bluuebunny/crossref_metadata_2025 huggingface dataset:
Supporting people experiencing a burn injury to return to work or meaningful activity: Qualitative systematic review and thematic synthesis
Authors: Van Bentum Jessica , Nicholoson Julia , Bale Natasha , Fadyl Joanna K.
Published: November 2021

Qualitative studies contain in-depth information about facilitators and and barriers to to successful rehabilitation. This systematic review synthesised findings across qualitative studies to inform vocational rehabilitation practices for people who have experienced burn injury. PRISMA guidelines were used to determine inclusion criteria for the review and develop a comprehensive search strategy. Four databases were searched and results screened. Included studies investigated experiences of return to work (RTW) or meaningful activity in a burn injury population. Quality of included articles was examined using the CASP framework for qualitative research. Thematic synthesis was used to analyse the qualitative results. Six studies met inclusion criteria. Five analytic themes were identified regarding experiences of vocational support and ability to RTW after burn injury: addressing the complex impact of burn injury; personal connections as vital support; skilled and specialised healthcare as central to RTW; value of knowledge; and considering the work environment. No included studies investigated meaningful activity other than paid work. Findings support structured vocational rehabilitation, psychological interventions, social support, intensive rehabilitation and patient, clinician and workplace education as key in facilitating RTW after burn injury. Additionally, coordinated care is likely to improve vocational outcomes. Research is needed on supporting return to meaningful activity.
Digitalization of Enterprises and Electronic Certification of Equipment of Hazardous Production Facilities
Authors:   Center for Strategic Innovations and Informatization, Kadyrova Aziza
Published: November 2021

Stable trouble-free operation of industrial enterprises with hazardous production facilities largely depends on the reliable operation of the main (technological) equipment, which is ensured by timely inspections, technical services and repairs within automated control systems for the maintenance and repair of equipment of hazardous production facilities. In this regard, the electronic certification of equipment or otherwise the creation of electronic repair and maintenance passports is the most important part of the work on the creation of a digital enterprise. The creation of repair and maintenance certificates of equipment is due to the need for digitalization and coverage of the entire life cycle of the equipment: from installation to its decommissioning. The repair and operational passport of equipment of hazardous production facilities is a source of information on all parameters of operation: technical maintenance, repairs, causes and duration of downtime, replacement of components and parts, modernization and movement of equipment, financial costs, analytical conclusions on various cross-sections. The article discusses and analyzes the requirements of regulatory documents for operational documentation, the order of systematization of information on technical equipment during the entire period of its operation. The principles of structuring the equipment of hazardous production facilities are proposed.
Threat and Vulnerability Analysis of IoT and IIoT Concepts
Authors:   Volgograd State University, Shevtsov Vadim , Kasimovsky Nikita ,   Volgograd State University
Published: November 2021

IoT and IIoT are new information technologies. They are very efficient solutions for home, industry and infrastructure. A lot of complex processes can be implemented using this systems. The popularity of the industrial Internet of things is steadily growing along with the development of the Internet of things. Both of these approaches involve the exchange of data over the Internet, use of common hardware platforms and are managed by using specialized software, and this leads to an increase in the number of common vulnerabilities and possible attacks on industrial facilities. The Frost & Sullivan report shows that industrial and IT infrastructures are becoming more transparent. First of all, this is due to the development of the Industrial 4.0 standard and the refusal to isolate industrial facilities, which entails common vulnerabilities, the use of security services based on the SaaS model for industrial facilities, as well as the use of hardware devices that a potential attacker can access quite easily. But very actual problems of IoT and IIoT are information security. Many of this systems are critical and little error can stop the entire system. This is not hard for hackers because that complex system has sensitive components usually. For example simple router can have a lot of vulnerabilities. There an attacker takes a root easily in every system. To solve the problem successfully it is recommended to use complex security actions. These are secure configurations of network devices, using safe devices and protocols, regular audit, using backups, using actual politics of information security.
Development of a Method for Conducting an Audit of the Information Security System
Authors:   Rosreestr for Volgograd Region, Zaporotskov Pavel
Published: November 2021

Information processes, as well as information resources, manage information of varying degrees of importance for the enterprise. In this regard, the protection of such information is one of the most important procedures in the field of state security, the importance of which is growing every year. The problem of information security – the reliable provision of its safety and the established status of use – is one of the most important problems of our time. The paper considers the existing standards in the field of information security audit. The author has developed an innovative model of audit of the information security system based on the comparison of demand measures of order no. 21 of the FSTEC of Russia and ways of implementation in the subsystem of the information system of personal data protection, the recommendations for inspections of specific measures of protection and used technology audit technical means. The developed method is tested on the example of conducting an audit in “Lama” LLC company. The choice was made to establish the compliance of the organization’s personal data protection system with the requirements of order no. 21 of the FSTEC of Russia. Recommendations have been developed to eliminate the existing shortcomings and inconsistencies by re-equipping the anti-virus protection subsystem and the subsystem of inter-network shielding and protection of communication channels.
Investigation of the Physical and Mechanical Properties of Radio-Absorbing Materials
Authors:   Volgograd State Technical University, Vasiliev Alexander , Afanasiev Anatoly ,   Volgograd State University
Published: November 2021

