bluuebunny/crossref_metadata_2025 huggingface dataset:
CONSTITUCIONALISMO DIATÓPICO:
Authors: Massaú Guilherme Camargo
Published: May 2024

O texto visa identificar a abertura de uma educaçãoconstitucionalista global a partir da avaliação dos textos dasnormas constitucionais. No início, procurou-se estabelecer umamedida de semelhança formal entre os textos constitucionais(regras e princípios) de vários Estados. Através das expressõescontidas nos textos constitucionais foi possível identificar oselementos formais que determinam várias constituições. A seleçãodestas expressões foi feita de forma aleatória, e, na sua maioria,trata de expressões amplas. Ficou demonstrado que existe, pelomenor no contexto textual, uma semelhança de metade doscomandos constitucionais normativos. O método utilizado foianalítico, porque foram analisados textos constitucionais combase em bibliografias.
Optimization of facial aesthetics through orthognathic treatment: a systematic review
Authors: Santos Laiane Martins dos , Machado Maria Fernanda Trevisan , Roversi Monique Scavassa de Souza , Scriboni Andreia Borges
Published: May 2024

Introduction: In the aesthetics scenario, facial optimization is considered an essential outcome of orthognathic treatment (OT) due to its potential advantages in reducing the duration and cost of treatment, providing early aesthetic improvement, and increasing patient satisfaction. Objective: It presents a systematic review study listing the main optimizations of facial aesthetics through orthognathic surgery, to highlight the importance of this treatment for improving patients' comfort and quality of life. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from January to March 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 179 articles were found, 45 articles were evaluated in full and 39 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 15 studies with a high risk of bias and 31 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=69.5%>50%. It was concluded space maintenance is one of the most important activities in the prevention of malocclusion. The maintenance of the lost space is of paramount importance to ensure normal eruption and development of the dentition. Aesthetic/functional rehabilitation is necessary until the eruption of permanent successor teeth occurs. A practical option to obtain this rehabilitation is through the installation of aesthetic or functional space maintainers. There are several requirements, such as maintaining the desired interproximal space, not interfering with the occlusion of the opposing teeth nor with the eruption of the permanent tooth, allowing sufficient mesiodistal space for the permanent tooth alignment to erupt, not inferring in phonetics and chewing and present a simple framework and be easily sanitized. Thus, the neuromuscular stability of the stomatognathic system may be impaired by the presence of deleterious habits.
Major considerations and outcomes of clinical studies on the treatment of temporomandibular disorders using prostheses: a systematic review
Authors: Gubert Vitor Eberharte , Mercante Viccenzo , Polidoro Victor Hugo Bernardes , Moreira Janaina Cardoso
Published: May 2024

Introduction: The temporomandibular joint (TMJ) can be affected by end-stage pathologies, such as arthritic disease, trauma, and ankylosis. Around 70% of the general population has suffered at least one symptom of temporomandibular disorder (TMD), which constitutes TMJ disease that may be related to the joints, muscles, ligaments, bones, teeth, and psychological aspects. As a treatment, the implantation of a total alloplastic TMJ prosthesis is an innovative approach. Objective: It was to present the main considerations and outcomes of clinical studies on the treatments of temporomandibular disorders using customized or prefabricated prostheses. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from February to April 2024 in the Web of Science, Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 121 articles were found, 40 articles were evaluated in full and 21 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 22 studies with a high risk of bias and 10 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=57.8%>50%. It was concluded that stock and CAD/CAM prostheses suggested great improvements in mouth opening and pain reduction as a result of the rehabilitation of TMJ function. The results showed comparable data for both types of prosthesis design at 6 months postoperatively. However, the additional advantages of custom prosthetics, along with increasing access to digital technology, will likely result in custom devices dominating the market in TMJ total joint replacement systems. The custom-made combined prosthesis with custom design and 3D printing fabrication represents a safe and reliable implantable reconstruction method for combined TMJ-skull base injuries.
Major clinical outcomes of minimally traumatic and aesthetic post-tooth extraction: a systematic review
Authors: Martim Rebeca Rocha , Moreira Livia Alves , Silva Giovana Cezar , Scriboni Andreia Borges
Published: May 2024

Introduction: After tooth extraction, the alveolar ridge will commonly decrease in volume and change morphologically. These changes can be difficult or even impede the placement of dental implants and prosthetic rehabilitation. Minimizing bone remodeling means optimizing the aesthetics and functional aspects, and mainly, the success of implant treatment. To avoid residual ridge resorption different techniques and bone graft materials have been proposed. Objective: A systematic review was carried out to identify the main clinical outcomes of minimally traumatic and aesthetic tooth extraction. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from January to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 189 articles were found, 45 articles were evaluated in full and 36 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 35 studies with a high risk of bias and 41 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=72.5%>50%. The present study suggests that the alveolar graft technique may increase the risk of disease transmission, cost, and time of treatment. Several studies have stated that the graft material is not fully incorporated into the newly formed bone, indicating less vital bone tissue. Spontaneous scarring is still the most used feature since, in intact alveoli and small defects, it is a procedure that does not present significant losses that justify the use of edge preservation techniques. In larger defects, techniques after spontaneous healing, such as a block graft, can be used without the drawbacks of alveolar grafting, such as delayed healing and poor bone quality. The use of a buccal subepithelial connective tissue graft for extraction sockets in the anterior maxilla can be considered a predictable approach to preserving the contour of the alveolar ridge
Academic Achievement of Primary Learners and the Parental Involvement Capabilities During Covid 19 Pandemic
Authors: Ygot Jonalie , Revalde Helen
Published: May 2024

