bluuebunny/crossref_metadata_2025 huggingface dataset:
ESPAÇO DE ENCONTROS, ESPAÇO DE CONFLITOS: REFLEXÕES SOBRE A OCUPAÇÃO DO VIADUTO DO BROOKLYN EM PORTO ALEGRE
Authors: Rigon Nicole Kunze
Published: December 2021

A diversidade urbana é sugestiva às discordâncias sobre como e para que os espaços coletivos deveriam ser utilizados. Com base nisso, proponho aqui uma reflexão sobre a ocupação cultural do viaduto do Brooklyn em Porto Alegre, que desencadeou uma situação conflitiva envolvendo diversos atores sociais, entre eles frequentadores dos eventos, produtores culturais e moradores da região. Reflito aqui sobre os desdobramentos desse encontro, tomando por base referências sociológicas e antropológicas sobre cidade e conflito. Para o desenvolvimento deste estudo etnográfico entre 2017 e 2018, com base na etnografia de rua (Eckert; Rocha, 2013) foram realizadas entrevistas, registros audiovisuais, pesquisas em acervos de imagens e jornais e observações de publicações nas redes sociais sobre o tema. O movimento de ocupação do Brooklyn teve um desfecho insatisfatório para os frequentadores e usuários do espaço, mas o caso pode ser ilustrativo da forma como têm sido administrados e negociados os usos dos espaços públicos da cidade por grupos e coletivos autônomos.
CORPO DEFICIENTE E TÉCNICAS DE SI NA PANDEMIA
Authors: Alves Jéferson , Gomes Victora Ceres
Published: December 2021

O objetivo do presente texto é considerar experiências de pessoas com deficiência (PCD) na pandemia de Covid-19 e as estratégias criadas para (sobre)viver ao contexto que se/lhes impõe. Os relatos e dados apresentados advém de entrevistas e conversas informais, via Skype e Whatsapp, como forma de manter o isolamento social, mas também de gerar acessibilidade para corpos deficientes (do pesquisador e dos entrevistados), bem como de uma pequena autoetnografia. Esses relatos demonstram que a pandemia atinge corpos de maneiras diferentes, e que os corpos deficientes são atingidos de formas mais perigosas, daí a necessidade de se criar estratégias e técnicas de si (FOUCAULT, 2010) para (sobre)viver na/à pandemia. Isso demonstra, ainda, a potencialidade, criatividade e inventividade dos corpos deficientes, tanto em relação a si mesmos, quanto como pontos de contraste e de reflexão acerca da sociedade.
ÁGUA E SOMBRA COMO MATERIALIDADES AUSENTES NA CONFORMAÇÃO DE SÍTIOS CAMPONESES DO SERTÃO SEMIÁRIDO
Authors: Souza Rafael de Abreu e
Published: December 2021

O texto analisa o sítio camponês no semiárido a partir de uma escala regional diacrônica dando foco à importância da água e da sombra na organização socioespacial da unidade doméstica. Ressalta-se os modos particulares de interação com o ambiente da caatinga em casas situadas entre o Ceará, Pernambuco e Piauí. Parte-se de reflexões arqueológicas em torno da materialidade da ausência para entender as relações humano-não-humano estabelecidas pela ausência presente da água e pela presença ausente da sombra na, ao redor e a partir da casa. O binômio sombra-árvore no interior do terreiro é entendido como estruturante de novos espaços e experiências dialogais a práticas de sociabilidade. Já a ausência da água estabelece um sistema de objetos que ultrapassa a casa e é fundamental na construção da paisagem e em seu uso comum. As relações estabelecidas com a falta da água e as áreas de sombra são parte das dinâmicas materiais que constroem essas unidades domésticas como lugares significativos nos quais práticas locais foram mantidas ao longo do século XX, mas permissivas da integração de novas tecnologias e materiais aos saberes tradicionais e ao modo de vida regional.
VIVENDO À FLOR DA PELE: A TATUAGEM COMO MARCA IDENTITÁRIA
Authors: Gómez Clara Maduell
Published: December 2021

Em todas as épocas e lugares do mundo, o ser humano usa o corpo como forma de linguagem. Enfeita-o para ser belo, diferente, mágico. Tradicionalmente, a sociedade também exerceu poder sobre o corpo do indivíduo, inscrevendo suas marcas de acordo com a cultura que ele pertencia, mas hoje as modificações corporais têm se tornado uma forma de expressão individual de arte do corpo e vêm ganhando, a cada dia, mais adeptos. O presente estudo tem o objetivo de compreender a atuação da tatuagem como marcadora identitária nas classes médias urbanas e contemporâneas brasileiras e as percepções dos tatuados sobre seus corpos, suas marcas, a dor, o preconceito e a profissionalização dos tatuadores. É um recorte de um esforço etnográfico em duas convenções de tatuagem; dois estúdios de tatuagem e na casa de uma tatuadora – todos em Porto Alegre, Rio Grande do Sul; de coletas de dados através de entrevistas presenciais, também na capital gaúcha, e via formulário online com respostas de participantes de outras cidades do Brasil.
Uso do ácido hialurônico para a reconstrução da papila interdental
Authors: Souza Thaís Teixeira de Abreu , Pimentel Rafael Meira , Barbosa Carla Cristina Neves , Barbosa Oswaldo Luiz Cecilio
Published: December 2021

