bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Cartographer Sets Sail: Eyewitness Records and Early Modern Maps
Authors: Van Duzer Chet 
Published: October 2021

In this article I examine early nautical charts and isolarii, or island books illustrated with maps, for evidence that indicates the maps were made on the basis of first-hand observation by the cartographer. There are very few claims on early nautical charts that the charts were created based on the cartographers’ own observations. I suggest that these claims are rare because chart-making was more an artistic enterprise than as a medium for recording discoveries. This conception of nautical charts changed with the advent of the Age of Discoveries, and claims that charts were made based on eyewitness information become more common. The case with isolarii is very different, although the maps in isolarii derive from the nautical chart tradition. Some of the creators of isolarii claim that their works were based on first-hand experience, but not always truthfully. Other authors neither sailed among the islands they describe nor claim to have visited them.
Multisystem Inflammatory Syndrome in Children in the Critical Care Setting
Authors: Atlas Kristin , Farber Jessica Strohm , Shields Kerry , Lebet Ruth 
Published: October 2021

Background
Multisystem inflammatory syndrome in children is a new syndrome that has been hypothesized to be connected with the COVID-19 pandemic. Children are presenting—likely after SARS-CoV-2 infection or exposure—with vague symptoms including fever, gastrointestinal distress, and/or rash.

Objective
To review what is currently known about multisystem inflammatory syndrome in children, including physiology, signs and symptoms, laboratory and imaging findings, treatment options, and nursing considerations in critical care settings.

Methods
This integrative review was conducted using the keywords multisystem inflammatory syndrome in children, Kawasaki-like syndrome, COVID, COVID-19, and SARS-CoV-2. Initially, 324 articles were found. All were screened, and 34 were included. Eight articles were added after hand-searching and weekly literature searches were conducted.

Data Synthesis
Multisystem inflammatory syndrome in children is a newly identified syndrome, thus information on diagnosis, treatment, and outcomes is available but evolving. Many aspects of nursing care are important to consider with regard to this illness, including COVID precautions, physical assessments, medication administration, and timing of blood sampling for laboratory testing as well as other standard intensive care unit considerations. Providing anticipatory guidance and support to patients and their families is also important.

Conclusion
Critical care nurses must remain informed about advances in the care of patients with multisystem inflammatory syndrome in children, as these patients are often seen in critical care environments because of their high risk of cardiovascular failure.
Lumen-apposing metal stents
Authors: Fabbri Carlo , Coluccio Chiara , Binda Cecilia , Fugazza Alessandro , Anderloni Andrea , Tarantino Ilaria 
Published: October 2021

Background and Objectives:
EUS-guided transluminal drainage has increasingly developed, especially after the era of lumen-apposing metal stent (LAMS): a fully covered, barbell-shaped, metal stent with anti-migratory properties allowing direct therapeutic interventions through a wide and short channel. The aim of this survey is to investigate the current management of patients undergoing LAMS placement nationwide.

Materials and Methods:
Forty-eight questions were submitted to Italian centers about expertise, peri- and intra-procedural aspects, budget/refund, and future perspectives. Statistical analyzer was SPSS®.

Results:
Thirty-six centers completed the survey. Indications for LAMS positioning are pancreatic fluid collection drainage (PFCD, 97.2%), biliary drainage (BD, 80.5%), gallbladder drainage (GBD, 75%), and gastroentero-anastomosis (GEA, 19.4%). A total of 77.7% of the endoscopists perform only on-label procedures and 22.2% both on-label and off-label. 38.8% attended a training preliminary course, 27.7% were just supported by an expert, 22.2% had both the opportunities, and 8.3% none of them. Management of antiplatelets and sedation protocol is very heterogeneous. Only 50% involves a multidisciplinary meeting and 30.5% has a specialized clinic for follow-up. Acid suppression is usually continued after PFCD. The type and timing of postprocedural imaging varies widely. 8.3% of the endoscopists work without fluoroscopy. Refund for LAMS is mostly not guaranteed. Main future growing indications appear to be BD, GBD, and GEA (69.4%, 55.5%, and 55.5%, respectively).

