bluuebunny/crossref_metadata_2025 huggingface dataset:
Der Parker des Transfermarkts: Zum Einfluss der Plattform Transfermarkt.de
Authors: Daumann Frank , Follert Florian , Werner Julie B.
Published: June 2022

Die Bestimmung des Marktwertes eines Fußballspielers stellt ein zentrales Problem auf dem Transfermarkt dar. „Transfermarkt.de“ publiziert derartige Marktwerte, deren Ermittlung jedoch weitgehend intransparent bleibt. Daraus ergeben sich für die Betreiber des Portals erhebliche diskretionäre Spielräume, die dazu genutzt werden könnten, zumindest ansatzweise die Tektonik des Profifußballs zu beeinflussen. Da jedoch der Markt für derartige Portale offen ist, besteht hier aus ordnungsökonomischer Sicht kein Regulierungsbedarf.
Illness as a space of communication between man and God as perceived by the Old Russian scribe (11–13th cc.)
Authors: Pelezneva Natalia
Published: June 2022

Based on Old Russian literary sources of 11-13th cc., this paper examines how illness was perceived in the Middle Ages. This research concentrates on a certain perception type (“communication illness”) and describes its distinctive features. This type of sickness integrates several versions of the medieval illness etiology, including “illness as a punishment” and “illness as a trial”. The author suggests that an Old Russian scribe considered “communication illness” as a message from God. The circumstances of the illness allowed the sick person to recognize the situation of “communication” and decipher the message. Some details like visions or the absence of “sickness agents” could help to recognize this type of illness. The research distinguishes several subtypes of “communication illness”, which are called “sign illness”, “punishment illness”, “inborn illness” and “deathbed illness”. The last one could be perceived as an ascetic practice available to both clergy and laity. Scribes condemned any attempt to feign a “communication illness”, this was viewed as an act of sacrilege. The message of “communication illness” was more often positive, it was perceived as a sign of God’s favor to the sick person. Biblical quotations used in descriptions of the illness show that “communication illness” was closely related to the virtue of patience. The conclusions of this research make it possible to correct the present conception that Old Russian scribes prohibited any attempts to apply methods of classical (Hippocratic) medicine. The author believes that scribes condemned Hippocratic methods exclusively in the situations of “communication illness”, in other cases of sickness they had no objection to a classical approach to the treatment.
The Impact of Soviet-American Negotiations on the Change in Soviet Religious Policy (1985-1989): The Historical and Political Contexts of Gorbachev's Visit to the Vatican
Authors: Filippov Boris
Published: June 2022

This article deals with a radical change in the religious politics of the Soviet government between 1987 and 1988. Then, the celebration of the 1000th Anniversary of the Christianization of Rus’ became not only a Church issue but also an event of great political significance. Additionally, the official visit of Mikhail Gorbachev to the Vatican was designed in this period. The author argues that the communication problems which Gorbachev faced during his negotiations with Ronald Reagan in Geneva, Reykjav?k, and Moscow were the reason for this change. Since the anti-religious policy of the Soviet Union was one of the main obstacles to rapprochement between Reagan’s administration and the Soviet government, Gorbachev and his advisers decided to revise their approach to the Church issues. The author also assumes that Pope John Paul II unofficially played an important role in the negotiations between the US diplomats and the Soviet government. According to the article, the “Holy Alliance” between Reagan and Pope John Paul II had a significant impact on this negotiation process. Gorbachev’s visit to the Vatican was, in the author’s view, a link in the chain of events which led to the changes of Soviet religious politics. The legalization of the Ukrainian Greek-Catholic Church was, according to the author, a price to pay for the normalization of the relationships both with the Vatican and with the USA. Based on recently published and unpublished sources, the author describes this process in a broad historical context and analyze the attitude of both the Russian Orthodox Church and the Holy See towards the Ukrainian Greek-Catholic Church, religious freedom, and the role of religion in the public sphere.
Dilema Undang-Undang Informasi dan Transaksi Elektronik dalam Praktik Jurnalisme: Tinjauan dari Teori Panoptikon
Authors: Hikami Indi
Published: June 2022

Law No. 19 of 2016 electronic information and transactions has caused an overlapping issue in journalism. However, there is Law No. 40 of 1999, which regulates and guarantees press freedom. Unfortunately, many journalists have become a victim of the Law itself. Such a condition will distort Indonesia’s public sphere, where journalism is a supportive instrument. As per Foucault’s panopticon theory, the researcher sees this Law as a supervision instrument to monitor the activity of Indonesia’s press so that they do not produce such a critical news point of view and eventually threaten the authorities. This article uses a narrative approach to break down the relationship between Indonesian Electronic Information and Transactions. The result shows that this Law can either be a supervision instrument. Nevertheless, on the other hand, for journalists, this will potentially limit their freedom since the authorities see their activity as a threat to the government.
Pemberitaan Isu Tsunami Megathurst 20 Meter Jawa dalam Tinjauan Jurnalisme Sains
Authors: Ukhtiana Mia Reva , Subhan Arief , Sobri Abdul Muis
Published: June 2022

News coverage on natural disaster issues often appears from various academic, theological, and mystical perspectives. This article explores how the reporting model developed by Detik.com, Kompas.com, and pikiranrakyat.com in writing on the megathrust tsunami issue from the perspective of science journalism and how the three media's writing differs on this issue. This article uses the constructivist paradigm and the perspective of science journalism to see an overview of the practice of producing natural disaster issues in online media. The results show that the three online portals have succeeded in providing actual and factual information about natural disaster issues scientifically and, at the same time, increasing the reader's understanding of the early-warning system. Thus, this article illustrates that media should report disasters issues scientifically so the readers will think critically and empirically and support the change of disaster approach from curative to preventive.
Class separability, correlation to biomass, parsimony and homogeneity of classes as criteria to decide on the goodness-of-classification when comparing Hungarian soil classification to World Reference Base inside a slightly saline plot
Authors: Tóth Tibor , Novák Tibor , Makó András , Gallai Bence , Czigány Szabolcs , Árvai Mátyás , Mészáros János , Kocsis Mihály , László Péter , Koós Sándor , Balog Kitti
Published: June 2022