Aponta-se, que a escassez da papila, o acréscimo gengival, a pouca densidade do rebordo e a recessão gengival, tem causado grande perda da harmonia da gengiva com os dentes, resultando assim falta do equilíbrio estético e alterações fonéticas, o que acaba acarretando impactações alimentares, prejudicando os tecidos periodontais. O ácido hialurônico (AH) pela sua função anti-inflamátória desempenha um papel de fundamental importância no equilíbrio tecidual, além de ser um método bastante seguro e pouco invasivo. Diante disso, o trabalho em questão terá como base metodológica, a pesquisa bibliográfica, optando pela busca de obras que também discutam sobre o tema proposto e que englobem um número significativo de informações que contribuam com a construção da redação do trabalho, sendo elas: revistas online, periódicos, artigos e trabalhos acadêmicos, nas bases de dado, LILACS, Scielo, PubMed e Google Acadêmico. Sendo o objetivo central deste trabalho, se posicionar diante da análise da utilização do ácido hialurônico para fins de reconstrução da papila interdental, apresentando procedimentos que possam demonstrar a eficácia do uso do ácido hialurônico nesse quadro.

Palavras-chave: Ácido Hialurónico; Papila Dental; Recessão Gengival.
Estudo de viabilidade econômica de construção de um hotel na cidade de Vassouras
Authors: Fonseca Rocha Lucelia , Ribeiro Nogueira Felipe , Antônio Vaz Capute Marco , Caramez Berteges Luiz Felipe
Published: December 2021

No presente trabalho, estudou-se a viabilidade de construção de um hotel na região do Vale do Café, município de Vassouras. Com a revisão bibliográfica, foi possível discutir os temas atuais e que fazem parte de uma análise financeira. O Objetivo principal foi analisar a viabilidade financeira do projeto de construção do hotel. Para isto foi feito o levantamento de informações na rede hoteleira e orçamentos perante empresas do seguimento. Sendo estas informações subsídios para a concretização do planejamento financeiro. Realizou-se projeções de fluxo de caixa com uma taxa média de ocupação, concluindo a análise de gastos e faturamento anual. Após análise dos resultados da TIR, TMA, PAYBACK e VPL obtidos, permitiu-se concluir que tal projeto tem viabilidade econômica favorável para ser realizado.
Ultrasonographic Applications in the Thorax
Authors: Gunluoglu Mehmet Zeki , Ormeci Tugrul , Sen Selva
Published: December 2021

Rapid developments and increasing technological knowledge have changed perspectives
on ultrasonography. Previously, ultrasonography was used to evaluate chest wall pathologies, to
distinguish between pleural effusion and consolidation, to evacuate pleural effusion, or to evaluate
diaphragm movement. Today, it is also used in a wide range of pleural and parenchymal diseases.
Ultrasonography is not just used in the emergency department and the intensive care units, it is also
utilized in many clinical branches dealing with the respiratory system-due to its ease of use, fast access,
price advantage, non-radiation exposure, higher diagnostic sensitivity, and specificity in
many clinical situations-and has become a part of the examination. In this review, we have assessed
not just transthoracic ultrasonography but also more focal and targeted sonographic applications,
such as the endobronchial ultrasound and esophageal ultrasound.
A physiological study of Bhrajaka Pitta and clinical
view of Shwitra Kusthari Rasa and Shashilekha Vati in
Shwitra Roga
Authors: Dadhich Nand Kishor
Published: December 2021

Background: Ayurveda defines human body as a hospitable homestasis of Dosha, Dhatu and Mala.
The equilibrium of Dhatu is health. Any disturbance in their equilibrium leads to disease. In the
present scenario, people are very much conscious about their health as well as beautiful and clear
skin. Thus health and beauty are two faces of single coin. Moreover a person who is physically healthy
and is personified by beauty is much more intelligent and confident them a normal being.
Discoloration of skin without perceiving pain is exclusive character of Shwitra (Vitiligo) Roga. Aim: To
study the treatment principle in management of Shwitra (vitiligo) according to Ayurveda.
Methodology: 60 clinically diagnosed cases of Switra (Vitiligo) were divided into 2 groups and treated
with Shwitra Kusthari Rasa 250mg in Group A and Shashilekha Vati 250mg in Group B. Bakuchi Taila
local application on the affected patches was done in both the groups for 90 days. Discussion:
Therefore it can be concluded that Shwitra Kusthari Rasa, Shashilekha Vati and Bakuchi Taila both are
potent and effective for the management of Shwitra Roga vis-a-vis Vitiligo.
An open label single arm prospective clinical study on Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in Pakshaghata (CVA due to Infarct)
Authors: Gopan Yadu , Muttappa Totad , B. Vasantha , K. Kiran
Published: December 2021

