bluuebunny/crossref_metadata_2025 huggingface dataset:
Distal radial access. Occlussion of the radial artery after percutaneus coronary intervention with radial access
Authors: Kitanoski Darko , Postadzhiyan Arman , Velchev Vasil , Stoyanov Nikolay , Zimbakov Zhan , Spiroski Igor , Kedev Sasko , Busljetik Oliver
Published: December 2021

In 2015, The European Society of Cardiology for Acute Coronary Syndrome recommended that Class I use radial as the preferred access method for any percutaneous coronary intervention regardless of clinical presentation. However, the use of TRA is associated with some complications: radiation artery occlusion (RAO) (The reported incidence of RAO is highly variable in the range of 2-11%, radial arterial spasm, radial arterial perforation, radial artery pseudoaneurysm, arteriovenous fistula, bleeding, nerve damage, and complex regional pain syndrome. Limited data are available regarding the technique of distal radial access, complications, and potential benefits. The purpose of our study is to compare the incidence of radial artery occlusion between distal radial and conventional radial access. The study included 292 patients (who underwent percutaneous coronary intervention)in who is felt pulsations at the site of a puncture of the radial artery. Patients were followed one month after the procedure, with Doppler ultrasonography or access from the same artery. After a month, the occlusion of the radial artery occurred in 8 (5.7%) patients in conventional radial access, there was no occlusion of the radial artery in the distal radial access group. This investigation shows that distal radial access is associated with a lower incidence of occlusion of the radial artery.
A Comparative Clinical Study of Er:YAG Laser and Hand Instruments in the Treatment of Moderate Chronic Periodontitis
Authors: Yaneva Blagovesta , Firkova Elena , Karaslavova Emiliya
Published: December 2021

Introduction: Moderate chronic periodontitis is the most common periodontal disease. The treatment of this condition should aim at achieving a biocompatible root surface and decontamination of the pocket, thereby restoring the health status.

Aim: In the present study, the aim was to examine the clinical effectiveness of fibreless Er:YAG laser used for scaling and root planing and to compare it with a conventional treatment with Gracey curettes.

Materials and methods: The study included 909 periodontal pockets which were treated in a split-mouth design with either Gracey curettes or with Er:YAG laser (1.5 W). Probing pocket depth (PPD), gingival recession (GR), clinical attachment level (CAL), bleeding on probing (BoP), and plaque index were recorded.

Results: There was a considerable decrease of PPD, CAL, BoP, and plaque presence values at 1 and 3 months after therapy in both treatment groups. Sites treated with Er:YAG laser demonstrated mean CAL gain of about 1.00 mm and 0.44 mm at the first and third month, respectively. In the control group, there was also significant gain of CAL of about 1.33 mm at the first and 0.30 mm at the third month. Significant difference was observed in all parameters between both groups in favour of the laser treatment.

Conclusions: The results of the present study suggest that the Er:YAG laser shows clinical effectiveness in the treatment of moderate chronic periodontitis. It can be used as a single treatment modality for subgingival scaling and root planing resulting in greater improvements in all recorded data in contrast to conventional treatment.
Acute Management of Deep Facial Burns
Authors: Kalinova Katia I. , Raycheva Ralitsa D. , Petrova Neli , Uchikov Petar A.
Published: December 2021

Introduction: Management of deep facial burns is a serious challenge for many reasons: a considerable anatomic and functional diversity is concentrated in a small space, a uniform treatment does not exist, late sequelae are frequent and may be severe, and the literature on the subject is ambiguous.

Aim: To analyse management of deep facial burns.

Patients and methods: A retrospective medical chart review was conducted for 569 patients with deep facial burns hospitalized between January 2005 and January 2015. Demographic data, type, depth and size of burns, chronology and type of surgical treatment, length of hospital stay, and type and incidence of late sequelae were analysed and compared.

Results: Over 10 years, 596 patients with deep facial burns, 216 (36.24%) females and 380 (63.76%) males, aged from 5 months to 95 years (mean 39.5±26 years) were treated. The most common burn agents were hot liquids and flames. The mean total body surface area (TBSA) burned was 17±13.3%. Concomitant eye injury was detected in 63 (10.6%) patients. Priority was given to the early, meticulous, staged surgical approach aimed at sparing the survived tissues and rapid wound closure. Follow-up ranged from 3 months to 5 years. Late functional sequelae were documented for 50 (8.38%) patients and ocular sequelae - for 33 (5.54%) of them. There was no incidence of secondary corneal perforation or definitive loss of vision.

