bluuebunny/crossref_metadata_2025 huggingface dataset:
Polysomnographic Evaluation of Sleep Disorders in Essential Tremor and Essential Tremor Plus: A Comparison With Healthy Controls
Authors: Singh Ravi Prakash , S Mythirayee , Seshagiri Doniparthi Venkata , Kumar Gulshan , Mohale Rohan , Pal Pramod Kumar , Kutty Bindu M , Saini Jitender , Kamble Nitish L , Holla Vikram , Yadav Ravi
Published: October 2024

Objective To explore sleep patterns in individuals with essential tremor (ET) and essential tremor plus (ET-Plus) compared with healthy controls and assess differences between ET and ET-Plus, given the lack of established polysomnography (PSG) data on these groups and the potential for sleep disturbances to serve as clinical markers.Methods We conducted a prospective cross-sectional study at National Institute of Mental Health and Neurosciences, Bengaluru, from November 2021 to August 2023 on 45 patients (26 ET, 19 ET-Plus) and 45 controls. Tremor severity was assessed using The Essential Tremor Rating Assessment Scale (TETRAS) and Fahn‐Tolosa‐Marin Clinical Rating Scale (FTMRS). Sleep symptoms were assessed via the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Mayo Sleep Questionnaire, restless legs syndrome questionnaire, Berlin questionnaire, Generalized Anxiety Disorder Scale 7, and Patient Health Questionnaire-9. All patients and controls underwent overnight video PSG. Sleep scoring was manually performed by a trained sleep research technician and the first author following the American Academy of Sleep Medicine (2017) guidelines, with data analyzed using R studio.Results Compared with ET-Plus patients, ET patients had a younger onset age (46.8±11.1 years versus 30.8±16.7 years, respectively). Compared with ET patients, ET-Plus patients had higher TETRAS and FTMRS scores (p<0.005). Compared with controls, both ET patients and ET-Plus patients presented poorer sleep quality, excessive daytime sleepiness, rapid eye movement (REM) sleep behavior disorder, and restless legs syndrome symptoms. PSG findings supported these clinical observations, showing an elevated apnea‒hypopnea index, reduced total sleep time, prolonged REM latency, decreased sleep efficiency, increased N1 stage duration, and reduced N2/N3 durations and percentages in patients versus controls.Conclusion The study highlights significant sleep architecture abnormalities in both ET and ET-Plus patients compared with healthy controls, with no differences between the ET groups.
Determinants of location changes in the clothing industry in Poland
Authors: Kocaj Arkadiusz , Murzyn-Kupisz Monika
Published: October 2024

The clothing industry is often perceived, particularly in the European context, as a declining, traditional, labour-intensive industry. Nonetheless, in recent years in Poland, after over three decades of steady shrinkage, though the average scale of operations has continued to decline, the number of firms in the sector has been much more stable. In their analysis of the locations of apparel producers on the national level, the authors point to the changing geography of the sector in terms of its increased or diminishing relative presence in some areas. The links between location tendencies among firms in the clothing industry and other fashion-related institutions and initiatives are noted, as are new firms in the creative sector. The spatial patterns observed point to the ability of the resized sector to leverage emerging market opportunities and upgrade selectively, and to its broader evolution from a traditional towards a creative industry.
Multi-proxy analysis of an Early Neolithic wooden well in a pastoral landscape in eastern Bohemia
Authors: Vostrovská Ivana , Kočár Petr , Kočárová Romana , Kašák Josef , Lisá Lenka , Petr Libor , Sůvová Zdeňka , Horsák Michal , Muigg Bernhard , Tegel Willy , Bajer Aleš , Rohovec Jan , Rybníček Michal , Kolář Tomáš , Nosek Vojtěch , Bartoš Marek
Published: October 2024

Some of the most remarkable Neolithic finds encountered in central Europe are wells with a wooden construction. These features provide unusual insights into Neolithic societies, their subsistence strategies and the landscape they inhabited. In the last fifteen years, four Early Neolithic wells out of a total of seven such wells known since the 1970s have been discovered in Czechia. One of them is the well at Ostrov, the wooden construction and sedimentary infill of which have made it possible to study diverse topics by taking a multi-proxy approach using a range of complementary methods. The study presented here compares different periods of the well’s existence, examines the carpentry skills of the first farmers, investigates sedimentary processes, reveals details about the use and decline of the well, addresses its location relative to that of the settlement, and reconstructs the environment of the well itself and the surrounding landscape. The water well at Ostrov is a highly unusual find because it probably existed outside of a settlement. The grooved wooden lining used is identical to that of previously investigated wells inside settlements, as are the processes of its use and decline. However, environment-related indicates that the Ostrov well was located in an open landscape with sparse vegetation and was perhaps only used by-passing herdsmen.
Embodied agentive habits: between sedimentation and ongoing ground
Authors: Niño Douglas
Published: October 2024

This paper argues that human signification is governed by “agentive systems,” inspired by an extended framework that combines the Practical Logic of Cognitive Systems and Peircean semiotics. An agentive system encompasses both the efficient anticipation of resource utilization and the use of actual available resources, including bodily capacities in the form of embodied habits. These resources are allocated based on agendas (goals) pursued by human agents in their interactions with the environment. In this context, signification involves the meaning of actions embedded within their agentive system, encompassing the agent performing the actions, the action’s goal or agenda, and the available resources, whether bodily (skills, abilities, capacities) or non-bodily (objects, signs). After presenting the general framework in which the concept of an agentive system is approached, I develop a proposal drawing on insights from Göran Sonesson’s reflections on the importance of sedimentation and Lifeworld for semiotics. This proposal highlights how the acquisition of embodied habits facilitates and promotes the significance of cultural products, while their deployment allows for the emergence of situated signification.
EL TRÁNSITO INTERMEDIAL DE LAS IMÁGENES EN EL AUDIOVISUAL CONTEMPORÁNEO Y SUS NUEVAS FORMAS DE REPRESENTACIÓN/PERCEPCIÓN. LENGUAJES, CUERPOS Y PERFORMATIVIDADES
Authors: Nogueira Xosé
Published: October 2024