The paper studies the physical and mechanical properties of radio-absorbing materials. It is shown that to ensure an effective level of material absorption, it is necessary to introduce carbon fibers in the amount of at least 0.25% by weight.
Behavior Problems in Four-Year-Old Children from a Brazilian Birth Cohort
Authors: Cruz Suélen Henriques , Piccinini Cesar Augusto , Matijasevich Alicia , Santos Iná Silva
Published: November 2021

Abstract This study aimed to investigate the occurrence of behavior problems in 3750 four years old children from a birth cohort. Children were followed from birth to four years old through home visits, and questionnaires on child health and development and the Child Behavior Checklist 4-18/CBCL were applied. Prevalence rates were high (total problems 35.6%), particularly externalizing problems, which occurred in 44.4 % of children (48.3% girls; 40.6% boys; p < 0.001). Internalizing problems were less prevalent, occurring in 15.5 % of children (19.1% boys; 11.6% girls; p < 0.001). Regardless of sex, there was a higher prevalence of behavioral problems in children with younger siblings, whose mothers had less education and had no partner.
INTRAARTICULAR EPSILON AMINOCAPROIC ACID VERSUS TRANEXAMIC ACID IN TOTAL KNEE ARTHROPLASTY
Authors: GUERREIRO JOAO PAULO FERNANDES , BALBINO JOSE RODOLFO MARTINES , RODRIGUES BRUNO POSSANI , DANIELI MARCUS VINICIUS , QUEIROZ ALEXANDRE OLIVEIRA , CATANEO DANIELE CRISTINA
Published: November 2021

ABSTRACT Objective: To examine and compare the clinical efficacy of intraarticular epsilon aminocaproic acid (EACA) and tranexamic acid (TXA) in total knee arthroplasty (TKA). Methods: This study was a prospective, single-center, double-blinded randomized controlled trial, including sixty patients with osteoarthritis of the knee divided into two groups of 30 patients. In the TXA group, 1 g of TXA (0.05 g/ml) was applied intraarticularly, and in the EACA group, 4 g of EACA (0.2 g/ml) was applied intraarticularly. Serum hemoglobin (Hgb) and hematocrit (Htb) were measured during the preoperatively and 24 and 48 hours postoperatively. The range of motion and pain were evaluated by clinical examination. To evaluate knee function before and 2 months after surgery, the Western Ontario and McMaster Universities Index (WOMAC) questionnaire was used. Results: In total, 56 (93.3%) patients were evaluated up to the second postoperative month. No significant difference between the groups (p > 0.05) was found in the decrease in Hgb or Htb at 24 or 48 hours. Regarding assessment of the pain, WOMAC score and gain in knee flexion, no significant advantages up to 60 days after surgery (p > 0.05) were found. Conclusions: The decrease in Hgb and Htb during the first 48 hours postoperatively and the risk of transfusion were similar with the intraarticular use of 1 g of TXA and 4 g of EACA in TKA. The possible benefits regarding knee pain, gain in flexion and function were also similar for the two drugs. Level of Evidence II, Randomized, Double-Blinded, Single-Centre, Prospective Clinical Trial.
EFFECTIVENESS OF DEEP VENOUS THROMBOSIS PREVENTION IN TOTAL HIP ARTHROPLASTY
Authors: MANFREDI VICTOR MARTINS , MACHADO MATHEUS BITTENCOURT , BARBATO NÍCOLAS GIORGINI , TAKATA EDMILSON TAKEHIRO , DOBASHI EIFFEL TSUYOSHI
Published: November 2021

ABSTRACT Objective: To determine the efficacy of Deep Venous Thrombosis (DVT) prophylaxis protocol in patients undergoing total hip arthroplasty (THA), and to verify differences in the rates of this complication when comparing primary replacement surgeries with revision surgeries. Methods: We conducted a retrospective study of patients operated between 2012 and 2018, with inclusion and non-inclusion criteria determined by the researchers. A protocol was created to compile data including 92 patients, amounting to 110 operated hips, divided by gender, age, laterality, among other criteria. For THA cases, low molecular weight heparin chemoprophylaxis was used, associated with the use of pneumatic and elastic compression, concomitant to deambulation as soon as possible. The detection of DVT was determined by clinical evaluation and imaging exams such as: simple radiographs, ultrasound, arterial and venous color doppler, and laboratory tests. Results: The use of the protocol was very effective in our study. Only one (1.09%) case of deep venous thrombosis was found. Conclusion: The use of thromboprophylaxis for DVT is indispensable, as was clearly demonstrated by these cases. We observed only one (1.09%) case of DVT in our series. Level of Evidence III, Retrospective Study.
THE IMPACT OF COVID-19 ON THE ORTHOPEDIC CARE SYSTEM IN A PRIVATE HOSPITAL
Authors: QUEIROZ HENRIQUE VON RONDOW DE , TOLDO NILO EIJI NAKAMURA , OLIVEIRA BRUNA GABRIELA PASSARINI DE , SANTANA MARCOS VINICIUS FELIX , DOBASHI EIFFEL TSUYOSHI
Published: November 2021

