bluuebunny/crossref_metadata_2025_split huggingface dataset:
Existimos y resistimos: mujeres campesinas en el sur de la Amazonía Ecuatoriana, frente a los procesos de despojo del Proyecto de Megaminería San Carlos Panantza
Authors: Benavides Cevallos Jessica Yanira 
Published: March 2021

La mega minería en el Ecuador se fue imponiendo desde la década de los 90, en un principio durante gobiernos neoliberales, con incidencia directa de organismos multilaterales como el Banco Mundial, y en lo posterior apuntalada con fuerza en el gobierno de Rafael Correa, en el encuadre de la agenda neo-extractivista del Socialismo del Siglo XXI, que impulsó proyectos de minería de mediana y gran escala denominados emblemáticos y otros tantos a nivel de hidroenergía con la retórica de erradicación de la pobreza y recursos para el Buen Vivir.
Uno de los proyectos emblemáticos es San Carlos Panantza,, ubicado en el sur de la Amazonia en la provincia de Morona Santiago en los cantones San Juan Bosco y Limón Indanza, concesionado a la empresa china Explorcobres S.A perteneciente a Tonlingt Noun Ferrous Group, y que se encuentra en etapa de exploración avanzada.
El presente artículo analiza los conflictos e impactos psicosociales generados en las comunidades locales, y su incidencia diferencial en mujeres campesinas, debido a que, por los roles construidos históricamente por el patriarcado, en ellas recae los trabajos del cuidado. Se profundiza así mismo, en los itinerarios de acción colectiva que siguen para resistir contra la megaminería que atenta contra la naturaleza y por ende a sus medios de vida.
A psicanálise na desconstrução dos gatilhos para o transtorno de pânico
Authors: Ximenes Sara Maria de Brito Sousa , Barbosa Luís Carlos Lopes , Rodrigues Nájla Laísa Assunção , Sousa Marcos Roberto Nascimento , Rodrigues Nayla Letícia Assunção , Souza Maria Anasha Costa , Alves Suzana Pereira , Sampaio Glenda Machado de , Dias Kennedi Anderson Araújo , Andrade Luís Henrique Araújo , Melo Iasmim Escórcio de Brito , Silva Maria Eduarda Freire , Oliveira Suzana Myrlla Medeiros de , Gomes José Gabriel Fontenele , Silva Anne Heracléia de Brito e 
Published: March 2021

Dentre os distúrbios mentais que mais crescem na atualidade, pode-se citar e conceituar que o Transtorno de Pânico (TP) é um transtorno de ansiedade conhecido por seu impacto negativo na qualidade de vida (QV) dos pacientes, independentemente de outros fatores. Mediante o exposto, objetiva-se discorrer, à luz de evidências, como a Psicanálise pode ser utilizada para o Tratamento do Transtorno de Pânico, assim como identificar quais são os gatilhos responsáveis por desenvolver o transtorno mental em questão, e como os profissionais de saúde podem trabalhar ajudando nessa redução e remissão dos casos clínicos associados ao TP. As causas exatas da síndrome do pânico são desconhecidas, embora a Ciência acredite que um conjunto de fatores possa desencadear o desenvolvimento deste transtorno: situações extremas de estresse; crises financeiras; brigas; separações ou mortes na família; experiências traumáticas na infância ou depois de assaltos e sequestros; Realizou-se um estudo bibliográfico utilizando bases de dados eletrônicos Scielo e BVS, com intermédio dos descritores cadastrados em Ciência da Saúde-DeCS: Psicanálise, Transtorno de Pânico, Causas e Profissionais da Saúde. Consistindo de uma observação seletiva e interpretativa dos mesmos, extraindo pontos relevantes, a fim de atribuir a esta pesquisa uma condição explicativa. Assim, conclui-se que é necessário o treinamento dos profissionais de saúde para a abordagem de pessoas com TP. Ademais, deve-se aplicar à população medidas de como reconhecer o que desencadeia suas crises (quais os gatilhos), além de aumentar a presença dos psicólogos tanto hospitalares, quanto clínicos, por meio do NASF nas ESF, promovendo o atendimento biopsicossocial.
Assistência do enfermeiro na atenção primária à saúde para a covid-19: uma revisão integrativa
Authors: Silva Priscila Araujo Gonçalves da , Rodrigues Jacqueline Arcanjo , Oliveira Angela Paula de , Menezes José Rivaldo de Brito , Henrique Lilian Jessica Guaraná 
Published: March 2021