Conclusions: Adequate and up-to-date acute management of deep facial burns based on early, judicious, surgical approach could limit initial damage and reduce late sequelae.
Primary Bartholin Adenocarcinoma: a Rare Case and Radiotherapy as Definitive Treatment
Authors: Lubis Lokot Donna , Dina Sarah , Khaidirman Derissa Khairina
Published: December 2021

Primary vulvar adenocarcinoma is a very rare neoplasm, accounting for only 1% of all gynecologic malignancies. Most of the glandular carcinomas originated from the Bartholin’s gland. Because of the rare incidence, the pathogenesis and radiotherapy response are not fully understood. A 47-year-old female from our hospital was diagnosed with primary Bartholin adenocarcinoma and received radiotherapy as definitive treatment. We evaluated the presence of high-risk and low-risk human papillomavirus (HPV) DNA to associate the role of HPV infection, and evaluated its molecular features by the expression of vimentin, p16, estrogen receptor, progesterone receptor, S-100, and Ki 67.
Crohn’s Disease of the Vulva: a Case Report
Authors: Kokkali Kalliopi , Iavazzo Christos , Souka Efthimia , Lekka Sofia , Fotiou Alexandros , Geramani Eirini , Psomiadou Victoria , Vorgias George
Published: December 2021

Crohn’s disease is a multi-systemic chronic inflammatory disease that can affect various organs besides the gastrointestinal tract such as joints, uvea, and the skin. Vulvar Crohn’s disease is a rare entity occurring with vulvar lesions that show typical Crohn’s disease granulomatous inflammation but are not contiguous with the gastrointestinal involvement. Vulvar Crohn’s disease can be easily confused with other granulomatous diseases and awareness that such involvement may precede gastrointestinal symptoms must be raised. Few cases of vulvar Crohn’s disease have been reported in the literature to date. Here, we report a case of a 43-year-old woman with a 6-month history of a vulvar lesion; the patient was diagnosed with Crohn’s disease of the large bowel just over a year ago.
Bifid Pancreatic Tail: an Anatomical Case Series and their Classification
Authors: Covantev Serghei , Mazuruc Natalia , Belic Olga
Published: December 2021

Anomalies and variants of development of the pancreas are relatively frequent. Bifid pancreatic tail is a rare anatomic variation with only a few cases reported in the literature. The present case series were encountered during dissection of 50 anatomical specimens of the pancreas, spleen, and duodenum. We observed four unusual cases (8%) of bifid pancreatic tail. One case was of a vertically oriented bifid pancreas tail (2%), in another case, the tails here horizontally oriented (2%) and in two cases the bifid tails were horizontally oriented but unequal (4%). The bifid tails had an arterial supply that penetrated the glands between the tails and two out of four were also supplied by the superior horizontal pancreatic artery of Popova. The ductal system usually bifurcated at the level of the tails, but a case of trifurcation was also encountered. The current cases should be taken into account in hepato-pancreato-biliary surgery to avoid misdiagnosis and to comprehensively assess the patient preoperatively.
Penetrating Brain Trauma due to Air Gun Shot – a Case Report
Authors: Tsranchev Ivan , Timonov Pavel , Alexandrov Alexander
Published: December 2021

Cases of severe injuries caused by air guns are really uncommon, but they can lead to a fatal outcome. Usually, these injuries occur in children due to their not fully developed skull bones or in adults through less resistant and thin regions of the cranium. Most of them are accidental events, followed by low percentage of suicidal attempts.

In this paper, we present the case of a 68-year-old man suffering from severe depression, with self-inflicted air gun injury to the head. The patient was admitted to the hospital in a coma with a Glasgow Coma Scale (GCS) score of 8, with severe penetrating head injury manifested with brain contusion and intraventricular bleeding seen at the CT examination. Metal particles from the projectile were seen inside the brain. The entry wound had inverted margins, abraded collar and skin defect. The additional neurological examination of the patient showed symptoms of increased intracranial pressure. The treatment started with the air gun wound care. Craniotomy surgery was also done and bone fragments around the entry wound were successfully extracted with subsequent debridement and duraplasty. The patient was treated with new-generation combined antibiotics for preventing inflammatory complications. On the nineteenth day, the patient was discharged with mild hemiparesis on the left side and with GCS score of 15.

Air-gun traumatic cases with head injury or with injury to other parts of the body are often mistaken for firearm accidents, because air guns are seriously underestimated devices. Nevertheless, they could lead to severe health consequences and severe disability. This case highlights the necessity of strict monitoring of air guns by the responsible government institutions which should apply the same regulations in controlling these weapons as they implement in controlling the firearm guns. Presence of severe depression, mental illnesses, and neoplasms are risk factors for committing suicide with this type of weapons and the control over the air weapons in this group of people should be stricter.
Liquid Biopsy – Possibilities for Monitoring the Therapeutic Response in Non-Small Cell Lung Cancer
Authors: Raycheva Gabriela A. , Ivanov Hristo Y. , Grudeva-Popova Zhanet G.
Published: December 2021

Lung cancer is the leading cause of death from malignancy worldwide. Its heterogeneity and tumour biology make treatment considerably more difficult. The introduction of target molecules heralded the beginning of the personalized medicine which tailors medical treatments to the molecular and genetic profile of a patient. Liquid biopsy is an innovative, non-invasive method which is used both for diagnostic purposes and for therapeutic monitoring. Liquid biopsy has the potential to help manage non-small cell lung cancer throughout all stages of this cancer: screening, detection of minimal residual disease to guide adjuvant treatment, early detection of relapse, systemic treatment initiation, monitoring of response to targeted or immune therapy, and the emergence of resistance to applied treatment. At present, the study of circulating tumour DNA is used in clinical practice, but circulating tumour cells, miRNAs, exosomes, and platelets formed in the tumour also show promising results.
Karyotype and genome size variation in white-flowered Eranthis sect. Shibateranthis (Ranunculaceae)
Authors: Mitrenina Elizaveta Yu. , Erst Andrey S. , Peruzzi Lorenzo , Skaptsov Mikhail V. , Ikeda Hiroshi , Nikulin Vyacheslav Yu. , Wang Wei
Published: December 2021