This study determined the academic achievement of grades one, two, and three pupils and the parental involvement capabilities during the COVID 19 pandemic of Libertad Elementary School, Daanbantayan, Cebu during school year 2020-2021 as the basis for the proposed development plan. This research employed a descriptive correlational design. There were 115 parent respondents, selected via general sampling, who answered the adopted survey questionnaire. The data were treated using frequency count, percentage, weighted mean, and chi-square test of independence. Findings revealed that most parent-respondents were mothers, aged 36-40, married, high school graduates, unemployed, had 1 to 3 children in the family and enrolled in school, and had an income of less than 9,649.47. The level of academic achievement of the pupils was mostly very satisfactory. The extent of parental involvement in the children’s academic achievement was moderately involved. There were significant impacts of civil status, occupation, family size, and income on student achievement. There was no significant relationship between the profile variables and student achievement. Hence, complex support strategies are needed to be tailored to meet the diverse learners’ needs.
ONLİNE ALIŞVERİŞ KOLAYLIĞI İLE ONLİNE ALIVERİŞ YÖNELİK DAVRANIŞSAL NİYET ARASINDAKİ İLİŞKİNİN İNCELENMESİ
Authors: Erdoğan Ebru
Published: May 2024

Bu araştırmanın genel amacı tüketicilerin online alışveriş kolaylığına yönelik algıları ile online alışverişe yönelik davranışsal niyetleri arasındaki ilişkileri incelemektir. Araştırmanın çalışma grubu kolay örnekleme yöntemine göre seçilen 514 tüketiciden oluşmaktadır. Araştırmada veri toplama aracı olarak Online Alışveriş Kolaylığı Ölçeği ve Davranışsal Niyet Ölçeği kullanılmıştır. Veriler, korelasyon ve regresyon analiz kullanılarak analiz edilmiştir. Korelasyon analizi sonucunda online alışveriş kolaylığı ile davranışsal niyet arasında pozitif yönde anlamlı bir ilişki olduğu tespit edilmiştir r = .63, p <.001. Çoklu doğrusal regresyon analizi sonucunda arama kolaylığı, erişim kolaylığı değerlendirme kolaylığı, işlem kolaylığı ve satın alma sonrası kolaylık değişkenlerinin birlikte online alışverişe yönelik davranışsal niyetin %40'ını açıkladığı belirlenmiştir. Özellikle, arama kolaylığı, değerlendirme kolaylığı, işlem kolaylığı ve satın alma sonrası kolaylık boyutlarının müşterilerin online alışveriş yapma niyetlerini anlamı şekilde yordadığı tespit edilmiştir. Bu bulgular, online alışveriş platformlarının kullanıcı deneyimini geliştirme ve alışveriş süreçlerini basitleştirme çabalarının önemini vurgulamaktadır. Ayrıca, araştırma sonuçları online perakendecilerin stratejilerini belirlerken arama, değerlendirme, işlem ve satın alma sonrası süreçlerdeki kolaylık faktörlerini dikkate almaları gerektiğini göstermektedir. Bu bulgular, online alışverişin Türkiye'deki özelliklerini daha iyi anlamak ve geliştirmek için önemli bir rehberlik sağlamaktadır.
O MOVIMENTO NEGRO NO BRASIL: DESAFIOS E AVANÇOS NA IMPLEMENTAÇÃO DA LEI Nº 10639/03 PARA A VALORIZAÇÃO DA EDUCAÇÃO ESCOLAR QUILOMBOLA
Authors: Alves Lion Granier , Franqueira Alberto da Silva , Guarizzo Alexandro Biazi , Cruz Gean Souza , Silva Jeferson de Farias , Carmo Jonathan Porto Galdino do , Gervásio Júlio César Belo , Santos Silvana Maria Aparecida Viana
Published: May 2024

Este artigo analisa a implementação da Lei 10.639/03 no Brasil com foco na promoção da cultura afro-brasileira no sistema educacional, com especial ênfase na Educação Escolar Quilombola. O estudo tem como objetivo investigar o impacto dessa lei na promoção da equidade racial, no respeito à diversidade cultural e na valorização da identidade das comunidades quilombolas no sistema educacional brasileiro. Baseada em autores renomados dos estudos afro-brasileiros e das relações étnico-raciais, a pesquisa investiga a história e as demandas do Movimento Negro, defendendo uma educação antirracista. Por meio da análise do contexto histórico, da legislação e das políticas educacionais, o estudo lança luz sobre as conquistas, os desafios e as contribuições da Lei 10.639/03. A pesquisa também aborda a necessidade de políticas educacionais específicas para as comunidades quilombolas, reconhecendo sua herança cultural e seus direitos únicos. As conclusões sublinham a importância da educação inclusiva e culturalmente sensível na promoção da justiça social e da equidade.
Tính toán khả năng chịu lửa của cột bê tông cốt thép theo tiêu chuẩn EN 1992-1-2
Authors: Toàn Khổng Trọng , Thành Vũ Công
Published: May 2024

