bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exclusividade na coleta de material para exame de colpocitologia oncótica: percepção dos enfermeiros
Authors: Oliveira Letícia Lima de , Santos Marllon Rodrigo Sousa , Rodrigues Ivaneide Leal Ataíde , André Suzana Rosa , Silva Ingrid Fabiane Santos da , Nogueira Laura Maria Vidal 
Published: November 2020

Objetivo: analisar a percepção dos enfermeiros a respeito da exclusividade da coleta de material para a realização de colpocitologia oncótica. Método: estudo descritivo de natureza qualitativa, tendo como participantes 18 enfermeiros de Unidades Municipais de Saúde de Belém-Pará. A coleta de dados ocorreu entre junho e agosto de 2017 com auxílio de um roteiro de entrevista semiestruturado, e utilizou-se análise de conteúdo para interpretação dos resultados. Resultados: os dados correspondem a percepções sobre a coleta do exame de colpocitologia oncótica, subdivididas em percepções sobre a coleta realizada pelo enfermeiro e técnico de enfermagem, facilidades e dificuldades na coleta e alterações na rotina dos enfermeiros. Considerações finais: as percepções dos enfermeiros são heterogêneas, porém convergem ao reconhecerem a necessidade de agregar conhecimento técnico e científico para realização da coleta de material para colpocitologia oncótica, em razão da alta complexidade da técnica.
Analgesia em pacientes de trauma no serviço de emergência
Authors: Lopes Maria Carolina Barbosa Teixeira , Santana Natália Dos Santos , Costa Karina Aparecida Lopes da , Okuno Meiry Fernanda Pinto , Batista Ruth Ester Assayag , Campanharo Cássia Regina Vancini 
Published: November 2020

Objetivo: avaliar a eficácia da analgesia e a concordância entre as escalas Numérica e de Faces em pacientes de trauma no serviço de emergência. Método: estudo transversal com 173 pacientes, realizado de fevereiro-2013 a setembro-2014. A dor foi avaliada na admissão e uma hora após analgesia, pelas escalas Numérica e de Faces. Para comparar a dor antes e após analgesia, utilizou-se o Coeficiente de Correlação de Spearman e, para analisar a concordância entre as escalas, o Índice Kappa. Resultados: na admissão, a maioria dos pacientes relatou dor moderada e intensa. Houve melhora da dor, porém 36,0% dos pacientes permaneceram com dor leve e 33,7% moderada, necessitando de complementação analgésica. A concordância entre as escalas foi considerável antes da analgesia (Kappa = 0,31; p-valor 0,0001) e moderada após (Kappa = 0,56; p-valor 0,0001). Conclusão: a maioria dos pacientes obteve melhora da dor após analgesia, sendo que houve concordância entre as escalas.
A escola como espaço para aprendizado sobre primeiros socorros
Authors: Grimaldi Monaliza Ribeiro Mariano , Gonçalves Luci Maira Silva , Melo Ana Carolina de Oliveira Silva , Melo Francisco Ivandi , Aguiar Adriana Sousa Carvalho de , Lima Morgama Mara Nogueira 
Published: November 2020

Objetivos: implementar estratégia educativa sobre noções básicas de primeiros socorros com estudantes de escola pública e particular e verificar o conhecimento destes antes e após a intervenção educativa. Método: pesquisa quantitativa, descritiva, exploratória, realizada com 48 estudantes do nono ano. Para verificar o conhecimento, utilizaram-se dez questões objetivas e de múltipla escolha como pré e pós-teste. A coleta foi realizada de setembro a dezembro de 2016, totalizando seis encontros. Para análise utilizou-se Software PASW Statistics for Windows, versão 20.0, teste McNemar e Qui-quadrado. Resultados: nas escolas, houve diferença estatisticamente significativa entre os acertos no pós-teste sobre engasgo (p2=0,008), choque elétrico (p2=0,018), hemorragia (p2=0,004), parada cardiorrespiratória (p2=0,041). Logo, a média de acertos na escola pública e privada foi, respectivamente, 70,0% e 85,5%. Conclusão: os estudantes obtiveram aprendizado significativo mediante intervenção educativa, ressaltando a relevância na inclusão da disciplina de primeiros socorros nas escolas.
Una experiencia de recreación en el ámbito educativo de L’après-midi d’un Faune de Mallarmé, Debussy, Nijinsky, y Bakst
Authors: Giménez Morte Carmen 
Published: November 2020