O presente estudo teve como objetivo identificar na literatura a assistência do enfermeiro para a Covid-19 na atenção primária. É uma revisão integrativa da literatura, de natureza descritiva, com abordagem qualitativa. Dados coletados entre os meses de janeiro a março de 2021, utilizando protocolo com base na estratégia PICO, sendo utilizados descritores controlados e palavras-chave, cruzados com operadores booleanos OR e AND, nas plataformas Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), The Scientific Electronic Library Online (SciELO), Base de dados em Enfermagem (BDENF), PUBMED e Google Scholar no período de 2009 a 2021. Os produtos finais foram 15 artigos e incluído quatro outros estudos, através de outras pesquisas livres e literatura cinzenta, que cumprissem os critérios de inclusão. Com este estudo observou-se que a assistência do profissional enfermeiro nas unidades de APS para a Covid-19 vai além da assistência ao indivíduo, pois, ao realizar suas ações e desenvolvê-las, acaba realizando a prevenção para o vírus no indivíduo, família ou comunidade. Desta forma, sua assistência se desenvolve na realização de ações clínicas/educativas e implementação da SAE, evitando assim, o aumento do número de casos de COVID-19 na comunidade.
Laser na implantodontia: revisão integrativa
Authors: Santos Ana Lethícia Leão , Novaes Raquel Cavalcanti Carvalho , Alves-Silva Esdras Gabriel , Melo Eloiza Leonardo de , Gerbi Marleny Elizabeth Márquez de Martínez , Bispo Mávio Eduardo Azevedo , Sá Renata Araújo Gomes de , Menezes Maria Regina Almeida de 
Published: March 2021

No pós-operatório de um implante dental, o paciente pode experimentar vários sintomas de inflamação, tais como: inchaço, dor ao mastigar, sangramento e a formação de pus na área do implante. Nesse contexto, o uso do laser na implantodontia é um processo que busca melhoria na técnica de implante dentário, promovendo uma osseointegração mais efetiva do implante devido ao seu poder bioestimulante, acelerando, assim, a cicatrização. O objetivo deste trabalho foi realizar uma revisão integrativa da literatura atual sobre o uso de laser na implantodontia, destacando benefícios, limitações, desafios, relevâncias e impactos para saúde bucal e para sociedade. Como o uso do laser auxilia o processo de osseointegração na implantodontia? A revisão integrativa da literatura foi realizada por meio de uma busca de artigos científicos nas bases de dados eletrônica PubMed, Lilacs e Scopus utilizando-se dos descritores: “dental implant”, “low level laser therapy” e “osseointegration”, indexados no período de 2016 a 2020 que tratavam de clinical trial, review, systematic review, meta-analysis e randomized controlled e foram excluídos artigos de books and documents, confere paper, book chapter e editoriais. Após os critérios de elegibilidade foram analisados 15 (quinze) artigos integralmente publicados em Língua Inglesa. Os estudos mostraram que o uso do laser de baixa potência auxilia na implantodontia no que se refere a osseointegração do implante, diminuindo o período de pós-operatório, dor e risco de inflamação devido ao seu poder bioestimulante, analgésico e anti-inflamatório. Essa eficácia deriva de um aumento na proliferação epitelial e de fibroblasto, de um estímulo da síntese de colágeno, da atividade fagocítica e da indução de endorfina. Contudo, ainda não existem estudos de casos suficientes, principalmente em humanos, para que se comprove de fato que a utilização do laser auxilie no processo de integração osso-implante que é chamado de ósseointegração, entretanto, nota-se, que essa técnica se mostra promissora para a área da odontologia.
Percepção de Educação Ambiental nas escolas e a ideia de bem viver
Authors: Cunha Marlanda Patrícia Caure da , Bianchi Cleusa Adriane Menegassi , Cenci Daniel Rubens 
Published: March 2021

