hospital of Botucatu Medical School – UNESP. Data were collected from electronic medical records and inserted into an Excel spreadsheet. After this evaluation, breast cancer was categorized into five molecular subtypes based on immunohistochemical profiles according to the following classification:
ACCESS TO BREAST CANCER TREATMENT ASSOCIATED WITH SOCIODEMOGRAPHIC AND LIFESTYLE CHARACTERISTICS
Authors: Gomes Filho José Euderaldo Costa , Fernandes Gisele Aparecida , López Rossana Verónica Mendoza , Curado Maria Paula
Published: April 2023

Objective: There is evidence in the literature that patients from the Public System who enter the hospital seeking treatment for breast cancer differ from those from the Supplementary Health System. An investigation of the association of access to treatment — public or supplementary — of invasive breast cancer with sociodemographic characteristics and lifestyle becomes important in view of the scarcity of research in mixed populations such as the Brazilian one. Methods: This cross-sectional study performed the association of the form of access to treatment for invasive breast cancer with sociodemographic characteristics and lifestyle in 583 patients seen in a cancer center in southeastern Brazil. The Pearson’s chi- -square test or Fisher’s exact test was used for statistical analysis. Results: The average age of this research was 52.3 years. We found an association of access to treatment with a higher proportion of women 50 years or older in the Public System (p=0.008); the Public System showed a higher frequency of women with marital cohabitation (p <0.001); supplementary health had higher education (p <0.001); there was a higher frequency of white women in Supplementary Health (p<0.001); higher frequency of smokers and former smokers in the Public System (p=0.003); higher frequency of alcohol consumption currently and in the past in Supplementary Health (p=0.008); first mammogram performed before 40 years in the Public System (p<0.001); and higher proportion of women with three children or more in the Public System (p<0.001). Conclusion: This research identified that patients treated by the Public System present greater social vulnerability when compared to women in the Supplementary System.
PALLIATIVE CARE: A MULTIPROFESSIONAL APPROACH IN PATIENTS WITH BREAST CANCER
Authors: Carneiro Laura Beatriz Rocha Falcão , Huoya Ana Carolina Santos , Santos Dálete Guímel Correia , Sousa Isabela Gonçalvez de Araujo , Santos João Paulo Velloso Medrado , Ramos Maria Fernanda Passos Rocha , Nascimento Raiane Aparecida Santos , Novais Victoria Maria
Published: April 2023

Objective: The aim of this study was to describe the importance of the multidisciplinary team in the management of pain in patients with breast cancer under palliative care. Methods: This is a qualitative literature review based on the analysis of studies available in the databases “SciELO”, “PubMed”, and Google Scholar platform. Aspects such as the particular needs of different patients, the views, and participation of the various health professionals involved in the treatment as well as the patients’ family network and affinities and their perceptions of the benefits of such an approach were considered. The descriptors used were the terms “Palliative Care”, “Breast Cancer”, and “Multidisciplinary Team”. Studies published between 2018 and 2022 and available in Portuguese or English were selected. Results: Among the materials analyzed, it is evident that palliative care for breast cancer should include a multiprofessional team, which aims to meet most of the individual’s needs. In addition, it can be observed that the insertion of this approach into the treatment of the patient improves adherence and awareness about the disease, thus interfering in the improvement of physical and psychosocial symptoms, resulting in an improvement in the quality of life of the patient. However, the lack of knowledge of patients and families about palliative care causes late and unplanned referrals. Conclusion: It is found that breast cancer is a multifaceted disease that covers several dimensions that make up the biopsychosocial being. Consequently, care must be prepared by a multidisciplinary team in order to improve adherence to treatment and education about the disease and, finally, care for the patient in its entirety, reducing their suffering.
ANALYSIS OF THE R337H VARIANT IN THE TP53 GENE IN A GROUP OF PREMENOPAUSAL WOMEN WITH BREAST CANCER FROM THE CENTRALWESTERN REGION OF BRAZIL: A PILOT STUDY
Authors: Santos Igor Lopes dos , Nogueira Nathalia Amaral , Amador Luciana Corrêa , Abreu Pedro Paulo Batista de , Abreu Deidimar Cássia Batista , Ayres Flavio Monteiro , Saddi Vera Aparecida
Published: April 2023