Bài báo trình bày nguyên tắc thiết kế chung và phương pháp tính toán đơn giản cho cấu kiện cột bê tông cốt thép theo tiêu chuẩn Châu âu EN 1992-1-2 về thiết kế kết cấu cột bê tông cốt thép trong điều kiện cháy. Quy trình tính toán theo phương pháp đơn giản và minh họa thông qua ví dụ tính toán. Kết quả cho thấy khi tăng chiều dày lớp bê tông bảo vệ và hàm lượng cốt thép thì khả năng chịu lực khi cháy của cột tăng lên, tuy nhiên khi thời gian cháy tăng lên thì khả năng chịu lực khi cháy của cột cũng giảm đi.
Benefits of a modified local precision liver resection using intraoperative laparoscopic ultrasound in the treatment and prognosis of patients with liver cancer.
Authors: Xu Yansong , Shen Lin
Published: May 2024

Abstract. The incidence and mortality rate of liver cancer has increased significantly. Recently, intraoperative laparoscopic ultrasound (LUS) has been used in hepatectomy, in addition to open liver resection, as the most common treatment method. The current research aims to address this issue. Seventy-six patients with liver cancer who were admitted to the Hospital of Beihua Univer-sity from February 2018 to September 2021 were randomly divided into two groups of 38 patients, one group undergoing conventional laparoscopic sur-gery (control group) and the other group undergoing a precise laparoscopic liver resection after placing an intraoperative LUS instrument (study group). Blood loss and hepatic vein damage during surgery were less in the study group (p<0.05). Seven days after surgery, liver function indices (albumin, total bil-irubin, and alanine and aspartate aminotransferases) and indices related to immune function interleukin 6, tumor necrosis factor α, CD3+ and CD4+ T lymphocytes and NK cells level in the study group improved compared to the control group. The postoperative complications were less in the study group, and the nine-month follow-up showed that the recurrence rate was lower and the survival rate was higher in this group. This study shows that precise laparo-scopic hepatectomy modified with the use of intraoperative laparoscopic ultra-sound results in better intraoperative and postoperative outcomes for the prog-nosis and survival rate of patients with liver cancer, which makes this surgical technique worth generalizing in clinical practice.
Gender-based comparative analysis of knee injury risk during cutting maneuvers in non-professional athletes: a kinetic and kinematic perspective.
Authors: Feria-Madueño Adrián , Hewett Timothy E. , Sañudo Borja
Published: May 2024

This study aimed to compare the risk of knee injury between men and women by integrating kinetic and kinematic parameters in a non-professional athlete population. Two hundred non-professional athletes were re-cruited for the present study. Three change of direction tests were conducted, consisting of two open cuts at 30 (SC30) and 45 degrees (SC45) and one closed cut at 45 degrees (SC45cl). Kinetic variables, including three-dimensional force and accelerations in the three axes of movement and ground contact time, were assessed using force platform and accelerometers. The initial and maximum an-gles of the ankle, knee, hip, and trunk were analyzed by photogrammetry. The data was compared between males and females to examine gender differenc-es. Gender analysis demonstrated significant differences in force values, with women displaying higher medial-lateral (ML) force in SC30 and men exhibiting higher vertical ground reaction force (VGRF) and anterior-posterior (AP) force in SC45. Gender-specific analysis indicated higher partial knee accelerations in women during SC30 and SC45, with significant differences observed in accelera-tion in the vertical axe. Gender differences were observed in certain kinematic variables, with women displaying higher ankle flexion at initial contact in SC30and higher ankle flexion at maximum flexion and ankle dorsiflexion range in SC45. Men showed lower knee flexion angles in both SC45cl and SC45. These find-ings provide valuable insights into the kinetics and kinematics of change of direction movements and highlight gender-specific differences that may have implications for training and injury prevention strategies. Further research is needed to understand the underlying factors contributing to these differences and their impact on performance and injury risk.
MUHAFAZAKAR İŞ ADAMLARININ ZEKÂT FARKINDALIĞI
Authors: Gül Büşra , Durmuş Muhammed Emin
Published: May 2024

Zekât hem ibadet hem de mali özelliği olan, İslamiyet’in beş temel esaslarından biridir. İslam’da zekâtın ne kadar önemli olduğu apaçık ortada olmakla birlikte ilk dönemlerden günümüze kadar zekâta tabi olan malların konusu hakkındaki tartışma güncelliğini devam ettirmektedir. Zekâta tabi olan mallar konusunda tam bir netlik olmadığı gibi bu malların nisab miktarları hususunda da tam bir birlik oluşmamıştır. Bununla birlikte değişen ve gelişen dünyamızda ticari hayatın işleyişi de geçmişe nazaran farklılaşmıştır. Nasslarda ve tedvin döneminde yer almayan ancak sanayi devrimi ile birlikte hayatımıza giren birçok kazanç yolu günümüzde varlığını sürdürmektedir. Gelişen kazanç yolları ile birlikte servet ve gelir kaynakları da çeşitlenmiştir. Bu kadar çeşitlenmenin var olması zekatın hesaplanması hususunda problemleri de beraberinde getirmiştir.
Bu çalışmada iş adamlarının zekâtı nasıl hesapladıkları, uyguladıkları ve zekât farkındalıklarının ne seviye olduğunun keşfedilmesi amaçlanmaktadır. Bu çerçevede çalışmada, nitel araştırma yöntemi kullanılmıştır. Araştırmanın çalışma grubunu kartopu örnekleme tekniği ile belirlenmiş, muhtelif iş alanlarından 5 tüccar oluşturmaktadır.
Araştırmanın sonucunda görüşme yapılan iş adamlarının zekât hakkındaki en temel meselelerde dahi bilgi eksikliklerinin olduğu, zekatlarını doğru bir şekilde hesap edemedikleri için tam olarak eda edemedikleri tespit edilmiştir. Bu bağlamda iş adamlarının zekatlarını hesaplamalarını sağlayacak geniş kapsamlı bir zekât hesaplama aracına ihtiyaç duyulduğu sonucuna varılmıştır.
ŞİRKETLERİN TEMEL FİNANSAL VERİLERİNDE HELAL STANDARTLARA İHTİYACIN NİTEL ARAŞTIRMA YÖNTEMİ İLE İNCELENMESİ
Authors: Tahiroğlu Ahmet , Yumuşak İbrahim Güran
Published: May 2024

