bluuebunny/crossref_metadata_2025_split huggingface dataset:
A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder
Authors: Mazaheri Masood , Abichandani Deepa , Kingma Idsart , Treleaven Julia , Falla Deborah 
Published: April 2021

ObjectiveTo synthesise and analyse the current evidence regarding changes in joint position sense (JPS) and standing balance in people with whiplash-associated disorder (WAD) taking the presence or absence of dizziness into account.Data sourcesPubMed, CINAHL Plus, Web of Science, Embase, MEDLINE and APA PsycINFO were searched by two independent reviewers from inception until August 2020 and reference lists of all included studies were also reviewed.Study selectionOnly cross-sectional studies that measured JPS and/or standing balance between people with WAD vs. healthy controls (HC) or people with WAD complaining of dizziness (WADD) vs. those not complaining of dizziness (WADND) were selected.Data extractionRelevant data were extracted using specific checklists and quality assessment was performed using Downs and Black Scale (modified version).Data synthesisTwenty-six studies were included. For JPS, data were synthesized for absolute error in the primary plane of movement for separate movement directions. For standing balance, data were synthesized for traditional time- and frequency domain sway parameters considering the conditions of eyes open (EO) and eyes closed (EC) separately. For meta-analysis, reduced JPS was observed in people with WAD compared to HC when the head was repositioned to a neutral head position (NHP) from rotation (standardised mean difference [SMD] = 0.43 [95%: 0.24–0.62]) and extension (0.33 [95%CI: 0.08–0.58]) or when the head was moved toward 50° rotation from a NHP (0.50 [0.05–0.96]). Similarly, people with WADDhad reduced JPS compared to people with WADNDwhen the head was repositioned to a NHP from rotation (0.52 [0.22–0.82]). Larger sway velocity and amplitude was found in people with WAD compared to HC for both EO (0.62 [0.37–0.88] and 0.78 [0.56–0.99], respectively) and EC (0.69 [0.46–0.91] and 0.80 [0.58–1.02]) conditions.ConclusionThe observed changes of JPS and standing balance confirms deficits in sensorimotor control in people with WAD and especially in those with dizziness.
Lead aVR predicts early revascularization but not long-term events in patients referred for stress electrocardiography
Authors: Baheti Aparna , Hanson Christopher A. , McArdle Michael , Lall Sumeet K. , Beller George A. , Bourque Jamieson M. 
Published: April 2021

Background
Exercise stress electrocardiography (ExECG) is recommended as a first-line tool to assess ischemia, but standard ST-analysis has limited diagnostic accuracy. ST elevation in lead aVR has been associated with left main and LAD disease in the population undergoing coronary angiography but has not been studied in the general population undergoing stress testing for the initial evaluation of CAD without coronary angiography. We sought to determine the predictive value of lead aVR elevation for ischemia, early revascularization, and subsequent cardiac events in consecutive patients undergoing ExECG.

Methods and results
The study cohort included 641 subjects referred for ExECG who were dichotomized by presence or absence of aVR elevation ≥1mm and compared for prevalence and predictors of ischemia and a composite of cardiac death, nonfatal myocardial infarction, and late revascularization. The cohort had a median age of 57 and 57% were male. The prevalence of aVR elevation was 11.5%. The prevalence of significant ischemia on patients who received imaging was significantly higher with aVR elevation (14.3% vs 2.3%, p<0.001). Early revascularization occurred in 10.9% with vs 0.2% without aVR elevation, p<0.001. No subjects without aVR elevation or ST-depression underwent early revascularization. However, cardiac event rates were similar over a median 4.0 years of follow-up with and without aVR elevation (2.8% vs. 2.6%, p = 0.80). aVR elevation did not predict long-term cardiac events by Kaplan-Meier survival analysis (p = 0.94) or Cox proportional hazards modeling (p = 0.35).