As a means of assisting the selection of promising soil classification systems, a set of criteria were presented and tested. Inside the studied slightly saline plot World Reference Base (WRB) and Hungarian soil classification (HU) were compared at all four levels in terms of class separability, correlation to biomass, parsimony and homogeneity of classes. WRB surpassed HU in terms of the very important homogeneity of classes only, but HU performed better in terms of class separability, correlation to biomass and parsimony of classes. With many possible classification units WRB categorized the soil into a large number of classes, but 67% and 78% of them were single-profile classes at levels 3 and 4, respectively inside the ca 0.9 km2 area.
On an Equation with Prime Numbers Close to Squares
Authors: Dimitrov Stoyan I.
Published: June 2022

Let [ · ] be the fioor function. In this paper, we show that when 1 < c < 37/36, then every sufficiently large positive integer N can be represented in the form

where p1, p2, p3 are primes close to squares.
Extraction and quantification of melatonin in cornelian cherry (Cornus mas L.) by ultra-fast liquid chromatography coupled to fluorescence detector (UFLC-FD)
Authors: Uğur Yılmaz
Published: June 2022

Wild edible plants (WEPs) can be widely found in the world and defined as native species that grow naturally in their natural habitat. They have become part of the traditional food as human diet and used in folk medicine to treat diseases. They are very rich in terms of nutraceuticals. Melatonin is a natural hormone providing several benefits for human health. It has functions such as regulating growth and development and increasing tolerance to environmental stress factors in plants. It is stated that the serum melatonin level in humans increases after intake of foods containing melatonin. This study examined the presence of melatonin in wild grown cornelian cherry fruits by UFLC-FD and determined suitable extraction and chromatographic conditions. The optimum mobile phase, excitation/emission wavelength, and extraction solvent were determined as methanol: water: acetic acid, 275/345 nm, and methanol: water: HCl, respectively. Melatonin content in fruits ranged from 130.82 to 201.84 ng g−1 in fresh fruit.
An analysis of the relationship between resilience and clinical competence in nurses: A descriptive-correlational study
Authors: Aziznejadroshan Parvin , Goliroshan Soghra , Qalehsari Mojtaba Qanbari , Hosseini Seyed Javad , Geraili Zahra , Zavardehi Fatemeh Shaker
Published: June 2022

Objective: Resilience and clinical competence are two important components of providing nursing care to patients. The goal was to determine the correlation between clinical competence and resilience in the nurses at Babol University of Medical Sciences, Iran.
Methods: This descriptive and correlational study was conducted in 2019 and 2020. A total of 424 nurses working in the intensive care units and general wards of six hospitals affiliated with Babol University of Medical Sciences were selected using the stratified sampling technique. Liu’s Nursing Clinical Competence Questionnaire was used to assess the clinical competence of the nurses, and Connor-Davidson Resilience Scale was used to assess the nurses’ resilience. The descriptive statistics, Pearson’s correlation coefficient, t-test, and one-way ANOVA methods were used in data analyses.
Results: The mean score on the seven dimensions of clinical competence was high (174.8624.19). The nurses had the highest mean scores on “clinical care” and “management and leadership” dimensions (4.7731.50 and 4.728.61, respectively). They also had the lowest mean scores on the “mentoring and teaching” and “professional progress” dimensions (3.5319.10, 3.4119.14, respectively). The mean ± standard deviation of the nurses’ resilience score was 73.3612.66. The results of Pearson’s correlation test indicated a positive significant relationship between all clinical competence dimensions and nurses’ resilience (p<0.001, r=0.493).
Conclusion: Given the strong relationship between resilience and clinical competence, this study suggests that nursing managers should carry out proper planning to improve the resilience of nurses as well as enhancing their clinical competence.
Associations of multisite pain with mental ill health among women in North India
Authors: Grills Nathan John , Singh Prerana , Anderson Pamela
Published: June 2022

Physical triggers of multisite body pain (MSP) have typically been the focus of treatment regimens for MSP in low- and middle-income countries (LMICS). We explored the non-physical dimension of MSP, particularly the presence of mental ill health and other possible risk factors. We conducted a case-control study among 140 female participants in North India in early 2019. We used structured interviews to assess pain and validated mental health questionnaires to determine presence of depression and psychological distress. Statistical analyses of MSP, mental health, and demographic data found strong associations between MSP and depression and psychological distress. Marital status (women who had been widowed, separated, or unmarried) was the only demographic factor found to have a significant association with the experience of MSP. We conclude that non-physical factors such as mental health need to be considered by treating practitioners and included within national treatment guidelines in LMICs such as India.
Finding common ground for the common good: An appeal for innovative collaboration between faith- and non-faith-based organizations
Authors: Ellis Danielle , Fitzgerald Tamara
Published: June 2022

Both faith-based organizations (FBOs) and non-faith-based organizations (NFBOs) make significant contributions to healthcare in low- and middle-income countries, particularly for patients with fewer economic resources. The perception that FBO and NFBO are dissimilar may contribute to there being insufficient interactions between them. But in fact, faith and humanitarianism are intimately and historically connected. As a byproduct, FBO and NFBO share both accomplishments and criticisms, including echoes of imperialism and lack of neutrality. A mutual interest approach could cultivate partnerships between FBO and NFBO, allowing them to pursue the common good of a healthier world without risking assimilation, isolation, or inauthenticity.
Research as mission: Experiences and expectations of mission agency leadership regarding the ministry role of clinical and public health research
Authors: Wendler Carlan , Lindberg Doug , Sund Greg
Published: June 2022