ABSTRACT Objective: To evaluate and compare the patient flow in the emergency department and the number of surgeries performed, as well as to determine the incidence of diseases due to the impact generated by the pandemic in April, May, June, and July 2020. Methods: This is a retrospective cross-sectional study that analyzed medical records using the TASY Phillips software. The 2019 information was compiled and served as a basis accomplish our comparative analyses. The ICD-10 was used to determine the different conditions considering the highest incidence of them. Results: there was a reduction in attendance of 49.3%; the reduction in the number of surgeries was 34.39%; among the main diagnoses in decreasing order were: Pain in the Lumbar Spine (18.76%), Joint Pain (14.82%), Neck Pain (7.7%), Ankle Sprain (4.2%) and Pain in the Limb (3.54%). Conclusion: There was a decrease in the number of visits and the overall incidence of surgeries in our service. Level of Evidence II, Retrospective Study.
O papel do divertimento e das determinantes motivacionais na persistência da prática de exercício físico
Authors: Rodrigues Filipe , Teixeira Diogo , Macedo Rita , Neiva Henrique , Cid Luís , Monteiro Diogo
Published: November 2021

Resumo Como objetivo deste trabalho, definiu-se analisar os efeitos indiretos de determinantes motivacionais no divertimento e na persistência em praticantes de exercício físico regular. Participaram ao todo 967 praticantes de exercício em ginásio e health clubs, com idades compreendidas entre 18 e 65 anos (M=45,08; DP=13,76). Todos os participantes tinham mais de 6 meses de experiência regular em exercício físico. Os participantes preencheram ao todo questionários traduzidos e validados para a língua portuguesa no contexto do exercício físico, que examinavam a perceção dos comportamentos interpessoais, as necessidades psicológicas básicas, a regulação da motivação e o divertimento. A persistência foi medida através de registos eletrónicos, considerando um praticante persistente aquele que tivesse uma frequência semanal similar aquela auto-reportada no momento inicial. A maioria das regressões são significativas, confirmado os pressupostos da literatura existente. Os efeitos indiretos mostram que o divertimento desempenha um papel crucial na persistência, tanto por via motivação autónoma, como por via motivação controlada. Em suma, atividades promotoras do prazer que os praticantes de ginásio e health club experienciam durante a prática de exercício físico poderão ser a variável chave na persistência a longo prazo.
Perfil dos autores de letalidade violenta no município do Rio de Janeiro, Brasil (2015)
Authors: Minayo Maria Cecília de Souza , Mariz Rodrigo Soares de Assis
Published: November 2021

Resumo Apresenta-se o perfil dos autores de mortes por agressões intencionais no município do Rio de Janeiro, em 2015, segundo dados de investigação da Polícia Civil do Estado (PCERJ) sobre letalidade violenta. É um estudo quantitativo descritivo e transversal. As informações englobam homicídios dolosos, roubo seguido de morte, lesões corporais seguidas de morte e homicídios provenientes de oposição à intervenção policial. Do total de 1.562 mortes, subtraíram-se as cometidas por intervenção policial. Dos 1.255 crimes estudados, apenas 20% tiveram os autores identificados. Demonstra-se a significância das atividades ilegais de traficantes de drogas e milicianos nas mortes. Mas também a da violência interpessoal nos espaços domésticos e de convivência e vizinhança. Existe grande semelhança entre o perfil dos autores e das vítimas de letalidade violenta no contexto urbano estudado: homens, jovens e adultos jovens entre 19 e 39 anos, negros e pardos, com baixa escolaridade e elevados níveis de desemprego e ocupação informal.
Autopercepção positiva de saúde entre idosos não longevos e longevos e fatores associados
Authors: Brasil Carlos Henrique Guimarães , Maia Luciana Colares , Caldeira Antônio Prates , Brito Maria Fernanda Santos Figueiredo , Pinho Lucineia de
Published: November 2021

Resumo Objetivou-se identificar a prevalência da autopercepção positiva de saúde entre os idosos não longevos e longevos e fatores associados. Pesquisa realizada com idosos cadastrados na Estratégia Saúde da Família de Montes Claros. Utilizou-se o instrumento Brazilian Older Americans Resources and Services Multidimensional Function Assessment Questionnaire. Realizaram-se análises bivariadas e múltiplas por meio da Regressão de Poisson. Participaram 1.750 idosos, sendo 1.420 idosos não longevos e 330 longevos. A autopercepção positiva foi referida entre 71,9% dos idosos não longevos e 67,8% dos longevos. Entre os não longevos, a autopercepção positiva de saúde foi associada: escolaridade a partir de 5 anos (RP=1,12); renda familiar entre 2 a menos de 3 salários mínimos (RP=1,13) e maior ou igual a 3 salários mínimos (RP=1,12); visão preservada (RP=1,13); boa mastigação (RP=1,16); sono preservado (RP=1,23); ausência de polipatologias (RP=1,29); ausência de diabetes (RP=1,15) e de quedas no último ano (RP=1,13) e prática de atividades físicas (RP=1,11) e entre os longevos: uso de prótese; ausência de alterações no sono e de polipatologias e prática de atividades físicas. A autopercepção positiva de saúde está associada aos determinantes sociais e de saúde.
Self-perceived social relationships are related to health risk behaviors and mental health in adolescents
Authors: Silva Danilo Rodrigues Pereira da , Werneck André de Oliveira , Agostinete Ricardo Ribeiro , Bastos Afrânio de Andrade , Fernandes Rômulo Araújo , Ronque Enio Ricardo Vaz , Cyrino Edilson Serpeloni
Published: November 2021

