bluuebunny/crossref_metadata_2025_split huggingface dataset:
University Extension in Dispute: Neoliberal Counterreform and Alternatives in Latin American Universities
Authors: Menoni José Agustín Cano 
Published: April 2021

The neoliberal university project contains a program aimed at terminating the critical traditions of Latin American university extension. The program combines two models introduced as the legitimate and dominant orientations of the current university-society relationship: linkage and university social responsibility. At the same time, alternatives of great academic and political power for university extension on the continent include integration of critical education into the curriculum, partnerships with social movements, popular cooperative enterprises, holistic programs, and repoliticization of the polis. El proyecto universitario neoliberal contiene un programa destinado a poner fin a las tradiciones críticas de la extensión universitaria latinoamericana. El programa combina dos modelos que se presentan como las orientaciones legítimas y dominantes de la actual relación entre el espacio universitario y la sociedad: vinculación y responsabilidad social universitaria. Al mismo tiempo, las alternativas de gran poder académico y político para la extensión universitaria en el continente incluyen la integración de la educación crítica en el currículo, asociaciones con movimientos sociales, empresas cooperativas populares, programas holísticos y una repoliticización de la polis.
What is Sumak Kawsay? A Qualitative Study in the Ecuadorian Amazon
Authors: Coral-Guerrero Carmen Amelia , García-Quero Fernando , Guardiola Jorge 
Published: April 2021

A qualitative study of the main characteristics of sumak kawsay ( buen vivir, living well/good life) in the Ecuadorian Amazon shows that it has four constitutive elements of which a multitude of interpretations coexist: an indigenous and nature-focused worldview, community, an economy based on solidarity, and ancestral knowledge. Understandings of sumak kawsay are rooted in the practices and beliefs of the communities interviewed rather than in theoretical constructions of idyllic community forms, and in this connection differences can be observed between the academic “indigenist” view of it and local discourses. Una aproximación cualitativa a las características principales del sumak kawsay ( buen vivir, living well/good life) en la Amazonía ecuatoriana muestran la existencia de cuatro elementos constitutivos del sumak kawsay en los que colindan multitud de interpretaciones: cosmovisión indígena y naturaleza, comunidad, economía solidaria, y conocimiento ancestral. Las comprensiones del sumak kawsay enraízan con prácticas y creencias de las personas y no con construcciones teóricas de formas comunitarias idílicas, y al respecto, apreciamos diferencias entre la visión académica “indigenista” del sumak kawsay y los discursos locales.
¿La minería para el buen vivir? Large-scale Mining, Citizenship, and Development in Correa’s Ecuador
Authors: van Teijlingen Karolien , Fernández-Salvador Consuelo 
Published: April 2021

Through a persuasive discourse on well-being and citizen “participation,” Ecuador Estratégico, a government agency tasked with implementing buen vivir (good living) in regions of resource extraction, plays a pivotal role in justifying and legitimizing resource extraction locally. An examination of the practices and discourses of this state institution and of the responses of community members and the ways they negotiate citizenship in the context of mining-based development calls into question the mobilization of buen vivir to govern local populations and push for a controversial mining project. These political strategies were key for the onset of large-scale mining under former president Correa, the effects of which may endure for decades. A través de un discurso persuasivo sobre el bienestar y la “participación” ciudadana, Ecuador Estratégico, un organismo gubernamental encargado de implementar el “buen vivir” en las regiones sujetas a extracción de recursos, desempeña un papel fundamental en la justificación y legitimación de dicha extracción a nivel local. Un análisis de las prácticas y discursos de esta institución estatal, las respuestas de los miembros de la comunidad y las formas en que negocian la ciudadanía en el contexto de un desarrollo basado en la minería pone en entredicho el uso del buen vivir como herramienta para gobernar a las poblaciones locales e impulsar un polémico proyecto minero. Estas estrategias políticas jugaron un papel clave para el inicio de la minería a gran escala bajo el ex-presidente Correa; sus efectos han de perdurar durante décadas.
Buen vivir as an Alternative Development Model: Ecuador’s Bumpy Road toward a Postextractivist Society
Authors: Forero Jorge Enrique 
Published: April 2021