Objective: The aim of this study was to investigate the frequency of the R337H variant in the TP53 gene in a group of premenopausal women with breast cancer from the central-western region of Brazil and its possible associations with clinical, pathological, and prognostic aspects. Methods: The research comprised a pilot study of 36 patients with breast carcinomas diagnosed before the age of 50, selected from the records of the Laboratory of Immunohistochemistry, Department of Pathology, Hospital Araújo Jorge, in Goiânia (GO). DNA extraction was performed with QIAamp DNA FFPE Advanced (Qiagen, Germany) and the R337H variant was investigated in 36 patients using the polymerase chain reaction-restriction fragment length polymorphism method. Results: Among 36 samples of breast cancer diagnosed in premenopausal women, 3 were positive for the R337H variant in the TP53 gene (8.3%). Furthermore, all three patients presented a very diverse phenotypic heterogeneity. Conclusion: Carriers of the R337H variant are no longer limited to the south and southwestern regions of Brazil and might be further investigated in a larger population of premenopausal breast cancer patients from the central-western region of Brazil.
MAMMOGRAPHIC SCREENING COVERAGE IN ELDERLY WOMEN IN BRAZIL
Authors: Rocha Aline Ferreira Bandeira de Melo , Freitas Júnior Ruffo de , Rahal Rosemar Macedo Sousa , Rodrigues Danielle Cristina Cristina Netto , Corrêa Rosangela da Silveira , Ferreira Glalber Luiz da Rocha , Martins Edésio
Published: April 2023

Objective: The aim of this study was to assess trends in breast cancer screening in the Unified Health System (SUS) in women over 70 years of age, during 2010–2021, and to assess the frequency of malignant lesions in this group, from 2014 to 2021. Methods: This is an ecological study on breast cancer screening in elderly women in the SUS in Brazil from 2010 to 2021. Data were extracted from the Outpatient Information System of the SUS Informatics Department and the Cancer Information System. Coverage was calculated from the ratio between the number of mammograms performed and the number expected for the population at risk. Results: We observed that in Brazil there was an average mammographic coverage of 6.7% in this age group. The south region had the highest coverage with an average of 8.9% for the period, while the north region had the lowest rate of 3.1%. Among the states, São Paulo and Paraná, with 9.9% and 9.6% respectively, had the highest rates. There was a reduction in the coverage rate in the analyzed period, more pronounced in 2020–2021 due to the COVID-19 pandemic, caused by the reduction in the active demand of women for health treatment in this context. The number of examinations with a diagnosis of the malignant lesion followed a pattern and increased until 2019, followed by a decrease in 2020, due to COVID-19 and an increasing trend in 2021. The total number of examinations in the analyzed period was 13,090, an increase of 1,604% compared to 2014. The states that showed most participation in these results were São Paulo (16%), Minas Gerais (16%), Paraná (14%), and Pernambuco (13%). Conclusion: The number of breast cancer cases in elderly women has increased, but screening has not followed this trend. It is necessary to rethink the assistance to this age group, discussing public health measures that address this reality.
ASSESSMENT OF WEIGHT AND ITS RELATIONSHIP WITH BREAST CANCER IN A CLINICAL ONCOLOGY SERVICE IN THE FEDERAL DISTRICT
Authors: Ferreira Kamila Fernandes , Weis Luiza Nardin , Assunção Leandro Almeida , Castro Rafael Amaral de
Published: April 2023