Comparative karyomorphological analyses of six out of the eight white-flowered species of Eranthis sect. Shibateranthis have been carried out. All studied specimens ofE. byunsanensis,E. lobulata,E. pinnatifida, andE. stellatahad a somatic chromosome number 2n= 16 with basic chromosome numberx= 8. On the contrary,E. tanhoensisandE. sibiricahad a basic chromosome numberx= 7. The specimens ofE. tanhoensiswere diploid with 2n= 14, while the specimens ofE. sibiricawere polyploid with 2n= 42. Monoploid chromosome sets of the investigated diploid species had 4–5 metacentric chromosomes and 2–4 submetacentric/subtelocentric/acrocentric chromosomes. The highest level of interchromosomal asymmetry, estimated via CVCL, was found inE. byunsanensisandE. pinnatifida. The highest levels of intrachromosomal asymmetry (MCA) and heterogeneity in centromere position (CVCI) were found inE. lobulataandE. byunsanensis, whileE. sibiricahad the most symmetric karyotype. A multivariate PCoA analysis of basic karyotype parameters (2n,x, THL, CVCL, MCA, and CVCI) highlighted no overlap among species accessions, which was also confirmed by LDA. The average absolute monoploid DNA content (1Cx) of the 23 investigated samples of sixEranthisspecies varied from 9.26 ± 0.25 pg inE. sibiricato 15.93 ± 0.32 pg inE. stellata. Overall karyological affinity was highlighted betweenE. lobulataandE. stellata, on one side, and betweenE. byunsanensisandE. pinnatifida, on the other side. Interestingly, there was no significant correlation between total haploid (monoploid) chromosome length (THL) and 1Cxvalues in these species.
De la vérité en littérature. Maxime Chastaing, lecteur philosophe de Virginia Woolf
Authors: Fruteau de Laclos Frédéric
Published: December 2021

Affirmer « à chacun sa vérité », ce n’est pas s’enfermer dans le règne de l’opinion. Car la Vérité naît moins du dépassement de la diversité des points de vue que de leur compréhension intime et de leur articulation complexe. Plus que les philosophes, les écrivains semblent à même de rendre raison de cette vérité des vérités. En restituant le point de vue d’une foule de personnages, ils dévoilent la grande variété des perspectives sur le monde et permettent à leurs lecteurs d’accéder à l’épaisseur cognitive feuilletée du sens commun. L’art du roman de Virginia Woolf est à cet égard exemplaire, comme le montrait dès 1951 le psychologue Maxime Chastaing dans La philosophie de Virginia Woolf .
Les prédécesseurs de Jeanne Calment : validation de l’âge des premiers super-centenaires
Authors: Jeune Bernard
Published: December 2021

La validation approfondie de l’âge des supercentenaires a commencé avec Jeanne Calment. Après elle, plusieurs supercentenaires ont été validés dans les années 1990 et au début des années 2000. Cependant, la question de savoir quand les premiers supercentenaires de l’histoire, les prédécesseurs de Jeanne Calment, sont apparus, reste ouverte. Récemment, ces prédécesseurs ont fait l’objet d’une validation approfondie de leur âge. Ce sont : 1. Le capitaine néerlandais Geert Adrianns Boomgaard, né le 21 septembre 1788 et décédé le 3 février 1899 à l’âge de 110 ans et 135 jours et qui est le premier supercentenaire documenté de l’histoire ; 2. Margaret Ann Neve de Guernsey, née le 18 mai 1792 et décédée le 4 avril 1903 à l’âge de 110 ans et 322 jours et qui est la première femme supercentenaire documentée ; 3. L’Américaine Delina Filkins, née le 4 mai 1815 et décédée le 4 décembre 1928 à l’âge de 113 ans et 214 jours et qui est probablement la première personne documentée à avoir atteint l’âge de 112 et 113 ans ; 4. La Germano-Américaine Augusta Holz, née le 3 août 1871 et décédée le 21 octobre 1986 à l’âge de 115 ans et 79 jours et qui est la première personne documentée à avoir atteint l’âge de 114 et 115 ans, trois ans et demi avant que Jeanne Calment n’ait atteint 115 ans le 21 février 1990, la dépassant plus tard cette année. Leurs vies et la documentation de la validation de leur âge au moment de leur décès sont présentées dans cet article.
Six centenaires Lavergne, l’histoire de leur découverte et la découverte de leur histoire
Authors: Léculier Jean-Michel
Published: December 2021

La publication par l’Insee du fichier des personnes décédées offre de nouvelles possibilités pour la recherche des centenaires sur plus de trente ans ; parmi elles, l’auteur cherche à découvrir de grandes fratries de plus de trois centenaires en traitant les données pour en extraire de courtes listes à analyser généalogiquement. Le choix des critères de sélection est détaillé ainsi que les différentes limites de la méthode. Un premier lot est extrait des groupements de quatre centenaires portant le même patronyme, plusieurs fratries de trois et quatre centenaires sont découvertes. Le cas Lavergne révèle une extraordinaire famille de douze enfants dont six sont décédés à plus de cent ans. Des traces de longévité sont recherchées chez les ascendants. La méthode de validation sommaire mise en place pour les cas courants est renforcée pour prouver la véracité, la filiation analysée ainsi que le statut de centenaire. Des recherches approfondies sont menées dans les documents des Archives départementales de la Vienne. À travers les actes, l’histoire de la vie des personnes s’ébauche et des témoignages familiaux viendront les colorer. La rareté de l’événement est évoquée et ce cas unique en France est comparé à celui de quelques familles étrangères médiatisées.
Impacts et résonances en thérapie de couple
Authors: Renaudin Sophie
Published: December 2021