Conclusions
aVR elevation during ExECG predicts ischemia on imaging and early revascularization but not long-term outcomes and could serve as a useful adjunct to standard ST-analysis and potentially reduce the need for concurrent imaging.
Topical NAVS naphthalan for the treatment of oral lichen planus and recurrent aphthous stomatitis: A double blind, randomized, parallel group study
Authors: Rogulj Ana Andabak , Z. Alajbeg Iva , Brailo Vlaho , Škrinjar Ivana , Žužul Ivona , Vučićević-Boras Vanja , Alajbeg Ivan 
Published: April 2021

Aim
To evaluate the effectiveness of non-aromatic very rich in steranes (NAVS) naphthalan in the treatment of oral lichen planus (OLP) and recurrent aphthous stomatitis (RAS). Null hypothesis was that there would be no difference between NAVS and topical steroids in the treatment of OLP and RAS.

Methods
The study consisted of two sub-trials conducted as randomized, double-blind controlled studies: first included OLP patients and second patients with RAS. Patients received either NAVS or 0.05% betamethasone dipropionate. Primary outcomes were activity score (OLP patients), No of lesions and lesion diameter (RAS patients) and pain intensity (VAS) while secondary outcome included the impact of the disease on quality of life assessed by Oral health impact profile (OHIP 14).

Results
No significant differences in terms of OLP clinical signs (p = 0.84, η2 = 0.001) and responses on the OHIP-14 (p = 0.81, η2 = 0.002) or on VAS (p = 0.14, η2 = 0.079) between NAVS and betamethasone groups were observed. In RAS patients, no significant differences between the groups in terms of lesion number (at days 3 and 5, p = 0.33 and p = 0.98, respectively), lesion diameter (days 3 and 5, p = 0.24 and p = 0.84, respectively) were observed. However, in NAVS group a significant reduction of lesions diameter was observed on the 3rd day, while in betamethasone group a significant reduction in lesions diameter was evident only after the 5th day. No significant differences in VAS (p > 0.05) and the OHIP-14 (p > 0.05) between groups were found.

Conclusion
No evidence of differences between the two compared interventions was found.

Registration
Retrospective registration of this trial was conducted in ClinicalTrials.gov on September 30, 2016; trial registration number: NCT02920658.
https://clinicaltrials.gov/ct2/show/NCT02920658?term=NAVS&draw=2&rank=4.
Preconceito e discriminação: Um estudo sobre as principais vertentes da violência de gênero
Authors: Farias Athena de Albuquerque , Carvalho Maria das Graças de , Barroso Marianna Leite 
Published: April 2021

Resumo: Desde os períodos mais remotos, as desigualdades entre homens e mulheres e outras questões de gênero se fazem presentes, e por muito tempo nos fez acreditar que a mulher era inferior ao homem, motivo pelo qual só os homens exerciam a vida pública, com atividades intelectuais e políticas, já as mulheres eram responsáveis pela reprodução, criação dos filhos, cuidados com a casa e outras atividades relacionadas com a subsistência. Pessoas com outros gêneros eram vistas como adoecidas. Este artigo discute as questões de gênero, calcado na violência estabelecida à partir de paradigmas em que o homem é um gênero superior. O estudo concluiu que o preconceito e a discriminação são as principais causas da violência de gênero no país. E que são necessárias políticas públicas mais eficientes para resguardar os direitos humanos de ser, para que se torne possível a mitigação do preconceito e discriminação na sociedade.
Palavras-chave: Preconceito; Discriminação; Violência de gênero.
Proeminence of Theorization of Professional Development of the Mathematics Teacher in the Early Years
Authors: Purificação Marcelo Máximo , Amado Nélia Maria Pontes , Camilo Marcos Gomes , Pereira Vanessa Alves , Resende Arielly Silva 
Published: April 2021