Objective: The purpose of this study was to analyze the relationship between obesity and clinical outcomes in breast cancer patients by evaluating the mean body mass index (BMI) and overall survival. Methods: This is a retrospective observational and descriptive study without intervention, carried out in a public oncology service in the Federal District. We selected breast cancer patients with hormonal expression positivity in follow-up from January 2016 to December 2020. Results: In all, 305 female patients were evaluated, aged between 33 and 92 years with a median age of 59 years. Most patients were over 55 years of age (63.3%). The mean weight of the patients was 71.70±9.10 kg. Regarding BMI, 38.7% of patients were classified as obese. As for the immunohistochemical (IHC) classification, 72.9% of the patients were Luminal B. Among the patients in whom the initial treatment was registered, 56.1% received hormone therapy, while 43.9% received chemotherapy. The intention to treat in most patients was curative. Most patients had disease staging between II and III. As for the outcome, most patients were still undergoing treatment (83.0%) at the time of data collection. Correlating the IHC classification with patient survival, there was no significant difference between patients classified as luminal A and those classified as luminal B (p=0.342). There was also no significant difference between non-obese and obese patients in the assessment of overall survival and weight (p=0.917). Conclusion: Despite the high prevalence of obesity in the studied population, the overall survival of this group did not differ from the non-obese group, even in the analysis by IHC profile.
Manual de Introdução à Histologia - CFSH I
Authors: Santos Naum Neves da Costa dos , Lima Ranter Barbosa de , Vitorino Yasmim Ketlyn Tontini , Silva Caio Vinícius Soares da , Lucena Gabriele Lima de , Melo Anakarinny Dias , Lucianelli-Junior Dalberto , Valentin Fernanda Nogueira
Published: April 2023

O presente atlas de histologia foi criado em colaboração com os alunos do curso de medicina da Universidade Federal do Pará (UFPA) – Campus Altamira e colaboradores externos, com o objetivo de facilitar o ensino de histologia para os acadêmicos do 1° período do curso de medicina ao eixo de ensino Concepção, Formação e Ciclos de Vida do Ser Humano (CFSH I). Sendo também o principal enfoque desta produção, introduzir e auxiliar esses estudantes no aprendizado das técnicas e compreensão que envolvem o ensino da histologia na prática, por meio do manejo de lâminas e microscópios ópticos. O presente atlas utiliza, em sua maioria, fotos de lâminas histológicas, do acervo de lâminas do laboratório morfofuncional da FAMED, UFPA, Altamira-PA. Além de imagens disponibilizadas no site https://www.histologyguide.com/. Sendo que a utilização destas imagens tem por finalidade assistir os acadêmicos em uma melhor compreensão e identificação dos itens e estruturas de tecidos que poderão ser visualizados nos microscópios do laboratório.
Manual Lacardio: Liga Acadêmica de Cardiologia
Authors: Lima Ana Maria Silva , Costa André Luis Meneses da , Lopes Anna Beatriz Trindade , Trindade Beatriz Rafaelly de Souza , Silva Camilly Cristiny Carvalho e , Melo Filho Carlos Gonzaga , Cutrim Junior Clenilson de Jesus , Albuquerque Francisca Leilisvânia Souza , Facundes Gabriel Campos , Silva Jefferson Luis Morais e , Ribeiro Jéssica Sâmia Silva Tôrres , Pavão Filho João Jorge Jinkings , Sobrinho Júnior José Martins Dos Santos , Castro Kaline dos Santos Kishishita , Freitas Lucas Carreiro de , Sampaio Marcelly Kelmanny da Luz , Sandes Marcilene de Amorim , Campos Maria Fernanda Sales , Regadas Mariana Silva , Souza Marise Sereno Gaspar de , Monzini Mateus Aranha Lopes , Sousa Melissa Clementino , Campos Quéren Quezia Penha , Gonçalves Romário Albuquerque , Murta Filho Tarcízio Santos , Lima Victor Kleber Gomes Parente Alves
Published: April 2023