Background: Pakshaghata is one among the 80 vataja nanatmaja vikara and is a roga of madhyama roga marga. Vatavyadhi is considered to be one among the ashta mahagadas. Vatagajankusha rasa is a combination of vyosha, bhasmas, vatsanabha, karkatasringi, haritaki etc. It has vatakaphahara, vikasi, vyavayi, rasayana etc properties. It is said to be effective in treating pakshaghata in 7 days if given along with Pippali churna and Manjishta kwatha. Aims and Objectives: To evaluate the efficacy of Vatagajankusha rasa with Pippali churna and Manjishta kwatha as anupana in the management of pakshaghata (CVA due to infarct). Methodology: Among 32 registered patients, 30 completed the course of treatment. They were administered with Vatagajankusha rasa 1 tablet (125 mg) after food with anupana 3gm Pippali churna and 15 ml Manjishta kwatha twice daily (morning and evening) for a period of 7 days. Nominal and ordinal data were analysed using non parametric tests like McNemar and Wilcoxon’s signed rank tests respectively. Result: There was statistically significant improvement in the primary and secondary outcome measures (p less than 0.05 was observed). Conclusion: Vatagajankusha rasa with Pippali churna and Manjishta kwatha as anupana is effective in the management of Pakshaghata (CVA due to infarct).
To evaluate the efficacy of Nasya Karma in
Manyasthamba
Authors: Girisagar Jayashree P.
Published: December 2021

In modern era, the people adopt mechanical type of lifestyle who don’t follow the proper regimen will
suffer from disorders like Manyastambha. A major part of global population experiences
Manyastambha atleast once in their lifetime. Manyastambha is one of the important vataja
urdhvajatrugata roga the cardinal sign of Manyastambha is stiffness of neck with or without pain.
Present work was undertaken to evaluate the efficacy of Nasya Karma on Manyastambha i.e.
Brumhana and Shodhana therapy of mashataila is used in the Nasya Karma. In present study 30
patients are undertaken for clinical trial from Shri Mallikarjuna Swamiji Post Graduate and Research
Center Bijapur. The result of Nasya Karma was having a prolonged significant results during, after and
post followup of the treatment.
A clinical study to evaluate the efficacy of Eladi Kwatha
in Asrigdhara with special reference to Abnormal
Uterine Bleeding
Authors: Sirigere Nikitha , Fathima Noor
Published: December 2021

Abnormal uterine bleeding (formerly dysfunctional uterine bleeding) is irregular uterine bleeding that
occurs in the absence of recognizable pelvic pathology. It reflects a disruption in the normal cyclic
pattern of ovulatory hormonal stimulation to the endometrial lining. Asrigdhara refers to all types of
abnormal patterns of bleeding. Most of the menstrual disorders have been described by Ayurvedic
classics under the heading of artavadushti and asrigdhara. Ayurveda the traditional Hindu system of
medicine of India seeks to treat and integrate body and mind using a comprehensive holistic approach
especially by emphasizing diet, herbal remedies, exercise and etc. Hence the treatment modalities
based upon chikitsa siddhanta has mentioned by Harita samhita trutiya sthana, i.e. “Ela samanga
sahashaalmalinam haritaki magadhika samaamshaa. Kwathoditah sharkara samadhvaa,
yonipravaaham vinivaarayecha”,[¹] gave very good results in the present diseased condition without
any complications.
A study on the status of Kostha in Sravana and
Bhadrapada Masa in different Prakruti
Authors: CH Divyasree , Kahalekhar Sunil Govind , NM Rashmi
Published: December 2021

The Prakriti is the innate constitution of an individual based on the predominance of Dosha determined
at the time of conception which cannot be changed from birth till death. Qualities of Dosha are
expressed on body due to its predominance and it is called Deha Prakriti. Koshta refers to the state of
the Abdomen or Alimentary tract, and usually is determined by the behavior of the bowel habits.
Koshta also varies according to different Prakruti. Koshta concepts helps to understand find out types
of Vyadhi and its help for treatments because drug selection depends on Koshta. Sravana and
Bhadrapada Masa constitutes Varsha Rutu. So this study is an attempt to understand the relation
between Koshta and Prakruti in different Kala with special reference to Sravana and Bhadrapada Masa.
Features of assessing the condition and behavior of low-water bridges
Authors: Loktev A. A. , Korolev V. V. , Shishkina I. V.
Published: December 2021

The article describes features of operation and monitoring of low-water bridges, which are found on highways of regional, intermunicipal and local importance. Vibrations of the bridge span are considered in detail, taking into account its interaction with other structural elements and the environment. As a characteristic, the change of which takes into account the change in the state of the bridge structure, it is proposed to use the frequency of natural vibrations. To simulate the dynamic effects of transport and the dynamic behavior of individual elements and the entire structure as a whole, it is proposed to use viscoelastic elements of the Kelvin–Voigt type. When solving the problem, an approach has been implemented that makes it possible to take into account the anisotropic properties of the superstructure associated with various reinforcement along and across the roadway of the bridge, and to present the design scheme of the span not in the form of a beam supported at the edges with the help of hinges or viscoelastic dampers, but in the form of a plate, which can have different fxing conditions along the entire contour. The use of the proposed model and approach will make it possible to obtain the necessary data on the state of low-water bridges, for which there is often no possibility of visual inspection or instrumental inspection from the lower side of the bearing part of the superstructure. By the values of the frequency of natural vibrations, it is possible to estimate the water level above the low-water period and predict food situations, during which the roadway of the low-water bridge may be fooded.
Aspects of design and calculation of a railway track intended for dedicated passenger lines
Authors: Ovchinnikov D. V. , Kul’gin K. A.
Published: December 2021