The Rafael Correa administration, usually characterized as “neo-extractivist,” did in fact propose an alternative development model that, under a particular understanding of the notion of buen vivir, aimed to overcome the country’s economic dependence on extractive activities through its gradual replacement by a knowledge-intensive economic sector. An examination of this model, some of the main policies implemented in order to configure it, and the main obstacles encountered in the process confirms the classic intuition of so-called dependency theory: that the ability of peripheral countries to overcome their reliance on commodities exports is constrained by economic and institutional mechanisms that limit their room for maneuver. La administración de Rafael Correa, generalmente caracterizada como “neoextractivista”, propuso un modelo de desarrollo alternativo que, bajo un entendimiento particular de la noción del buen vivir, tenía como objetivo superar la dependencia económica del país de las actividades extractivas a través de una sustitución gradual por un sector económico intensivo en conocimiento. Un análisis de este modelo, algunas de las principales políticas implementadas para configurarlo, y los principales obstáculos encontrados en el proceso confirman la clásica intuición de la llamada teoría de la dependencia: que la capacidad de los países periféricos para superar su dependencia de las exportaciones de productos básicos está limitada por mecanismos económicos e institucionales que limitan el margen de maniobra.
Buen vivir (Good Living): A “Glocal” Genealogy of a Latin American Utopia for the World
Authors: Beling Adrián E. , Cubillo-Guevara Ana Patricia , Vanhulst Julien , Hidalgo-Capitán Antonio Luis 
Published: April 2021

Buen vivir (good living) discourse emerged at the turn of the century in the context of global political contestation around the prevailing development model at the intersection of multiple actors, discourses, and struggles. A genealogical reconstruction of this discourse disputes the ethnocentric character often attributed to it outside Latin America as an allegedly indigenous discursive product. Instead, buen vivir is a prime example of “glocal” discursive articulation in pursuit of alter- and postdevelopmentalist utopias—a cultural-political experiment that holds valuable lessons for global debates around alternative socio-ecological futures. El discurso del “buen vivir” surgió a principios de siglo en el contexto de la contienda política global en torno al modelo de desarrollo prevaleciente en la intersección de múltiples actores, discursos y luchas. Una reconstrucción genealógica de dicho discurso cuestiona el carácter etnocéntrico que a menudo se le atribuye fuera de América Latina, donde se le mira como un producto discursivo supuestamente indígena. Sin embargo, el buen vivir es un excelente ejemplo de articulación discursiva “glocal” en busca de utopías alter-y postdesarrollistas, un experimento cultural-político que puede brindar valiosas lecciones a los debates globales en torno a futuros socioecológicos alternativos.
Challenges of the Caregivers in Managing a Child with Autism Spectrum Disorder— A Qualitative Analysis
Authors: Tathgur Manmeet Kaur , Kang Harmeet Kaur 
Published: April 2021

Background: Autism spectrum disorder (ASD) is a complex neurological condition resulting in impaired social interaction and difficulty in understanding verbal and nonverbal communication. Caring for children with ASDs is challenging for both children and their caregivers. The child suffering from ASD starts to show the developmental outcome during early 2.5–3 years and continues thereafter till the child turns to an adult. Many caregivers face severe financial crises, high out-of-pocket healthcare expenses, and unemployment. Previous studies have reported a plethora of psychosocial problems affecting caregivers of children with ASD, ranging from stress, depression, anxiety, restrictions of activities, strain in marital relationships, and diminished physical health. Objective: This article aims to explore the concerns of the caregivers of children suffering from ASD. Aggregate themes were prepared based upon Corley and Gioia’s method of data structuring. Methods: After development and validation of an interview schedule, verbatim of seven caregivers of children with ASD were imported on the Atlas.ti version 8. Initial coding and final coding were followed by extracting the aggregate themes. Lincoln and Guba’s framework was used to assess the quality criteria as a part of qualitative analysis. Results: Caregivers face various challenges while caring for a child with ASD, with a negative impact on physical health, psychological well-being, societal reactions, and financial balance. Caregivers reported concerns related to service availability for ASD, poorly coping with the diagnostics, and disease processes. Conclusions: Caregivers undergo a lot of problems while taking care of a child with ASD. Health professionals must have an understanding of these problems and must provide the education and information for a better management. Furthermore, the findings of this study have policy implications for the health authorities for providing better health services to children diagnosed with ASD.
Validation of an Ultrashort Screening Tool for Specific Learning Disorder Among School-Going Children.
Authors: Chacko Deenu , Karunakaran Vidhukumar , Rajan Jeevan Chakkadan 
Published: April 2021