A educação ambiental desenvolvida a partir de objetivos básicos, visando alcançar o bem viver, possibilita a construção de uma sociedade mais responsável e preparada para lidar com adversidades existentes tanto na área econômica, social e ambiental. Desse modo, através de pesquisas bibliográficas em artigos científicos e literaturas referentes ao presente tema, serão relatadas algumas ações socioeducativas desenvolvidas no ambiente escolar, com o objetivo de identificar e apresentar possíveis soluções para os atuais problemas presentes na sociedade. Do mesmo modo, pretende-se que este estudo sirva de parâmetro para o surgimento de novas ideias e ações inovadoras referentes à educação ambiental nas escolas. A pesquisa contempla o método de investigação descritivo, bibliográfico, explicativo, bem como, será feita uma abordagem metodológica qualitativa, com a finalidade de identificar no contexto do ambiente escolar a efetivação da proposta de bem viver, como um meio de articulação e discussão, capaz de promover a sustentabilidade a partir de uma educação ambiental de qualidade nas escolas.
PENCIPTAAN PRESTASI AKADEMIK MAHASISWA DI ERA PANDEMIC COVID-19 YANG DI BENTUK OLEH GAYA MENGAJAR DOSEN DAN DI INTERVENSI OLEH MOTIVASI BELAJAR
Authors: Novesar Muhammad Refki 
Published: March 2021

Era pandemic covid-19, mengharuskan setiap aktivitas untuk dilaksanakan di rumah, dan tidak bertemu secara langsung ataupun berkumpul, dengan adanya kebijakan demikian, menjadikan kesulitan untuk komunikasi antara dosen dan mahasiswa, dan menjadi sebuah tantangan baru dalam melakukan aktivitas belajar mengajar, dimana adanya gaya mengajar yang berbeda untuk menarik minat mahasiswa untuk belajar. penelitian ini menguji bagaimana gaya mengajar yang digunakan oleh dosen, dalam menciptakan prestasi akademik mahasiswa, yang di intervensi oleh motivasi belajar mahasiswa, dengan object penelitian adalah mahasiswa aktif yang merasakan pembelajaran online.Dengan menggunakan alat uji path analysis didapatkan hasil bahwasannya gaya mengajar dosen, di era pandemic ini akan memberikan masukan dan pengaruh dalam penciptaan hasil belajar mahasiswa, terlebih lagi dengan adanya motivasi belajar, hal ini terbukti dengan hasil signifikansi dari setiap pengaruh yang kecil dari 0.05 yang menunjukan hasil signifikan dan juga dari hasil koefisien jalur, dengan adanya motivasi belajar memberikan pengaruh lebih besar dalam meningkatkan prestasi akademik mahasiswa. Dengan meningkatkan motivasi belajar mahasiswa, dan peningkatan gaya mengajar dosen akan memberikan hasil yang lebih baik terhadap prestasi mahasiswa.
PENGARUH SIKAP TERHADAP PERILAKU PELARIS BISNIS YANG DIMEDIASI OLEH TINGAT RELIGIUSITAS (Studi Empirik Pada UMKM Di Cempaka Putih )
Authors: Marhamah Siti , Muslikh Muslikh , Annisa Intan Tri 
Published: March 2021