Bu çalışmanın konusu; şirketlerin temel finansal verilerinde (bilanço ve gelir tablosu) helallik ile ilgili bir denetime ve ayrıştırmaya olan ihtiyacın araştırılmasıdır. Çalışmamız, “Finansal Tabloların Helal Standartları Açısından Derecelendirmeye ve Denetime Uygunluğunun Araştırılması ve Öneriler” başlıklı doktora tezinden türetilmiştir. Çalışmada ihtiyaç analizi bağlamında derinlemesine mülakat nitel araştırma yöntemi kullanılmıştır. Araştırma kapsamında konu ile alakalı alanlarda uzman olan kişiler hedef kitle olarak seçilerek toplamda 17 kişi ile derinlemesine mülakat yapılmıştır. Akademisyen, katılım bankası yöneticileri, mali müşavirler, hukukçu, iş insanı derneği yöneticisi, ilişkili kamu kurum ve kuruluşlarında çalışan uzmanlar olmak üzere kadar geniş bir katılımcı kitlesine ulaşılmıştır. Araştırmada tüm sektörleri kapsayacak şekilde finansal verilerde helal standartların oluşturulması ve uygulanmasına ihtiyaç olduğu, bu tip bir uygulama ve denetimin bağımsız denetçiler tarafından yapılması gerektiği, helal standartlar ile ilgili yapılacak uygulamaların bu konuda hassasiyeti olan kişi ve kurumların tercihlerini belirmede kolaylık sağlayacağı öne çıkan tespitlerdir.
Developing Artificial Neural Networks and Highway Safety Manual Models for Predicting Accidents at Intersections in Bahrain
Authors: Gazder Uneb , Hasan Ahmed , Yousif Yaqoub
Published: May 2024

Intersections are among the places where the highest number of accidents occur, thus, studying their safety and considering countermeasures to increase their safety should improve the overall safety of a traffic system. Prediction models, such as Artificial Neural Networks, have not been used for planning purposes in terms of providing countermeasures for accidents. This shortcoming forces the practitioners to employ traditional statistical methods which may be less accurate and have restricted applications. Hence, the Artificial Neural Networks models of this study were developed with the application of suggested countermeasures. Their performance was also compared with the traditional method given in the Highway Safety Manual after calibrating the procedure for local conditions. In this study, the intersections with the highest reported accidents isn the Kingdom of Bahrain were analyzed. The data was taken for the years 2013–2016, courtesy of the data provided by the Bahrain General Directorate of Traffic. Using this data, two predictive Artificial Neural Networks models were developed and used to forecast the accident number and severity in these selected intersections. Four intersections were selected to showcase the findings and to study the potential countermeasures that can be applied to reduce the occurrence of accidents. The comparison between Artificial Neural Networks and Highway Safety Manual procedures showed that Artificial Neural Networks models were more convenient to use with generic applications to different types of intersections. Moreover, they also provided higher accuracy while the Highway Safety Manual model was found to be heavily dependent upon traffic demand, which greatly affected its accuracy. The countermeasures suggested in this study were shown to reduce the accidents at the selected locations.
AN OVERVIEW ON APPLICATION AND RISK ASSOCIATED WITH AI
Authors:   Assistant Professor, Department of MBA  Amruta Institute of Engineering and Management Sciences, Bidadi
Published: May 2024

The emergence of numerous intelligent products and services in recent years, along with their commercial success and socioeconomic implications, prompts the question of whether the current AI trend is mere hype or if it indeed has the capacity to bring about transformative changes on a global scale. The research paper explores the extensive applications of artificial intelligence (AI) and provides a comprehensive analysis of its positive and negative effects on business. Furthermore, the study illustrates the pioneers, obstacles, recommendations, and outcomes of AI integration, ultimately resulting in heightened transparency concerning AI integration that may assist business managers in customizing AI to their specific circumstances. Keywords: AI Trend, Heightened Transparency, Socioeconomic implications,.
An Escalation Over Mechanical Attributes in M30 Type Solid Using Qualified Fill-In by Brick Dust to Cement & Saw Dust to Sand
Authors:   Dr.K.V.Subba Reddy Institute of Technology
Published: May 2024