Abstract Although changes have been observed in social relationships in the recent years, especially among younger generations, little evidence is available concerning factors associated with adolescents’ perceived social relationships. In this study we investigated the association between self-perceived social relationships, health-related behaviors, biological maturation, and mental health in adolescents. This is a cross-sectional study conducted with 1,336 adolescents (605 boys and 731 girls) aged between 10 to 17 years from public schools. Self-perceived social relationships (family, friends, and teachers), feelings of stress and sadness, academic performance, tobacco smoking, alcohol and fat consumption, physical activity, and screen time were evaluated by a questionnaire. Biological maturation was assessed by the peak height velocity. We observed that worse perceived social relationships were associated with tobacco smoking (family and teachers), alcohol drinking (teachers), higher consumption of fat (teachers), greater feelings of stress (family and teachers) and sadness (family and friends), and poor academic achievement (friends and teachers).
Aumento nas reclamações de idosos sobre a saúde suplementar no Brasil
Authors: Sousa Natália Carolina de , Oliveira Rosana Rosseto de , Salci Maria Aparecida , Carreira Ligia , Rodrigues Thamires Fernandes Cardoso da Silva , Radovanovic Cremilde Aparecida Trindade
Published: November 2021

Resumo O objetivo foi descrever as reclamações de idosos brasileiros recebidas pela Agência Nacional de Saúde Suplementar. Trata-se de um estudo ecológico, com dados secundários provenientes do Sistema Integrado de Fiscalização. Realizou-se análise de tendência das reclamações recebidas pela Agência Nacional de Saúde Suplementar de beneficiários idosos de todo o Brasil, no período de 2008 a 2017. Analisaram-se 111.497 reclamações realizadas por idosos beneficiários da saúde suplementar. Identificou-se aumento das taxas de reclamações para todas as regiões do país, com destaque para a região Nordeste, que apresentou a maior taxa média de reclamações (27,07) e o maior aumento médio anual (7,79; r2=0,97), e a região Sul, com a menor taxa média para o período (7,11) e o menor aumento médio anual observado (1,84; r2=0,92). A maior taxa de reclamações foi relacionada à cobertura do plano, entre idosos de 70 a 79 anos e beneficiários de planos individuais ou familiares. A crescente insatisfação de idosos com o sistema de saúde suplementar refletiu no grande número de reclamações recebidas pela Agência Nacional de Saúde Suplementar ao longo de nove anos.
Homicidios en jóvenes: sociabilidades locales en la habilitación de la agresión interpersonal letal
Authors: Herkovits Damian , Spinelli Hugo
Published: November 2021

Resumen Este trabajo se propone comprender por qué las agresiones interpersonales que conducen a homicidios en jóvenes pueden ser toleradas reclamadas o aclamadas en los contextos de sociabilidad en las que se suceden. La metodología desarrollada fue cualitativa, es decir que procuró documentar y analizar los significados y experiencias de los actores desde sus perspectivas. El trabajo de campo se realizó con jóvenes varones de sectores populares que habitan seis municipios del conurbano bonaerense entre 2014 y 2017. Entre los resultados sostenemos que la habilitación a las agresiones letales se vincula con una reducción de la sociabilidad juvenil a grupos de pares con fuertes anclajes territoriales. Esta reducción se expresa como una consecuencia de la debilidad de los vínculos familiares, laborales e institucionales en la conformación de la experiencia social de los jóvenes. En los grupos de pares las repuestas a las afrentas pueden ser valoradas no sólo como forma de intervenir en los conflictos, sino como fuente de pertenencia y reconocimiento social. Concluimos que estas sociabilidades reducidas expresan desigualdades sociopolíticas que contribuyen a que el homicidio sea un acontecimiento excepcional de espacios de interacción recurrentes.
Centros Regionais de Referência: análise da implementação nacional de processos formativos sobre álcool e outras drogas
Authors: Vecchia Marcelo Dalla , Lima Junior João Mendes , Silva Eroy Aparecida da , Ronzani Telmo Mota
Published: November 2021

Resumo Realizou-se a análise da implementação em nível nacional dos Centros Regionais de Referência (CRRs). Um questionário com 97 questões abertas e fechadas foi respondido por coordenadores de 51 CRRs das cinco regiões brasileiras. Um estudo de casos múltiplos ex-post-facto foi viabilizado, recorrendo à triangulação entre a análise estatística descritiva das questões fechadas e a análise temática das questões abertas. A abrangência efetivamente nacional dos CRRs sustentou-se na ampliação da capilaridade das instituições públicas de ensino. A flexibilidade metodológica foi considerada oportuna no desenho dos cursos, viabilizando conteúdos atinentes à realidade local, com a proposição de projetos de intervenção no território que buscam impactar a articulação da rede intersetorial. Salientou-se a necessidade de maior autonomia administrativa e financeira e a relevância da continuidade dos processos formativos, devido ao protagonismo dos CRRs nas políticas de drogas locorregionais. A análise sinaliza para eixos que podem subsidiar a construção de indicadores de avaliação de processos formativos para o campo de álcool e outras drogas, bem como a elaboração de princípios e diretrizes para a formação na área.
Deslocamentos, desenlaces e tessituras no cuidado em alimentação e nutrição: análise de uma publicação oficial brasileira
Authors: Magalhães Lilian Miranda , Amparo-Santos Ligia , Leão-Santos Deborah , Gomes Indira Ramos
Published: November 2021