Penelitian ini bertujuan untuk mengetahui pengaruh sikap dan tingkat religiusitas terhadap perilaku pelaris bisnis.. Selain itu untuk mengetahui apakah tingkat religiusitas memediasi pengaruh sikap terhadap perilaku pelaris bisnis. Populasi pada penelitian ini adalah pelaku UMKM JP 41 dan JP-42 di Cempaka Putih yang berjumlah 91 orang. Penelitian dilakukan dengan metode survey menggunakan kuesioner kepada 48 pelaku UMKM. Analisis data dengan menggunakan path analysis. Hasil penelitian menunjukkan bahwa sikap berpengaruh positif dan signifikan terhadap tingkat religiusitas dan perilaku pelaris bisnis. Tingkat religiusitas berpengaruh positif dan signifikan terhadap perilaku pelaris bisnis. Hasil penelitian juga menunjukkan bahwa tingkat religiusitas memediasi pengaruh negatif sikap terhadap perilaku pelaris bisnis
HUBUNGAN TINGKAT PENDIDIKAN DAN SIKAP BIDAN TENTANG PRINSIP KEWASPADAAN UNIVERSAL DENGAN PELAKSANAAN PERTOLONGAN PERSALINAN Di PUSKESMAS RAWATAN Di KOTA PADANG TAHUN 2011
Authors: Septina Selly , Sulin Djusar , Agus Zulkarnaen 
Published: March 2021

Background and objectives Maternal Mortality Rate is one of health indicators as well as of fulfillment of women’s reproductive rights and quality of health services in general. One of the most effective way to reduce is the improvement of the delivery assistance. This study was aimed to learn the level of knowledge and attitude of midviwes about the principles of universal precautions in the implementation ofdeliveryassistance.Materials and Methods Cross sectional analytic approach was applied . Seven health care centers were selected. Manuscript annotation and approval and questionnaires were used for data collection. Subjects were 65 midviwes who helped the delivery of the particular health centers that met the inclusion criteria. Results Majority of midwives involved in this study were between 30-39 years of age with the highest education level was ? diploma D3 (83.1%) and average of 0-9 years of employment (33.8%). In terms of knowledge and attitude, 55.4% and 53.89% subjects showed good knowledge and positive attitude respectively, but a total of 70.7% subjects both possessed good knowledge and positive attitude. Significant correlation was observed between knowledge and professional practice (p value 0.005, p less than 0.05).In whom midwives with higher education performed 7.4 times better attitude. Training also showed significant correlation (p value 0.024) in which the trained midwives on normal delivery care performed 124.3 times better. Conclusion Significant correlation was observed between midwives’ knowledge and professional practice and the principles of universal precautions implementation. There was no significant correlation between attitude and their delivery care and the implementation of principles of universal precautions. Significant correlation was clear between midwives’s education and attitudes, in whom midwives with higher education showed 7.4 times better attitude than those with just adequate education. The trained midwives on normal delivery care performed 124.3 times better than their non-trained counterparts.
Cholesterol Accumulation as a Driver of Hepatic Inflammation Under Translational Dietary Conditions Can Be Attenuated by a Multicomponent Medicine
Authors: Mueller Andrea M. , Kleemann Robert , Gart Eveline , van Duyvenvoorde Wim , Verschuren Lars , Caspers Martien , Menke Aswin , Krömmelbein Natascha , Salic Kanita , Burmeister Yvonne , Seilheimer Bernd , Morrison Martine C. 
Published: March 2021