Conclusions:
This is the first survey assessing the state of the art on LAMS almost 10 years after their advent. There are currently wide variations in practice nationwide, which demonstrates a pressing need to define technical, qualitative, and peri-procedural requirements to carry out this procedure, toward a standardization.
Establishing Competencies for Leadership Development for Postgraduate Internal Medicine Residents
Authors: Merriam Sarah B. , Rothenberger Scott D. , Corbelli Jennifer A. 
Published: October 2021

ABSTRACT

Background
Although graduate medical education accrediting bodies recognize the importance of leadership for residents and encourage curricular development, it remains unclear which competencies are most important for early career physicians to possess.

Objective
To generate a prioritized list of essential postgraduate leadership competencies to inform best practices for future curricular development.

Methods
In 2019, we used a Delphi approach, which allows for generation of consensus, to survey internal medicine (IM) physicians in leadership roles with expertise in medical education and/or leadership programming within national professional societies. Panelists ranked a comprehensive list of established leadership competencies for health care professionals, across 3 established domains (character, emotional intelligence, and cognitive skills), on importance for categorical IM residents to perform by the end of residency. Respondents also identified number of content hours and pedagogical format best suited to teach each skill.

Results
Sixteen and 14 panelists participated in Delphi rounds 1 and 2, respectively (88% response rate). Most were female (71%) and senior (64% in practice &gt; 15 years, 57% full professor). All practiced in academic environments and all US regions were represented. The final consensus list included 12 “essential” and 9 “very important” leadership skills across all 3 leadership domains. Emotional intelligence and character domains were equally represented in the consensus list despite being disproportionately underweighted initially. Panelists most frequently recommended content delivery via mentorship/coaching, work-based reflection, and interactive discussion.

Conclusions
This study's results suggest that postgraduate curricular interventions should emphasize emotional intelligence and character domains of leadership and prioritize coaching, discussion, and reflection for delivery.
Marketing Social – A Estratégia De Mudança Do Comportamento Social
Authors: Morcerf Sônia de Oliveira , Seabra Teresa Cristina 
Published: October 2021

Ao longo dos anos, o marketing vem sofrendo inúmeras adaptações para se adequar àsmudanças no cenário mundial e, desse modo, vem agregando novos recursos e fundamentos. Assim, é hoje um conjunto de conhecimentos essencial para profissionais das mais diversas áreas e interessa a todos que precisam promover bens, serviços, propriedades, pessoas, lugares, eventos, informações, idéias ou organizações.Atualmente o marketing recebe vários adjetivos: cultural, ambiental, esportivo, social, entreoutros. Neste trabalho focamos o Marketing Social, buscando conhecer os conceitos, definições e as várias aplicações que vêm sendo dadas no cenário brasileiro e como se relaciona com a Responsabilidade Social Empresarial. Procuramos entender um pouco melhor qual é o papel do Marketing Social, ressaltando tratar-se de uma estratégia de mudança comportamental na sociedade. O trabalho buscou também distinguir o Marketing Social da Responsabilidade Social das Empresas.
O Trabalho do Assistente Social no Poder Judiciário: a Realização do Estudo Social e a Elaboração do Parecer Técnico
Authors: Barison Mônica Santos 
Published: October 2021

Este artigo pretende contribuir no processo de sistematização do debate acerca do trabalho do assistente social no Tribunal de Justiça, com ênfase nos aspectos teórico-metodológicos, ético-políticos e técnico-operativos que fundamentam a realização do estudo e a elaboração do parecer social. O debate ora travado aglutina as proposições de diferentes autores que abordam a temática, na perspectiva de elucidar a produção científica sobre o trabalho do assistente social no campo sócio-jurídico. Neste espaço sócio-ocupacional, a feitura do estudo social e a emissão do parecer têm sido identificadas como atividades que, historicamente, marcaram o exercício profissional. Assim, consideramos relevante produzir questões que contribuam com a qualificação do assistente social para o desempenho de tais funções. Outrossim, este material servirá de subsídio didático para a disciplina que compõe a grade curricular do Curso de Serviço Social do UniFOA, intitulada “0 Serviço Social e o Campo Sócio-Jurídico”.
Técnicas de Fortalecimento da Musculatura Respiratória auxiliando o desmame do paciente em Ventilação Mecânica Invasiva
Authors: Cunha Cleize Silveira , Santana Elber Rodrigues Manso , Fortes Rodney Alonso 
Published: October 2021