Se propone en este texto una visión panorámica sobre las transformaciones derivadas de la irrupción de la era digital y la consiguiente mutación que esta ha implicado sobre la naturaleza de las imágenes en la producción audiovisual contemporánea, transformadas lingüística y estéticamente por los nuevos soportes sobre los que se articulan y caracterizadas por un fluir intermedial que rebasará sus marcos de representación tradicionales, todo lo cual modificará asimismo nuestra percepción y recepción de las mismas. Los pivotes sobre los que nos apoyaremos en nuestra aproximación a la hora del estudio de casos serán el registro performativo y la malla intermedial de cuerpos que se nos conforma en este nuevo ámbito, en la que realizaremos una serie de catas (el cuerpo silenciado, el cuerpo menstruante, el cuerpo mastectomizado) priorizando en esta ocasión la perspectiva de género.
Juan José PÉREZ-SOBA DIEZ DEL CORRAL, La caridad. El camino mejor en la amistad con Cristo, Madrid: Didaskalos, 2024, 15 x 21, 299 pp., ISBN 978-84-19431-27-1.
Authors: Horcajo-Lucas José-Manuel
Published: October 2024

Book Review
Ekspiacyjna ofiara Chrystusa za grzechy (Hbr 9, 11–28) oraz powinność wyrównania krzywd w relacjach międzyludzkich (Łk 19, 8; Dz 16, 35–39)
Authors: Witkowski Stanisław
Published: October 2024

Artykuł składa się z dwóch części, z których pierwsza jest bardziej rozbudowana, druga zaś stanowi jedynie jej praktyczne dopowiedzenie. Rdzeń niniejszego opracowania opiera się na ofierze Chrystusa, która dokonała się raz na zawsze. Jej trwałym skutkiem jest darowanie win, przystęp do Boga, oczyszczenie sumień. Autor Listu do Hebrajczyków przypomina najpierw starotestamentowy system ofiarniczy, który nie osiągał swego celu ani nie dokonywał ontologicznej przemiany człowieka. Dopiero Chrystus stał się skutecznym mediatorem w tym dziele. Jako spadkodawca, Jezus Chrystus wszedł z własną krwią do nieba, dokonał ekspiacji za grzechy i obdarzył ludzi wiecznym dziedzictwem. Z kolei winy zaciągnięte wobec bliźnich „wołają” o wyrównanie szkód. To, czego człowiek nie mógł dokonać względem Boga, może teraz urzeczywistnić wobec bliźnich, którym zadał rany.
The longest living gannet Morus spp. at Malgas Island, South Africa
Authors: Dyer BM , Masotla M , Little W , Crawford RJM , Makhado AB
Published: October 2024

A ringed Cape Gannet Morus capensis was retrapped on Malgas Island on 28 October 2020, having been ringed on 23 February 1983. The elapsed time was 37 years, 8 months and 4 days. It is not only the largest longevity for a Cape Gannet, it is the longest for any of the three gannet species.
NEOADJUVANT TREATMENT OF LIVER METASTASES OF COLORECTAL CANCER: PREDICTIVE FACTORS OF PATHOLOGICAL RESPONSE
Authors: KHESSAIRI Nayssem , MALLEK Ines , MBAREK Mehdi , ZAAFOURI Elmontassar Belleh , GHARBI Lassaad , BOUFAROUA Ahlem Lahmar , BACHA Dhouha , BEN-SLAMA Sana
Published: October 2024

ABSTRACT BACKGROUND: Surgery after neoadjuvant chemotherapy (CT) improves the prognosis of colorectal liver metastases (CRLM). AIMS: The aim of this study was to evaluate the predictive factors of the histological response of CRLM after neoadjuvant treatment. METHODS: A retrospective monocentric study including patients with CRLM operated after neoadjuvant treatment. Assessment of histological response was based on the Rubbia-Brandt tumor regression grading score. The scores were grouped into two types of response: Response Group (R) and No Response Group (NR). RESULTS: The study included 77 patients (mean age=56 years, sex ratio=1.57). Node metastases were noticed in 62% of cases. Synchronous liver metastasis was present in 42 cases (55%) and metachronous liver metastasis in 45%. Neoadjuvant treatment consisted of CT only in 52 patients (68%) and CT with targeted therapy in 25 patients (32%). Chemo-induced lesions were present in 44 patients (57%). Histological response was presented (Group R) in 36 cases (47%) and absent (Group NR) in 41 cases (53%). The overall survival of our patients was 32 months. For Group R, survival was significantly greater (p=0.001). The predictive factors of histological response identified were delay in the onset of liver metastasis greater than 14 months (p=0.027) and neoadjuvant treatment combining CT and targeted therapy (p=0.031). In multivariate analysis, the type of neoadjuvant treatment (p=0.035) was an independent predictive factor of histological response. CONCLUSIONS: Predictive factors of histological response would allow us to identify patients who would benefit most from neoadjuvant treatment. These patients with CRLM onset of more than 14 months and treated with CT combined with targeted therapy would be the best candidates for a neoadjuvant CT strategy followed by surgical resection.
SURVIVAL AND PROGNOSTIC FACTORS OF ANAL CANCER: A STUDY BASED ON DATA FROM THE HOSPITAL-BASED CANCER REGISTRY OF A HIGH-COMPLEXITY ONCOLOGY CARE CENTER
Authors: PAIXÃO Wallace Henrique Pinho da , MENDES Gelcio Luiz Quintella , SILVA Débora Santos da , SOUZA Rosyane Garcês Moreira Lima de , ARAUJO Rodrigo Otavio de Castro , MEIRA Karina Cardoso , JOMAR Rafael Tavares
Published: October 2024