BackgroundNon-alcoholic fatty liver disease (NAFLD) is a complex multifactorial disorder that is characterised by dysfunctional lipid metabolism and cholesterol homeostasis, and a related chronic inflammatory response. NAFLD has become the most common cause of chronic liver disease in many countries, and its prevalence continues to rise in parallel with increasing rates of obesity. Here, we evaluated the putative NAFLD-attenuating effects of a multicomponent medicine consisting of 24 natural ingredients: Hepar compositum (HC-24).MethodsLdlr-/-.Leiden mice were fed a high-fat diet (HFD) with a macronutrient composition and cholesterol content comparable to human diets for 24 weeks to induce obesity-associated metabolic dysfunction, including hepatic steatosis and inflammation. HC-24 or vehicle control was administered intraperitoneally 3 times/week (1.5 ml/kg) for the last 18 weeks of the study. Histological analyses of liver and adipose tissue were combined with extensive hepatic transcriptomics analysis. Transcriptomics results were further substantiated with ELISA, immunohistochemical and liver lipid analyses.ResultsHFD feeding induced obesity and metabolic dysfunction including adipose tissue inflammation and increased gut permeability. In the liver, HFD-feeding resulted in a disturbance of cholesterol homeostasis and an associated inflammatory response. HC-24 did not affect body weight, metabolic risk factors, adipose tissue inflammation or gut permeability. While HC-24 did not alter total liver steatosis, there was a pronounced reduction in lobular inflammation in HC-24-treated animals, which was associated with modulation of genes and proteins involved in inflammation (e.g., neutrophil chemokine Cxcl1) and cholesterol homeostasis (i.e., predicted effect on ‘cholesterol’ as an upstream regulator, based on gene expression changes associated with cholesterol handling). These effects were confirmed by CXCL1 ELISA, immunohistochemical staining of neutrophils and biochemical analysis of hepatic free cholesterol content. Intrahepatic free cholesterol levels were found to correlate significantly with the number of inflammatory aggregates in the liver, thereby providing a potential rationale for the observed anti-inflammatory effects of HC-24.ConclusionsFree cholesterol accumulates in the liver of Ldlr-/-.Leiden mice under physiologically translational dietary conditions, and this is associated with the development of hepatic inflammation. The multicomponent medicine HC-24 reduces accumulation of free cholesterol and has molecular and cellular anti-inflammatory effects in the liver.
Ovarian Reserve Markers in Premature Ovarian Insufficiency: Within Different Clinical Stages and Different Etiologies
Authors: Jiao Xue , Meng Tingting , Zhai Yiwei , Zhao Lijuan , Luo Wei , Liu Peihao , Qin Yingying 
Published: March 2021

ObjectiveTo characterize the ovarian reserve indicators for premature ovarian insufficiency (POI) at different disease stages and with various etiologies.MethodsAccording to different FSH levels and menstrual conditions, patients with normal ovarian reserve (NOR with 5 IU/L&lt;FSH&lt;10 IU/L, n=987), precursor stage of POI (pre-POI with 10 IU/L&lt;FSH ≤ 25 IU/L, n=410), early POI (25 IU/L&lt;FSH ≤ 40 IU/L n=147), and premature ovarian failure (POF with FSH&gt;40 IU/L, n=454) were retrospectively screened and their records were abstracted from Reproductive Hospital Affiliated to Shandong University between 2014 and 2019. Based on the known etiologies, POI patients were subdivided into genetic, iatrogenic, autoimmune and idiopathic subsets according to the known etiologies. The phenotypic features were compared within different subgroups, and the predictive value of ovarian reserve markers was analyzed.ResultsThe ovarian reserve indicators consecutively deteriorated with the progress of ovarian insufficiency, indicated as an increase of FSH and LH but decrease of AMH, inhibin B, AFC, E2 and T (P&lt;0.01). Most of them changed significantly from NOR to pre-POI while remained relatively stable at a low level or even undetectable at early POI and POF stage. AMH showed the highest predictive value for pre-POI (AUC 0.932, 95% CI 0.918-0.945) and POI (AUC 0.944, 95% CI 0.933-0.954), and the combination of AMH and AFC was highly promising for early prediction. Additionally, significant differences existed in AMH, inhibin B and AFC among women with different etiologies of POI (P&lt;0.05), and the genetic POI presented the worst hormone status.ConclusionsOur study indicated a high heterogeneity of POI in both endocrine hormones and etiological phenotypes. The quantitative changes and cutoff values of AMH and AFC could provide new insights in the prediction and early diagnosis of POI.
Causal Linkage Between Inflammatory Bowel Disease and Primary Sclerosing Cholangitis: A Two-Sample Mendelian Randomization Analysis
Authors: Xie Ying , Chen Xuejie , Deng Minzi , Sun Yuhao , Wang Xiaoyan , Chen Jie , Yuan Changzheng , Hesketh Therese 
Published: March 2021