O fortalecimento muscular respiratório é realizado quando o paciente se encontra em Ventilação Mecânica Invasiva, com enfraquecimento da musculatura respiratória, o que impede o desmame da ventilação mecânica. Utilizamos para este tipo de tratamento o aparelho Threshold, que proporciona uma resistência no fluxo inspiratório e, consequentemente, havendo a necessidade de um maior trabalho da musculatura respiratória, assim fortalecendo toda a musculatura respiratória. Através de uma revisão de literatura, mostrou-se como a fisioterapia pode auxiliar na reabilitação dos pacientes em desmame da ventilação mecânica invasiva. Portanto, o objetivo desse trabalho é demonstrar a eficácia do fortalecimento muscular no desmame do ventilador mecânico. Em síntese, concluiu-se que a fisioterapia deve ser iniciada quando todos os parâmetros clínicos e hemodinâmicos do paciente estejam estabilizados, dando início ao desmame do ventilador mecânico, utilizando o aparelho threshold.
Transtorno de déficit de atenção e hiperatividade e a educação física Attention deficit and hyperactivity disorder and physical education
Authors: Barreto Maria Auxiliadora Motta , Moreira Sandro Cezar 
Published: October 2021

O artigo apresenta uma revisão bibliográfica sobre e a intervenção do professor de Educação Física com alunos portadores do Transtorno de Déficit de Atenção e Hiperatividade (TDAH), reunindo alguns dos principais autores sobre o assunto. O objetivo é compilar informações relevantes sobre o conceito de TDAH, a influência negativa que o transtorno traz no desempenho de crianças em idade escolar e os benefícios da atuação do professor de Educação Física no processo de aprendizagem desses alunos. O TDAH é uma doença caracterizada por desatenção, hiperatividade e impulsividade e está presente em 5% das crianças no mundo. O diagnóstico é essencialmente clínico e cerca de 30% a 50% dos casos apresentam comorbidades, o que dificulta a avaliação, assim como o tratamento. É fundamental que profissionais de Educação Física tenham cada vez mais informações sobre o TDAH, pois quanto maior o conhecimento, melhores serão as estratégias utilizadas com essas crianças.
Utilização da Coluna de Winogradsky para a Demonstração do Efeito dos Metais Pesados na Microbiota Oxidante de Enxofre em Ambientes Aquáticos: Uma Abordagem Experimental
Authors: Gomes Anderson , Osório Lara dos Santos 
Published: October 2021

O presente estudo teve por objetivo determinar o efeito dos metais pesados: mercúrio, cádmio, chumbo e cromo VI, na população de sulfobactérias presentes em colunas de Winogradsky. As colunas foram preparadas com água e sedimento do córrego Secades (Volta Redonda/RJ), para avaliar a contribuição potencial na disponibilidade destes metais pesados nesta população microbiana. Na avaliação do efeito dos metais pesados na população de sulfobactérias, foi comparada a diversidade das colônias desenvolvidas nas colunas contaminadas com metais pesados com uma coluna contendo apenas amostra e sedimento do manancial. Os resultados permitiram observar que a presença dos diferentes metais pesados causou alteração da diversidade biológica presente na coluna de Winogradsky. O estudo também revelou que o experimento pode ser aplicado nas aulas práticas de Microbiologia Ambiental, pois permite simular as condições reais da interação das sulfobactérias com os metais pesados.
Proposta de implantação de estacionamento público rotativo na área central da cidade de Medianeira
Authors: Grandi Jessica , Stocker Lago Sandra Mara 
Published: October 2021

RESUMOA realização do presente trabalho tem por objetivo apresentar uma proposta de implantação de estacionamento público rotativo na área central da cidade de Medianeira-PR. A cidade vem aumentando seu número de moradores e com isso a aquisição de veículos vem se ampliando, tornando a sua área central, um local de difícil acesso e, consequentemente, de difícil estacionamento, tornando-se viável a implantação do estacionamento rotativo pela necessidade da população. Para o levantamento de dados foram realizadas técnicas de observação e entrevistas com a população local e com o diretor de trânsito do município. A proposta contribui para a organização do trânsito no centro de Medianeira, aprimorando a disposição do fluxo de veículos nesta região do município, e com isso, melhorando a qualidade de vida dos moradores e possibilitando atrair mais consumidores no comércio central. Palavras-chave: Estacionamento rotativo. Mobilidade urbana. Trânsito regulamentado.
Instalação de sistema fotovoltaico em unidade de saúde pública: análise de viabilidade econômica
Authors: Silva Jean Rodrigues Pompeu 
Published: October 2021