Background: Specific learning disorder (SLD) is a neurodevelopmental disorder characterized by impairment in reading, written expression, and arithmetic. It can be identified during early school days itself. There is a lack of a screening tool for SLD that is properly validated and easy to administer. This study is an attempt to validate an ultrashort tool for screening SLD. Methods: This cross-sectional study was done at Government Medical College Ernakulam, South India. Children aged 6–16 years attending Psychiatry Outpatient Department were recruited by consecutive sampling. The self-administered screening tool, known as Ernakulam Learning Disorder (ELD) tool, was given twice within a gap of 2 months, and the results were compared with the clinical diagnosis, which was taken as the gold standard. The sensitivity, specificity, positive predictive value, negative predictive value, and kappa of the screening tool were calculated. Results: The sample consisted of children aged 8–16 years. The sensitivity and specificity of the tool were found to be 98.2 (95% confidence interval [CI] = 90.4–100) and 87.5 (CI = 76.8–94.4), respectively. The positive predictive value was 87.3 (CI = 76.5–94.4) and the negative predictive value was 98.2 (CI = 90.6–100). The kappa value was 0.96 (CI = 0.92–1.01). Conclusions: ELD tool seems highly useful as a screening instrument for detecting SLD; it is simple, easy to remember, and easy to administer.
How will the way we live look different in the wake of the COVID-19 pandemic? A nutrition survey in Greece
Authors: Panagiotakos Demosthenes , Kosti Rena I. , Pitsavos Christos 
Published: April 2021

Background: As we move towards a post-pandemic society, a question arises: How will the way we live look different in the wake of the COVID-19 pandemic? Aim: The aim of this survey was to evaluate changes in eating habits and other lifestyle behaviours (i.e., exercise and smoking) of people of almost all ages, who live in Greece, during the COVID-19 pandemic. Methods: A web-based survey using conventional sampling was conducted from during December 2020, in Greece. A total of 2258 individuals, aged 17 years and older voluntarily participated (912 (40%) men). Results: 89 (3.94%) of the participants reported that they had, or currently have been diagnosed with COVID-19. Moreover, 36.4% of the participants reported that they have changed their dietary habits during the pandemic towards a healthier diet – those participants had median age of 35 years, were of both sexes, 17% had co-morbidities and 69% with higher education level; moreover, 19% of those participants have started or increased the frequency of receiving dietary supplements that enhance the immune system, 34% of the participants reported that they gained weight during the pandemic period, whereas 19.8% reported that they have lost weight, and 37% of the participants reported that they have started or increased, as compared to the pre-pandemic time, their frequency of physical activities. Conclusions: The COVID-19_pandemic seems to have forced people to discover again habits and traditions towards a more natural and healthier way of living. Long-term consequences and the evolution of these lifestyle changes after the COVID-19 pandemic have to be evaluated relevant to their implications in public health.
Perceptions of interpersonal complementarity in late-middle-aged and older adults: The role of interpersonal traits and social context within an intensive ecological momentary assessment framework
Authors: Liu Huiying , Chen Beizhuo , Wang Yuyin , Lou Vivian W. Q. 
Published: April 2021

Objectives: Guided by interpersonal theory, this study examined the links between everyday perceptions of interpersonal dynamics, trait-level interpersonal styles, and time-varying social contexts (i.e., with spouses, family, non-family) as they unfold in older people’s everyday life. Method: A sample of 78 late-middle-aged and older adults completed 2,739 reports of their social interactions over a one-week period (average 5.02 per day, SD = 2.95). For each report, participants recorded their perceptions of their own agentic and communal behavior, as well as that of their partner. Results: Results from multilevel modeling revealed that the complementarity in agentic behaviors was stronger when people were interacting with spouses and family members, whereas such contextual differences were not found to influence the degree of communal complementarity. Individuals with higher level trait agency tended to view their partner as more agentic across interactions with different social partners. Individuals with higher level trait communion tended to view their partner as more communal during interactions; this tendency was more pronounced when interacting with non-family members. Conclusions: The differing degrees of perceived complementarity along the dimensions of agency and communion should be understood through varying social contexts. Participants’ trait interpersonal styles tended to affect how they viewed the agentic and communal behaviors of others.
Web and mobile-based symptom management interventions for physical symptoms of people with advanced cancer: A systematic review and meta-analysis
Authors: Saeidzadeh Seyedehtanaz , Kamalumpundi Vijayvardhan , Chi Nai-Ching , Nair Rajeshwari , Gilbertson-White Stephanie 
Published: April 2021