A travers cet écrit, l’auteure a cherché à montrer la propagation des ondes de choc multiples que chacun du groupe thérapeutique a vécu et leurs effets bénéfiques lorsque la thérapeute arrive à les repérer et à mettre au travail ce qui circule ainsi dans le groupe. Ce qui va provoquer une ouverture dans la psyché. Elle s’appuiera tout particulièrement sur sa formation au rêve-éveillé qui apparaît peu mais est sans cesse latente dans la mise au travail des représentations et des figurations psychiques.
Le choc de l’interprétation. Une séance bien particulière
Authors: Charoy Corinne
Published: December 2021

Une patiente qui somatise une douleur persistante et incurable au côté, vit une libération instantanée lors d’une unique séance. Le contre-tranfert silencieux de l’analyste qui identifie intérieurement la symbolisation à l’œuvre permet à la patiente de nommer celle-ci et de se trouver libérée de sa souffrance physique .
Scandale
Authors: Salomon Diane
Published: December 2021

L’exposé traite des différents temps du processus de révélation par le sujet victime de violences sexuelles et des obstacles inhérents à cette prise de parole. Le développement mène à une interrogation autour de ce qui constitue le scandale.
Oui… mais non !
Authors: Launat Dominique
Published: December 2021

Dominique Launat rappelle que le soin « sans consentement » constitue une exception propre à la psychiatrie, que, de plus, l’on note une augmentation de la contention et de l’isolement, ce qui manifeste une régression de la psychiatrie humaniste. L’important repose sur la relation : plutôt convaincre que contraindre. Ce pourquoi, nous avons des modèles : tant les CEMEA et la pédagogie institutionnelle que l’expérience des alcooliques anonymes. Ils ont ouvert la voie à la pair-aisance et aux GEM. Toutefois, pour convaincre, il faut prendre le temps, choisir le moment utile et se rappeler que la psychiatrie est aussi un art. Ne pas omettre, non plus, de prendre en compte le contexte du collectif, avec lequel se déploie l’action. Cela permet de conclure que si le consentement réside en un échange de paroles, le sens de la notion du consentement lui même reste imprécis. Il peut signifier aussi bien une adhésion totale ou partielle qu’une soumission à autrui ou à une autorité souveraine.
A mathematical analysis of an activator-inhibitor Rho GTPase model
Authors: Juma Victor Ogesa , Dehmelt Leif , Portet Stéphanie , Madzvamuse Anotida
Published: December 2021

Recent experimental observations reveal that local cellular contraction pulses emerge via a combination of fast positive and slow negative feedbacks based on a signal network composed of Rho, GEF and Myosin interactions [22]. As an examplary, we propose to study a plausible, hypothetical temporal model that mirrors general principles of fast positive and slow negative feedback, a hallmark for activator-inhibitor models. The methodology involves (ⅰ) a qualitative analysis to unravel system switching between different states (stable, excitable, oscillatory and bistable) through model parameter variations; (ⅱ) a numerical bifurcation analysis using the positive feedback mediator concentration as a bifurcation parameter, (ⅲ) a sensitivity analysis to quantify the effect of parameter uncertainty on the model output for different dynamic regimes of the model system; and (ⅳ) numerical simulations of the model system for model predictions. Our methodological approach supports the role of mathematical and computational models in unravelling mechanisms for molecular and developmental processes and provides tools for analysis of temporal models of this nature.
A non-standard numerical scheme for an age-of-infection epidemic model
Authors: Messina Eleonora , Pezzella Mario , Vecchio Antonia
Published: December 2021

We propose a numerical method for approximating integro-differential equations arising in age-of-infection epidemic models. The method is based on a non-standard finite differences approximation of the integral term appearing in the equation. The study of convergence properties and the analysis of the qualitative behavior of the numerical solution show that it preserves all the basic properties of the continuous model with no restrictive conditions on the step-length \begin{document}$ h $\end{document} of integration and that it recovers the continuous dynamic as \begin{document}$ h $\end{document} tends to zero.
Implementation Plans for Course Redesigns: An Exploration of Identified Strategies
Authors: Campbell Rebecca , Blankenship Benjamin
Published: December 2021

Institutions are redesigning gateway courses—lower-division courses known to create student success bottlenecks—to influence persistence and completion goals. These initiatives, student success course redesigns (SSCR), are specialized versions of course design institutes (CDIs). This investigation into SSCRs uses content analysis to examine the implementation plans created during a SSCR. Results demonstrated that the majority of the strategies planned focused on the Learning key performance indicator (KPI), and the minority of the planned-for strategies focused on the Monitoring Student Performance KPI. A more granular analysis of the Learning strategies revealed five themes: Content, Assessment, Pedagogy, Syllabus, and Student Success. Additional results indicated the majority of planned strategies would occur out of class, and disciplinary differences between science, technology, engineering, and mathematics (STEM) and non-STEM faculty for pedagogical and content design changes. Results also demonstrated a need for more faculty to utilize actionable language for course redesign strategies. Moreover, the implementation plans provided useful assessment feedback of the CDI itself.
An Efficient and Coherent Pipeline for Graduate Student and Postdoctoral Scholar Educational Development
Authors: Mann Daniel , Mahavongtrakul Matthew , Hooper Ashley
Published: December 2021