A través de las obras -poema, composición musical, puesta en escena, y vestuario y pintura de telón de fondo-, que conforman L’aprés-midi d’un faune, estrenada en mayo de 1912 en París, se propone un experimento de recreación en el ámbito de las Enseñanzas Artísticas Superiores. La finalidad es que esta experiencia provoque la necesidad de acudir a los documentos históricos como punto de partida de la recreación escénica, a desarrollar la vivencia del cuerpo como archivo de memorias, a ser consciente de la necesidad de la apropiación en el repertorio coreográfico y al cuestionamiento de algunos conceptos clave para comprender el repertorio de la danza contemporánea hoy en día y para relacionarlos con la práctica de danza. La metodología utilizada se entronca con la investigación basada en las artes o performativa, que busca en lo procesos pedagógicos comunitarios la experimentación a través de la experiencia fundamentada. Los resultados tienen como eje central transparentar la vivencia de recreación en el aula, el proceso creativo, e ir generando métodos y estrategias narrativas de la experiencia personal y comunitaria.
Surgical Treatment of Insertional Achilles Tendinopathy: A Systematic Review
Authors: Moen Ruth , Hagenbucher Jacob R. , Shinabarger Andrew B. 
Published: November 2020

Background
Insertional Achilles tendinopathy is a common complaint among patients. Oftentimes, conservative treatment is inadequate, and surgical treatment is required. However, there is no published consensus regarding surgical intervention in reference to insertional Achilles tendinopathy.

Methods
The purpose of this systematic review was to evaluate the surgical management of insertional Achilles tendinopathy and report which surgical procedures provide the greatest pain reduction and improvement in functional outcome. A review of PubMed, OVID, Google Scholar, and Cochrane Controlled Trials Register was performed using a defined search strategy and inclusion criteria.

Results
Of 2,863 articles identified using the defined strategy, 20 met the inclusion criteria (three prospective and 17 retrospective). Operative interventions included Achilles tendon debridement, reattachment with suture anchors, reconstruction with flexor hallucis longus tendon autograft or bone-patellar tendon autograft, and gastrocnemius recession. All of the studies, regardless of intervention, showed generalized improvement after surgery. Wide variation in outcome scoring systems prevented direct comparison between studies and interventions.

Conclusions
This systematic review did not identify a superior treatment for insertional Achilles tendinopathy but rather found that the surgical treatment should be based on the extent of tendon injury.
Variation in female reproductive tract morphology across the reproductive cycle in the zebra finch
Authors: Hurley Laura L. , Crino Ondi L. , Rowe Melissah , Griffith Simon C. 
Published: November 2020

BackgroundIn seasonally breeding birds, the reproductive tract undergoes a dramatic circannual cycle of recrudescence and regression, with oviduct size increasing 5–220 fold from the non-breeding to the breeding state. Opportunistically breeding birds can produce multiple clutches sequentially across an extended period in response primarily to environmental rather than seasonal cues. In the zebra finch, it has been shown that there is a significant reduction in gonadal morphology in non-breeding females. However, the scale of recrudescence and regression of reproductive tissue within a single breeding cycle is unknown and yet important to understand the cost of breeding, and the physiological readiness to breed in such flexible breeders.MethodsWe examined the reproductive tissue of breeding female zebra finches at six stages in the nesting cycle from pre-breeding to fledging offspring. We quantified the wet mass of the oviduct, the volume of the largest pre-ovulatory follicle, and the total number of pre-ovulatory follicles present on the ovary.ResultsMeasures of the female reproductive tract were highest during nesting and laying stages and declined significantly in the later stages of the breeding cycle. Importantly, we found that the mass of reproductive tissue changes as much across a single reproductive event as that previously characterized between birds categorized as breeding and non-breeding. However, the regression of the ovary is less dramatic than that seen in seasonal breeders. This could reflect low-level maintenance of reproductive tissues in opportunistic breeders, but needs to be confirmed in wild non-breeding birds.
Development and validation of Egyptian developmental screening chart for children from birth up to 30 months
Authors: El Shafie Ali M. , Omar Zein A.L. , Bashir Mai M. , Mahmoud Sorour F. , Basma Elsayedamr M. , Hussein Ahmed E. , Mostafa Alaa Mosad , Bahbah Wael A. 
Published: November 2020