Resumo Este ensaio objetiva analisar as estratégias discursivas de uma publicação do Ministério da Saúde, considerando que delas emerge outra noção de cuidado em alimentação e nutrição (CAN). Por meio da análise de discurso, os resultados são interpretados principalmente à luz dos estudos de Edgar Morin e Annemarie Mol. A análise identificou elementos do pensamento complexo constitutivos de uma perspectiva ampliada acerca da alimentação e das práticas de CAN no contexto do apoio matricial. Como principal estratégia discursiva, narrativas contextualizam o cuidado em enredos sinuosos e inconclusos, enfatizando a imanência da imprevisibilidade e da incerteza. Recursos metafóricos revelam deslocamentos da centralidade da biomedicina e tecem no sujeito a sabedoria prática de lidar com a coexistência entre a generalidade da metrificação do corpo e da comida e a singularidade das vidas e do comer cotidiano. As histórias contribuem para a compreensão do CAN como manejo compartilhado, que visa a restituição da ordem - viável e sempre provisória. Como conclusão, ao expor e legitimar a pluralidade de modos de atuar, o documento que emerge da experiência e a ela se volta pode repercutir na formação em saúde e suscitar a ampliação do repertório teórico acerca das práticas de CAN.
EFFECTS OF EXHAUSTIVE EXERCISE AND CONTUSION ON AUTOPHAGY-RELATED FACTORS IN SKELETAL MUSCLE OF RATS
Authors: Pan Tongbin , Ji Mengjin , Jiao Jianjian , Yin Fengyang , Qin Cheng , Yang Tao
Published: November 2021

ABSTRACT Objective: To study the effects of exhaustive exercise and contusion on autophagy-related factors Beclin1, LC3 and PINK1 expression in the skeletal muscle of rats. Methods: Forty-two male SD rats were randomly divided into 7 groups, 6 rats in each group: C, D0, D24, D48, E0, E24, and E48. Each group of rats was killed and dissected at the different respective time points specified above. The whole quadriceps femoris of the left hind limbs were removed and divided into two parts, one for mRNAs of Beclin1, LC3 and PINK1 by real-time fluorescent quantitative PCR, and the other for LC3 protein by Western blotting. Results: Compared with group C, the contents of Beclin1 mRNA, PINK1 mRNA, and LC3 mRNA in the immediate exhaustive exercise group (E0) were significantly reduced p<0.01. However, the levels of PINK1 mRNA, LC3 mRNA, and LC3 protein in skeletal muscle cells increased significantly in the 48 hours after exhaustion (E48) p<0.05, suggesting that cell autophagy had an increasing trend during the recovery period. Meanwhile, compared with the C group, the contents of Beclin1 mRNA, PINK1 mRNA, and LC3 mRNA in the immediate blunt contusion group (D0) increased significantly p<0.01 and were followed by a downward trend. Conclusion: Generally, there were differences between the blunt contusion and exhausted exercise models at each recovery phase. The gene expression of the autophagy-related factors was not high in the early exhaustive exercise recovery phase and subsequently followed an upward trend. But the above factors increased significantly in the immediate and early recovery phases after blunt contusion. Injury from blunt contusion may be more severe than exhaustive exercise-induced-injury, so the autophagy starts earlier according to the changes in autophagy-related factors. Level of evidence III; Therapeutic studies investigating the results of treatment.
COMPARISON OF BONE PARAMETERS BY BODY REGION IN UNIVERSITY ATHLETES: SYSTEMATIC REVIEW
Authors: Moraes Mikael Seabra , Martins Priscila Custódio , Silva Diego Augusto Santos
Published: November 2021

ABSTRACT Introduction: Bone mineral density (BMD) and bone mineral content (BMC) vary depending on the type of sport practiced and the body region, and their measurement can be an effective way to predict health risks throughout an athlete’s life. Objective: To describe the methodological aspects (measurement of bone parameters, body regions, precision errors and covariates) and to compare BMD and BMC by body region (total body, upper limbs, lower limbs and trunk) among university athletes practicing different sports. Methods: A search was performed on the databases PubMed, Web of Science, Scopus, ScienceDirect, EBSCOhost, SportDiscus, LILACS and SciELO. Studies were selected that: (1) compared BMD and BMC of athletes practicing at least two different sports (2) used dual-energy X-ray absorptiometry (DXA) to assess bone parameters (3) focused on university athletes. The extracted data were: place of study, participant selection, participants’ sex, sport practiced, type of study, bone parameters, DXA model, software used, scan and body regions, precision error, precision protocol, covariates and comparison of bone parameters between different sports by body region. Results: The main results were: 1) BMD is the most investigated bone parameter; 2) total body, lumbar spine and proximal femur (mainly femoral neck) are the most studied body regions; 3) although not recommended, the coefficient of variation is the main indicator of precision error; 4) total body mass and height are the most commonly used covariates; 5) swimmers and runners have lower BMD and BMC values; and 6) it is speculated that basketball players and gymnasts have greater osteogenic potential. Conclusions: Swimmers and runners should include weight-bearing exercises in their training routines. In addition to body mass and height, other covariates are important. The results of this review can help guide intervention strategies focused on preventing diseases and health problems during and after the athletic career. Level of evidence II; Systematic Review.
TREATMENT OF NON-SPECIFIC CHRONIC LOW BACK PAIN: RESISTANCE TRAINING WITH OR WITHOUT USING WEIGHTS?
Authors: Oliveira Camila Teixeira de , Kanas Michel , Wajchenberg Marcelo
Published: November 2021