As higher education shifts toward a culture of evidence-based teaching practices, future faculty are seeking opportunities to develop their pedagogical knowledge and skills. Many centers for teaching and learning (CTLs) have not proportionally grown in resources to meet the demand for graduate student and postdoctoral scholar programming (e.g., teaching certificates and pedagogy seminars). This article presents a model of a wide-ranging, coherent pipeline of educational development for graduate students and postdoctoral scholars managed by a CTL with modest staffing.
Tropical Comforts in Vietnam
Authors: Cruse Andrew
Published: December 2021

Recent architectural scholarship has highlighted how colonial and postcolonial encounters in Vietnam led to hybrid architectural styles that did not conform to fixed categories of traditional and modern, local and global, colonized and colonizer. In this paper, I extend such an argument to consider naturally ventilated and air-conditioned buildings in tropical Vietnam. These buildings embody a hybrid approach to comfort that can be called tropical comforts. Tropical comforts expose entanglements between natural and artificial, open and sealed, the technical and the social; they reveal that comfort is a process of negotiation between climate, building, and occupant within a socio-political context. I do this by first briefly addressing the historical use of screen walls and air conditioning in Vietnam. I then specifically consider two buildings in Saigon, the Independence Palace (Ngô Viết Thụ, 1966) and the United States Embassy (Curtis and Davis, and Adrian Wilson and Associates 1967). I conclude with some observations about how an historical understanding of tropical comforts in Vietnam informs a more nuanced and politically vital understanding of recent architecture in the country.
A Jesuit-Lyonnais Project in Nineteenth-Century Beirut: Multiplicities of the Local and Global at the Université Saint-Joseph
Authors: El Chami Yasmina
Published: December 2021

This paper examines the establishment of the Jesuit Université Saint-Joseph from 1875 in Beirut and explores the Jesuits’ dual allegiance to France and Rome. Countering the prevailing notion that the University was a French project in this period, I contend that the Jesuit Mission was much more reliant on its supranational Jesuit network than on French imperial support. Questioning precisely how the Jesuits were able to construct such an imposing urban complex in a city under Ottoman rule, I show that “empire” and “nation” were not bounded notions in the nineteenth century. Rather, the Jesuit project was simultaneously inscribed within multiple localities and spheres of influence that allowed the Jesuits to navigate various oppositions and to ensure the survival of their project in the city. By operating at the fringes of what constituted “foreign” or “colonial” power, they were able to consolidate their urban position; their constructions became the basis for their later integration with French colonial interests. Thus, the case study of the Université Saint-Joseph opens up the possibility of understanding colonial architecture not as an extension of colonial power but as a precondition for it.
Fight at school: teaching strategies of physical education teachers
Authors:   Santa Catarina State University (UDESC), Pereira Marcos Paulo Vaz de Campos , Marinho Alcyane ,   Santa Catarina State University (UDESC), Galatti Larissa Rafaela , Scaglia Alcides José ,   State University of Campinas (UNICAMP), Farias Gelcemar Oliveira ,   Santa Catarina State University (UDESC)
Published: December 2021

The objective of this study was to identify the teaching strategies of Physical Education teachers to thematic the content fights in the school context. In the descriptive study, 77 teachers of Physical Education from state schools of the Greater Florianopolis Region participated. A questionnaire was used in the data collection. The results pointed out the low adherence of teachers in the teaching of the fights, being identified as strategies the teaching centered on the motor exercises, the modalities of fights, the demonstration of techniques, the capoeira and the game. It can be concluded that the teaching of the fights in the investigated context is scarce, since only 18 teachers thematize fights in their classes. One can observe the mediation of the teachers in using their strategies to provide this content to the fights. Concluded that few teachers thematize the content of struggles, since the results presented reveal the scarcity of this thematization, pointing to the distancing of the fights in the school context.
Relative age effect in Brazilian handball selections
Authors:   State University of Londrina (UEL), Costa Julio Cesar da , Montes Flavio Afonso ,   Para State Departement of Education (SEED), Weber Vinicius Muller Reis ,   Universidade Estadual de Londrina, Borges Paulo Henrique , Ramos-Silva Luiz Fernando , Vaz Ronque Enio Ricardo ,   Universidade Estadual de Londrina
Published: December 2021