BackgroundObservational studies suggest an association between inflammatory bowel disease (IBD) [including ulcerative colitis (UC) and Crohn’s disease (CD)] and Primary sclerosing cholangitis (PSC), but the causal association between the two diseases remains unclear.MethodsWe used two-sample Mendelian randomization (MR) to estimate the causal association between IBD and PSC. We chose single nucleotide polymorphisms (SNPs) data for analysis, obtained from previous genome-wide association studies (GWASs). Pleiotropy, heterogeneity, and sensitivity analyses were performed for quality control.ResultsWe found that the causal associations between IBD (both UC and CD) and PSC were significant (e.g., IBD and PSC, Robust adjusted profile score (RAPS) OR = 1.29, 95% CI 1.16∼1.44,p&lt; 0.01; UC and PSC, RAPS OR = 1.40, 95% CI 1.23∼1.58,p&lt; 0.01; CD and PSC, RAPS OR = 1.13, 95% CI 1.02∼1.26,p= 0.02). MR Egger, IVW, and ML tests found statistical heterogeneity between determined IV estimates. The leave-one-out analysis also indicated the sensitivity of the SNPs (e.g., IBD and PSC, MR-Egger Q = 644.30,p&lt; 0.01; UC and PSC, MR-Egger Q = 378.30,p&lt; 0.01; UC and PSC, MR-Egger Q = 538.50,p&lt; 0.01).ConclusionMR analyses support the positive causal effect of IBD (including UC and CD) on PSC in a European population. We provide suggestions for preventing and treating the two diseases.
Association Between Air Pollution and the Risk of Uveitis: A Nationwide, Population-Based Cohort Study
Authors: Bai Yi-Chiao , Wang Cheng-You , Lin Cheng-Li , Lai Jung-Nien , Wei James Cheng-Chung 
Published: March 2021

Previous studies have revealed an association between ocular surface disorders and air pollution, few studies have focused on the risk of uveitis. We aimed to investigate whether air pollution increases the risk of uveitis. We used the Taiwan Longitudinal Health Insurance Database (LHID) and the Taiwan Air Quality Monitoring Database (TAQMD) to conduct a retrospective cohort study. Air pollutant concentrations, including those of carbon dioxide (CO2), were grouped into four levels according to quartiles. The outcome was the incidence of uveitis, as defined in the International Classification of Diseases, Ninth Revision. We used univariable and multivariable Cox proportional hazard regression models to calculate the adjusted hazard ratios (aHRs) and determine the potential risk factors of uveitis. Overall, 175,489 subjects were linked to their nearby air quality monitoring stations. We found that for carbon monoxide, the aHRs of uveitis risk for the Q3 and Q4 levels were 1.41 (95% confidence interval (CI) = 1.23–1.61) and 2.19 (95% CI = 1.93–2.47), respectively, in comparison with those for the Q1 level. For nitric oxide, the aHRs for the Q3 and Q4 levels were 1.46 (95% CI = 1.27–1.67) and 2.05 (95% CI = 1.81–2.32), respectively. For nitrogen oxide (NOx), the aHRs for the Q2, Q3, and Q4 levels were 1.27 (95% CI = 1.11–1.44), 1.34 (95% CI = 1.16–1.53), and 1.85 (95% CI = 1.63–2.09), respectively. For total hydrocarbon (THC), the aHRs for the Q2, Q3, and Q4 levels were 1.42 (95% CI = 1.15–1.75), 3.80 (95% CI = 3.16–4.57), and 5.02 (95% CI = 4.19–6.02), respectively. For methane (CH4), the aHRs for the Q3 and Q4 levels were 1.94 (95% CI = 1.60–2.34) and 7.14 (95% CI = 6.01–8.48), respectively. In conclusion, air pollution was significantly associated with incidental uveitis, especially at high THC and CH4 levels. Furthermore, the uveitis risk appeared to increase with increasing NOx and THC levels.