In this era of civilization, the major industry needful to every household is construction sector which occupies 3rd place among 13 economic sectors in the world. The serious drawback of this sector – one is pollution & second is Scarcity of materials. In the present scenario, the world is stepping towards the new thoughts in pattern to shuffle the contamination by using the proxy materials instead of cement sand & aggregates due to its famine. In this paper of examine talks about the progression of mechanical attributes in concrete. The proxy materials used of mainly two, such that Brick Dust (BD) which is Squander left over the manufacturing of bricks & Saw Dust (SD) is thrift obtained after the wood working operations composed of small chips of wood. The qualified fill in concentrates over the cement with Brick dust with increased measures of frequency like 3%, 6%, 9%, 12%, & 15%, simultaneously on the other side over Fine aggregate with Saw Dust with constant proportion of 5 % respectively for M30 type Solid. Moreover the comparison is held between the conventional Solid & Solid with proxy blends like 0%BD+0%SD, 3%BD+5%SD, 6%BD+5%SD, 9%BD+5%SD, 12%BD+5%SD & 15%BD+5%SD Key Words: Cement, Mechanical Attributes, Brick dust (BD), Saw Dust (SD), & M30 Solid
Pentingnya Pelajaran Pancasila Dan Kewarganegaraan Dalam Membentuk Karakter Dan Moral Siswa Di Sekolah
Authors: Agtania Yunisa Putri
Published: May 2024

Currently, Indonesia is facing a widespread crisis of national character and morals. This character crisis is very much dominated by the younger generation at school age. The role of Pancasila and citizenship lessons in schools is very important to shape the character and morals of students as the nation's successors so that they have quality and superior character in the future. The aim of this research is to find out the importance of Pancasila and citizenship lessons in shaping the character and morals of students at school. The method used in this article is the Systematic Literature Review (SLR) method, namely selecting each journal or previous research, then obtaining the results in the form of ideas that will be developed later. Pancasila and citizenship lessons (PKN) are one of the subjects in school where one of the aims is to shape the character of the nation's successors. It is hoped that character formation through the application of Pancasila values can lead students to grow and develop into citizens with character, morals, responsibility and remember their rights and responsibilities as Indonesian citizens. This research shows that Pancasila and citizenship lessons are very important and useful for students. Bad character and morals are certainly worrying for the development of student behavior, and vice versa, good character will give birth to the next generation with good character and morals.
Miedo y gobierno en las ficciones masivas de entresiglos
Authors: Pezzè Andrea
Published: May 2024

El presente volumen pretende detectar las dinámicas textuales que acompañan la afirmación de las élites liberales en los diferentes países de Hispanoamérica. Para lograrlo, se propone reconocer las regularidades conceptuales, sintácticas y ficcionales de los géneros de masas capaces de representar una sociedad atravesada por múltiples inquietudes.

Junto a la idea de que el policial, la ciencia ficción y el horror están lejos todavía de volverse entramados discursivos contrahegemónicos y, en cambio, sirven al arbitrio de una clase y de una ideología, esta obra se interesa por la construcción paranoica de un entramado social. Gracias a las propuestas y los estudios de Ricardo Piglia sobre el policial, de David Punter sobre el gótico y de Darko Suvin sobre la ciencia ficción, se demuestra que la “urgencia cognitiva” de estos géneros produce una demanda de seguridad, aniquilación del cuerpo extraño y miedo a la contaminación que justifica la clasificación, la jerarquización y el dominio sobre determinados cuerpos sociales.
Educação em saúde e endometriose: criação de um material didático como ferramenta de apoio
Authors: Evangelista Luiza Pereira dos Santos , Strada Cinthya de Fátima Oliveira
Published: May 2024

Objetivo: elaborar uma ferramenta didática para auxílio no processo de educação em saúde voltada à conscientização sobre a endometriose. Metodologia: esta pesquisa adota uma abordagem híbrida, combinando análise qualitativa das entrevistas e o método do Design Thinking, com as etapas de levantamento de dados, analise das sugestões, prototipação, implantação e distribuição, para criar um material educativo sobre endometriose para enfermeiros da atenção básica. Os dados foram coletados em um município de tríplice fronteira, no Paraná. Resultados: na etapa de levantamento de dados, foi realizada entrevista com seis enfermeiros atuantes na atenção básica para identificar as necessidades dos profissionais quanto ao processo de educação em saúde voltadas à endometriose e como poderia ser construída uma ferramenta didática que auxiliasse nesse processo. As respostas revelaram a necessidade da criação de um material didático sobre a doença, incluindo definição, sintomas, diagnóstica e serviços de saúde. Os enfermeiros sugeriram linguagem acessível e integração prática. O protótipo do folder foi desenvolvido com base nas sugestões dos enfermeiros, incorporando elementos visuais e informações relevantes sobre endometriose e serviços de saúde locais. A implantação e distribuição do material resultaram em uma melhor compreensão da endometriose entre os profissionais de saúde Conclusão: o processo resultou na criação do material didático sobre a endometriose na Atenção Primária à Saúde, contribuindo para uma melhor compreensão e informação da doença. Além disso, destaca a necessidade de direcionar esforços para a promoção da saúde em regiões fronteiriças, considerando aspectos psicossociais e culturais específicos. Abordagens sensíveis e inclusivas têm o potencial de melhorar significativamente a saúde e qualidade de vida da população local.
Palavras-chave: Endometriose, Educação em Saúde, Saúde da Mulher.
Perfil clínico e epidemiológico dos pacientes com Vírus da Imunodeficiência Humana (HIV) do munícipio de Araguari-MG
Authors: Reis Melissa Mariane dos , Sanches Pablo Rodrigo , Daniel Rosemary Aparecida Furlan , Silva Silvia Sidnéia da , Caritá Edilson Carlos
Published: May 2024