Abstract: This text arises from the discussions established in the teacher training project for the pedagogical use of technologies in the practice of Mathematics in the early years, developed within the scope of the Pedagogy course at the Centro Universitário de Mineiros - UNIFIMES, the research group NEPEM and the Graduate Program in Teaching - (Doctorate) at the University of Vale do Taquari - UNIVATES. This is a qualitative review of the literature, based on the discussions of the authors used as references in the training course.
Keywords: Professional development. Mathematics teaching. Early Years.
Alternative Ways of Challenging and Resisting in Richard Rodriguez’s Darling: A Spiritual Autobiography
Authors: Ibarrola-Armendariz Aitor 
Published: April 2021

AbstractThere are several reasons why essayist Richard Rodriguez could be classified as a ‘minority’ writer; namely, his Mexican-American roots, his Catholic faith, and his self- declared homosexuality. However, readers who expect his writings to display the kind of attitudes and features that are common in works by other ‘minority’ authors are bound to be disappointed. The meditations that Rodriguez offers are far from clearly dividing the world between oppressors and oppressed or dominant and subaltern. As he sees it, ethnic, religious, class or sexual categories and divisions present further complications than those immediately apparent to the eye. Does this mean that Rodriguez fails to resist and challenge the dynamics he observes between different social groups? Or that his observations are complaisant rather than subversive? Not necessarily, since his essays are always a tribute to the possibilities of disagreement and defiance. My analysis of his latest collection of essays, Darling: A Spiritual Autobiography (2013), maps out and dissects the writing strategies that Rodriguez employs to generate dialogical forms of inquiry and resistance regarding such up-to-date topics as religious clashes (and commonalities), Gay rights (in relation to other Human Rights) or how public spaces are being re-imagined in this global, digital era.
Micro-arc Oxidation Coating Containing Phosphorus on Tantalum Substrates Prepared by Micro-arc Oxidation
Authors: Liu Da-chang , Ni Jin-ping , Ye Jun-Xing , Ni Xiao-Hui , Zhu Xing-Yuan , Zhang Zhi-Yong , Liu Ren-Bao , Zhao Quan-Ming 
Published: April 2021

Abstract
Tantalum has physical and chemical properties that are well suited for use in medical implants. However, a lack of bone induction prevents this biologically inert material from combining well with bone tissue. This study reports the successful preparation of a micro-arc oxidation (MAO) coating on tantalum in phosphate solution. The porous surface of the coating includes uniformly distributed craters. Its constituent elements are evenly dispersed. Tantalum is present in the coating as tantalum pentoxide. In vitro testing of the coating with MG63 osteoblasts showed it has good biocompatibility and can promote cellular adhesion and proliferation. MAO coating on tantalum represents a new and potentially useful method to improve the clinical applicability of tantalum.
PENGARUH PENERAPAN MODEL PBL TERINTEGRASI STEAM TERHADAP KEMAMPUAN BERPIKIR KREATIF DITINJAU DARI PEMAHAMAN KONSEP SISWA
Authors: Budiyono Agus , Husna Hotimatul , Wildani Arin 
Published: April 2021