The article considers issues of application of dedicated passenger lines for intertown and interregional transportation on the railways of the Russian Federation, which in the future will accelerate passenger traffic due to changes in transportation technology, increase the carrying and throughput capacity of railways, reduce construction costs and current maintenance, and optimize the need for infrastructure development. The structures of the track superstructure used for the transportation process at the present time were developed and implemented taking into account the mixed traffic — passenger and freight. Growth of axle loads in freight traffic, as well as the length of trains, presupposes the strengthening (weighting) of the standard structures of the railway track to possibly ensure the guaranteed safe passage of more than 1 billion gross tonnage. At the same time, exclusively for passenger traffic, the typical design of the railway track is redundant and can be optimized in terms of reducing the materials of the track superstructure with a simultaneous change in the configuration of repair schemes and current maintenance conditions. The article presents an assessing the possibility of using a “passenger” track structure on dedicated passenger lines for intertown and interregional transportation according to the criteria of the allowable margin of safety in the environment of fnite element analysis — the most progressive method for calculating structures undergoing complex loading. The article presents the results of calculations of the stress-strain state of a railway track of various confgurations, including promising lightweight versions with R50 rails and reinforced concrete sleepers with under sleeper pads. Based on the calculations performed, recommendations are given for the areas of application of the considered track confgurations from the point of view of permissible stresses in its elements.
PENGARUH PANDANGAN INVESTASI INVESTOR INSTITUSIONAL TERHADAP KREDIT RATING PERUSAHAAN
Authors: Marietza Fenny , Wijayanti Indah Oktari
Published: December 2021

Abstrak: Pengaruh Pandangan Investasi Investor Institusional Terhadap Kredit Rating Perusahaan. Penelitian ini bertujuan untuk mengetahui seberapa besar peran investor institusi terhadap kenaikan atau penurunan rating kredit di Indonesia. Objek penelitian ini adalah perusahaan yang terdaftar di Bursa Efek Indonesia dari tahun 2017-2018. Pemilihan sampel dalam penelitian ini menggunakan metode purposive sampling. Berdasarkan hasil penelitian dengan menggunakan bantuan software SPSS dapat diambil kesimpulan sebagai berikut: pandangan investor terhadap kredit rating perusahaan secara signifikan terbukti berpengaruh. Pandangan investasi investor institusional diduga memiliki peran tata kelola untuk menjaga dan mengawasi efek dari asimetri informasi. Investor institusi yang cenderung memiliki pandangan investasi jangka panjang lebih memainkan peran pengawasan dibandingkan dengan investor institusional yang memiliki pandangan investasi jangka pendek sehingga adanya rating kredit mempengaruhi kebijakan penagawasan.Kata Kunci: Pandangan Investasi, Investor Institusional, Kredit Rating PerusahaanAbstract: The Effect of Institutional Investor Investment Views on Company Kredit Rating. This research aims to find out how much the role of institutional investors in the increase or decrease in kredit ratings in Kredit. The object of this research is companies listed on the Kredit Stock Exchange from 2017-2018. The sample selection in this study uses a purposive sampling method. Based on the results of research using SPSS software the following conclusions can be drawn: the investor’s view of the company’s kredit rating is significantly proven to be influential. The view of institutional investor investment is thought to have a governance olet o safeguard and oversee the effects of information asymmetry. Institutional investors who tend to have a long-term investment view play a supervisory role more than institutional investors who have a short-term investment view so that the kredit rating influences supervision policies.Keywords: Institutional Investor, Investment Views, Company Credit Rating
PENGARUH SERAPAN ANGGARAN, KEPEMIMPINAN ETIS, TINDAK LANJUT TEMUAN BPK, DAN KEEFEKTIFAN AUDIT INTERNAL PADA HASIL AUDIT LKPD
Authors: Nusa Nabella Duta , Muslihah Siti
Published: December 2021

Abstrak: Pengaruh Serapan Anggran, Kepemimpinan Etis, Tindak Lanjut Temuan BPK, dan Keefektifan Audit Internal pada Hasil Audit LKPD. Pengelolaan anggaran merupakan aktivitas yang sangat krusial dikarenakan di dalamnya terdapat pemaparan strategi dan rencana atas pengelolaan pendapatan dan belanja sebuah instansi. Ditambah lagi dengan kenyataan bahwa aktivitas belanja Pemerintah Daerah (Pemda) harus dipertanggungjawabkan kepada masyarakat. Penelitian ini menguji secara empiris tentang pengaruh aspek keuangan berupa serapan anggaran dan aspek non keuangan berupa kepemimpinan etis, tindak lanjut temuan BPK, dan keefektifan audit internal terhadap hasil audit laporan keuangan pemerintah daerah di wilayah Provinsi Jawa Tengah dan Daerah Istimewa Yogyakarta. Penelitian ini menggunakan data primer dan sekunder dari responden yang terdiri dari seluruh Pemda yang berada di wilayah Provinsi Jawa Tengah dan Daerah Istimewa Yogyakarta, untuk menarik kesimpulan penelitian. Hasil dari penelitian ini menunjukkan bahwa serapan anggaran dan tindak lanjut temuan BPK tidak mempengaruhi pemerolehan opini audit WTP, sedangkan kepemimpinan etis dan keefektifan audit internal memiliki pengaruh positif.Kata kunci: opini audit, anggaran, kepemimpinan, audit internal, temuan audit, pemerintah daerahAbstract: The Effect of Budget Absorption, Ethical Leadership, Follow-up to BPK findings, and Effectiveness of internal audits on the Results of Audits of LKPD. Budget management is a very crucial activity because it contains a strategy and plan for managing revenue and expenditure of an institution. Coupled with the fact that the expenditure activities of Regional Government (Pemda) must be accountable to the public. This study empirically examines the influence of financial aspects in the form of budget absorption and non-financial aspects in the form of ethical leadership, follow-up to BPK findings, and the effectiveness of internal audits on the results of audits of local government financial reports in Central Java Province and Yogyakarta Special Region. This study uses primary and secondary data from respondents consisting of all local governments in the province of Central Java and Yogyakarta. The results of this study indicate that budget absorption and the follow-up of BPK findings do not affect on how the institution gets a WTP audit opinion, while ethical leadership and internal audit effectiveness have a positive effect.Keywords: audit opinion, budget, leadership, internal audit, audit findings, regional government
From the United Kingdom to Australia—Adapting a Web-Based Self-management Education Program to Support the Management of Type 2 Diabetes: Tutorial
Authors: Olson Jenny , Hadjiconstantinou Michelle , Luff Carly , Watts Karen , Watson Natasha , Miller Venus , Schofield Deborah , Khunti Kamlesh , Davies Melanie J , Calginari Sara
Published: December 2021