ABSTRACT Introduction: Dysfunction of the core muscles contributes to the persistence of pain in patients with chronic low back pain. Evidence shows that the active approach is beneficial in the rehabilitation of these patients. However, there is uncertainty as to the most effective methods or form of exercise, as the literature offers little guidance in this regard. Objective: To analyze and compare the impact on quality of life, function, flexibility, abdominal strength and abdominal fat rate in patients with non-specific chronic low back pain after a program of resistance training using two different forms of exercise. Methods: Thirty individuals, aged between 18 and 65 years, participated in the study. Twenty performed physical training program twice a week for eight weeks, and ten did not perform any physical exercises, but received guidance and pain relief. The physically active individuals were randomly divided in two groups and received similar resistance training, focusing on the same muscle groups. Ten performed training with dumbbells and bodybuilding machines (TRCP) and ten did not use this equipment (TRSP). All were assessed before and after the intervention, through questionnaires on quality of life and function, and tests for flexibility, abdominal strength and measurement of the abdominal fat rate. Results: In the intra-group comparison (initial vs eight weeks), there were no significant differences in quality of life in any of the groups. However, regarding function, the three groups showed significant improvement, with TRSP showing the best evolution. For flexibility and abdominal strength gain, TRCP showed the best evolution in both instruments. For decrease in abdominal fat rate, only TRCP showed significant differences. In the intergroup comparison, there were no significant differences for any of the evaluated outcomes. Conclusion: The two exercise programs were effective in improving function, flexibility and abdominal strength in patients with chronic, non-specific low back pain. However, there were no statistically significant differences in any of the outcomes in the comparison between groups. Level evidence II, Comparative prospective study.
OXYGEN UPTAKE AND INDICATORS OF OBESITY: META-ANALYSIS INCLUDING 17,604 ADOLESCENTS
Authors: Gonçalves Eliane Cristina de Andrade , Fernandes Ricardo , Alves Junior Carlos Alencar Souza , Silva Diego Augusto Santos , Trindade Erasmo Benício Santos de Moraes
Published: November 2021

ABSTRACT Introduction: Low aerobic fitness levels are associated with excess body adiposity in adolescents. However, studies that have analyzed this association in adolescents have used different methods and measures to evaluate aerobic fitness, making it difficult to compare the results. Objective: To conduct a systematic review with meta-analysis of studies that have analyzed the association between aerobic fitness and anthropometric body adiposity indicators in adolescents aged 10-19 years. Methods: A systematic search was performed in May 2016, updated in March 2017, in the following electronic databases: LILACS (BIREME), Embase, MEDLINE (PubMed), Web of Science (Web of Knowledge), Scopus, and SPORTDiscus. Results: Twenty-three studies were selected. The meta-analysis indicated that as the aerobic fitness levels increased, the BMI, waist circumference and body fat percentage values of the adolescents decreased. Conclusion: There is a negative association between aerobic fitness (evaluated by measuring maximum oxygen uptake in the 20-meter Shuttle Run test) and the body fat percentage, BMI and waist circumference of adolescents and a negative association between aerobic fitness (assessed by measuring the number of laps in the 20-meter Shuttle Run test) and body fat percentage. However, caution is required in the interpretation of data due to the heterogeneity of the studies analyzed. Level of Evidence II; Systematic review of studies with level II of evidence.
Readability as a measure of textual complexity: determinants and evidence in Brazilian companies
Authors: Souza João Antônio Salvador de , Borba José Alonso
Published: November 2021

ABSTRACT The aim of this article was to evaluate the effect of company earnings and of harmonization with IFRS on the readability of Management Reports in the Brazilian stock market. There is a gap to be filled both in the elaboration and adaptation of readability measures to the context studied, as the studies tend to replicate the original formulas, and in identifying the determinants of the readability of Brazilian company reports, as the research in this field remains in its infancy and the results are inconclusive. The results provide indications for investors to identify complex textual information and may help public policymakers to establish a simple writing manual, along the lines of the SEC’s 1998 Plain English Handbook. The modified metrics and the one developed overcome the criticisms regarding the use of readability formulas in accounting research and could be used in substitution of the original metrics in future studies. An econometric model was used that presents the determinants of readability. Readability was calculated for the Results Analysis section of the Management Report. The resulting construct is understood via three attributes: persistence, current performance, and the reference benchmark. Harmonization with IFRS is a dummy variable, which delimits the pre- and post-IFRS periods. The hypotheses were tested in a sample of Brazilian companies made up of 714 company-year observations covering the period from 2006 to 2019. The descriptive results show that there is an apparent improvement in the readability of the reports in the pre- and post-IFRS period comparison. The econometric evidence shows that, in general, companies with persistent and positive earnings present less complex reports and are more likely to have highly readable reports, because managers publish reports with better readability to signal positive results to the market.
School physical activity and mental health in school-aged Brazilian adolescents: a systematic review
Authors: Solidade Vanessa Teixeira da , Nascimento Victor Matheus Santos do , Oliveira Davi Pereira Monte , Ribas Michele Caroline de Souza , Sampaio Ricardo Aurélio Carvalho , Silva Roberto Jerônimo dos Santos
Published: November 2021