Objetivo: Analisar o perfil clínico e epidemiológico dos pacientes com Human Immunodeficiency Virus (HIV) do munícipio de Araguari-MG, no período de 2015-2020. Métodos: Estudo observacional analítico, transversal e quantitativo. Participam 133 pacientes, com mais de 18 anos do Centro de Atendimento Especializado DST-AIDS. Os dados foram analisados por estatística descritiva com auxílio do software Excel®️16.0 versão 2019 e o IBM SPSS Statistics 28. Para a hipótese de transmissibilidade, utilizou-se teste não-paramétrico do Qui-Quadrado (X2) e o Fisher’s Exact; dados ausentes foram tratados pelo método Pairwise deletion. O estudo foi aprovado por Comitê de Ética em Pesquisa: CAAE nº 47808621.7.0000.5498 e parecer nº 4.842.265, em 12/07/2021. Resultados: Aponta predomínio do gênero masculino heterossexual, caucasianos, com ensino médio completo, solteiro; idade mínima de 22 e máxima de 59 anos; os indivíduos com diferentes orientações sexuais apresentam 3,3 vezes de contrair as infecções sexualmente transmissível como a sífilis; os pacientes usam TARV; quanto às consultas são mensais, apresentou baixo desconforto a alta adesão. Conclusão: Evidenciaram-se limitações dos dados com registros incompletos; mas a despeito dessas limitações, os resultados apresentados aduzem confiabilidade. Há necessidade de implantação de políticas públicas e apoio ao coordenador visto que a mudança do perfil sociodemográfico não mais isenta quaisquer segmentos, pois as formas de transmissão e a austeridade da doença são de extrema importância.
Evaluation of pain level during microfocused ultrasound treatment in the lower eyelid and lateral eye region: an observational study
Authors: Gonçalves Jennifer Moreira , Serafim Graziele Maia Alves , Marinho Bruna Caroline de Jesus , Perdigão Natchely Estefane Vieira
Published: May 2024

Microfocused ultrasound is a non-invasive technology widely used for its ability to stimulate collagen production, generate fat lipolysis and provide lifting. Despite its benefits, many patients avoid the procedure due to the associated pain and discomfort. The aim of this study was to quantitatively evaluate the pain perceived during the application of HIPRO microfocused ultrasound to the lower eyelids and sides of the eyes, using the numerical pain scale (NRS). The sample consisted of 10 individuals aged between 30 and 50. The methodology included the application of HIPRO at a frequency of 10Hz and a depth of 1.5mm, with 900 shots per treated area. Pain was measured after 450 and 900 shots. The results showed that the majority of patients rated their pain as mild or non-existent, with an average score of 1.175 out of 10 on the NRS. The variability in pain perception reinforces the importance of personalized approaches. Compared to other devices, HIPRO proved to be an effective and relatively comfortable alternative, especially for pain-sensitive patients. It is concluded that HIPRO microfocused ultrasound is a safe and effective option for facial rejuvenation, with a manageable discomfort profile and good clinical results.
A (in)suficiência das políticas públicas temporárias
Authors: Elias Fernando Lopes Ferraz , Cardoso Carlos Eduardo
Published: May 2024

A pobreza e a desigualdade social estão fielmente interligadas. Dessa forma, elas não existem de maneira isolada. Com a promulgação da Constituição Federal, de 1988, o Estado comprometeu-se com a diminuição da pobreza e da desigualdade social, porém, isso nunca se deu de maneira sistêmica, buscando atingir as raízes desses problemas, senão com medidas imediatistas e inócuas, sem a solução definitiva dessas mazelas. O presente artigo procurou analisar os dados pertinentes às políticas públicas brasileiras, com destaque, para o Auxílio Emergencial, implementado em 2020. Para isso, realizou-se uma pesquisa dogmático-jurídica, consoante o método hipotético-dedutivo, a partir da análise qualitativa, com base em evidências científicas, mediante a revisão da literatura especializada a respeito do assunto, considerando as fontes teórico-doutrinárias e legais, pertinentes ao assunto. Como resultado, chegou-se à conclusão de que a persistência da pobreza e da desigualdade nacionais, desde a Ditadura Militar até os dias de hoje, deve-se à inadequação das medidas tomadas pelo Estado brasileiro.
PENGGUNAAN PETROGENOL 800 L UNTUK MENGENDALIKAN HAMA LALAT BUAH (BACTROCERA SP) PADA TANAMAN CABAI
Authors: Patty John Alfred
Published: May 2024

Kegiatan pengabdian ini bertujuan untuk memberikan ketrampilan dan pengetahuan praktis kepada masyarakat tentang penggunaan petrogenol 800 L untuk mengendalikan hama lalat buah (Bactrocera sp) pada tanaman cabai. Sasaran pelaksanaan kegiatan ini kepada masyarakat Desa Waimital, Kecamatan Kairatu, Kabupaten Seram Bagian Barat. Partisipasi dari masyarakat terhadap kegiatan ini sangat baik. Hal ini berkaitan dengan masalah yang dihadapi cabai, yakni serangan lalat buah (Bactrocera sp) yang menimbulkan kerugian, baik secara kuantitas maupun kualitias.  Adanya respons positif dari peserta penyuluhan untuk melanjutkan penggunaan petrogenol 800 L agar meminimalkan biaya pengendalian serta peningkatan pengetahuan petani dalam usaha budidaya cabai. Oleh karena itu, petani sangat membutuhkan informasi terkait dengan penggunaan petrogenol 800 L untuk mengendalikan hama pada pertanaman cabai.
Hourglass-like constrictions of the radial nerve in the neuralgic amyotrophy: A case report
Authors: Koç İsmail , Özenç Betül , Kurt Bülent , Erdoğan Ersin , Odabaşı Zeki
Published: May 2024