THE EFFECT OF IMPLEMENTATION OF STEAM INTEGRATED PBL MODEL ON CREATIVE THINKING ABILITY JUDGED BY STUDENTS' UNDERSTANDING OF CONCEPTSAbstractThe ability to think creatively is a skill that can support students in 21st-century learning. This study aims to describe the effect of the application of the integrated PBL model and STEAM on the ability to think creatively in terms of students' conceptual understanding. The study used a pre-experimental method using one group pretest-posttest design, that is, only one experimental group without using a control group. The population was all class XI of SMAN 1 Pademawu with samples taken using cluster random sampling, namely only one class. Data were analyzed using two-way ANOVA. The result shows that there is a significant effect of the integrated PBL model and STEAM on high school students' creative thinking (Fhit = 177.189 α = 0.000 <α = 5%). Students 'high understanding of concepts has an impact on students' higher creative thinking abilities when compared to students who have low concept understanding (Fhit = 202,804 α = 0,000 <α = 5%). The interaction between the STEAM integrated PBL model and students 'understanding of the initial concept had a significant effect on students' creative thinking abilities, namely (Fhit = 5.406 α = 0,000 <α = 5%). AbstrakKemampuan berpikir kreatif menjadi kemampuan yang dapat menunjang siswa dalam pembelajaran abad 21. Penelitian ini bertujuan untuk mendeskripsikan pengaruh penerapan model PBL terintegrasi pendekatan STEAM terhadap kemampuan berpikir kreatif ditinjau dari pemahaman konsep siswa. Penelitian ini menggunakan metode pre-experiment dengan menggunakan desain one group pretest-posttest design yaitu hanya satu kelompok eksperimen dengan tanpa menggunakan kelompok kontrol. Populasinya adalah seluruh kelas XI SMAN 1 Pademawu dengan sampel diambil menggunakan cluster random sampling yakni hanya satu kelas saja. Data dianalisis menggunakan ANAVA Dua Jalur. Penelitian menunjukkan ada pengaruh yang siginifikan model PBL terintegrasi pendekatan STEAM terhadap berpikir kreatif siswa SMA (Fhit = 177.189 Pemahaman konsep siswa yang tinggi berdampak pada kemampuan berpikir kreatif siswa yang lebih tinggi pula jika dibandingkan dengan siswa yang memiliki pemahaman konsep rendah (Fhit = 202.804 . Interaksi antara model PBL terintegrasi STEAM dan pemahaman konsep awal siswa memberikan pengaruh yang signifikan terhadap kemampuan berpikir kreatif siswa yaitu sebesar (Fhit = 5.406 .
Intrapartum Group B Streptococcal Prophylaxis and Childhood Allergic Disorders
Authors: Dhudasia Miren B. , Spergel Jonathan M. , Puopolo Karen M. , Koebnick Corinna , Bryan Matthew , Grundmeier Robert W. , Gerber Jeffrey S. , Lorch Scott A. , Quarshie William O. , Zaoutis Theoklis , Mukhopadhyay Sagori 
Published: April 2021

OBJECTIVES:
To determine if maternal intrapartum group B Streptococcus (GBS) antibiotic prophylaxis is associated with increased risk of childhood asthma, eczema, food allergy, or allergic rhinitis.

METHODS:
Retrospective cohort study of 14 046 children. GBS prophylaxis was defined as administration of intravenous penicillin, ampicillin, cefazolin, clindamycin, or vancomycin to the mother, ≥4 hours before delivery. Composite primary outcome was asthma, eczema, or food allergy diagnosis within 5 years of age, identified by diagnosis codes and appropriate medication prescription. Allergic rhinitis was defined by using diagnostic codes only and analyzed as a separate outcome. Analysis was a priori stratified by delivery mode and conducted by using Cox proportional hazards model adjusted for multiple confounders and covariates. Secondary analyses, restricted to children retained in cohort at 5 years’ age, were conducted by using multivariate logistic regression.

RESULTS:
GBS prophylaxis was not associated with increased incidence of composite outcome among infants delivered vaginally (hazard ratio: 1.13, 95% confidence interval [CI]: 0.95–1.33) or by cesarean delivery (hazard ratio: 1.08, 95% CI: 0.88–1.32). At 5 years of age, among 10 404 children retained in the study, GBS prophylaxis was not associated with the composite outcome in vaginal (odds ratio: 1.21, 95% CI: 0.96–1.52) or cesarean delivery (odds ratio: 1.17, 95% CI: 0.88–1.56) cohorts. Outcomes of asthma, eczema, food allergy, separately, and allergic rhinitis were also not associated with GBS prophylaxis.