ABSTRACT BACKGROUND: Anal cancer is a relatively rare disease, and there is a lack of survival data from low- and middle-income countries. AIMS: The aim of this study was to investigate the survival rates and prognostic factors of anal cancer cases treated at a High-Complexity Oncology Care Center in Rio de Janeiro, Brazil. METHODS: A retrospective cohort study was conducted involving 665 cases of squamous cell carcinoma of the anus/anal canal treated from 2000 to 2016. To estimate the 5-year overall survival probability and survival according to selected variables, the Kaplan-Meier method and the log-rank test were applied. To identify factors associated with survival, the Cox proportional hazards model, stratified by staging, was used to estimate hazard ratios (HR). Ninety-five percent confidence intervals (95%CI) were also calculated. RESULTS: The overall survival probability was 62.20% (95%CI 57.90–66.20). Higher survival rates were observed in female cases, those with non-advanced staging, and those treated with chemoradiotherapy (p<0.001). Among cases with advanced staging, being female was a protective factor against death (HR=0.52; 95%CI 0.28–0.93). Compared to chemoradiotherapy, at least one type of treatment was identified as a risk factor: chemoradiotherapy + surgery among cases with non-advanced staging (HR=22.65; 95%CI 5.65–90.81), radiotherapy among cases with advanced staging (HR=2.71; 95%CI 1.39–5.30), and among cases with unknown staging, no treatment (HR=3.36; 95%CI 1.73–6.50), radiotherapy (HR=2.38; 95%CI 1.46–3.88), and radiotherapy + surgery (HR=3.99; 95%CI 1.20–13.27). CONCLUSIONS: The findings support the superiority of chemoradiotherapy over other therapeutic modalities for anal cancer, resulting in increased survival and a better prognosis.
Educação Financeira e Justiça Social: reflexões no âmbito da Educação Matemática
Authors: Mazzi Lucas Carato , Hartmann Andrei Luís Berres , Pessoa Cristiane Azevedo dos Santos
Published: October 2024

Resumo A Educação Financeira, debatida inicialmente a partir dos anos 2000 pelas ações da Organização para a Cooperação e Desenvolvimento Econômico, ganhou força no Brasil com a Estratégia Nacional de Educação Financeira e, mais recentemente, com a inclusão dessa temática na Base Nacional Comum Curricular. Acerca daquela, ideias no contexto nacional e mundial ainda compactuam com uma Educação Financeira do investimento, da responsabilização única e exclusiva do indivíduo pelas questões financeiras. Apesar de mais de 20 anos de problematizações em torno da Educação Financeira, esse tema carece de teorizações e indicativas que promovam a Educação Financeira com um viés crítico, social e democrático, rumo à Justiça Social. Qual Educação Financeira, no contexto da Educação Matemática, que nos permite uma Educação para a Justiça Social? Essa é uma das perguntas que nos fizemos e, consequentemente, nos guia nas reflexões de cunho teórico que apresentamos neste artigo. Ou seja, a partir de resultados de estudos, leituras, debates e publicações que temos realizado ao longo de anos de pesquisa em Educação Financeira, objetivamos teorizar sobre a Educação Financeira para a Justiça Social, a partir de referências nacionais e internacionais sobre a temática. Para tanto, dividimos este texto em quatro seções principais que abordam: uma breve contextualização da Educação Financeira, sobretudo de suas discussões no Programa de Pós-Graduação em Educação Matemática da Universidade Estadual Paulista; um panorama da Educação Financeira no Brasil e no mundo, e das ideias em torno da Educação Financeira Escolar; aspectos teóricos de uma Educação para a Justiça Social; e, o que compreendermos ser uma Educação Financeira para a Justiça Social. Indicamos a Educação Financeira como potência para a Justiça Social ao incentivar as pessoas a assumirem papéis ativos com empoderamento, democracia e criticidade.
Trajetórias escolares de estudantes do Ensino Médio do Colégio Pedro II: um estudo exploratório sobre repetência
Authors: Bonamino Alicia , Muylaert Naira , Nierotka Rosileia Lucia
Published: October 2024

Resumo O objetivo do artigo é investigar como se opera a repetência no Colégio Pedro II (CPII), um complexo de escolas públicas federais consideradas de excelência, que vem buscando democratizar o acesso a grupos sociais desfavorecidos por meio da adoção de uma série de iniciativas de natureza inclusiva. Para verificar se a trajetória escolar de uma coorte de estudantes do ensino médio está associada a determinadas características sociais, o estudo faz uso de dados longitudinais dos Censos Escolares de 2015 a 2017. Os principais resultados indicam que a repetência tende a limitar os efeitos democratizantes e inclusivos das ações adotadas pelo CPII nos últimos 30 anos, ao atingir majoritariamente estudantes do sexo masculino, negros e com defasagem idade-série. Os resultados reafirmam a repetência como uma prática excludente que amplia as desigualdades educacionais e sociais.
Da historiografia do espaço escolar à história do lugar-escola
Authors: Chahin Samira Bueno
Published: October 2024