The aim of this study was to evaluate the relative age effect (RAE) in Brazilian male handball teams who competed in the world championships in the U-19, U-21, and adult categories. The sample was composed by 160 male handball players, 47 players being on U-19 category, 48 on U-21, and 65 on Adult category. The chronological age, body mass, height, and game position of each athlete were obtained on the International Federation of Handball website. The adopted significance level was of 5%. RAE was observed in all the three following categories U-19 (X2=21.511, P<0.01), U-21 (X2=15.894, P=0.01) and Adults (X2=35.123, P<0.01). Moreover, no RAE was found in re-selection process by sequential category (P= 0.63, U-19 to U-21; P= 0.46, U-21 to Adult). The RAE is found in Brazilian male handball national teams. However, this effect was not found in re-selection process, thus, players have great influence of RAE in U-19 and this remains through subsequent categories.
The influence of sleep deprivation on athletes’ performance: a systematic review
Authors:   Universidade Federal de Minas Gerais, Mello Marco Túlio de , Amaral Adriana Souza ,   Universidade Federal de Minas Gerais, Silva Andressa ,   Universidade Federal de Minas Gerais, Costa Carlos Magno Amaral ,   Instituto Federal de Minas Gerais - IFSUDESTEMG, Narciso Fernanda Veruska ,   Universidade Federal de Minas Gerais
Published: December 2021

Sleeping is an important strategy for athletes’ recovery and the state of sleep deprivation can influence the sports performance.The objective of the study was to carry out a systematic literature review in order to analyze the influence of sleep deprivation on the physical and athletic performance of athletes. The study was carried out from the electronic databases PubMed, Scopus, SportDiscus and Scielo. We selected original articles published and written in English or Portuguese were selected. After the search in the databases we found 143 articles were found being 45 from PubMed, 72 from Scopus, 1 from Scielo and 25 from SportDiscus. After the full analysis of the articles, only 8 of them articles were included in the present study according to the inclusion criteria. After analyzing the 8 articles included in the present review it was concluded that sleep deprivation negatively influenced physical and sports performance in 5 of the analyzed articles. In addition, it was found that the sleep deprivation period is determinant for athletes' performance in sports tasks.
High intensity interval training program in the aquatic environment (HIITAQ) in obese teens
Authors:   Universidade Federal do Paraná, Lopes Maria de Fátima Aguiar , Bento Paulo Cesar Barauce ,   Universidade Federal do Paraná, Leite Neiva ,   Universidade Federal do Paraná
Published: December 2021

The increased prevalence of obesity has compromised the health of Brazilian adolescents. Regular exercise and lifestyle changes are recommended as prevention and treatment. However, there is no consensus on the dose-response of exercise programs. This study aims to verify the effectiveness of a high-intensity interval training program in the aquatic environment (HIITAQ) on physical fitness and cardiometabolic risk factors in obese adolescents. The sample consisted of 18 adolescents of both sexes, aged 12 to 17 years, diagnosed with obesity. Anthropometric variables, physical fitness, blood glucose, and lipid profile were evaluated before and after 12 weeks of training. The program consisted of two sets of 4-8 repetitions lasting 30 seconds (85% -95% of maximum heart rate) for 60 seconds of the active rest interval. After the exercise program, there was a reduction in body mass index z-score, BMIz (p <0.01), reduction of Total Cholesterol, TC (p <0.01), and LDL (p <0.01). There was an increase in basal metabolic rate (p <0.01) and peak VO2 (p <0.01). No differences were observed after training in the percentage of fat, body mass index, BMI, waist/height ratio WHtR, fasting blood glucose, insulin, and HDL-c (p>0,05). The high-intensity training program in the aquatic environment was effective in reducing cardiometabolic risk factors.
Analysis of youth soccer players’ development in Amazonas State
Authors:   Federal University of Amazonas (UFAM), Manaus-AM, Brazil, Machado João Cláudio , Mello Luiz Felipe Brasil de Souza , Goes Junior Alberto , Teoldo Israel , Galatti Larissa , O'Connor Donna , Scaglia Alcides José
Published: December 2021

The present study aimed to investigate youth soccer players’ development in Amazonas state. Fifty-three young soccer players participated in this study (15,3±1,27 years). Participation History Questionnaire was used to investigate the different practice contexts that Amazonas soccer players were engaged during their development process (macro-structure of practice). We also observed three training sessions and calculated the time allotted for each type of training tasks used by the coach (training form, playing form and inactivity) (micro-structure of practice). It was possible to observe that soccer players from Amazonas state accumulated more time engaged in deliberate practice than deliberate play (p<0.001) and competition (p<0.001). We also observed that players had higher contact with decontextualized tasks (training form activities) during their training sessions. With this information, it can be concluded that these soccer players followed an early specialization pathway and didn’t have contact with a more representative learning environment, in an attempt to improve the development of intelligent and creative players.
Meanings of physical activity practice for the elderly
Authors:   University of Fortaleza (UNIFOR), Halley Gustavo Fonseca , Maciel Marcos Gonçalves ,   Minas Gerais State University (UEMG), Ibirité-MG, Brazil, Melo Cynthia de Freitas ,   University of Fortaleza (UNIFOR), Fortaleza-CE, Brazil, Martins José Clerton de Oliveira ,   University of Fortaleza (UNIFOR
Published: December 2021