A Liga Acadêmica de Cardiologia da Universidade Ceuma (LACARDIO), foi organizada em 2016, sob a supervisão da Cardiologista Drª Jacqueline Ribeiro, visando a complementação acadêmica por meio do tripé: ensino, pesquisa e extensão.
Atualmente, é filiada à Sociedade Brasileira de Cardiologia e sob orientação do cardiologista Dr. Denilson de Almeida. Essa liga é composta por 32 ligantes e tem o objetivo de promover a difusão de conhecimentos acerca da especialidade, por meio de aula semanais, ministradas pelo staff da instituição ou especialistas convidados e ligantes.
Ao longo dos anos a LACARDIO destacou-se entre as Ligas da Universidade Ceuma pelo desenvolvimento de produções científicas qualificadas, promoção de eventos teóricos e práticos, oficinas de Suporte Básico de Vida e Simpósios de Emergências Cardiológicas, dentro e fora da instituição, eventos nos quais conta com a participação de renomados cardiologistas de São Luís - MA, tendo ainda os ligantes a oportunidade de participarem de estágios semanais (outside the university) nos mais conceituados centros cardiológicos de São Luís, com capacidade de somar conhecimentos aos membros da liga.
A LACARDIO produz agora a 1ª edição do Manual de Cardiologia, elaborado pelos acadêmicos de medicina e filiados à Liga, com o intuito de disseminar no meio médico-acadêmico, assuntos da prática clínica cardiológica, bem como ampliar o acesso à informação e conhecimento científico pertinentes à especialidade.
Corrosion Stability of the Anodized Ultrafine-Grained Titanium in the Human Body Solution
Authors: Mihajlović Dragana , Rakin Marko P. , Bajat Jelena B. , Djokić Veljko R.
Published: April 2023

Nanostructured surface modification was performed on the ultrafine-grained commercially pure titanium (UFG cpTi) using electrochemical anodization. The characterization of the morphology of the nanostructured surface obtained during different times of electrochemical anodization was done using scanning electron microscopy (SEM). The corrosion resistance of the materials was examined using the potentiodynamic method and electrochemical impedance spectroscopy (EIS), during which the electrochemical characteristics of oxide layers and the evaluation of the corrosion resistance of the mentioned materials were determined. These materials were exposed to a solution simulating conditions in the human body (artificial saliva solution) with a pH of 5.5 at a temperature of 37 ºC. The obtained results indicate the extensive influence of time, as a parameter of electrochemical anodization on the surface morphology. The electrochemical anodization of 60 minutes can lead to the creation of the nanotubular oxide layer on the UFG cpTi surface, while the electrochemical anodization of 30 and 90 minutes did not lead to the creation of the nanotubular oxide layer, but it is up to the surface modification of UFG cpTi. Electrochemical tests showed a slight increase in the corrosion resistance in a solution of artificial saliva after electrochemical anodization. Also, the electrochemical impedance spectra for anodized and non-anodized UFG cpTi show the characteristics of corrosion resistance, but the anodized UFG cpTi has better resistance to the oxide layer. It can be concluded that anodized UFG cpTi has better corrosion stability, but both non-anodized and anodized UFG cpTi show exceptional corrosion stability in simulated conditions of the human body, which makes them equally suitable for use in medicine.
Residual sinonasal ameloblastoma
Authors: I Nyoman Endi Ananda Khrisna  , I Gde Ardika Nuaba  , I Ketut Suanda
Published: April 2023

Ameloblastoma is the most common odontogenic tumour of the mandible. This disease can occur in the maxilla, but it is very rare. This tumour originates from the epithelium involved in the process of tooth formation, but the trigger for neoplastic transformation in the epithelium still is not known with certainty. Ameloblastoma is defined as a locally aggressive benign tumour with a high probability of recurrence. These tumours have several variations in histopathological appearance, but the types most often seen are the follicular and plexiform types. In most cases, ameloblastoma is locally invasive, usually asymptomatic and slow growing. It has been reported that a 45-year-old female patient with residual sinonasal ameloblastoma had a lateral rhinotomy performed using the Weber-Ferguson approach with good surgical results. Sinonasal ameloblastoma is a rare case with a high recurrence rate after surgery. Ameloblastoma can be diagnosed based on anamnesis, physical examination, and supporting examinations consisting of a CT scan and histopathology. Surgery is the standard treatment for ameloblastoma. A wide excision should be performed with 2 cm of normal bone removed from around the tumour margin to prevent the re-occurrence.
On Algebraic Conditions of Equidistant 2-TA Codes
Authors: Anu Kathuria  , Sudhir Batra
Published: April 2023