Neuralgic amyotrophy (NA) is a peripheral nerve disorder that has a classical presentation as motor deficit after severe pain, but it is still overlooked or misdiagnosed. Formerly, the diagnosis was based on the clinical picture and electrophysiology; however, sophisticated imaging and surgical modalities showed structural abnormalities such as hourglass-like constrictions of the nerves. In this article, we present a case presenting with drop hand mimicking radial nerve entrapment. The patient was diagnosed with NA and surgery revealed hourglass-like constrictions. The clinical findings were improved after neurorrhaphy and physical therapy. In conclusion, hourglass-like constrictions can be prognostic factors of NA and should be searched carefully.
Adherence to complete decongestive therapy in patients with postmastectomy lymphedema and related factors
Authors: Kandasoglu Habibe , Unsal Delialioglu Sibel
Published: May 2024

Objectives: The study aimed to determine the rates of adherence to phase 2 components of complex decongestive therapy (CDT) and related factors among patients with postmastectomy lymphedema.

Patients and methods: This cross-sectional study included 90 female patients (mean age: 54.4±8.0 years; range, 24 to 65 years) with unilateral postmastectomy lymphedema who completed chemotherapy or radiotherapy and had previously undergone CDT phase 1 at our clinic or elsewhere between May 2018 and May 2019. Patients were included in the study at their usual visit to the lymphedema polyclinic. After physical examination, study questionnaires that involved patients’ demographic and clinic data and Lymphedema Quality of Life scores were recorded. Patients who applied CDT phase 2 methods four days a week or more frequently were considered adherent, while those who applied these methods less frequently or who never applied these methods were considered nonadherent. The body mass index (BMI) scores were classified based on the criteria of the World Health Organization.

Results: Lymphedema stages of the patients were Stage I in 33.3% (n=30), Stage II in 60% (n=54), and Stage III in 6.7% (n=6). The rates of adherence were 74.4% (n=67) for skin care, 46.6% (n=42) for compression garment use, 42.2% (n=38) for self-massage, 42.2% (n=38) for exercise, and 18.8% (n=17) for multilayer bandaging. The rate of adherence to the multilayer bandaging method was found to be significantly higher in the obese group (BMI >30) than in the other BMI groups.

Conclusion: Patient adherence to CDT phase 2 was not sufficient except for the skin care component. There was a significant relationship between BMI and adherence to multilayer bandaging.
Is it possible to objectively determine morning stiffness in rheumatoid arthritis?
Authors: Mengi Gönen , Aydoğmuş Hüseyin , Özyemişçi Taşkıran Özden , Göğüş Feride , Beyazova Mehmet
Published: May 2024

Objectives: This study aimed to objectively and quantitatively exhibit morning stiffness by using electrophysiological methods.

Patients and methods: The prospective, controlled study was conducted with 52 participants between February 2013 and February 2014. Of the participants, 26 were recruited among RA patients (3 males, 23 females; mean age: 55.9±11.2 years; range, 24 to 74 years) followed at the rheumatology clinic, and 26 were healthy subjects (4 males, 22 females; mean age: 54.9±8.3 years; range, 41 to 70 years) for the control group. Duration and severity of morning stiffness were recorded for all participants. Activity of disease and functional status were evaluated by the Disease Activity Score 28 and Health Assessment Questionnaire (HAQ), respectively. Electrophysiological reaction times, severity of pain (Visual Analog Scale), HAQ, and grip strength were measured for each participant twice in 24 h in the morning (08:00-09:00 am) and afternoon (03:00-05:00 pm).

Results: In the RA group, motor reaction and response times and severity of pain values were significantly lower in the afternoon compared to the morning (p=0.030, p=0.031, and p=0.002, respectively), and hand grip strengths were significantly higher in the afternoon (p=0.007). In the control group, no change was observed between morning and afternoon measurements in the strength and reaction time variables.

Conclusion: Our hypothesis that stiffness would slow down the movements in the morning in RA was supported by the prolonged motor and response times in the morning compared to the afternoon. However, in the control group (no morning stiffness), there was no difference in reaction time variables between the morning and afternoon, objectively demonstrating the concept of morning stiffness in this study.
Perceived impact of a smartphone application: Knowledge, awareness, attitudes, and intention to change an abnormal neck posture among smartphone-addicted undergraduates
Authors: Akodu Ashiyat , Ipinnimo Oluwafemi , Osuntoki Akinniyi
Published: May 2024

Objectives: This study explored the perceived impact of a smartphone app on awareness, knowledge, attitudes, help-seeking, behavior change, and intention to change an abnormal posture of the neck while using smartphones among undergraduates addicted to smartphone use.

Patients and methods: This descriptive survey involved smartphone-addicted undergraduates recruited between February 2022 and July 2022. The self-administered questionnaires used for gathering the data were a smartphone addiction survey and a mobile app rating scale on app-specific query assessing changes in awareness, knowledge, attitude, intention to change, health-seeking, and behavior change.