The current stage of civilization is distinguished by an increase of the number of elderly people, which results in the conduction of researches on the subject. Investigations about physical activity also rise, especially focusing on an epidemiological perspective. In this scenario, new studies bring alternatives to this hegemonic view, such as humanized physical activity. The present study has aimed to analyze the meanings of the practice for physically active elderly living in Fortaleza-Ce. Considering the scientific research method, a qualitative matrix has been the choice. Eighteen elderly men and women participated in the research, 12 females and six males, with a mean age of 69.8±6,92 years. The investigation was carried out in an association and in a private university, which have physical activity projects with the investigated public. For the data collection, in-depth interviews have been conducted, analyzed by the IRaMuTeQ software. As of the results, socialization, biological benefits, the daily move, the reduction of illnesses and a healthy life were the meanings the elderly have reported relating to the habit of physical activity. Therefore, it’s possible to infer that the speeches of those elderly have been run through by aspects of the epidemiologic perspective, keeping limited connections with the subjective point of view.
Changes in obesity, sedentary behavior and physical inactivity, between 2010 and 2017, in adolescents
Authors:   Universidade Estadual do Rio de Janeiro - UERJ, Vasconcellos Marcelo Barros , Matta Isabela ,   Universidade Federal do Rio de Janeiro, Santana Danilo Dias ,   Universidade Federal do Rio de Janeiro -UFRJ, Veija Gloria Valeria da ,   Universidade Federal do Rio de Janeiro
Published: December 2021

The study investigated changes in the prevalence of obesity, sedentary behavior (SB) and physical inactivity (PI) in adolescents. Two cross-sectional studies were analyzed, 2010 and 2017, with probabilistic samples from students (328 and 366, respectively) in 12 municipal schools in Niterói, RJ. Obesity was classified based on body mass index (BMI = weight / height2) Z score values ≥ +2, according to the World Health Organization criteria. The weight classification was made with body mass index (BMI = weight/height2), the SB for those with some screen behavior (television, video game) for ≥ 2 hours/day and IF those who performed <300 min / week moderate to intense physical activity. The comparison between the studies was based on the chi-square test (categorical variables) and Student's t test (continuous variables). The prevalence of obesity increased in boys (6.2% to 15.6% p <0.001) and decreased in girls (8.4% to 6.9% p = 0.035). The frequency of SB decreased from (90.7% to 67.7% p <0.001) in boys and from (90.3 to 52.8% p <0.001) in girls and the PI did not change in boys and increased in girls (84.6% to 89.9% p <0.001). The changes observed were sex-dependent, with boys more vulnerable to increased obesity, girls more PI and both sexes less SB in the investigated period.
A Performance Evaluation of Ethical Mutual Funds: Evidence from India
Authors: Kaur Jasvinder , Chaudhary Rashmi
Published: December 2021

Since the last decade, ethical investment has gained significant development in the Indian financial market. With the increasing focus on social responsibility and the importance of ethical funds, investors pay more attention to the activities of these funds and their impact on society. Whether ethical fund investment affects portfolios’ return performance is still questionable. To address this question, this paper investigated the performance of various ethical mutual fund schemes and compared them with benchmark index (NIFTY 500 Shariah Index) using data from 2014-15 to 2019-20. The performance of the sample schemes was measured based on the risk-return profile and Sharpe’s ratio, Treynor’s ratio and Jensen’s alpha measures. The results indicated that nine out of ten ethical schemes outperformed the benchmark index during the study period. This implies that ethical funds generated positive returns with lower risk. As a policy implication, investment funds and financial institutions should develop fund schemes and stocks that incorporate ethical considerations in an investment.
Underrepresentation of Women Managers in the Boardroom: Evidence from the Sri Lankan Financial Sector
Authors: Perera Irosha S. , Ganeshan Jani , Belitski Maksim
Published: December 2021

Despite the satisfactory progression of women in workforce over the years, recognition of women in the upper echelons of the finance sector is still falling behind. This study examines the impediments that hinder women's representation in the boardrooms in Sri Lankan private sector finance organizations using Ragins and Sundstrom's (1989) four levels of analysis as the theoretical lens. We employed thematic analysis to explain how the individual, interpersonal, organizational, and social level factors affect the participation and progression of the female workforce. Perceived glass ceiling, individual role choices, the inadequacy of role models and mentoring, lack of networking opportunities, gendered organizational structures and socio-cultural norms were identified as pivotal factors affecting the glass ceiling. Understanding the interrelationship between these factors helps us to better understand the phenomenon of female leadership in organizations.
Parker, M. (Ed.), Life After COVID-19: The Other Side of Crisis
Authors: Bolden Richard
Published: December 2021

No abstract available
A life skills intervention for school-going adolescents in India
Authors: Kaur J. , Joshith V. P.
Published: December 2021

BackgroundYoung people face many stressors in their day-to-day lives. Life skills programmes are designed to help young people to cope better with stressors and deal positively with difficult situations. AimThe major objective of the present study was to explore the effect of a life skills intervention on depression, anxiety and stress among adolescents in India. MethodsThe study followed a quasi-experimental research design using a multistage random sampling technique, and 970 adolescents were included in the study. The study was conducted in three phases. In the first phase, pre-testing was done using the Punjabi version of the Depression, anxiety and stress scale (DASS) to assess for depression, anxiety and stress among Indian adolescents. The life skills intervention was conducted during the second phase of the study, among students in class IX in Government Secondary Schools located in 11 districts of Punjab, India. Post-testing was done in the third phase, at the end of the life skills intervention. Analysis of covariance was conducted for data analysis. ConclusionsThe results of the study indicated that the life skills intervention was associated with a significant reduction of depression, anxiety and stress among the study participants. Our findings suggest that such life skill programs should be researched further, in view of integrating them into the school curriculum.
Psychological morbidity and resilience associated with tinnitus in a Sri Lankan population
Authors: Abayabandara-Herath T. , Rodrigo A.
Published: December 2021