Resumo Ao tomar a dimensão educativa do espaço escolar como verdadeira, o artigo parte da emergência da planta livre como solução projetual de espaços escolares para alcançar o reconhecimento das práticas pedagógicas cotidianas como produtoras ativas de espacialidades essenciais para a interpretação do lugar-escola. Percebe-se assim a relevância de mobilizar também as marcas deixadas pela imprevisibilidade dos usos cotidianos sobre o edifício-escola como regime de interpretação histórica do espaço escolar. Por meio de uma incursão bibliográfica e mobilizando a ideia de imprevisibilidade como chave interpretativa, identifica-se uma lacuna historiográfica na ausência generalizada de abordagens atentas aos impactos de adaptações cotidianas feitas sobre a edificação escolar.
Perception of disaster risks among public-school students: Contributions to Citizen Science and Social Learning
Authors: Silva Ananda Ramos da , Santos Vânia Maria Nunes dos , Coltri Priscila Pereira
Published: October 2024

Abstract Areas occupied by low-income populations are often susceptible to landslides and floods both due to socio-spatial injustice and the occurrence of extreme events related to climate change. This study aimed to analyze the possibility of working on elements of risk perception associated with Citizen Science and Social Learning based on socio-environmental mapping with public school students in the state of São Paulo. The research included a lecture, fieldwork, and the use of GIS. The study showed that, in addition to engaging young people in specific risk reduction activities, it is necessary to promote strategies that involve the population through participatory methodologies and scientific dissemination to build a preventive and resilient culture.
Adolescence, adverse experiencies, and socio-emotional competencies: gender differences
Authors: dos Santos Pâmela Virgínia , Komatsu André Vilela , Buoso Fernanda Papa , Alarcón-Bañares Paula Andrea , Bazon Marina Rezende
Published: October 2024

Abstract Adverse childhood experiences (ACEs) configure highly prevalent problems, especially among socially vulnerable groups. ACEs are likely to damage psychosocial development, affecting the acquisition of socio-emotional skills, which are important for adaptive functioning. This study sought to verify the association between ACEs and socio-emotional competencies (indicated by levels in empathy and self-control skills), considering female and male genders as possible moderating variables. Data were collected from 1,302 adolescents who studied at public schools in socially vulnerable areas. Females showed a higher prevalence of ACEs. The levels of empathy and self-control differed between genders depending on the history of specific types of ACEs. Results indicate the need for further research into the influence of gender stereotypes on the psychosocial development of adolescents.
Teachers’ Viewpoints on Educational Public Policy in Chile
Authors: Arancibia-Herrera Marcelo , Galaz Alberto , Maillard Bernardita , Larrosa Paulina , Muñoz Gerardo
Published: October 2024

ABSTRACT This qualitative study on teaching trajectories explores Chilean teachers’ perspectives on public policies implemented in the education system during the past two decades. Findings reveal that teachers interpret and adopt policies in unique ways, with a contextualized characterization of policies identified. Three major processes of educational policy were identified: Educational Reform, General Education Law, and Teacher Professional Development Law. The study underscores the complex relationship between public educational policies and teacher practices in the Chilean education system. This research can inform education stakeholders and policy-makers about teachers’ perspectives and experiences with policy implementation.
‘É Preciso não Morrer para não Matar’: a Máquina de Guerra
Authors: Silva Lúcia Almeida da , Amador Fernanda Spanier
Published: October 2024

RESUMO Este artigo discute a produção de saúde e de modos de trabalhar no presente, especificamente no campo da educação pública em tempos de acirramento das políticas neoliberais. A máquina capitalista produz processos de adoecimento por entre os processos de trabalho, contudo afirmamos que algo sempre escapa e transborda, enquanto produção de normas, configurando resistências que operam aquilo que chamamos de máquina de guerra. Ao longo da pesquisa, realizada com professores da rede pública municipal, propomos entender que tal máquina se constitui dessas resistências, a partir das quais os sujeitos criam estratégias de enfrentamento para as controvérsias do trabalho, inventando novas normas de vida e ampliando a potência de saúde no e pelo ofício.
Uncertainty in women diagnosed with breast cancer: a cross-sectional study
Authors: Pastuña-Doicela Rosa Herminia , Sanhueza-Alvarado Olivia Inés
Published: October 2024

Abstract Objective to determine the level of uncertainty in women diagnosed with breast cancer and the relationship with sociodemographic variables. Method an observational, cross-sectional and correlational study. The sample included 121 women, selected through intentional and non-probabilistic sampling. The Illness Uncertainty Scale was used. Descriptive analysis used measures of central tendency, frequencies and percentages. Inferential analysis used Pearson’s correlation method, Spearman’s Rho, Fisher’s exact test and a linear regression model. Results 69.4% of women reported a high level of uncertainty. The ambiguity dimension contributed most to this high score (62%). A significant negative correlation was found between the level of uncertainty with the level of education (p=0.03) and monthly income (p=0.004). Conclusions the high level of uncertainty in more than half of the women was related to the level of education and monthly income. Final considerations and implications for practice the level of uncertainty is a present variable that is clearly identified at the beginning of breast cancer treatment. Healthcare professionals, especially nurses, must comprehensively assess women’s needs at this stage, providing care where educational tools and emotional support prevail over techniques and procedures.
Incertidumbre en mujeres diagnosticadas con cáncer de mama: estudio transversal
Authors: Pastuña-Doicela Rosa Herminia , Sanhueza-Alvarado Olivia Inés
Published: October 2024