Introduction: Research as a focus of healthcare missions is an important component of the evolving role of healthcare missionaries and sending organizations in LMICs. There is a lack of data and understanding on what appetite exists to expand and invest in such research initiatives.
Methods: This study surveyed leaders of North American mission sending agencies engaged in healthcare, seeking to ascertain their current and anticipated future involvement in research, education, and healthcare delivery.
Results: Forty-seven leaders responded (of 211 contacted) to our survey of whom 37 completed all survey questions. Eighty-two percent of respondents agreed that they had a responsibility as an organization to study how to improve clinical care and public health. Sixty-four percent of respondents anticipated reduced healthcare delivery in the next 10 years. During that same 10-year, time frame, 61% anticipate an increase in health research mentoring, and 79% expect an increased role of student education. However, this emerging shift towards research and education is not yet reflected with a similar degree of perceived enthusiasm among missionaries in doing research or donors in supporting it.
Discussion: Across the spectrum of middle- and upper-level leadership in a variety of missions sending organizations, there is recognition of an important and increasing role for healthcare research activities in ministry. About half of the agencies represented in our sample are already involved in research and will need to share best practices with others as healthcare missionaries devote more time and attention to research mentorship. Done well, this can provide additional avenues for disciple-making in both home and host cultures as well as improve the care for populations in those remote and rural areas often most served by healthcare missionaries.
Conclusion: Research as mission has, heretofore, been a neglected methodology, but institutional leaders in healthcare missions anticipate an increasingly important ministry role for it.
Scripture matters for sustainable whole-person nursing
Authors: McCroskey Diane
Published: June 2022

Nursing is truly an ever-evolving profession. It is one of the most versatile occupations within the health care arena. It is not the same profession today as it was years ago. Nurses need direction to create order out of chaos in today’s complex multifaceted healthcare environment. My survival plan entails a personal relationship with Christ which is strengthened by consistent time spent in the Holy Scriptures. Reading the Bible daily and studying scripture is a necessity. Scripture passages can inspire nurses particularly in going forward, in endlessly caring for other individuals and in sharing our passion to serve others as we venture forth.
Pesan Moral dari Anak Yatim Pemberani dari Cerita Anak Syajaratu Al-Hayati Karya Kamil Kailani
Authors: Maidah Nenden Siti , Syasi Mohamad , Ulfah Nisrina
Published: June 2022

Moral merupakan cerminan bagi kondisi suatu bangsa di seluruh dunia, dan anak merupakan aset pemegang tambuk kemenangan dunia, namun dalam hal ini jika si pemegang tambuk memiliki moral yang sangat baik. Terlalu sibuknya pemerintahan di belbagai negara dengan belbagai masalah negara. Membuat masalah moral di kesampingkan oleh para pemerintah di belbagai negara. Sehingga moral anak di belbagai negara mengalami kerusakan tingkat tinggi. Jika kerusakan moral anak di belbagai negara mengalami kerusakan, maka kemenangan dunia akan sulit untuk di capai. Di Mesir, membuktikan bahwa adanya kerusakan moral anak hingga mengeluarkan undang-undang kriminal anak untuk memberikan efek jera. Dengan demikian, penelitian ini bertujuan untuk menjelaskan unsur-unsur teks dan  pesan moral dari anak yatim pemberani yang terdapat dalam cerita anak “Syajarotu Al-Hayati” Karya Kamil Kailani. Metode yang digunakan dalam penelitian ini yaitu metode deskriptif analisis, dengan menggunakan pendekatan strukturalisme oleh Robert Stanton. Peneliti memaparkan bagaimana teori Robert Stanton yang diterapkan dalam Dalam Cerita anak Syajaratu Al-Hayati Karya Kamil Kailani. Uraian unsur intrinsik pada cerita anak, serta pesan moral yang terkandung dalam cerita anak. Hasil yang didapat dari analisis yaitu mengungkap pesan moral yang terkandung dalam cerita anak dari uraian unsur intrinsik yang membangun keseluruhan cerita anak, pesan moral dari anak yatim pemberani dalam cerita anak Syajaratu Al-Hayati karya Kamil Kailani ini adalah kejujuran, nilai-nilai otentik, kesediaan bertanggung jawab, kemandirian moral, keberanian moral, kerendahan hati.Kata kunci: cerita anak, pesan moral, strukturalisme, unsur intrinsik.
Pemberdayaan Perempuan Melalui Kegiatan Bank Sampah Ngudi Makmur Dusun Serut
Authors: Nurazizah Arifka Maulida
Published: June 2022

Perempuan merupakan bagian dari penyumbang separuh dari kekuatan sumber daya manusia di negeri ini. Perannya pun tidak kalah penting dibandingkan dengan laki-laki. Berbagai upaya dapat dilakukan untuk menyetarakan peran perempuan dan meningkatkan potensinya menjadi salah satu cara untuk menyetarakan posisi perempuan dan laki-laki, salah satunya melalui program pemberdayaan perempuan. Terlepas dari masalah kesetaraan gender permasalahan lingkungan masih terus menjadi pekerjaan rumah (PR) bagi pemerintah dan masyarakat Indonesia karena sampah masih terus menjadi penyebab lingkungan yang tidak sehat. Melalui program bank sampah Ngudi Makmur, ibu-ibu PKK dusun Serut berjuang mengatasi permasalah sampah rumah tangga. Tujuan penelitian ini untuk mengetahui bagaimana proses kegiatan dan hasil program bank sampah Ngudi Makmur dalam memberdayakan perempuan di Dusun Serut. Metode penelitian yang digunakan adalah metode deskriptif-analitis_ yang menjabarkan beberapa penemuan dengan_menarasikannya_dalam_bentuk uraian. Pengumpulan data menggunakan metode observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bahwa proses kegiatan pengelolaan sampah di bank sampah Ngudi Makmur berjalan dengan baik dan mendapat respon baik dari masyarakat sekitar. Selain dapat mengatasi permasalahan sampah, program bank sampah ini juga mampu memberikan memberdayakan ibu-ibu PKK di dusun Serut. Hasil penjualan sampah di bank sampah ini juga memberikan pendapatan tambahan bagi ibu-ibu rumah tangga untuk memenuhi kebutuhan sehari-hari. Meskipun demikian dalam pelaksanaan program tidak lepas dari faktor pendukung dan penghambat.
Relative Gottlieb groups of mapping spaces and their rational cohomology
Authors: Zaim Abdelhadi
Published: June 2022