ObjectiveTinnitus is a common and debilitating health condition. It is often associated with psychiatric morbidity. This important health concern has not been studied previously in Sri Lanka. We aimed to determine the prevalence of psychological morbidity, resilience and their correlates among a cohort of Sri Lankan patients with tinnitus. MethodsA descriptive cross-sectional study was conducted among attendees of otolaryngology clinics in three Sri Lankan hospitals, using a specially designed questionnaire. Resilience was defined as absence of psychological morbidity and functional impairment. ResultsOf the 200 patients included in the study, 82.5% reported functional impairment due to tinnitus. The majority of participants were found to have depression (61.5%). Sleep disturbance, feeling exhausted, loudness of tinnitus and functional impairment were significantly associated with psychological morbidity. Only 12% of participants were resilient and it was associated with mind-fulness and ability to distract self. ConclusionsTinnitus is a distressing illness associated with a significant functional impairment and psychiatric morbidity. We discuss the implication of this study for clinical practice.
Filicide-suicide or a suicide pact? A case report from Sri Lanka with implications for child protection
Authors: Hewagama. M. , Abeypitiya S. G. H. , Dharmawardene V.
Published: December 2021

Parents almost always are protective of their offspring. However, rarely they could be deadly towards children, specially when psychologically disturbed or disordered. In this brief report we discuss an incident of filicide-suicide that rocked Southern Sri Lanka a few years ago. In this incident, a father and three of his four children were found dead by hanging, due to an apparent suicide pact. There were warning signs and concerns raised prior to the incident which did not receive notable assertive action from authorities, as their concerns were limited to sexual abuse, which was found to be negative. This report explores possible motives of the father, as well as lessons for personnel from mental health services, child protection and police for when confronted with children who are in the custody of parents who could pose threat to their life. This case also highlights the need for comprehensive risk assessment and not merely the risk of sexual abuse.
2021 Clinical Practice Guidelines for Diabetes Mellitus in Korea
Authors: Ko Seung-Hyun
Published: December 2021

The Committee of Clinical Practice Guidelines of the Korean Diabetes Association (KDA) updated the previous clinical practice guidelines for Korean adults with diabetes and prediabetes and published the seventh edition in May 2021. We performed a comprehensive systematic review of recent clinical trials and evidence from real-world practice among the Korean population. The guidelines are intended for use at sites across the country by all healthcare providers (including physicians, diabetes experts, and certified diabetes educators) who treat diabetes. The recommendations for screening and antihyperglycemic agents have been revised and updated. Continuous glucose monitoring with insulin pump use and screening and treatment for non-alcoholic fatty liver disease were added in the type 2 diabetes sections. The KDA recommends active vaccination for COVID-19 in patients with diabetes. An abridgement that contains practical information for patient education and systematic clinic management was published separately.
2021 Clinical Practice Guidelines for Diabetes: Pharmacotherapy and the Korean Diabetes Association Support System
Authors: Hur Kyu Yeon
Published: December 2021

The most important change introduced in the pharmacotherapy session for the 2021 Clinical Practice Guidelines for Diabetes is the recommendation of two different strategies according to the patient’s condition. One approach is to optimize the blood glucose levels, while the other approach is to reduce adverse cardiovascular events or mortality, especially in patients with comorbidities (e.g., heart failure, atherosclerotic cardiovascular disease, or chronic kidney disease). We suggest four algorithms that take into account the patient’s condition (algorithms 1 to 4). The Korean Diabetes Association (KDA) developed a web-based clinical decision support system, known as the KDA support system (KDASS), which helps with the diagnosis of diabetes or gestational diabetes and whether to use glucose-lowering agents according to the patient’s condition.
The Effects of Snack Control Education and Telephone Coaching on Self-Management, Social Support, Self-Efficacy, and Blood Glucose in Diabetes Patients
Authors: Park Hye Eun
Published: December 2021

Dietary therapy for diabetes is the most basic way to manage blood glucose. Currently, the nutritional intake rate of diabetic patients in Korea is beyond the recommended rate of the Korean Diabetes Association, showing large amounts of carbohydrates in foods consumed as snacks with an additional focus on sugar. Thus, it is necessary to support healthy dietary habits through snack control. This study is a random assignment experimental study with a total of 56 participants; 28 participants were in the control group, while the remaining 28 patients had type 2 diabetes and had visited Kyung Hee University Hospital. The experimental group with snack control education and telephone coaching exhibited a higher self-management score (t = –9.494, P < 0.001), perceived social support score (t = 7.201, P < 0.001), and self-efficacy score (t = 7.185, P < 0.001) than the control group. Additionally, the experimental group showed lower levels of glycosylated hemoglobin and average blood glucose compared to the control group (t = –4.820, P < 0.001). Thus, snack control education and telephone coaching are effective in improving diabetes self-management behavior, perceived social support, self-efficacy, and reducing glycosylated hemoglobin and average blood glucose. These results confirm the usefulness of snack education materials, and I suggest snack control education as a means of arbitration to improve the self-care of diabetics.