Resumen Objetivo determinar el nivel de incertidumbre en mujeres diagnosticadas con cáncer de mama y la relación con variables sociodemográficas. Método estudio observacional, transversal y correlacional. La muestra incluyó 121 mujeres, seleccionadas mediante muestreo no probabilístico e intencional. Se utilizó la Escala de Incertidumbre ante la Enfermedad. El análisis descriptivo usó medidas de tendencia central, frecuencias y porcentajes. El análisis inferencial usó método de correlación de Pearson, Rho de Spearman, prueba exacta de Fisher y modelo de regresión lineal. Resultados el 69,4% de las mujeres reportó alto nivel de incertidumbre. La dimensión de ambigüedad contribuyó más a esta alta puntuación (62%). Se encontró correlación negativa significativa entre el nivel de incertidumbre y el nivel de educación (p=0, 03) y el ingreso mensual (p=0, 004). Conclusiones el alto nivel de incertidumbre en más de la mitad de las mujeres se relacionó con el nivel de educación y el ingreso mensual. Consideraciones finales e implicancias para la práctica el nivel de incertidumbre es una variable presente que se identifica claramente previo al tratamiento del cáncer de mama. Los profesionales sanitarios, especialmente enfermeros, deben evaluar integralmente las necesidades de las mujeres en esta etapa y brindar una atención donde las herramientas educativas y el apoyo emocional prevalezcan sobre las técnicas y procedimientos.
Sensibilidade auditiva e condições de orelha média com e sem tubo de ventilação na fissura labiopalatina
Authors: Souza Adriana Guerta de , Antoneli Melissa Zattoni , Silva Patrick Pedreira , Pegoraro-Krook Maria Inês , Prearo Gabriela Aparecida , Dutka Jeniffer de Cássia Rillo
Published: October 2024

RESUMO Objetivo Caracterizar e comparar a audição e o estado da orelha média na fissura labiopalatina nas condições com ou sem história de tubo de ventilação. Métodos Estudo retrospectivo de 463 prontuários de pacientes com fissura transforame unilateral não sindrômica, operados. Foram analisadas otoscopia, imitanciometria, audiometria e história de TV ao longo de dez anos. Resultados Dos 440 prontuários incluídos no estudo, 254 (58%) apresentaram história de TV, enquanto 186 (42%) não apresentaram. As alterações encontradas nos exames de otoscopia foram mais frequentes nas orelhas com história de TV, e o resultado estatístico revelou associação significativa entre presença de TV e ocorrência de fluido (p<0,001); ocorrência de opacificação (p<0,001); ocorrência de retração (p<0,001); ocorrência de perfuração na membrana timpânica (p<0,001) e ocorrência de timpanosclerose (p<0,001). A curva tipo B foi observada em 46,4% das orelhas com história de TV, comparada a 16,3% no grupo sem TV (p<0,001) e a diferença de 30,1% entre os grupos foi significativa (p<0,001), indicando associação relevante entre TV e ocorrência de curva tipo B. A perda auditiva foi mais frequente para as orelhas com TV (34,2%) do que sem TV (10,4%) e a diferença foi significativa (p<0,001) indicando associação expressiva entre TV e perda auditiva. Conclusão Foram encontrados piores resultados otoscópicos e auditivos em pacientes com fissura labiopalatina com história de tubo de ventilação presente.
As práticas de terapeutas ocupacionais na enfermaria pediátrica: uma revisão integrativa
Authors: Souza Lucas Ramon Santos de , Rodrigues Letícia de Cássia , Silva Vitória Nigro , Joaquim Regina Helena Vitale Torkomian
Published: October 2024

Resumo Introdução A enfermaria pediátrica é um campo de atuação da terapia ocupacional, em que se verifica o auxílio ao paciente e seu acompanhante a elaborar estratégias de enfrentamento do adoecimento e da hospitalização. Objetivo Identificar, na literatura científica, as práticas dos terapeutas ocupacionais em enfermaria pediátrica na assistência à criança, ao adolescente e ao familiar acompanhante. Método Trata-se de uma Revisão Integrativa da Literatura, realizada nas bases de dados: Biblioteca Virtual em Saúde, MEDLINE e PubMed; e busca manual nos periódicos brasileiros: Cadernos Brasileiros de Terapia Ocupacional, Revista Interinstitucional Brasileira de Terapia Ocupacional e Revista de Terapia Ocupacional da Universidade de São Paulo. Os artigos foram exportados para a ferramenta Rayyan® e selecionados por dois autores de forma independente. O tratamento dos dados foi feito por meio da Análise de Conteúdo, na modalidade temática, com uso do software ATLAS.ti®. Resultados Foram incluídos 23 artigos e a análise resultou em quatro categorias: “Intervenção”; “Recursos de intervenções”; “Panorama dos atendimentos da terapia ocupacional”; e “Humanização no cuidado ao acompanhamento familiar”. Conclusão O estudo apresenta uma perspectiva da terapia ocupacional na enfermaria pediátrica, baseado na literatura selecionada, oferecendo elementos que podem auxiliar os profissionais a guiar suas intervenções e a balizar novos estudos sobre o tema.
A social occupational therapy research/intervention experience aimed at providing active and democratic care to young students in the post-pandemic context
Authors: Lopes Roseli Esquerdo , Pereira Beatriz Prado , Pan Lívia Celegati , Barreiro Rafael Garcia , Silva Marina Jorge da , Malfitano Ana Paula Serrata , Farias Magno Nunes , Braga Iara Falleiros , Ito Gisele Gonsalez , Reis Stéphany Conceição Correia Alves Guedes , Reis Bruna Carolina Silva dos , Santos Edna Diniz dos , Borba Patrícia Leme de Oliveira
Published: October 2024