Let f:X →Y be a map of simply connected CW-complexes of finite type. Put maxπ★(Y)⊗Q = max{ i | πi(Y)⊗Q≠0 }. In this paper we compute the relative Gottlieb groups of f when X is an F0-space and Y is a product of odd spheres. Also, under reasonable hypothesis, we determine these groups when X is a product of odd spheres and Y is an F0-space. As a consequence, we show that the rationalized G-sequence associated to f splits into a short exact sequence. Finally, we prove that the rational cohomology of map(X,Y;f) is infinite dimensional whenever maxπ★(Y)⊗Q is even.
Effects of Dynamic Warm-up Programs Including Self-Myofascial Relexation on Soft Tissue Stiffness and Exercise Performance
Authors: Seon Se-Young , An Keun-Ok , Lee Kwang-Jin
Published: June 2022

PURPOSE: This study aimed to investigate the effect of dynamic warm-up (DW), including DW and self-myofascial release (SMFR), on soft tissue stiffness and exercise performance.METHODS: Eight adult men participated in this study. The procedure was conducted twice every 2 weeks. Soft tissue stiffness measurements and exercise performance were performed as a pre-post-test. DW only and DW with SMFR were performed as an exercise intervention for the two groups, respectively.RESULTS: In the group conducted solely by DW, the stiffness of the gastrocnemius and rectus femoris muscles increased (p<.05), and in the DW group including SMFR, the stiffness of the rectus femoris muscle (p<.01) and biceps femoris muscle increased (p<.05). The Achilles and patellar tendon showed no significant changes in either group. A significant increase was observed in both the DW group and the DW group containing SMFR in the 30 m sprint (p<.01). The vertical jump (VJ) showed no significant change in both groups.CONCLUSIONS: Therefore, DW, including DW with SMFR, increased muscle stiffness, specifically through a 30-m sprint. In a followup study, it is considered necessary to investigate the effect of the VJ through the development of a DW program that changes the stiffness of tendons.
A vitamina C na esquizofrenia apresenta benefício? Estudo preliminar com análise comportamental em ratos
Authors: Okamoto Juliana Naomi , Martins Mario Luiz Watanabe Gomes , Henna Neto Jorge
Published: June 2022

RESUMO Objetivo O objetivo deste estudo foi analisar em ratos modelos de esquizofrenia, induzidos pela administração de cetamina, a possibilidade dos efeitos benéficos do ácido ascórbico na esquizofrenia, por meio do teste comportamental. Métodos O estudo preliminar foi simples-cego e randomizado. Foi realizado o protocolo de psicose por cetamina em 24 ratos Wistar submetidos posteriormente à análise comportamental. No primeiro grupo, foram administradas: água e cetamina; no segundo: ácido ascórbico e cetamina; no terceiro: antipsicótico, ácido ascórbico e cetamina; e no quarto: antipsicótico, água e cetamina. A análise comportamental foi feita por meio do Open Field Test, considerado o método-padrão para avaliar comportamento em modelos animais de esquizofrenia. A análise estatística foi realizada pelo software IBM-SPSS, por meio dos Modelos Lineares Generalizados. Resultados O tratamento em monoterapia de haloperidol (Média Quadrante: 44,5 ± 15,8; IC: 13,54-75,46/Média Centro: 2,67 ± 0,67; IC: 1,63-4,35) e aquele em conjunto com a vitamina C (Média Quadrante: 38,67 ± 15,8; IC: 7,71-69,52/Média Centro: 2,00 ± 0,58; IC: 1,14-3,52) demonstraram benefícios nos ratos modelos de esquizofrenia induzidos por cetamina (Média Quadrante: 108,5 ± 15,8; IC: 77,54-139,46/Média Centro: 11,33 ± 1,37; IC: 8,94-14,37) (p < 0,001). O tratamento isolado com a vitamina C não apresentou resultado significante (Média Quadrante: 62,00 ± 15,8; IC: 31,04-92,96/Média Centro: 7,00 ± 1,08; IC: 5,17-9,47). Conclusão A associação de antipsicótico e vitamina C e somente o antipsicótico demonstraram efeito terapêutico em relação aos controles. A vitamina C isolada não apresentou benefício.
Tentativa de suicídio: prevalência e fatores associados entre usuários da Atenção Primária à Saúde
Authors: Aguiar Renata Aguilhera , Riffel Rogério Tomasi , Acrani Gustavo Olszanski , Lindemann Ivana Loraine
Published: June 2022