Diabetes self-management education and support can improve outcomes in people with diabetes. Providing health interventions via digital modes of delivery can extend the reach of programs delivered through traditional means. The web-based version of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (MyDESMOND) is a digital diabetes education and support program for people with type 2 diabetes. The program was originally developed in the United Kingdom and is evidence-based, grounded in behavioral theory, and designed through a rigorous process of intervention mapping. As such, MyDESMOND was considered an ideal candidate for adaptation to the Australian setting. Program content and the digital platform were modified to suit the local context to increase the likelihood that the revised version of MyDESMOND will deliver similar outcomes to the original program. The aim of this paper is to describe the systematic processes undertaken to adapt the digital MyDESMOND diabetes education and support program for people with type 2 diabetes to the Australian setting. The adaptation involved a multidisciplinary group with a diverse range of skills and expertise—a governance structure was established, a skilled project team was appointed, and stakeholder engagement was strategically planned. The adaptation of the program content included modifications to the clinical recommendations, the inclusion of local resources, practical changes, and revisions to optimize readability. A 2-stage independent review of the modified content was enacted. Digital adaptations were informed by relevant standards, local legislative requirements, and considerations of data sovereignty. The digital platform was extensively tested before deployment to the production setting. MyDESMOND is the first evidence-based digital diabetes education and support program for Australians with type 2 diabetes. This paper provides a road map for the adaptation of digital health interventions to new contexts.
Support for Texting-Based Condom Negotiation Among Forcibly Displaced Adolescents in the Slums of Kampala, Uganda: Cross-sectional Validation of the Condom Use Negotiated Experiences Through Technology Scale
Authors: Okumu Moses , Logie Carmen H , Ansong David , Mwima Simon , Hakiza Robert , Newman Peter A
Published: December 2021

Background

Promoting sexual health among forcibly displaced adolescents is a global public health priority. Digital sexual communication strategies (eg, sexting) may increase adolescents’ confidence in discussing sexual health issues and negotiating condom use. However, limited evidence exists describing validated measures for text-based condom negotiation in the literature.

Objective

This study helps fill this gap by adapting and examining the psychometric properties of a condom use experience through technology (condom use negotiated experiences through technology [CuNET]) scale.

Methods

Using peer network sampling, 242 forcibly displaced adolescents (aged 16-19 years) living in Kampala’s slums were recruited for participation between January and March 2018. A subscale (embarrassment to negotiate condom use) of the Multidimensional Condom Attitudes Scale was adapted to incorporate sexting, yielding CuNET. Participants were randomly assigned to calibration and validation subsamples to conduct exploratory and confirmatory factor analyses to establish and validate the scale. CuNET measured participants’ support levels for texting-based condom negotiation via sexting based on gender, and multivariable logistic regression was used to explore its associations with sexual health outcomes (recent consistent condom use, access to sexual and reproductive health services, and lifetime sexually transmitted infection testing).

Results

The one-factor CuNET with the validation sample was valid (χ24=5.3; P=.26; root mean square error of approximation=0.05, 90% CI 0.00-0.16; comparative fit index=0.99; Tucker-Lewis index=0.99; standardized root mean square residual=0.006), and reliability (Cronbach α=.98). Adolescent girls showed significantly lower levels of support for using sexting to negotiate condom use (mean 13.60, SE 0.70 vs mean 21.48, SE 1.23; P=.001). In multivariable analyses, a 1-point increase in the CuNET score was associated with increased odds of recent consistent condom use (adjusted odds ratio [aOR] 1.73, 95% CI 1.24-2.41) but not with access to sexual and reproductive health services (aOR 1.51, 95% CI 0.99-2.30) or lifetime sexually transmitted infection testing (aOR 0.90, 95% CI 0.64-1.26).

Conclusions

The unidimensional CuNET scale is valid and reliable for forcibly displaced adolescents living in slums in Kampala, gender-sensitive, and relevant for predicting consistent condom use among urban displaced and refugee adolescents. Further development of this scale will enable a better understanding of how adolescents use digital tools for condom negotiation.
Web-Based Lifestyle Interventions for Survivors of Cancer: Usability Study
Authors: Williams Victoria , Brown Nashira , Moore Justin Xavier , Farrell David , Perumean-Chaney Suzanne , Schleicher Erica , Fontaine Kevin , Demark-Wahnefried Wendy , Pekmezi Dori
Published: December 2021

Background

Internet-based lifestyle programs are increasingly being used to deliver health behavior change interventions to survivors of cancer. However, little is known about website use in this population or its association with healthy lifestyle changes.