Background: Symptom management is a critical aspect of comprehensive palliative care for people with advanced cancer. Web and mobile-based applications are promising e-Health modalities that can facilitate timely access to symptom management interventions for this population Aim: To evaluate the efficacy of web and mobile-based symptom management interventions in alleviating physical symptom burden in people with advanced cancer. Design: A systematic review and meta-analysis was conducted. PROSPERO ID = CRD42020155295. Data sources: We searched databases including PubMed, PsycINFO, and CINAHL from 1991 until 2019. Inclusion criteria were: adults with advanced cancer, web or mobile-based interventions targeting symptom management, and report of physical symptom data. Risk of bias was assessed using the ROBINS-I and RoB2. Using RevMan, standardized mean difference (SMD) and 95% confidence intervals were calculated. Heterogeneity was assessed using the I2 statistic. An assessment of interventions was conducted by evaluating the delivery mode, duration, and evaluation of application feature and theoretical elements. Results: A total of 19 studies are included in the systematic review and 18 in the meta-analysis. Majority of the studies were deemed to have high risk of bias. Most of the interventions used a web-application for delivering their education ( n = 17). While the interventions varied regarding duration and content, they were mainly guided by a symptom management theory. Web and mobile-based interventions significantly improved the overall physical symptom burden (SMD = −0.18; 95% CI = −0.28 to −0.09; I2 = 0%; p = 0.0002). Conclusions: Web and mobile-based intervention are efficacious in decreasing the overall physical symptom burden in people with advanced cancer.
MicroRNA-1297 suppressed the Akt/GSK3β signaling pathway and stimulated neural apoptosis in an in vivo sevoflurane exposure model
Authors: Wang Quan , Luo Jingcong , Sun Ruiqiang , Liu Jia 
Published: April 2021

Objective Common inhalation anesthetics used for clinical anesthesia (such as sevoflurane) may induce nerve cell apoptosis during central nervous system development. Furthermore, anesthetics can produce cognitive impairments, such as learning and memory impairments, that continue into adulthood. However, the precise mechanism remains largely undefined. We aimed to determine the function of microRNA-1297 (miR-1297) in sevoflurane-induced neurotoxicity. Methods Reverse transcription-polymerase chain reaction assays were used to analyze miR-1297 expression in sevoflurane-exposed mice. MTT and lactate dehydrogenase (LDH) assays were used to measure cell growth, and neuronal apoptosis was analyzed using flow cytometry. Western blot analyses were used to measure PTEN, PI3K, Akt, and GSK3β protein expression. Results In sevoflurane-exposed mice, miR-1297 expression was up-regulated compared with the control group. MiR-1297 up-regulation led to neuronal apoptosis, inhibition of cell proliferation, and increased LDH activity in the in vitro model of sevoflurane exposure. MiR-1297 up-regulation also suppressed the Akt/GSK3β signaling pathway and induced PTEN protein expression in the in vitro model. PTEN inhibition (VO-Ohpic trihydrate) reduced PTEN protein expression and decreased the effects of miR-1297 down-regulation on neuronal apoptosis in the in vitro model. Conclusion Collectively, the results indicated that miR-1297 stimulates sevoflurane-induced neurotoxicity via the Akt/GSK3β signaling pathway by regulating PTEN expression.
Poor Validity of Functional Performance Tests to Predict Knee Injury in Female Soccer Players With or Without Anterior Cruciate Ligament Reconstruction
Authors: Fältström Anne , Hägglund Martin , Hedevik Henrik , Kvist Joanna 
Published: April 2021

Background: Various tests have been developed to evaluate athletes’ functional performance and for use as screening tools for injury prediction. Further validation of their accuracy to predict injury is needed. Purpose: To investigate the validity of predetermined cutoffs used to differentiate between high- and low-risk players in different functional performance tests to predict (1) anterior cruciate ligament (ACL) injury or (2) severe traumatic knee injury in a cohort of female soccer players with a primary unilateral ACL reconstruction and a cohort of knee-healthy players. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 117 active female soccer players (mean age ± SD, 20 ± 2 years) an average of 19 ± 9 months after ACL reconstruction and 119 knee-healthy players (age, 19 ± 3 years) were prospectively followed up for 2 years for new knee injuries. At baseline, all players underwent tests to assess postural control (Star Excursion Balance Test), hop performance (single-leg hop for distance, side hop), and movement asymmetries in the lower limbs and trunk (drop vertical jump [DVJ], tuck jump). The predictive validity of the test cutoffs to identify players who would sustain an ACL injury or a severe traumatic knee injury (absence from soccer play, >28 days) was assessed. The risk ratio (RR), area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were calculated. Results: A total of 46 players (39%) with ACL reconstruction sustained 48 severe knee injuries, including 28 ACL ruptures. Of the knee-healthy players, 13 (11%) sustained 14 severe knee injuries, including 8 ACL ruptures. No association was found between the predetermined functional performance test cutoffs and the risk of a new ACL injury or severe knee injury in players with ACL reconstruction. In knee-healthy players, the only variable associated with future ACL injury was ≥6.5 cm knee valgus in the frontal plane (any knee) in the DVJ (RR, 4.93; 95% CI, 1.04-23.40; P = .045), but with only fair predictive validity (AUC, 0.7; sensitivity, 0.75; specificity, 0.65). Conclusion: In our cohorts of female soccer players, the validity of commonly used functional performance tests to predict new knee injuries was poor. Only knee valgus during the DVJ was associated with new ACL injuries in knee-healthy players, but with only fair predictive validity.