RESUMO Objetivo Estimar a prevalência de tentativa de suicídio entre usuários da Atenção Primária à Saúde (APS) e verificar fatores associados. Métodos Estudo transversal realizado com indivíduos de 18 anos ou mais, atendidos na rede urbana da APS de Passo Fundo, Rio Grande do Sul. Foi calculada a prevalência do desfecho, com intervalo de confiança de 95% (IC95), além das Razões de Prevalência (RPs) brutas e ajustadas para verificação dos fatores associados. Resultados Amostra de 1.443 indivíduos, prevalência da tentativa de suicídio de 9% (IC95 8%-11%), com maior probabilidade em mulheres (RP = 3,01; IC95 1,54-5,86), 18-59 anos (RP = 2,15; IC95 1,38-3,34), sem cônjuge (RP = 1,82; IC95 1,09-3,03), com duas ou mais doenças crônicas não transmissíveis (RP = 1,54; IC95 1,08-2,18), diagnóstico de HIV/AIDS (RP = 3,02; IC95 1,30-7,02), de depressão (RP = 2,69; IC95 1,83-3,96), história familiar de tentativa de suicídio (RP = 1,99; IC95 1,50-2,63) e insônia (RP = 1,46; IC95 1,05-2,02). Observou-se tendência linear inversamente proporcional em relação à escolaridade, com redução de 42% na probabilidade do desfecho entre os participantes com ensino superior (RP = 0,58; IC95 0,39-0,86). Conclusões Constataram-se alta prevalência de tentativa de suicídio, em comparação à média nacional, e associação com idade adulta, sexo feminino, menor escolaridade, ausência de cônjuge, diagnóstico de doenças crônicas, insônia e história familiar de suicídio.
RE-HEPATECTOMY MEANS MORE MORBIDITY? A MULTICENTRIC ANALYSIS
Authors: BASILIO Luiza , STEINBRÜCK Klaus , FERNANDES Reinaldo , D’OLIVEIRA Marcelo , CANO Renato , VASCONCELOS Hanna , BARBOSA Daniel , ENNE Marcelo
Published: June 2022

ABSTRACT - BACKGROUND: Colorectal cancer generally metastasizes to the liver. Surgical resection of liver metastasis, which is associated with systemic chemotherapy, is potentially curative, but many patients will present recurrence. In selected patients, repeated hepatectomy is feasible and improves overall survival. AIM: This study aimed to analyze patients with colorectal liver metastasis (CRLM) submitted to hepatectomy in three centers from Rio de Janeiro, over the past 10 years, by comparing the morbidity of first hepatectomy and re-hepatectomy. METHODS: From June 2009 to July 2020, 192 patients with CRLM underwent liver resection with curative intent in three hospitals from Rio de Janeiro Federal Health System. The data from patients, surgeries, and outcomes were collected from a prospectively maintained database. Patients submitted to first and re-hepatectomies were classified as Group 1 and Group 2, respectively. Data from groups were compared and value of p<0.05 was considered significant. RESULTS: Among 192 patients, 16 were excluded. Of the remaining 176 patients, 148 were included in Group 1 and 28 were included in Group 2. Fifty-five (37.2%) patients in Group 1 and 13 (46.5%) in Group 2 presented postoperative complications. Comparing Groups 1 and 2, we found no statistical difference between the cases of postoperative complications (p=0.834), number of minor (p=0.266) or major (p=0.695) complications, and deaths (p=0.407). CONCLUSIONS: No differences were recorded in morbidity or mortality between patients submitted to first and re-hepatectomies for CRLM, which reinforces that re-hepatectomy can be performed with outcomes comparable to first hepatectomy.
RISK FACTORS FOR SURGICAL WOUND INFECTION AFTER ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY
Authors: GAMO Gustavo de Oliveira , REICHARDT Gabriel Sebben , GUETTER Camila Roginski , PIMENTEL Silvania Klug
Published: June 2022

ABSTRACT - BACKGROUND: One of the ways to avoid infection after surgical procedures is through antibiotic prophylaxis. This occurs in cholecystectomies with certain risk factors for infection. However, some guidelines suggest the use of antibiotic prophylaxis for all cholecystectomies, although current evidence does not indicate any advantage of this practice in the absence of risk factors. AIM: This study aimed to evaluate the incidence of wound infection after elective laparoscopic cholecystectomies and the use of antibiotic prophylaxis in these procedures. METHODS: This is a retrospective study of 439 patients with chronic cholecystitis and cholelithiasis, accounting for different risk factors for wound infection. RESULTS: There were 7 (1.59%) cases of wound infection. No antibiotic prophylaxis regimen significantly altered infection rates. There was a statistically significant correlation between wound infection and male patients (p=0.013). No other analyzed risk factor showed a statistical correlation with wound infection. CONCLUSIONS: The non-use of antibiotic prophylaxis and other analyzed factors did not present a significant correlation for the increase in the occurrence of wound infection. Studies with a larger sample and a control group without antibiotic prophylaxis are necessary.
GASTROESOPHAGEAL SYMPTOMS AFTER LAPAROSCOPIC GASTRIC BYPASS: MISTAKES IN PERFORMING THE PROCEDURE?
Authors: BRAGHETTO Italo , KORN Owen , GUTIÉRREZ Luis , TORREALBA Andrés , ROJAS Jorge
Published: June 2022

ABSTRACT - BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LGB) is the recommended procedure for morbidly obese patients with gastroesophageal reflux disease (GERD). However, there have been reported gastroesophageal reflux symptoms or esophagitis after LGB. Few functional esophageal studies have been reported to date. AIM: To evaluate the anatomic and physiologic factors contributing to the appearance of these problems in patients who underwent LGB. METHODS: This prospective study included 38 patients with postoperative gastroesophageal reflux symptoms submitted to LGB. They were subjected to clinical, endoscopic, radiologic, manometric, and 24-h pH-monitoring evaluations. RESULTS: Eighteen (47.4%) of 38 patients presented with heartburn or regurgitation, 7 presented with pain, and 4 presented with dysphagia. Erosive esophagitis was observed in 11 (28.9%) patients, and Barrett’s esophagus (5.7%) and jejunitis (10.5%) were also observed. Hiatal hernia was the most frequent finding observed in 15 (39.5%) patients, and most (10.5%) of these patients appeared with concomitant anastomotic strictures. A long blind jejunal loop was detected in one (2.6%) patient. Nearly 75% of the patients had hypotensive lower esophageal sphincter (9.61±4.05 mmHg), 17.4% had hypomotility of the esophageal body, and 64.7% had pathologic acid reflux (% time pH <4=6.98±5.5; DeMeester’s score=32.4±21.15). CONCLUSION: Although rare, it is possible to observe gastroesophageal reflux and other important postoperative symptoms after LGB, which are associated with anatomic and physiologic abnormalities at the esophagogastric junction and proximal gastric pouch.
Disponibilidade de estrutura e das atividades profissionais da Atenção Primária à Saúde correspondentes à Linha de Cuidado do Sobrepeso e Obesidade no estado do Piauí
Authors: Alberto Norma Sueli Marques da Costa , Barros Denise Cavalcante de , Vitorino Santuzza Arreguy Silva , Cardoso Osmar de Oliveira
Published: June 2022