Objective

The aim of this study is to describe lifestyle intervention website use (log-ins, time on website, and page views) among survivors of cancer and patterns of use by participant characteristics. In addition, associations were explored between website use and changes in healthy lifestyle knowledge and practice.

Methods

A total of 35 survivors of cancer were recruited between August 2017 and 2018 to participate in a 2-week, single-arm pilot test of the SurvivorSHINE lifestyle intervention website. Knowledge and practices related to healthy diet and physical activity behaviors were measured at baseline and follow-up. Website use (eg, time spent on the website, frequency of log-ins, and page views) were collected from the SurvivorSHINE administrative site during the intervention period. Patterns of use were examined by participants’ gender and race. Correlations between website use and changes in healthy lifestyle knowledge, physical activity, diet, and weight were explored. Mann–Whitney U tests were used to compare demographic factors on website use.

Results

Participants logged into the SurvivorSHINE intervention website an average of 3.2 (SD 2) times over the 2-week period and spent a total average of 94 (SD 56) minutes viewing the website during the intervention. Examining website activity, 1905 page views were logged. The User Profile (344 page views) and Home sections (301 page views) were the most frequently visited components. No associations were observed between the frequency of log-ins or the total time on the website, improvements in knowledge related to healthy lifestyles, or changes in body weight or dietary intake. However, the total time on the website was positively correlated with improvements in accelerometer-measured physical activity (r=0.74; P=.02) and self-reported physical activity (r=0.35; P=.04).

Conclusions

Survivors of cancer demonstrated clear interest in a diet and exercise intervention website, as evidenced by their frequency of log-ins, page views on numerous features, and total viewing time. Moreover, increased website use was correlated with improvements in physical activity.
Identification of Potential Vaccine Candidates Against SARS-CoV-2 to Fight COVID-19: Reverse Vaccinology Approach
Authors: Gupta Ekta , Mishra Rupesh Kumar , Kumar Niraj Ravi Ranjan
Published: December 2021

Background

The recent emergence of COVID-19 has caused an immense global public health crisis. The etiological agent of COVID-19 is the novel coronavirus SARS-CoV-2. More research in the field of developing effective vaccines against this emergent viral disease is indeed a need of the hour.

Objective

The aim of this study was to identify effective vaccine candidates that can offer a new milestone in the battle against COVID-19.

Methods

We used a reverse vaccinology approach to explore the SARS-CoV-2 genome among strains prominent in India. Epitopes were predicted and then molecular docking and simulation were used to verify the molecular interaction of the candidate antigenic peptide with corresponding amino acid residues of the host protein.

Results

A promising antigenic peptide, GVYFASTEK, from the surface glycoprotein of SARS-CoV-2 (protein accession number QIA98583.1) was predicted to interact with the human major histocompatibility complex (MHC) class I human leukocyte antigen (HLA)-A*11-01 allele, showing up to 90% conservancy and a high antigenicity value. After vigorous analysis, this peptide was predicted to be a suitable epitope capable of inducing a strong cell-mediated immune response against SARS-CoV-2.

Conclusions

These results could facilitate selecting SARS-CoV-2 epitopes for vaccine production pipelines in the immediate future. This novel research will certainly pave the way for a fast, reliable, and effective platform to provide a timely countermeasure against this dangerous virus responsible for the COVID-19 pandemic.
“C@nnected” : Group videoconferencing intervention to improve maternal sensitivity in mothers-infant dyads attending primary care in Chile: Protocol for a randomized feasibility trial (Preprint)
Authors: Binda Victoria , Olhaberry Marcia , Castañon Carla , Abarca Constanza , Caamaño Catalina
Published: December 2021

BACKGROUND

Early childhood development is highly dependent on the sensitive care provided by their caregivers. Interventions focused on supporting parents to improve their sensitivity have been shown to be effective. The COVID-19 pandemic has had a great impact on mental health. Pregnant women and mothers of infants being an especially vulnerable group, and maternal sensitivity is particularly affected. On the other hand, access to face-to-face interventions is restricted, above all group interventions, so it is relevant to have remote interventions to support this group of mothers.

OBJECTIVE

The objective of the study is to evaluate the feasibility and acceptability of a group videoconferencing intervention : “C@nnected” to improve maternal sensitivity aimed at mother-infant dyads attended in Primary Health Care in vulnerable areas of Santiago , Chile.

METHODS

This is a randomized pilot feasibility study single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 3:2 allocation (with more people allocated to the intervention arm). The intervention consists of four group videoconferencing sessions, adapted from a face-to-face intervention of proven effectiveness. The control group will receive treatment as usual plus educational brochures. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Changes in clinical outcomes will also be evaluated: maternal sensitivity, depressive symptoms, postnatal maternal attachment, and infant socio-emotional development.

RESULTS

We have completed the adaptation of the face-to-face intervention to the videoconferencing format, our study is currently in the recruitment phase, which is expected to be completed by January 2022, the results of the study are expected by August 2022.