Necessary and Sufficient Conditions for an Equidistant Code to be 2-TA code have been obtained in [1,2]. In the present paper we revisit these using pictorial approach. Further we discuss these conditions again under which an Equidistant Code is not a 2-TA Code.
Intra-abdominal abscess with Candida in a post-operative setting
Authors: Derek Oh  , Kenneth Rodrigues  , Blerina Asllanaj  , Alexander Urzua  , Andy He  , Rosaly Diaz
Published: April 2023

The goal in this case report is to discuss one presentation of the microbiology of the Candida species in an intra-abdominal abscess which is under reported. In general, the Candida species fungi is a common yeast found human beings as part of the microbiology. Common sites of candidiasis are often the oral cavity or the genitalia. Candida species have been found to have a mutualistic relationship with different species with the body [5]. When overproduction of Candida species occurs, it can cause pathological infections in patients. While it is common to see patients with Candida species in their gut micro biome, it is not well documented to have intra-abdominal abscesses that grow Candida species. Typically, bacterial causes are first on the differential for clinicians. This case presentation looks to discuss some of presenting factors seen in intra-abdominal candidiasis (IAC) and what leads to it being under diagnosed.
Effectiveness of educational program on knowledge regarding needle stick injuries among nursing students
Authors: Manoj Kumar Sharma  , Taj Mohammad
Published: April 2023

The aims of this study are to assess the knowledge regarding needle stick injury in nursing students, The objective of study was to assess the level of knowledge regarding needle stick injury among the nursing students, to evaluate the effectiveness of educational program on knowledge regarding needle stick injury among the nursing students, The use of safety practice exposure, to blood and blood containing material and contributing factors. A multiple choice questionnaire was completed by 60 nursing students studying at Shri Ram Murti Smarak College of Nursing, Bareilly. These sample was selected by using the purposive sampling method. The data was collected by using the multiple choice questionnaire and these data was analyzed by SPSS version 27.The result of study was75% of the participants were belongs to 22-23 years age group and 11.7% of the participants were belong to 24-25 years and 6.4% were belong to 26-27 years age group &6.4% belong to more than 28 year, majority of the participants i.e. 53.3% were female and remaining 46.7% were male. 80 % of the participants were unmarried, 10% of the participants were married . 43.4% were having GNM qualification, 51.7% were having B.Sc. Nursing degreeand1.7% were having post basic nursing degree and remaining 3.3% having NPCC degree. majority of the participants are that is.78.3% were not participated in any educational program and remaining 21.7% were participated in educational program. Interpreted the mean post-test knowledge score(16..37 ± 3.37)of the experimental group was greater than the mean pre-test knowledge score (10.87 ± 3.61) of the experimental group with the mean difference of 5.5.
Congenital cervical teratoma: A case report
Authors: Imane ZIZI  , Ilham ELOUARDIGHI  , Najat AMALIK  , Lamiae ELIAZIJI  , Houria KENOUNI  , Amina BARKAT
Published: April 2023

Teratomas are malformative tumors derived from multipotent cells and composed of tissues from endodermal, mesodermal and ectodermal layers in varying proportions. The cervical location is exceptional. Through an observation of cervical teratoma in a newborn after a review of the literature, we recall the main clinical, radiological, anatomopathological and evolutionary aspects of this affection. Despite its often benign histological nature, cervical teratoma can threaten the vital prognosis of newborns, due to the respiratory distress it causes. Multidisciplinary and adapted care from childbirth is necessary to improve the prognosis.
Estetica del vuoto in Mori Mariko
Un uso strategico del discorso sullo Zen
Authors: Rivadossi Silvia
Published: April 2023

This paper investigates how contemporary artist Mori Mariko has constructed her discourse on Buddhism in general and Zen in particular. In her works, Zen is perceived and described as ‘spirituality’ characterised by the concept of oneness and a harmonious relationship with nature. It will become clear how Suzuki Daisetsu’s construction of Zen has influenced this essentialist view. The paper concludes that through the analysis of Mori’s works it is possible to reach a better understanding of what ‘Zen’ means today, especially in the Euro-American contexts.
Toshio Hosokawa musicista cinematografico
Authors: Calabretto Roberto
Published: April 2023