RESUMO O objetivo deste trabalho é apresentar a disponibilidade de estrutura e das atividades profissionais da Atenção Primária à Saúde correspondentes à Linha de Cuidado do Sobrepeso e da Obesidade no estado do Piauí. Estudo transversal descritivo que utilizou dados relacionados à linha de cuidado da obesidade dos Módulos I e II do Ciclo III do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. Participaram municípios com ≥ 70% das equipes contratualizadas. A disponibilidade foi classificada em ‘crítica, incipiente, intermediária e suficiente’, a partir das unidades de análise: ‘unidades de saúde e equipes’. Os dados foram estratificados por municípios e macrorregiões. Considerou-se ‘satisfatória’ a unidade de análise que dispunha de 70% ou mais dos itens. Calculou-se prevalência e razão de prevalência bruta e ajustada. Avaliaram-se 213 municípios, 964 unidades e 1.033 equipes. Encontravam-se com disponibilidade ‘satisfatória’ 71,3%, 84,0% e 97,6%, respectivamente. A disponibilidade ‘satisfatória’ estava mais concentrada entre os municípios com mais de 20.000 hab. A Macrorregião Semiárido apresentou 1,26 vez maior probabilidade de disponibilidade da estrutura e 1,03 de realização das atividades. A maioria dos municípios apresentou disponibilidade ‘satisfatória’ para a linha de cuidado. Os achados podem subsidiar outras práticas avaliativas e de planejamento da intervenção.
Conexão SUS: um canal do YouTube como instrumento de formação educacional e fortalecimento do Sistema Único de Saúde
Authors: Aragão Maria Gerusa brito , Farias Mariana Ramalho de
Published: June 2022

RESUMO Trata-se da análise estatística de alcance e audiência do canal Conexão SUS, através dos dados do YouTube Studio. Foram analisados o alcance do canal e o engajamento do público de 2016 a 2021, avaliando-se o padrão anual de: número de inscritos, visualizações, impressões, compartilhamentos, marcações ‘gostei’, marcações ‘não gostei’ e tempo de exibição em horas. A sazonalidade do número de visualizações do canal foi avaliada através de análise do mapa de calor em cluster do número de visualizações diárias do canal de 2016 a 2021. Ademais, foi avaliado o comportamento dos usuários do canal com base nas interações dos usuários com os assuntos abordados pelos vídeos do canal. Assim, foi observado que o canal conta com 19.625 inscritos, 984.347 visualizações, 36.796 horas assistidas e 4.259.577 impressões. A audiência do canal conta com participação de 73,3% de mulheres, com idade entre 25 e 34 anos, que acessam os conteúdos produzidos preferencialmente por dispositivo móvel. Atenção básica é o conteúdo com maior engajamento e alcance do canal. O canal Conexão SUS se mostrou uma ferramenta propulsora da comunicação sobre o Sistema Único de Saúde (SUS) nas redes sociais.
Uso do WhatsApp para suporte das ações de educação na saúde
Authors: Meirelles Fátima , Teixeira Vânia Maria Fernandes , França Tania
Published: June 2022

RESUMO O artigo visou analisar o uso do aplicativo móvel, em especial, o WhatsApp, como ferramenta de gestão das ações de educação na saúde com ênfase na Educação Permanente em Saúde no estado do Rio de Janeiro. Estudo exploratório, de abordagem quantitativa, com uso de questionário on-line. Os participantes foram os gestores/responsáveis pelas ações de educação permanente. Os dados quantitativos foram tratados estatisticamente. Predominou o sexo feminino, a idade variou de 34 a 68 anos. O vínculo dominante foi o Estatutário Efetivo Municipal. Sobre o cargo/função ser exclusivamente relacionado com as atividades de educação permanente, mostrou não haver exclusividade das funções. O aplicativo é pouco utilizado nas atividades de planejamento, acompanhamento, monitoramento e avaliação. Foi apontado como uma ferramenta para receber/enviar mensagens, manter conversas em grupo e compartilhar documentos. As atividades mediatizadas pelo WhatsApp referem o uso para divulgação/inscrição em eventos, canal de comunicação e interação entre atores, planejamento/divulgação da participação em reuniões técnicas. Foram apontadas dificuldades na utilização do aplicativo relativas ao excesso de mensagens, que exigem disponibilidade de tempo para respondê-las. Há necessidade de novos estudos para o aprofundamento dos limites e possibilidades do uso do aplicativo na gestão dessas ações. Como limitações, aponta-se o estudo ter sido locorregional.
Tin speciation in the blood plasma of workers occupationally exposed in a cassiterite ore processing industry
Authors: Lima Débora Resende de Souza , Silva Filipe Soares Quirino da , borges Renato Marçullo , Marques Rejane Correa , Moreira Maria de Fátima Ramos
Published: June 2022