CONCLUSIONS

This study will contribute evidence for the use of eHealth interventions to promote maternal sensitivity. It will also inform the design and implementation of a future randomized clinical trial.

CLINICALTRIAL

ClinicalTrials.gov, NCT04904861.
Relationship between protein intake in each meal and physical activity level : Cross-sectional Study (Preprint)
Authors: Shinto Takae , Makino Saneyuki , Tahara Yu , Nitta Lie , Kuwahara Mai , Tada Ayako , Abe Nanako , Michie Mikiko , Shibata Shigenobu
Published: December 2021

BACKGROUND

Protein intake plays an important role in the synthesis and maintenance of skeletal muscle　in the prevention of health risks. It is also widely known that physical activity influences muscle function. However, no large-scale studies have examined the relationship between daily dietary habits, especially the timing of protein intake, and daily physical activity.

OBJECTIVE

The purpose of this study was to investigate the relationship between protein intake and composition during the three meals and the amount of daily physical activity using a cross-sectional study design.

METHODS

Using the daily dietary data accumulated in the phone food-log application “Asken” and a web-based cross-sectional survey to the Asken users (total N = 8,458), we analyzed the nutrient intake and daily activity levels.

RESULTS

Correlation analysis revealed that breakfast and lunch protein intake had higher positive correlations with daily physical activity among the three major macronutrients (protein, fat, and carbohydrate). These findings were confirmed by multiple regression analysis with confounding factors. Also, participants with higher protein intake and composition at breakfast or lunch tended to exhibit significantly greater physical activity than those with the higher protein intake at dinner.

CONCLUSIONS

Among the three macronutrients, protein intake during breakfast and lunch was closely associated with daily physical activity.
Use of Virtual Reality in the Reduction of Pain After the Administration of Vaccines Among Children in Primary Care Centers: Protocol for a Randomized Clinical Trial (Preprint)
Authors: de la Cruz Herrera Mercedes , Fuster-Casanovas Aïna , Miró Catalina Queralt , Cigarrán Mensa Mireia , Alcántara Pinillos Pablo , Vilanova Guitart Isabel , Grau Carrión Sergi , Vidal-Alaball Josep
Published: December 2021

BACKGROUND

Pain and anxiety caused by vaccination and other medical procedures in childhood can result in discomfort for both patients and their parents. Virtual reality (VR) is a technology that is capable of entertaining and distracting the user. Among its many applications, we find the improvement of pain management and the reduction of anxiety in patients undergoing medical interventions.

OBJECTIVE

We aim to publish the protocol of a clinical trial for the reduction of pain and anxiety after the administration of 2 vaccines in children aged 3 to 6 years.

METHODS

We will conduct a randomized, parallel, controlled clinical trial with 2 assigned groups. The intervention group will wear VR goggles during the administration of 2 vaccines, while the control group will receive standard care from a primary care center for the procedure. Randomization will be carried out by using the RandomizedR computer system—a randomization tool of the R Studio program. This trial will be an open or unblinded trial; both the subjects and the investigators will know the assigned treatment groups. Due to the nature of the VR intervention, it will be impossible to blind the patients, caregivers, or observers. However, a blind third-party assessment will be carried out. The study population will include children aged 3 to 6 years who are included in the patient registry and cared for in a primary care center of the region of Central Catalonia. They will receive the following vaccines during the Well-Child checkup: the triple viral+varicella vaccine at 3 years of age and the hepatitis A+diphtheria-tetanus-pertussis vaccine at 6 years of age.

RESULTS

The study is scheduled to begin in January 2022 and is scheduled to end in January 2023, which is when the statistical analysis will begin. As of March 2022, a total of 23 children have been recruited, of which 13 have used VR during the vaccination process. In addition, all of the guardians have found that VR helps to reduce pain during vaccination.

CONCLUSIONS

VR can be a useful tool in pediatric procedures that generate pain and anxiety.

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/35910
Intellectual mapping of studies on obsessive-compulsive disorder (OCD): A machine learning study (Preprint)
Authors: Bakhshinejad Behnaz , Khazaneha Mahdiyeh , Mehrabani Mitra , sadatmoosavi Ali , Tajedini Oranus , Esmaeili Omid , Mehrbani Mehrzad
Published: December 2021

BACKGROUND

Background: This study examines the relationship between obsessive-compulsive disorder (OCD) and other medical conditions and their role in the development or treatment of this disorder

OBJECTIVE

A co-word analysis study examines the status and intellectual structure of obsessive-compulsive disorder. Furthermore, given the multiplicity of outputs obtained from this type of study, the results can be connected to various fields related to the disease, and other related diseases can be identified through visualization. Drawing the intellectual structure in emerging and declining fields, the level of development and maturity, thematic networks and determining the thematic relationship of OCD with other diseases, the role of genetic factors, the role of complementary medicine in the treatment of this disease, etc. are among some contributions of this research project

METHODS

Materials and Methods: The articles published from 1975 to 2021 were retrieved by searching the related keywords in multiple databases including PubMed, Scopus, Web of Science (WoS), and Embase according to their thematic coverage and scope. Finally, after removing repeated articles and standardization, a total of 1820 papers were analyzed using R and SciMAT software.