ABSTRACT The aim of this study was to identify evidence regarding associations between School Physical Activity (PA) and Mental Health (MH) in Brazilian school-aged adolescents. This is a systematic review study. Studies were selected in Portuguese and English and identified by a systematic search in six electronic databases: PubMed, Web of Science, SPORTDiscus / Ebsco, ScIELO, ERIC, and LILACS, which comprised publications until 2019. Inclusion criteria were: studies with cohort, descriptive, cross-sectional or qualitative design; performed with children and adolescents; studies that analyzed the relationship between PA and MH; studies that investigated adolescents who practiced PA in schools; studies carried out in Brazil; and studies that reached minimum of 60% of methodological quality criteria according to STROBE. Physical education, as curricular activity in basic education, has protective effect on MH in the school setting. In addition, more than 300 min/week of PA was positively associated with MH; while associations between PA and excessive TV time; social isolation; and body weight dissatisfaction were negatively associated. School PA is positively associated with MH as it promotes physical and psychological well-being, impacting on the reduction of insomnia rates, attenuating loneliness and improving physical appearance.
Career commitment and entrenchment among Primary Care nurses
Authors: Lourenção Luciano Garcia , Silva Rosana Aparecida de Souza da , Moretti Marli dos Santos Rosa , Sasaki Natália Sperli Geraldes Marin dos Santos , Sodré Paula Canova , Gazetta Claudia Eli
Published: November 2021

ABSTRACT Objective: To assess career commitment and entrenchment among Primary Care nurses. Method: This is a cross-sectional study, carried out in 2018, with primary care nurses from two cities in the state of São Paulo. The Career Commitment and Entrenchment Scales, validated in Brazil, and consisting of 12 items each, were used, and assess: identity, resilience, and planning, related to commitment; emotional costs, investments, and limitation of career alternatives, related to entrenchment. Results: The mean score of career commitment (61.4 points) was higher than that of career entrenchment (57.8 points); the identity factor had a high level (70.9 points); resilience and career planning obtained medium levels (62.5 and 50.8 points, respectively). Career entrenchment (57.8 points) and its respective factors reached medium levels (investments: 57.7 points; limitation of alternatives: 58.8 points; emotional costs: 57.0 points). Conclusion: The nurses showed a predominance of the career commitment relationship, as they showed a greater link of identification and positive relationship than of career stagnation.
Las mujeres que sufren de maltrato infantil tienen una mayor probabilidad de ser víctimas de violencia ejercida por la pareja en Perú
Authors: Cruz María Claudia Rodríguez-De la , Alarco J. Jhonnel
Published: November 2021

RESUMEN: Objetivos: Determinar la asociación entre el maltrato infantil y la victimización por violencia ejercida por la pareja en mujeres peruanas casadas o convivientes mayores de 18 años. Métodos: Estudio transversal de análisis de datos secundarios de la Encuesta Nacional sobre Relaciones Sociales 2015. Para encontrar la asociación entre el maltrato infantil y la victimización por violencia ejercida por la pareja se realizó una regresión logística multinomial ajustado por posibles variables de confusión. Resultados: Se incluyeron datos de 1084 mujeres casadas y convivientes. La prevalencia de maltrato infantil fue del 49,6% (IC95% 45,8-53,3) y la prevalencia de victimización por violencia ejercida por la pareja fue del 64,2% (IC95% 60,5-67,8). Se encontró asociación entre el maltrato infantil y la victimización por violencia ejercida por la pareja (razones de riesgo relativo 5,72, IC95% 3,71-8,83). Conclusiones: Las mujeres casadas o convivientes de Perú que sufrieron maltrato infantil tienen una mayor probabilidad de sufrir de violencia ejercida por la pareja en la adultez.
Burnout Syndrome and Consumption of Alcohol and Illicit Substances in University Students
Authors: Andrade Giovana Frazon , Menolli Poliana Vieira da Silva , Clemente Pedro Augusto , Mesas Arthur Eumann , Silva Dannyele Cristina , Girotto Edmarlon
Published: November 2021

Abstract The consumption of alcohol and illicit substances has shown alarming levels among young university students, and its use may be associated with the coping strategy of academic burnout. This review aimed to synthesize the scientific evidence related to the consumption of alcohol and illicit substances associated with burnout syndrome in university students. Searches were carried out in: Biblioteca Virtual em Saúde, PubMed, Web of Science, PsycNet and Scopus databases, with no year limitation and based on the PRISMA guideline. Among the 2.269 articles identified, 16 met the inclusion criteria. All studies evaluated students in the health area, 12 studies found an association between the variables, with alcohol and illicit substances consumption strongly related to burnout syndrome. It was concluded that there is an association between the studied variables, indicating that the presence of burnout syndrome in university students can result in the use of negative strategies as a coping measure.
Socioemotional and Cognitive Skills: Its Relation to School Performance in Elementary School
Authors: Castro Angélica Maria Ferreira de Melo , Bueno José Maurício Haas , Peixoto Evandro Morais
Published: November 2021