Abstract The CoVID-19 pandemic exacerbated many issues insufficiently addressed by Brazil’s social public policies. School dropout is one such issue, disproportionately affecting young people from working-class backgrounds, especially those who are the poor, Black, and peripheral populations, requiring the shared responsibility of various sectors and social actors. The research/intervention experience focused on the explanatory frameworks contributing to the occurrence and persistence of school dropout and/or withdrawal, as well as understanding and seeking to overcome the obstacles preventing young people from returning to or staying in school. An interinstitutional team, comprising researchers affiliated with the Metuia Network – Social Occupational Therapy, along with young university and high-school students, has been conducting this research/intervention in the cities of São Carlos and Santos (SP), João Pessoa (PB), Petrolina (PE), Brasília/Ceilândia (DF), and Simão Dias (SE). Based on participatory action research and social occupational therapy, young university students and young researchers in their schools and/or communities have been individually and territorially following up other young people who are out of school. By incorporating additional methodological strategies, such as questionnaires, photovoice, interviews, expert panels, domestic and international seminars, and expanding the concept of “active search,” which has been required of education professionals, the aim is to provide active and democratic care, ensuring shared responsibility among all those who form the social support network for young people in their territories. This text aims to share this experience, from its inception to the questions arising from its first two years.
Instrumento sobre a formação em saúde LGBTI+ de estudantes de Enfermagem, Medicina e Odontologia
Authors: Moretti-Pires Rodrigo Otávio , Leiria Maikon , Flores Julian Matheus , Tesser Junior Zeno Carlos , Oliveira Daniel Canavese de
Published: October 2024

A sexualidade humana é um tema complexo, sendo acompanhado também por fatores biológicos, psicológicos e, sobretudo, sociais. O artigo objetiva apresentar a construção de um instrumento para a avaliação do conhecimento clínico sobre saúde LGBTI+ entre estudantes de Enfermagem, Medicina e Odontologia. A partir de revisão de literatura, foi desenvolvido um questionário com 76 itens, que passou pelas seguintes etapas: (1) análise de linguagem e adequação de conteúdo por meio de seis grupos focais com 21 estudantes heterossexuais e vinte LGBTI+ dos três cursos; e (2) Técnica Delphi, com 16 experts em educação superior nas três formações; e em gênero e diversidade sexual. Os dados do processo apontam que o instrumento, em sua versão final de quarenta itens, está adequado para a avaliação da formação dos estudantes para a assistência à saúde de pessoas LGBTI+.
Healthcare for older adults with unintentional weight loss: perceptions of Primary Care professionals in São Paulo, Brazil
Authors: Sardinha Aline Nascimento , Almeida Maria Helena Morgani de
Published: October 2024

Aging involves biological changes such as unintentional weight loss. This study aimed to understand primary care professionals’ perceptions of the nutritional status of older adults who are users of Primary Care Units, emphasizing unintentional weight loss and identifying possibilities for intervention by the interprofessional team. Seventeen individual interviews and one focus group were conducted in 2019 with health professionals in São Paulo, Brazil. Data were transcribed, submitted to thematic content analysis, and discussed in triangulation. Participants demonstrated difficulty in identifying older adults with unintentional weight loss. Challenges for care included food insecurity and problems in the work process in Primary Care, while possibilities for care involved health education, interprofessionality, and intersectoral work.
The art of hardening without losing tenderness: midwifery and the use of technologies in planned home births1
Authors: Franceschini Priscila Kiselar Mortelaro , Spink Mary Jane Paris , Garcia Carla Cristina
Published: October 2024

Abstract Introduction: Given the intense medicalization of childbirth and the hegemony of a technocratic model, there is a growing need for professional midwives to promote safe pregnancy and childbirth with minimal interventions. Objective: This study aims to identify the technologies present in the toolbox of certified midwives graduated from University of São Paulo. Methodology: It consists of a descriptive-exploratory study, with a qualitative approach. Semi-structured interviews were carried out virtually with five midwives from August 2020 to May 2021. The material was analyzed using dialogical maps. Results: A very heterogeneous range of technologies was identified, which included soft, soft-hard, and hard technologies. Soft technologies include affection, effective communication (knowing how to speak, knowing how to listen), and bonding. Soft-hard technologies include basic disciplines, scientific evidence, experience, and intuition. Finally, hard technologies include human-made instruments, in addition to the use of the materiality of the body. Conclusions: Midwives tend to use hard technologies when they are unable to achieve the desired effect with the soft technologies they had available, while also using their interrelational resources throughout the entire process. Furthermore, to employ such technological resources, professionals use different kinds of knowledge, without hierarchizing them.
ADVANCED NEURAL COMPUTING FRAMEWORK FOR PREDICTING FLOW ATTRIBUTES OF NONSTANDARD NANOFLUIDS INCORPORATING MULTIPLE NOVEL PHYSICAL PARAMETERS
Authors: Shah Kamal , Liu Shengjun , Asadullah  , Liu Hongjuan
Published: October 2024