CONCLUSIONS:
Intrapartum GBS prophylaxis was not associated with subsequent diagnosis of asthma, eczema, food allergy, or allergic rhinitis in the first 5 years of age.
Eksistensi Anak Perempuan dalam Hukum Kewarisan Syiah
Authors: Rama Faby Toriqir 
Published: April 2021

This is a bibliographical research that discusses the justice of girls in Shi’ah inheritance system. The issue which is the subject of discussion is the position of female heirs, especially girls, who in Sunni inheritance system is not treated equally with other heirs, whether they are equal or not. Because in the Sunni inheritance system, male superiority is highly exalted. Between sons and daughters, even though they are equal in the eyes of the heir, still have an unbalanced power in veiling other heirs. Whereas in Shi’ah inheritance system, girls are positioned as equals to boys. They have the same hijab power. In addition, Presidential Instruction No. 1 of 1991 concerning Compilation of Islamic Law (KHI) also applies the principle of equality between girls and boys in terms of veiling other heirs. Nevertheless, KHI did not adopt the class system directly. However, it is explicitly stated in article 181 and article 182 that the existence of a daughter causes sibling, sibling with the same mothe or sibling with the same father does not receive part of the inheritance.
Tradisi Ngorek Pada Upacara Nyongkolan Perkawinan Adat Sasak Tanak Awu
Authors: Jamaludin Jamaludin , Sugitanata Arif 
Published: April 2021

This article discusses the tradition of ngorek at the nyongkolan ceremony in the traditional Sasak Tanak Awu marriage. The ngorek tradition is a tradition which is done in the afternoon when the nyongkolan event is taking place. At the time of the event, the groomsmen perform the tradition of chopping or stabbing one of his own limbs with a sharp weapon such as swords, kris and so on, so that sometimes these activities cause injuries to their limbs. The main focus of the study of this article is why the Sasak Tanak Awu people still practice the tradition of ngorek by using the concept of reasons for the emergence of legal practice in society which was initiated by Satjipto Raharjo, this paper finds that the factors of the Tanak Awu Village community in carrying out the Ngorek tradition are, first, to show off invulnerability, second, attracts girls and third, keeps tradition
Artikel ini membahas mengenai tradisi ngorek pada upacara nyongkolan dalam perkawinan adat Sasak Tanak Awu. Tradisi ngorek adalah sebuah tradisi dimana dilakukan pada sore hari ketika acara nyongkolan sedang berlangsung. Pada saat acara tersebut, laki-laki pengiring pengantin melakukan tradisi ngorek dengan cara membacok atau menusuk salah satu anggota badannya sendiri dengan keras menggunakan senjata tajam seperti pedang, keris dan lain sebagainya, sehingga terkadang kegiatan tersebut menyebabkan terjadinya luka-luka pada anggota badan merekaf. Fokus utama kajian artikel ini adalah mengapa masyarakat Sasak Tanak Awu masih melakukan tradisi ngorek dengan menggunakan konsep alasan munculnya praktek hukum dalam masyarakat yang digagas oleh Satjipto Raharjo, tulisan ini menemukan bahwa faktor-faktor masyarakat Desa Tanak Awu melakukan tradisi Ngorek adalah, pertama, untuk memamerkan ilmu kebalnya, kedua, menarik perhatian para gadis dan ketiga, menjaga tradisi.
Refusal Speech
Authors: Nhatuve Diocleciano 
Published: April 2021

This article aims to analyze the constitution of the refusal speech in Shona, English and Portuguese. For this purpose, data from 30 University students who speak the three languages as mother tongue, second and foreign language is analyzed. Based on the theories of speech acts and discourse analysis, the study adopts qualitative and quantitative approaches. The study reveals that, in order to lessen the negative impact of the refusal act, irrespective of the language and its social status, the constitution of the refusal speech, whether direct or indirect, consists of a combination of illocutionary refusal acts (main illocutionary act) with assertive and expressive illocutionary acts. These acts serve to minimizing the impact of the refusal act. Apologies, expressions of feelings and justificative phrases are some of the expressions mostly used to soften the refusal.
Eventos atrelados a Geosmina e 2-metilisoborneol (2-MIB) em Manancial de Abastecimento do Estado do Rio de Janeiro, Brasil: estudo de caso
Authors: Sotero-Martins Adriana , Carvajal Elvira , Santos José Augusto Albuquerque dos , Moura Priscila Gonçalves , Handam Natasha Berendonk , Kotowski-Filho Nelson Peixoto , Jardim Rodrigo 
Published: April 2021