BackgroundDetecting developmental delay in children is an ongoing world commitment, especially for those below three years. To accurately assess the development of children; a culturally appropriate screening tool must be used. Egypt lacks such tool and multiple studies have shown that western tools are not suitable in other cultures.ObjectivesTo develop and validate an easy, rapid, culturally appropriate and applicable screening chart for early detection of developmental delay among Egyptian children from birth up to 30 months and develop a Z-score chart for motor and mental development follow up based on our Egyptian screening chart.MethodsA cross sectional randomized study was carried out on 1503 Egyptian children of both genders aged from birth up to 30 months assumed to have normal development according to the inclusion and exclusion criteria. They were selected from vaccination centers and well-baby clinics. Developmental milestones from Baroda development screening test (BDST) were applied on them after items were translated and adapted to Egyptian culture. Egyptian children developmental milestones scores were analyzed and carefully prepared in tables and charts. A 97% pass level of developmental achievements represents the threshold below which children are considered delayed. A Z-score chart for motor and mental development follow up was designed by calculating each age group achievement. The developed Egyptian developmental screening chart (EDSC) was validated against Ages and Stages Questionnaires (ASQ-3) as a reference standard in another different sample of 337 children in different age groups.ResultsThe developed EDSC is represented in a chart format with two curves 50% and 97% pass level. Children considered delayed when the score below 97% pass level. Results revealed a statistically significant difference between EDSC and BDST at 50% and 97% pass levels. A Z-score chart for motor and mental development follow up was designed by calculating each age group achievement. EDSC sensitivity and specificity were calculated 84.38 (95% CI [67.21%–94.72%]) and 98.36 (95% CI [96.22%–99.47%]) respectively with an overall test accuracy 97.03 (95% CI [94.61%–98.57%]) (p ≤ .001). Agreement between EDSC and ASQ-3 was high (kappa score was 0.827) with negative and positive agreement 98.36 and 84.38, respectively.ConclusionsExtensive revision of the BDST was needed in order to create and validate a more culturally appropriate Egyptian screening chart. This is the first study to create and validate an Egyptian-specific screening tool, to be rapid and easy to use in Egypt for early detection of developmental delay and enabling early intervention practices. A Z-score curve is reliable for follow up motor and mental development by calculating each age group achievement.
A baseline terrestrial vertebrate fauna survey of Pullen Pullen; a significant conservation reserve in south-west Queensland
Authors: Kearney S.G. , Kern P.L. , Kutt A.S. 
Published: November 2020

ABSTRACT
Arid and desert landscapes are characterised as boom-bust systems, and sometimes its fauna can remain cryptic or hidden. This short paper reports the results of baseline monitoring of the terrestrial fauna in the Bush Heritage Pullen Pullen reserve in south-west Queensland, most notable for the presence of the night parrot Pezoporus occidentalis. We conducted two fauna surveys over 22 sites representing Spinifex grasslands, and Mitchell and Chenopod grassland habitats in 2018 and 2019, using pitfall, funnel and Elliott traps, and active searching. A total of eight mammal and 28 reptile species comprising 730 records were documented, as well as eight additional incidental species. Frequently recorded species were Ctentous lateralis, Ctenotus pantherinus, Gehyra versicolor, Tachyglossus aculeatus, Sminthopsis macroura, Pseudomys desertor. Fourteen of the species recorded were highly variable in abundance from one survey to the next. The fauna of the Spinifex grasslands, and Mitchell and Chenopod grassland sites was compositionally very different, and the extent of ground cover or Triodia in the surrounding landscape predicted the abundance of some mammals (i.e. Pseudomys desertor) and reptiles (Delma nasuta, Ctenotus pulchellus, Cyclodomorphus melanops). These data provide a baseline for future monitoring on this important reserve, and an opportunity to enhance or increase the survey scope via additional sites and a future more adaptive management and question-driven approach.
Progesterone Only Injectable Contraceptives: A Five Year Review of Side Effects and Discontinuation Rate in a Teaching Hospital in Niger Delta, Nigeria
Authors: Ijeoma Nonye-Enyidah Esther , Solomon Enyidah Nonyenim 
Published: November 2020