ABSTRACT Mining is a high-risk activity due to its dangerous processes. Tin (Sn) is obtained from cassiterite ore and mining activities expose workers to the metal. Chronic exposure to Sn may cause pneumoconiosis, gastrointestinal and hematological effects, among others. This work aimed to assess the exposure of workers to tin in a cassiterite ore processing industry, using the speciation analysis in blood plasma. Twelve subjects donated the blood samples; six were occupationally exposed to Sn. Size exclusion chromatography separated proteins in blood plasma; a graphite furnace atomic absorption spectrometer determined total tin in the plasma and eluted fractions, while SDS-PAGE determined molecular masses of proteins. Tin levels in the workers’ plasma were four times higher than in the reference individuals. After fractionation, the metal only appeared in the total inclusion volume, not being possible to confirm the binding of tin to proteins, which certainly modifies their functions and impair workers’ health. Despite that, the work process needs to change since Sn levels in the workers’ plasma pointed to metal exposure. Further works are necessary to clarify whether the metal is free or bound to small proteins in blood plasma and understand the true impact of tin on workers’ health.
Assistência Farmacêutica e governança global da saúde em tempos de Covid-19
Authors: Ribeiro Alane Andrelino , Ricardi Luciani Martins , Pontes Marcela Amaral , Leite Silvana Nair
Published: June 2022

RESUMO Este ensaio aborda como e em que níveis a Assistência Farmacêutica é atravessada pela dinâmica da governança global da saúde, e como se relaciona com aspectos geopolíticos e socioeconômicos. Tenta-se ir além do acesso a medicamentos e produtos para saúde, abordando também o uso racional de medicamentos, seu impacto na resistência aos antimicrobianos e na saúde dos povos. Além disso, discute como a Assistência Farmacêutica pode ser vista nesse contexto.
Ageísmo, sindemia covídica e Bioética de Intervenção: uma concretude interdisciplinar
Authors: Melo Ricardo Henrique Vieira de , Amorim Karla Patrícia Cardoso
Published: June 2022

RESUMO Trata-se de um estudo teórico crítico-reflexivo com o objetivo de refletir sobre questões de natureza interdisciplinar: o ageísmo na complexidade da pandemia da Covid-19 à luz dos fundamentos da Bioética de Intervenção. Parte-se do pressuposto de que problemas complexos requerem soluções complexas, os quais uma visão fragmentada e disciplinar não é capaz de enfrentar. Para isso, o ensaio está organizado em três atos: o ageísmo como fenômeno antigo e persistente; a sindemia covídica e a ampliação do ageísmo; e o enfoque bioético enquanto episteme e ferramenta interventiva. Espera-se que este exercício teórico possa transcender para o cotidiano pessoal, relacional e institucional, onde a compreensão sobre as dimensões e os determinantes do etarismo possa incitar pensamentos, sentimentos e atitudes éticas criativas para mitigar aspectos depreciativos relacionados à idade.
Reforma Sanitária Brasileira: uma revisão sobre os sujeitos políticos e as estratégias de ação
Authors: Virgens João Henrique Araujo , Teixeira Carmen Fontes
Published: June 2022

RESUMO O objetivo deste trabalho foi analisar a produção científica sobre o Movimento da Reforma Sanitária Brasileira, buscando caracterizar os sujeitos envolvidos e as estratégias adotadas. Para isso, foi efetuada uma revisão sistemática de artigos indexados no Portal de periódicos da Capes, na SciELO e na Biblioteca Virtual em Saúde. Os resultados evidenciam a diversidade de olhares acerca dos sujeitos individuais e coletivos que são considerados como integrantes do ‘movimento sanitário’. O Centro Brasileiro de Estudos de Saúde (Cebes) é o ator mais analisado, mas algumas produções direcionam atenção específica a outras organizações. O protagonismo de cada um desses sujeitos varia em cada artigo e depende também do momento histórico analisado. No que se refere às estratégias, destacam-se tanto a ocupação de espaços no aparelho estatal quanto a produção e divulgação de propostas relacionadas com a defesa do direito universal à saúde e com os diversos aspectos da construção do Sistema Único de Saúde. Além disso, foi identificada uma lacuna na produção científica analisada, porquanto os autores dedicam pouca atenção à caracterização dos sujeitos que compõem o ‘movimento’, aspecto essencial para compreender os conflitos e interesses envolvidos na luta política em torno do processo da reforma sanitária.
Continuidade do cuidado a partir do hospital: interdisciplinaridade e dispositivos para integralidade na rede de atenção à saúde
Authors: Belga Stephanie Marques Moura Franco , Jorge Alzira de Oliveira , Silva Kênia Lara
Published: June 2022

RESUMO O objetivo deste estudo foi analisar a produção científica sobre a continuidade do cuidado e a integralidade da atenção, identificando dispositivos utilizados para essa construção a partir do hospital. A presente investigação é uma revisão integrativa realizada nos meses de junho e julho de 2021. Assim, para a seleção dos artigos, utilizou-se das bases de dados PubMed/Medline, Lilacs, BDENF e Lis. Foram analisados 36 artigos. Da análise, emergiram três categorias: Cuidado em saúde e integralidade dentro do hospital; O enlace e as conexões na continuidade do cuidado; Redes de atenção à saúde no Sistema Único de Saúde e a continuidade do cuidado. A análise permitiu identificar estratégias/ferramentas sobre a organização do trabalho na dimensão micropolítica da produção do cuidado em saúde. Os principais dispositivos encontrados foram: alta segura, corridas de leitos, gestão da clínica, discussão de casos, linhas de cuidado, enfermeira de enlace, complexos reguladores, educação permanente e multidisciplinaridade. Concluiu-se que, embora alguns estudos se refiram a uma prática na rede de atenção à saúde ainda fragmentada, os dispositivos mencionados constituem-se em avanços em direção a um modelo de atenção baseado em linhas de cuidado dentro do hospital e para fora, buscando articulação com a rede de atenção à saúde.
Genetic evaluation and selection of cocoa tree clones
Authors: Guimarães Maria Eduarda da Silva , Dias Luiz Antônio dos Santos , Almeida Caio Márcio Vasconcellos Cordeiro de , Souza Carlos Alberto Spaggiari , Almeida Odimar Ferreira , Benjamin Carolina Santos , Pereira Guilherme Rodrigues , Dias Fernando José dos Santos , Corrêa Thais Roseli
Published: June 2022