Premier consent to commence present artifact is to investigate the physical characteristics of magnetized nanofluid flow past a stretchable surface, along with multiple physical aspects. For this purpose, viscous fluid (water) is considered as a base fluid and copper nanoparticles are induced in it to form a nanofluid. For comprehensive examination of the current study, viscous dissipation, Joule heating, and slip conditions are also included. Mathematical configuration of the problem is attained in the form of dimensional partial differential equations after utilization of associated
conservation laws. Furthermore, the modeled coupled differential system is converted into dimensionless ordinary
differential equations by operating the appropriate non-similarity procedure. The solution to this problem is attained through numerical and machine-learning-based approaches. Numerically, the RK-4 method in conjunction with the shooting method is utilized to resolve the governing system of equations, whereas the Levenberg-Marquardt strategy is capitalized to predict behavior of data obtained from the numerical scheme. The results are portrayed in graphical and tabular manner for the velocity and temperature distributions by accounting for a wide range of sundry parameters in a comparative manner for the situation when nanoparticles are either present or absent. Quantities of physical interest, such as the skin friction coefficient and average Nusselt number, are also enumerated against the flow controlling parameters. The Nusselt number is found to be increased up to 3% when nanoparticles are present, in contrast to the condition when nanoparticles are absent. An increase up to 4.3% is observed in the heat transportation rate due to consideration of the magnetic field factor and 2.4% elevation due to permeability aspects. Conversely, the slip parameters tend to cause a reduction in the Nusselt number up to 5% instead of the situation when no-slip boundary constraint is applied.
Intraoperative transfontanelle ultrasonography for pediatric patients
Authors: Kim Eun-Hee , Park Jung-Bin , Kim Jin-Tae
Published: October 2024

Cerebral blood flow (CBF) plays a vital role in delivering cerebral oxygen, and the accurate assessment of CBF is crucial for the intraoperative management of critically ill infants. Although the direct measurement of CBF is challenging, CBF velocity (CBFV) can be assessed using transcranial Doppler. Recent advances in point-of-care ultrasound have introduced brain ultrasound as a feasible intraoperative option, in which transfontanelle ultrasonography (TFU) has been applied to measure the CBFV through the anterior fontanelle. However, the intraoperative application of TFU in pediatric patients remains limited. The present review highlights the procedural aspects and clinical applications of TFU for anesthetic and intensive care management in pediatric patients. TFU facilitates the visualization of cerebral vessels and allows a noninvasive assessment of cerebral hemodynamics. The clinical significance of TFU involves its usefulness in various clinical scenarios, including monitoring CBF during cardiac surgery, assessing fluid responsiveness, and estimating intracranial pressure. TFU also enables the detection of cerebral emboli and the evaluation of anatomical abnormalities such as hydrocephalus or intracranial hemorrhage. TFU has demonstrated potential as an invaluable tool in pediatric care, despite limited familiarity among anesthesiologists. Additional research is needed to explore the associations between CBF and clinical outcomes, focusing on autoregulation, the impact of physiological changes, the associations of TFU findings with other brain monitoring tools such as electroencephalography, cerebral oximetry, and the implications of microemboli. TFU is a significant advancement and valuable tool for noninvasively assessing cerebral hemodynamics and CBF in pediatric patients with open fontanelles.
Anatomical vocabulary in the Yakut oronymy
Authors:   Institute for Humanitarian Research and North Indigenous People Problems of the Siberian Branch of the Russian Academy of Sciences, Struchkova Yana V.
Published: October 2024

The article focuses on orographic appellatives and oronyms derived from anatomical terms in the Yakut language through metaphorization. Given that the Yakut oronymy is endangered due to several sociolinguistic and socio-economic reasons, collecting, systematizing, studying, and preserving this specific layer of the Yakut toponymic lexicon in linguistic databases is relevant. We have identified more than 80 anatomical terms that contributed to the Yakut oronymy development. We divided the Yakut anatomical vocabulary used as orographic appellatives into two groups: 1) lexemes denoting the external parts of human and animal bodies and 2) lexemes denoting the internal organs of humans and animals. The comparative analysis covered the following anatomical terms: atax ‘leg’, bas ‘head’, sürex ‘heart’, tumus ‘nose; beak’, kulgaax ‘ear’, töbö ‘head’, meyii ‘brain’, emiy ‘udder’. The comparison has demonstrated a substantial similarity in the anatomical vocabulary used as orographic appellatives in the Turkic languages. However, some Turkic languages feature divergence in terms of content, possibly resulting from the influence of contact languages (related and unrelated). The abundance and variety of metaphorical anatomical terms in different Turkic languages may also be due to the physical and geographical features of the terrain on which they function. Given the above, the anatomical vocabulary can be considered an additional source for understanding the formation patterns and features of the Turkic-Mongolian geographical vocabulary of Siberia.
Desiderative in the Laskino subdialect of the Narym dialect of the Selkup language
Authors:   Ivannikov Institute for System Programming of the Russian Academy of Sciences, Kovylin Sergei V. ,   Tomsk State Pedagogical University
Published: October 2024