RESULTS

A total of 4191 keywords plus (ID) and 3242 author keywords (DE) were reported in the journals. Moreover, these articles were published by 7482 authors, of which 111 articles were written by single authors and the collaborative coefficient (CC) was 4.36. Neuropsychopharmacology International Clinical, Psychopharmacology, and Journal of Clinical Psychopharmacology are the most influential journals publishing OCD articles.

CONCLUSIONS

Given the increasing prevalence of obsessive-compulsive disorders (OCDs), finding the most effective methods with the lowest prescribed dose of the drug and the most therapeutic effect is extremely important. To this end, the present study indicated that the prognosis of inherited OCD disorders, as well as the response to treatment, can be examined by analyzing the genetic sequence and finding polymorphism cases. Furthermore, complementary medicine as one of the scientific schools plays an important role in OCD diagnosis and adjuvant treatment using food and herbs and other treatment methods.
Hypothyroidism and stunting around the Merapi Volcano
Authors: Hastuti Pramudji , Sadewa Ahmad Hamim , - Prasetyastuti , - Sunarti , Farmawati Arta , - Ngadikun , Rubi Dianandha Septiana , Pramana Abrory Agus Cahya
Published: December 2021

Cangkringan is a mountainous area with the possibility of low iodine sources in the soil. Additionally, Cangkringan area is the area nearest to where eruptions of Merapi mountain have occurred, which further could reduce iodine levels in the soil. This study examined the incidence of hypothyroidism due to iodine deficiency and potential links to stunting events on the slopes of Merapi mountain. By using ELISA methods, a total of 97 mothers were tested to detect the triiodothyronine (T3) and thyroid-stimulating hormone (TSH) levels to determine the frequency of hypothyroidism, while 97 children were assessed to check the stunting rates by measuring height compared to age. We found hypothyroidism was 3 (3.1%) out of 97 mothers examined and 30 (30.9%) out of 97 children examined were stunted (18.5% short stature and 12.4% very short stature). There was a significant difference between the mothers’ TSH levels among very short stature and normal stature. We concluded that hypothyroidism in mothers is correlated with stunting children in Cangkringan, Sleman sub-district. Further research is needed to determine the frequency of hypothyroidism and stunting in other slopes of Merapi mountain, where the low-iodine soil composition is potentially related to hypothyroidism and stunting incidence. Thus, further treatment is needed by local health staff and governments to address the negative effects of hypothyroidism and stunting.
Is it possible to engage adolescents in community-based non-communicable disease programs?: A case study in a rural area in Yogyakarta
Authors: Kusumaningrum Fitriana Mahardani , Martiyana Cati , Afifudin Luqman , Pratiwi Dita Anugrah , Susanti Ida , Baiquni Fahmi
Published: December 2021

Adolescents are a potential segment of society to be involved in health programs. However, adolescent involvement in community-based health programs is limited, especially for non-communicable diseases. This study explores adolescents’ participation in community-based non-communicable disease programs in a rural area of Indonesia, and factors that enable or hinder their engagement. This was a qualitative case study using the data of the Hypertension Responsive Village Movement (HRVM) Program, a community empowerment program for hypertension control in Sleman Regency, Yogyakarta. Participants consisted of adolescents aged 12 to 25 years old who are involved in HRVM. The data analyzed consisted of attendance lists and meeting/activity minutes of 6 adolescents’ programs, transcripts of interviews with 2 community leaders (village head and youth organization leader), resume of a group discussion with adolescents’ representatives, video records of adolescent programs activities and field notes. Thematic data analysis was conducted to describe adolescents’ participation, as well as the barriers and enabling factors. Descriptive analysis of attendance lists and meeting/activity minutes was developed to describe the retention rate of adolescents in the program. Adolescents’ form of participation ranged from being an acceptor to initiator. In the beginning of the program, 20 adolescents participated. However, by the end of the program, only 8 (40%) adolescents remained. Enabling factors for engagement were the community leaders’ supports, the adjustment of program strategies and deliveries with adolescence needs and the availability of social capital in the form of youth organizations. The barriers were adolescents’ limited time and limited adolescents’ participation in youth organization. In conclusion, engaging adolescents in community-based programs is possible even though it provides some challenges because of the limited time adolescents spend in their community. Strengthening stakeholders’ support, adjusting program strategies and deliveries with target characteristics and utilizing social capital are important to engage adolescents in community-based programs.
Cross-sectoral collaboration in mental health services: Identifying the role of mental health care teams in the community
Authors: Sari Osi Kusuma , Subandi Subandi , Marchira Carla Raymondalexas
Published: December 2021

Strengthening integrated and community-based mental health services is essentially needed to address the treatment gap and provide effective services that can be accessed by all groups. To realize this goal, the cross-sectoral involvement that is part of the Tim Pembina, Pengarah, dan Pelaksana Kesehatan Jiwa Masyarakat (TPKJM) is at the forefront because it has direct access to mental disorders cases in their region. This article aims to identify the role of each member of TPKJM in pursuing mental health services. Participants involved in each stage of data collection were members of TPKJM at the sub-district and village levels. The data were collected using three methods: surveys, focus group discussions, and interviews. The collected data were analyzed using an inductive thematic analysis approach to obtain a description of the role of each member of TPKJM within the case handling flow model. Five role themes were identified, including: (a) setting regulations and planning; (b) community clinical services; (c) psychoeducation; (d) safeguarding emergency cases; and (e) administrative advocacy. Regulations regarding the clarity of roles and handling flow are recommended.