Abstract Several constructs shown as good predictors of school performance. However, previous studies have focused only on a part of these predictors, making it difficult to understand their interaction to predict school performance. This study verified the associations (correlations), predictions (linear regressions), and relationship dynamics (network analysis) of variables (intelligence, EI, personality, and executive functions) that predict school performance (Portuguese, mathematics, and general) in children and adolescents in the elementary education. In total, 133 students were submitted to instruments to assess the predictive abilities and performance measures included in this study. Regression analyses showed emotional intelligence and abstract reasoning as the main positive predictors of school performance, and the agreeableness/openness trait as a positive predictor of overall performance and mathematics. The results corroborated by centrality indicators estimated through network analyses. This study advances when considering several variables concurrently.
Experiences of Falling Ill with Fibromyalgia: An Incursion into the Collective Imaginary of Women
Authors: Peres Rodrigo Sanches
Published: November 2021

Abstract A psychoanalytic exploration of the collective imaginary of patients about a chronic condition can help health professionals to understand the experience of falling ill in its intersubjective aspect. This study aimed to investigate the collective imaginary about fibromyalgia in women affected by this syndrome. This is a qualitative study based on the psychoanalytic investigative method. Data were collected from 18 women through group interviews guided by the Drawing-Story with Theme Procedure. Data analysis followed technical movements defined by the oscillation from a receptive passivity to an active receptivity. Results showed that, after falling ill, the participants did not feel to be the same persons they were before or, in certain cases, no longer regard themselves as persons at all. It was also verified that delegitimation generates psychological suffering described by the participants as a kind of pain. Therefore, it is recommended to value relational technologies in health care offered by multidisciplinary teams to women with fibromyalgia
A ESCOLA ENTRE OS EMBATES NA PANDEMIA
Authors: Barreto Raquel Goulart
Published: November 2021

RESUMO Com base na análise crítica do discurso, este artigo objetiva trazer referências à escola em meio à pandemia, em seus aspectos semânticos, sintáticos e pragmáticos. Para seu dimensionamento, explicita as atuais condições de possibilidade de formulações em disputa por hegemonia, focando na incorporação educacional das Tecnologias de Informação e Comunicação como substituição do trabalho docente. No que diz respeito às perspectivas pós-pandemia, analisa os sentidos das propostas de ensino híbrido, nas suas relações com o uso intensivo das plataformas privadas na escola pública.
The Brazilian nursing workforce faced with the international trends: an analysis in the International Year of Nursing
Authors: Souza Helton Saragor de , Trapé Carla Andrea , Campos Celia Maria Sivalli , Soares Cassia Baldini
Published: November 2021

Abstract The article analyzes the condition of the Brazilian Nursing workforce when confronted with international trends. Diagnoses in publications by international organizations marked the confrontation of international trends with the reality of Brazilian Nursing, based on secondary research data. The analysis allows asserting that the Brazilian Nursing workforce follows international trends, essentially, because the social and sexual division of work and the foundations of the origin of Nursing as a capitalist occupation are maintained. At the same time, the historical-structural assumption of female proletarianization is based on the following: the disparities between men and women in pay and access to prominent positions in the market; combined inequalities across nations and regions in the supply of the labor market, which stimulates immigration of professionals; exploitation of older professionals, in the context of restricted access to retirement and labor rights; and exposure to violence and harassment, associated with the potential for overload and work intensification, which result in workers contracting diseases. In summary, it is observed that the pillars of female proletarianization and professionalization of Nursing remain in today's differentiated forms of workforce exploitation, being configured depending on the intersections of gender, racial-ethnicity, and regional-nationality.
Supportive housing for homeless people in the context of the Brazilian drug policy: implementation evaluation
Authors: Carvalho Adriana Pinheiro , Furtado Juarez Pereira
Published: November 2021

Abstract Supportive housing interventions based on the Housing First approach have been implemented in Brazil as part of drug policy. It is relevant to analyze the influence of local characteristics on the implementation degree of this kind of intervention in this national context. We conducted an implementation evaluation case study of a supportive housing Project, in Brasília/DF. To describe the initiative we used official documents, participant observation of real and virtual environments, systematization of the perception of project workers/managers and logic model. The project description was then compared with criteria based on the HF proposal parameters. The results indicate the appropriateness of the intervention to the fundamental principle of putting housing in the first place, using local solutions and adaptations. However, shortcomings in the management of comprehensive care and disintegration of the social policy network challenge the implementation of the social integration component of the proposal. Health and Social Care interface needs to be better analyzed and the original model better known in its context of origin.
Políticas do corpo: associações de pacientes e reconfigurações da cidadania
Authors: Paula Bruno Lucas Saliba de , Santana Igor José Alves
Published: November 2021

Resumo O objetivo deste artigo é analisar como sujeitos doentes engendram tipos específicos de engajamento coletivo e participação política. Para tanto, acionamos o conceito de “biossociabilidade” a fim de compreender o associativismo de indivíduos que compartilham condições corporais e biológicas semelhantes. Além disso, discutimos como a atuação de associações de pacientes reverbera nas esferas política, econômica e científica. Nossos resultados sugerem que o ativismo dos grupos biossociais, de um lado, reforça os aspectos civis, políticos e sociais constitutivos da cidadania convencional e, de outro, aponta para o surgimento de uma dimensão biológica no exercício da cidadania. Dessa forma, o trabalho contribui para repensar as noções consolidadas em torno da doença, da participação política e da cidadania.