The paper discusses the phonetic and semantic features of the desiderative mood markers in the Laskino subdialect of the Narym dialect of the Selkup language. Consideration is also given to the cognates of the desiderative suffix -ndȥ(V)- as markers of imperfective and future tense that are not clearly separated in synchrony. The study reveals the distinction between the use of the derivational and inflectional suffix -ndȥ(V)-. The reason for this distinction is that imperfective verbs consistently indicate the imperfective aspect. However, the aspectual relationship of the verb in the future tense and desiderative mood depends on the aspect of the verb stem. Additionally, suffixes seem to retain partially the meaning of imperfectivity in inflection. Most examples in the Laskino subdialect have the suffix -ndȥ(V)- used to convey desire, with the indicator -l(e)- mainly expressing the future tense. The discussion also focuses on the distribution of the suffix -ndȥ(V)- as a marker of the imperfective/future tense/desiderative in the Southern and Central dialects. In Southern dialects, the suffix -ndȥ(V)- is primarily utilized to convey the future tense. In Central dialects, the suffix -ndȥ(V)- serves to express desire and indicate the peripheral future tense, while the suffix -l(e)- is the main marker of the future tense. The identification of the suffix -(e)ndȥ(V)- as an indicator of imperfectivity in the Southern and Central dialects (excluding the Sondrovo subdialects, where it was absent) demonstrated a relatively limited occurrence, suggesting its peripheral usage.
The early works of Maxim Gorky in the publishing strategies of social democrats
Authors:   V. I. Vernadsky Crimean Federal University, Shum Olga Yu.
Published: October 2024

The paper reconstructs the publishing history of early short novels by Maxim Gorky, which eventually became his first collection of works. Consideration is given to the actions of figures from the social democratic movement, who were drawn to Gorky’s works due to their artistic merits as well as their inherent potential for protest. It was a common practice for adherents of social democratic ideas to maintain constant contact and engage in patronage, frequently through correspondence. Following the correspondence recommendations, Gorky encountered V. G. Korolenko, who exhibited unwavering support and a willingness to discuss and promote the manuscripts of the young author and participate in their publication from 1893 to 1895. From 1898 to 1901, Gorky was under the patronage of V. A. Posse, who spearheaded the publication of the collected works of the provincial author in the capital. Despite the strategic risk involved, posse managed to establish the publishing house of Dorovatovsky and Charushnikov in St. Petersburg. In 1898, this publishing house released the first two volumes of Gorky’s “Essays and Stories” and in 1899, the third volume appeared and the first two were reprinted. The reconstruction of the publishing history of Gorky’s works made it possible to qualify the organizational and publishing intentions of social democrats as publishing strategies to create and promote publications that are important ideologically for a particular social group. In artistic book publishing, it was crucial to prioritize ideological strategies that would appeal to a broad audience.
Palatality and palatalization in diverse languages of Siberia (according to MRI data)
Authors:   Institute of Philology of the Siberian Branch of the Russian Academy of Sciences, Shindrova Ksenia V.
Published: October 2024

The paper considers the phonetic characteristics of nasal palatalized and non-palatalized sounds of the German Mennonite language (self-name Plautdietsch) and the Altai language and nasal forelingual and oral backlingual sounds of the Russian language. Given the strong influence of Russian on Altai and Plautdietsch, the objective is to determine if Russian palatalization, which structures the whole consonant system and is a constitutive-differential feature, influences the other languages under study. Magnetic resonance imaging was used to identify the articulation features and reveal the constitutive differential parameters characteristic of the phonetic subsystem of palatalized phonemes. Nineteen tomograms with target sounds were described and analyzed following the methodology of the V. M. Nadelyaev Laboratory of Experimental Phonetic Researches of the Institute of Philology of the Siberian Branch of the Russian Academy of Sciences. The MRI images demonstrate that the articulation of palatalized sounds involves the elevation of the middle and back parts of the tongue towards the boundary between the hard and soft palate. The production of palatalized sounds in the Russian language is found to be characterized by the advancement of the tongue body to the front part of the oral cavity. The study findings indicate that palatalization may not always produce an acoustic effect of softness. This research contributes to the understanding of the articulatory mechanisms and phonetic features of palatalized sounds in the languages under consideration, highlighting the interplay between language contact and phonetic adaptation.
The myth of the poet in Russian literature: Alexander Pushkin
Authors:   Military Transport Institute of Railway Troops and Transportation Service, Sobennikov Anatoly S.
Published: October 2024

The myth of the poet holds great significance in Russian culture. Mythopoetic discourse views time as cyclical, with past events recurring in the present and future. The myth of the poet carries a socio-biographical subtext. For example, it can be seen in the famous poem by Wilhelm Küchelbecker “The fate of Russian poets.” The premature, tragic passings of Alexander Pushkin, Mikhail Lermontov, Kondraty Ryleev, and Alexander Polezhaev are seen as part of the “sacred sacrifice” narrative. Russian poetry encompasses two unchanging elements of the myth: Orphic and Old Testament. Mass consciousness commonly relates both elements to Pushkin (“Prophet,” “Poet,” “To the Poet,” “The Poet and the Mob”). This relationship was established through the reception of Pushkin’s texts by his contemporaries, as well as the incorporation of these texts into “books for the people” and educational materials at schools and universities. Poetic inspiration in Pushkin’s writing distinguishes the Poet from the rest of society. The Poet possesses distinctiveness, uniqueness, and dissimilarity, with his inspiration (Muse) coming from God. The “Monument” (1836) explicitly states: “O Muse, obey the command of God.” Pushkin’s discourse is known for its myth-generating nature. The key connotative implications of the primary model are chosenness, sacredness, affection for poverty, solitude, instruction, and service. Concurrently, Pushkin demonstrates a dialectical nature, being both a poet-prophet and a poet-artist. The key connotations of the second model encompass absolute liberty, delight, inspiration, and the self-sufficiency of poetry. Pushkin’s legacy in Russian literature has resulted in two distinct streams: educational and aesthetic.