Background: Progesterone only injectable contraceptives (POICs) are long acting reversible method of contraception used worldwide. Menstrual abnormalities are recognized side effects that can lead to discontinuation of these highly effective and safe contraceptives.
Objectives: To determine the prevalence rate, side effects, discontinuation rate and indications for discontinuation of Norethisteroneenanthate (noristerat) and Depot Medroxyprogesterone acetate (depoprovera) at Rivers State University Teaching Hospital (RSUTH), Port Harcourt.
Methods: A five year retrospective study of 874 clients attending family planning clinic at the RSUTH from 1st of January, 2015 – 31st of December, 2019. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY). Chi square test was used as test of significance where applicable and a p-value <0.05 was considered statistically significant.
Results: One hundred and thirty eight clients accepted and used POICs out of 874 acceptors of contraceptives within the study period giving a prevalence rate of 15.8%.
Depot Medroxyprogesterone acetate was more preferred by the women. The modal age group was 25-34 years accounting for 86 (62.3%). Age range was 19-48 years and the modal parity was para 2. Majority of the clients had formal education, 137 (99.3%), married, 128 (92.8%) and multipara 85 (61.6%).The discontinuation rate was 31.9%and the commonest reason for discontinuation was irregular vaginal bleeding accounting for 25%.
Conclusion: The prevalence rate of POICs was low and Depot Medroxyprogesterone acetate was more popular. Majority of the discontinuation was due to the side effects of the contraceptives.
COVID-19 Pandemic: Scoping Review through the Lens of 9-Month-based Knowledge and Brief Snapshots of 10 Cases and Five Family Units, Riyadh, Saudi Arabia
Authors: Qureshi Naseem Akhtar , Habeeb Abdulhameed Abdullah Al- 
Published: November 2020

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has questioning origin in Wuhan, an industrial city of China. The novel coronavirus 2 (NCV2) was first identified in December 2019, and World Health Organization (WHO) declared the outbreak a global public health emergency on 30 January 2020, officially named it as COVID-19 on February 11 2020, and a pandemic on 11 March 2020. COVID-19 causes physical and mental health problems of variable severity and outcomes among people around the world.
Objective: This study has two aims;1) to conduct a scoping review of COVID-19’s epidemiological trend, clinical manifestations, therapeutics, diagnosis, and progress on vaccine development; and 2) to describe a case series of ten consultees’ and conveniently selected five family units’ mental and physical health effects of COVID-19 over the past 9 months, December to August 31, 2020.
Methods: We used keywords and Boolean Operators for conducting electronic searches of published literature in three largest databases on COVID-19 and regularly received notifications from COVID-19 resource centers, scientific journals, international and national research and economic institutions, and various websites, which helped to retain 82 articles after iterative screening for this review. In addition, 10 cases and the heads of 5 family units were interviewed virtually for assessing the mental and physical health of all family members affected by COVID-19.
Results: COVID-19 pandemic presents with variable clinical manifestations and outcomes attributable to the persons’ immune system, age and gender, physical and mental comorbidities, and adversely affects the biopsychosocial, cultural and economic fabrics of the world population. Basic preventive precautions and nonspecific drug interventions against COVID-19 are relatively effective with inconstant morbidity and mortality, and vaccine development researches (phase I-III) are in progress around the world. All persons in case series, not corona positive except one, presented with mental and physical health problems of wider nature that required integrated treatment interventions while majority of family unit members were less affected mentally or physically by COVID-19 and improved with preventive precautions.
Conclusion: COVID-19 is highly virulent disease linked with variable mental health problems, greater morbidity and mortality, severe strains on healthcare organizations and economic downturn around the world. Despite difficult access to services, overall our case series and family members showed good outcome. Information concerning COVID-19 is continuously evolving and, hence, further scoping reviews, randomized clinical trials and surveys concerning its several perspectives are needed in Saudi Arabia and elsewhere in the Gulf countries.
Sero-conversion after Second Measles' Containing Vaccine in a Selected Sample of Young Children
Authors: Karwi Yahya G. , Hussein Reem G. , Wahid Salwa Sh. Abdul- 
Published: November 2020