ABSTRACT: The cultivation of cocoa is of great socio-economic importance worldwide. Cocoa beans are the essential raw material for chocolate production. The variability of cacao studied presents only a small fraction of the existing genetic diversity, mainly in the Amazon region. Furthermore, just a small part of this variability has been exploited in cocoa breeding. Thus, the present study processed the genetic evaluation and selection of cocoa clones, based on morpho-agronomical traits. For this, we evaluated 145 clones, during 37 harvests from, four consecutive years. The following traits were evaluated: total number of fruits collected (TNFC), total number of healthy fruits (TNHF), weight of wet seeds from healthy fruits (WWSHF), average weight of wet seeds per healthy fruit (AWWSHF), weight of dry seeds from healthy fruit (WDSHF), average weight of dry seeds per healthy fruit (AWDSHF), percentage of fruits with witches’ broom disease (PFWB), percentage of fruits with borer (PFBR), percentage of fruits with germinated seeds (PFGS), number of branches with witches’ broom disease (NBWB), and number of inflorescence with witches’ broom disease (NIWB). Significant differences (P < 0.05) among the clones were observed for all traits, which reveal an expressive variability and possibility of gains with selection. The highest significant correlations (P < 0.05) occurred between traits TNFC and TNHF (0.94), TNHF and AWWSHF (0.86), and TNHF and AWDSHF (0.86). Based on the selection index, the clones POUND 12 and CAB 12, 228, 253, 257, 258, and 422 were the most suitable for selection.
Diabetes autorreferido e fatores associados na população adulta brasileira: Pesquisa Nacional de Saúde, 2019
Authors: Malta Deborah Carvalho , Bernal Regina Tomie Ivata , Sá Ana Carolina Micheletti Gomide Nogueira de , Silva Tércia Moreira Ribeiro da , Iser Betine Pinto Moehlecke , Duncan Bruce Bartholow , Schimdt Maria Inês
Published: June 2022

Resumo O estudo analisa a prevalência de diabetes autorreferido e fatores associados na população adulta brasileira. Estudo transversal usando a Pesquisa Nacional de Saúde 2019. Estimaram-se as prevalências e razões de prevalência brutas (RPb) e ajustadas (RPa) de diabetes autorreferido, com intervalos de confiança (IC95%), empregando-se regressão de Poisson. Nos 82.349 adultos, a prevalência de diabetes autorreferido foi de 7,7%. Associaram-se positivamente: idade avançada, sendo maior após 60 anos (RPa 24,87; IC95%: 15,78-39,18); residir nas regiões Nordeste (RPa 1,16; IC95%: 1,04-1,29), Sudeste (RPa 1,27; IC95%: 1,14-1,43), Sul (RPa 1,18; IC95%: 1,05-1,34) e Centro-Oeste (RPa 1,21; IC95%: 1,06-1,38), ser ex-fumante (RPa 1,17; IC95%: 1,09-1,27), autoavaliação de saúde regular (RPa 2,41; IC95%: 2,21-2,64), ruim/muito ruim (RPa 3,45; IC95%: 3,06-3,88), ter doença cardíaca (RPa 1,81; IC95%: 1,64-2,00), hipertensão (RPa 2,84; IC95%: 2,60-3,69), colesterol elevado (RPa 2,22; IC95%: 2,05-2,41), sobrepeso (RPa 1,49; IC95%: 1,36-1,64) e obesidade (RPa 2,25; IC95%: 2,05- 2,47). Conclui-se que o diabetes nos adultos brasileiros se associa a fatores sociodemográficos, envelhecimento, estilos de vida e morbidades. Esses resultados podem orientar políticas públicas para prevenção e controle da doença no Brasil.
Self-reported diabetes and factors associated with it in the Brazilian adult population: National Health Survey, 2019
Authors: Malta Deborah Carvalho , Bernal Regina Tomie Ivata , Sá Ana Carolina Micheletti Gomide Nogueira de , Silva Tércia Moreira Ribeiro da , Iser Betine Pinto Moehlecke , Duncan Bruce Bartholow , Schimdt Maria Inês
Published: June 2022

Abstract This study aims to analyze the prevalence of self-reported diabetes and its associated factors in the Brazilian adult population. It is a cross-sectional study using the 2019 National Health Survey. Prevalence and crude prevalence ratios (PRc) and adjusted prevalence ratios (PRa) of self-reported diabetes were estimated, with confidence intervals (95% CI), using Poisson regression. In the 82,349 adults, the prevalence of self-reported diabetes was 7.7%. Positively associated factors were: advanced age with greater association after 60 years (PRa 24.87; 95%CI 15.78-39.18); living in the Northeast (PRa 1.16; 95%CI 1.04-1.29), Southeast (PRa 1.27; 95% CI 1.14-1.43), South (PRa 1.18; 95%CI 1, 05-1.34), and Midwest (PRa 1.21; 95%CI 1.06-1.38); being a former smoker (PRa 1.17; 95%CI 1.09-1.27); self-assessment of regular health (PRa 2.41; 95%CI 2.21-2.64), bad/very bad (PRa 3.45; 95%CI 3.06-3.88); having heart disease (PRa 1.81; 95%CI 1.64-2.00), hypertension (PRa 2.84; 95%CI 2.60-3.69), high cholesterol (PRa 2.22; 95%CI 2.05-2.41), overweight (PRa 1.49; 95%CI 1.36-1.64), and obesity (PRa 2.25; 95%CI 2.05-2.47). It could be concluded that diabetes in Brazilian adults is associated with sociodemographic factors, aging, lifestyle, and morbidities. These results can guide public policies for the prevention and control of disease in Brazil.