Results: The questionnaire was completed by 316 participants (218 females, 98 males; mean: 20.7±2.6 years; range, 16 to 35 years). One hundred forty-two (44.9%) of the respondents strongly agreed that the app improved awareness, while 143 (45.3%) strongly agreed that the app improved knowledge about the significance of addressing abnormal posture of the neck while using smartphones. One hundred thirty-two (41.8%) were of the opinion that the app could change participant attitudes, and 135 (42.7%) agreed that the app could increase intentions toward improving abnormal posture of the neck. One hundred eighteen (37.3%) participants agreed that the app could promote help-seeking for abnormal posture of the neck. Respondents’ age had a negative weak correlation with intention to treat (r=–0.191, p=0.001) and help-seeking (r=–0.199, p=0.0001).

Conclusion: Most of the respondents in this study agreed that the CerviTech app could increase awareness, knowledge, attitude, intention to change, help-seeking, and behavior change of abnormal posture of the neck while using smartphones, with significant impact according to the age of the respondents regarding the intention to change and help-seeking behavior.
Local ozone injection compared to local glucocorticoid injection in carpal tunnel syndrome: A randomized controlled trial
Authors: Hesam Farnaz , Khatibi Amid-Aldin , Vafaeenasab Mohamadreza , Tirandazi Behnaz , Sharifi Dorcheh Fereshteh
Published: May 2024

Objectives: This study aimed to compare the effectiveness of local ozone (O3) injection versus corticosteroid injection in the treatment of mild to moderate carpal tunnel syndrome (CTS).

Patients and methods: This double-blind randomized controlled trial was performed on 42 patients (9 males, 33 females; mean age: 46.7±2.1 years; range, 18 to 70 years) with mild to moderate CTS between May 2021 and June 2021. The corticosteroid group (n=21) was injected with 40 mg triamcinolone, and in the O3 group B (n=21), 4 mL of a 10 mcg/mL oxygen (O2)-O3 mixture was injected. Symptom severity and functional impairments were assessed using a Visual Analog Scale and Boston Carpal Tunnel Questionnaire. Electrodiagnostic and ultrasonographic parameters were obtained at baseline and eight weeks after the procedure.

Results: The O2-O3 solution improved pain and Boston Carpal Tunnel Questionnaire score after eight weeks (p<0.001); however, the change was nonsignificant compared to the corticosteroid group (p>0.05). Sensory nerve and compound muscle action potential latencies were not significantly changed eight weeks after O2-O3 injection (p>0.05), while both were significantly decreased in the steroid injection group (p<0.001). Volar bulging and median nerve cross-section surface area were not improved after O2-O3 injection, while the improvement was significant in the corticosteroid arm (p=0.02).

Conclusion: Symptoms in patients with mild to moderate CTS may be alleviated by local O2-O3 injection; however, electrodiagnostic and ultrasonographic indices may be unchanged. Corticosteroid local injection may alleviate patient symptoms along with electrodiagnostic and ultrasonographic parameters.
Repair of a complete sternal cleft in a five-month-old female infant
Authors: Oğuzhan Özyurtkan Mehmet , Yüksel Mustafa , Kutlu Necmettin , Şener Demiroluk İsmail , Şimşek Baran
Published: May 2024

Failed midline ventral fusion of sternal bars is the cause of complete sternal cleft, which is a rare congenital anomaly that may cause cardiopulmonary compromise. Very few cases of complete sternal cleft have been reported so far in the literature. Surgical correction is recommended to protect mediastinal structures and to restore respiratory dynamics. Herein, we present a case of complete sternal cleft in a five-month-old female infant which was repaired using patch, titanium plate, and bilateral pectoralis muscular flap.
Comparison of minimal invasive extracorporeal circulation versus standard cardiopulmonary bypass systems on coronary artery bypass surgery
Authors: Mert Ozgur Mustafa , Aksut Mehmet , Ozer Tanıl , Gurel Barış , Yerli İsmail , Şimşek Mine , Sarikaya Sabit , Kırali Kaan
Published: May 2024

Background: In this study, we shared our experience with the minimal invasive extracorporeal circulation system for coronary artery bypass grafting patients.

Methods: A total of 163 patients were included in the retrospective study, with 83 patients (63 males, 20 females; mean age: 61.9±8.9 years; range, 35 to 81 years) undergoing coronary artery bypass grafting with minimal invasive extracorporeal circulation and 80 patients (65 males, 15 females; mean age: 60.5±8.8 years; range, 43 to 82 years) undergoing coronary artery bypass grafting with conventional cardiopulmonary bypass between July 2021 and April 2023. Elective coronary bypass performed by same surgical team were included in the study. Mortality, major adverse cardiac and cerebrovascular event, hospital stays and transfusion requirements were evaluated.

Results: There were no significant differences in sex distribution, age, comorbidities, and blood values between the two groups. Intraoperatively, the minimal invasive extracorporeal circulation group had a slightly higher number of distal anastomoses and comparable times for aortic cross-clamp and cardiopulmonary bypass. Postoperative outcomes such as tamponade, bleeding, atrial fibrillation, left ventricular ejection fraction improvement or reduction, and postoperative drainage were similar between the two groups. However, the minimal invasive extracorporeal circulation group had fewer transfusions of packed red blood cells and fresh frozen plasma and a shorter length of stay in the intensive care unit.

Conclusion: The minimal invasive extracorporeal circulation system effectively preserves blood, works with lower activated clotting time values without additional complications in coronary artery bypass grafting, and could present a better option for patients with anemia or patients with a relatively high risk for high-dose heparinization.