The article examines the film soundtracks composed by Hosokawa and highlights their characteristics. At the same time, it attempts to contextualise them within the composer’s catalogue and within the main stylistic traits of his poetics. Not least, the article contextualises Hosokawa’s position in the history of Japanese film music.
Association of Perceived Stress With Depression Among Vaccinated Healthcare Workers During the SARS-CoV-2 Variant Outbreak: The Mediating Role of Compassion Fatigue
Authors: Cai Xue , Li Guohong , Feng Haixia , Wang Xiaoyan , He Lijun , Luo Dan , Xu Cuirong , Huang Yingzi , Qiu Shanhu
Published: April 2023

Objective Depression was common during coronavirus disease-2019 (COVID-19) pandemic, while the association of perceived stress with depression among vaccinated healthcare workers has not been investigated. This study aimed to address this issue.Methods We included a total of 898 fully vaccinated healthcare workers during the outbreak of severe acute respiratory syndrome coronavirus 2 Delta variant in Nanjing, 2021. Depression was ascertained by Patient Health Questionnaire-9, with a cut-off score of ≥5 indicative of mild-to-severe depression. Perceived stress, resilience, and compassion fatigue were assessed by Perceived Stress Scale-10, Resilience Scale-25, and Professional Quality of Life Scale version-5, respectively. Logistic regression analyses were used to estimate the odds ratio (OR) and 95% confidence interval (CI), along with subgroup and mediation analyses.Results The prevalence of mild-to-severe depression was 41.1% in vaccinated healthcare workers. The odd of mild-to-severe depression was increased with higher perceived stress. Compared with vaccinated healthcare workers with the lowest tertile of perceived stress, those with the highest tertile had increased odds of mild-to-severe depression by 120% (OR 2.20, 95% CI 1.46 to 3.31) after multivariable-adjustment. However, perceived stress was not associated with mild-to-severe depression in vaccinated healthcare workers with strong resilience, but was in those with weak resilience (pinteraction=0.004). Further analysis showed that compassion fatigue mediated the relationship between perceived stress and mild-to-severe depression, with a mediating effect of 49.7%.Conclusion Perceived stress was related to an increased odd of mild-to-severe depression in vaccinated healthcare workers during COVID-19 pandemic, and this relationship might be explained by compassion fatigue.
DEVELOPMENT OF PROBLEM-SPECIFIC MODELING LANGUAGE TO SUPPORT SOFTWARE VARIABILITY IN "SMART HOME" SYSTEMS
Authors: Gamzayev Rustam , Tkachuk Mykola
Published: April 2023

Building conceptual models for software design, in particular for high-tech applications such as smart home systems, is a complex task that significantly affects the efficiency of their development processes. One of the innovative methods of solving this problem is the use of domain-specific modeling languages (DSMLs), which can reduce the time and other project resources required to create such systems. The subject of research in this paper is approaches to the development of DSML for Smart Home systems as a separate class of Internet of Things systems. The purpose of this work is to propose an approach to the development of DSMLs based on a model of variability of the properties of such a system. The following tasks are being solved: analysis of some existing approaches to the creation of DSMLs; construction of a multifaceted classification of requirements for them, application of these requirements to the design of the syntax of a specific DSML-V for the creation of variable software in smart home systems; development of a technological scheme and quantitative metrics for experimental evaluation of the effectiveness of the proposed approach. The following methods are used: variability modeling based on the property model, formal notations for describing the syntax of the DSML-V language, and the use of the open CASE tool metaDepth. Results: a multifaceted classification of requirements for a broad class of DSML languages is built; the basic syntactic constructions of the DSML-V language are developed to support the properties of software variability of "Smart Home" systems; a formal description of such syntax in the Backus-Naur notation is given; a technological scheme for compiling DSML-V specifications into the syntax of the language of the open CASE tool metaDepth is created; the effectiveness of the proposed approach using quantitative metrics is experimentally investigated. Conclusions: the proposed method of developing a specialized problem-oriented language for smart home systems allows for multilevel modeling of the variability properties of its software components and provides an increase in the efficiency of programming such models by about 14% compared to existing approaches.