Background: This study aims to detect sero-prevalence of measles Immunoglobulin-G, antibodies, (IgG Abs) before versus after second measles containing vaccine (MCV2) among young children.
Methodology: This cross–sectional study was conducted in a selected primary health care centers (PHCcs), in Iraq. The study sample comprised 112 children, (66 males, & 46 females), aged 13 - < 24 months, selected at a random during their attendance for routine vaccination. The study sample subjected for estimation of measles IgG Abs titer before, and, (4-12) weeks after Measles, Mumps & Rubella (MMR) vaccination.
Results: Seroprevalence for specific measles IgG- Abs before MMR vaccine (41.8%) was found among those infants, when sero-conversion rate estimated after MMR vaccination it was (92 .4%). The result reveals that seroconversion rate among children who had received MCV1 vaccine before was (96.8%), while it was 84.0% for those children did not have MCV1 vaccine before.
Conclusions: This study concluded that the two-dose schedule seems to increase the seropositivity rate, and recommended application of solid vaccination program with two doses of an effective & efficient measles vaccine, before the second year of age.
Exploring the Surgical Site Infection Rate after Caesarean Delivery in a Military Hospital in Alkharj
Authors: Ahmed Nehad , Elazab Emad , Almalki Ziyad S. , Alhajri Mohammed A. 
Published: November 2020

Introduction: A cesarean section is a life-saving surgery when some complications arise during pregnancy or the process of childbirth. The development of post-caesarean delivery surgical site infections is one of the significant cause of prolonged hospitalization, greater mortality than before, increased morbidity, and increased hospital readmission
Aim: This study aims to explore the rate of caesarian section surgical site infection in the military hospital in Alkharj.
Methodology: This retrospective study includes collecting data from the infection control unit in a military hospital in Alkharj in 2019.
Results: The total number of caesarian surgeries in 2019 was 756 surgeries. The surgical site infections percentage in 2019 was 1.19%. The percentage of caesarian section surgical site infections was 0% in several moths such as in January, April, June, Sept, and December. The highest percentage was in May and July (2.5%).
Conclusion: The surgical site infections incidence in the present study was low (about 1.2 %) but because the percentage is usually underestimated and because the rate of delivery by caesarean section is increasing continuously, monitoring of women for several weeks after caesarian surgeries are necessary.
High‐throughput proteomics of breast cancer interstitial fluid: identification of tumor subtype‐specific serologically relevant biomarkers
Authors: Terkelsen Thilde , Pernemalm Maria , Gromov Pavel , Børresen‐Dale Anna‐Lise , Krogh Anders , Haakensen Vilde D. , Lethiö Janne , Papaleo Elena , Gromova Irina 
Published: November 2020

Despite significant advancements in breast cancer (BC) research, clinicians lack robust serological protein markers for accurate diagnostics and tumor stratification. Tumor interstitial fluid (TIF) accumulates aberrantly externalized proteins within the local tumor space, which can potentially gain access to the circulatory system. As such, TIF may represent a valuable starting point for identifying relevant tumor‐specific serological biomarkers. The aim of the study was to perform comprehensive proteomic profiling of TIF to identify proteins associated with BC tumor status and subtype. A liquid chromatography tandem mass spectrometry (LC‐MS/MS) analysis of 35 TIFs of three main subtypes: luminal (19), Her2 (4), and triple‐negative (TNBC) (12) resulted in the identification of > 8800 proteins. Unsupervised hierarchical clustering segregated the TIF proteome into two major clusters, luminal and TNBC/Her2 subgroups. High‐grade tumors enriched with tumor infiltrating lymphocytes (TILs) were also stratified from low‐grade tumors. A consensus analysis approach, including differential abundance analysis, selection operator regression, and random forest returned a minimal set of 24 proteins associated with BC subtypes, receptor status, and TIL scoring. Among them, a panel of 10 proteins, AGR3, BCAM, CELSR1, MIEN1, NAT1, PIP4K2B, SEC23B, THTPA, TMEM51, and ULBP2, was found to stratify the tumor subtype‐specific TIFs. In particular, upregulation of BCAM and CELSR1 differentiates luminal subtypes, while upregulation of MIEN1 differentiates Her2 subtypes. Immunohistochemistry analysis showed a direct correlation between protein abundance in TIFs and intratumor expression levels for all 10 proteins. Sensitivity and specificity were estimated for this protein panel by using an independent, comprehensive breast tumor proteome dataset. The results of this analysis strongly support our data, with eight of the proteins potentially representing biomarkers for stratification of BC subtypes. Five of the most representative proteomics databases currently available were also used to estimate the potential for these selected proteins to serve as putative serological markers.