Gostos e odores na água da torneira são problemas enfrentados por empresas produtoras de água em todo o mundo, com reclamações dos consumidores principalmente durante o verão, quando ocorrerem florações de cianobactérias produtoras dos compostos como geosmina e o 2-metilisoborneol (2-MIB). Foram analisados dados de intensidade do gosto e do odor, e concentração total das substâncias geosmina e 2-MIB, presente na água potável e na água bruta captada pela empresa de saneamento, que abastece a região metropolitana do estado do RJ/Brazil, durante crises hídricas do ano 2020, e no novo evento de 2021, a despeito dos alertas prévios feitos por especialistas. Foram realizadas análises estatísticas e de correlação dos dados públicos, e analise metagenômica da água bruta captada no manancial da Bacia do Guandu, no ano de 2020. Dados organolépticos permitiram sinalizar a presença desses compostos na água de consumo, os valores da intensidade do gosto estiveram maior número de vezes acima do VMP da legislação brasileira, sendo a média dos dados de 2020 de 37,5 e no ano seguinte esta média foi 5 vezes menor, indicando que as medidas para retirar dos compostos foram mais eficazes, mas não eliminaram o problema. Para o ano de 2020 houve correlação linear de 0,97 entre o padrão organoléptico gosto e a concentração total dos compostos. Os dados metagenômicos da água bruta do ano 2020, relacionados com os genes mtf, mic e glys indicaram que a substância responsável pelo gosto e odor foi o 2-MIB, visto o índice de reads para ele ter sido maior, tanto na primeira visita e único na segunda, quando ainda havia percepção de intensidade de gosto e odor. Modificações no sistema de vigilância da qualidade da água captada e de consumo precisam ser adotadas para contornar os problemas de proliferação de cianobactérias na bacia do Guandu, pois condições favoráveis às florações irão acontecer enquanto não forem resolvidos os problemas de saneamento dessa bacia hidrográfica.
Grupos de acogimiento: Sistematización de un modelo participativo para la formulación diagnóstica y terapéutica en un centro de salud mental comunitaria. Chorrillos-Perú, 2018.
Authors: Castillo-Martell Humberto , Carrasco-Montoya Nestor , Valdivia-Quintanilla Amalia , Zambrano-Leon Catiuska , Perez-Arce Laura , Pariona-Ruiz Elizabeth , Mendoza-Alberca Cintya , Caycho-Valle Alida , Caycho-Valle Alida 
Published: April 2021

Objetivo: Sistematizar el proceso de formulación de diagnósticos y planes de tratamiento en grupos participativos de profesionales y usuarios, denominados Grupos de Acogimiento, como alternativa al modelo convencional de consultas psiquiátricas individuales y secuenciales, en el ámbito de la salud mental comunitaria. Material y Métodos: El estudio se realizó en un centro de salud mental comunitaria (CSMC) de Lima durante el periodo enero-diciembre de 2018. Se siguió una metodología de investigación-acción en la que propuestas surgidas de la experiencia se implementaban para, luego, analizar críticamente sus resultados y ajustarlos sucesivamente hasta lograr un punto de estandarización o de consenso entre los participantes. Resultados: El modelo participativo se aplicó en 97% de los usuarios durante el periodo de observación y se llegó a la formulación de diagnósticos y planes de tratamiento durante la sesión del Grupo de Acogimiento, en el 85% de los pacientes. Las sesiones se estandarizaron en cuatro momentos concatenados y semi-estructurados: Presentación horizontal de participantes, comprensión empática mutua, exploración colectiva de causas, y decisiones terapéuticas compartidas. Conclusiones: El modelo participativo de Grupos de Acogimiento fue una alternativa viable y eficaz para la formulación inicial de diagnósticos y planes terapéuticos en el CSMC, con fases semiestructuradas convenientemente estandarizadas y replicables.