O presente trabalho investiga a viabilidade econômica da implementação de um sistema fotovoltaico conectado à rede elétrica de baixa tensão em uma unidade de saúde pública na cidade de Cascavel – PR, por meio de um projeto piloto de instalação na cobertura da unidade de saúde para suprir o consumo de energia elétrica. Apresentado como estudo exploratório e pesquisa documental, se utilizou de dados de consumo mensal da unidade consumidora coletados no setor financeiro da Secretaria de Saúde de Cascavel referente ao ano de 2016 e dados sobre painéis fotovoltaicos de organizações que comercializam estes sistemas. A pesquisa utilizou a irradiação solar média diária para a localidade a fim de definir a configuração mais adequada à finalidade de uso. Ficou demonstrado que há um grande potencial a ser explorado para geração de energia solar, e a utilização de um sistema fotovoltaico de geração de energia, e a utilização de painéis fotovoltaicos poderá reduzir gastos pela Prefeitura Municipal de Cascavel com energia elétrica da concessionária, ou seja, é viável do ponto de vista econômico. Esse valor economizado poderá ser revertido em compra de medicamentos, e incremento de recursos em espaço físico na unidade de saúde, gerando conforto e melhoria de vida aos servidores e usuários do sistema de saúde.
Paroxysmal hemicrania associated to carotid artery dissection: a case report
Authors: Oliveira Felipe Araújo Andrade , Rocha-Filho Pedro Augusto Sampaio 
Published: October 2021

There are numerous case reports relating trigeminal autonomic cephalalgias to structural injuries. However there is no description of the association between paroxysmal hemicrania and carotid artery dissection. We describe a previously healthy 63-year-old male presented with the onset of severe, throbbing pain in the right frontal region, lasting between 10 and 30 minutes, with a frequency of approximately two to three attacks per day, which began two days before seeking medical care. Pain was associated with ipsilateral tearing, semiptosis and nasal congestion. A cervical arterial magnetic resonance angiography demonstrated left carotid artery dissection in the C1/C2 segment of the left internal carotid artery. The patient became asymptomatic after indomethacin use. We conclude that the possibility of investigating carotid dissection should be considered in patients with paroxysmal hemicrania.
Monitoring the Tropospheric Monitoring Instrument (TROPOMI) short-wave infrared (SWIR) module instrument stability using desert sites
Authors: van Kempen Tim A. , Oggionni Filippo , van Hees Richard M. 
Published: October 2021

Abstract. Since its launch in 2017, Tropospheric Monitoring Instrument (TROPOMI) on S-5P has provided very high quality data using daily global coverage for a number of key atmospheric trace gases. Over its first 1000 d in operation, the short-wave infrared (SWIR) module has been very stable, and the continuously monitored calibration has remained of high quality. This calibration relies on a combination of extensive pre-launch and post-launch measurements, complemented by regular monitoring of internal light sources and background measurements.
In this paper we present a method and results for independent validation of the SWIR module calibration and instrument stability by examining the signal stability of a sample of 23 pseudo-invariant calibration desert sites. The data covers over 2 years of operational data.
With a Lambertian surface assumption, the results show that the SWIR module has little to no instrument degradation down to an accuracy of about 0.3 % yr−1, validating results obtained from the internal calibration suite. The method presented here will be used as ongoing validation of the SWIR calibration.
Comparison of mid-latitude single- and mixed-phase cloud optical depth from co-located infrared spectrometer and backscatter lidar measurements
Authors: Di Natale Gianluca , Barucci Marco , Belotti Claudio , Bianchini Giovanni , D'Amato Francesco , Del Bianco Samuele , Gai Marco , Montori Alessio , Sussmann Ralf , Viciani Silvia , Vogelmann Hannes , Palchetti Luca 
Published: October 2021

Abstract. The long-wave downwelling spectral radiance measurements performed by means of the Far-Infrared Radiation Mobile Observation System (FIRMOS) spectrometer at the summit of the Zugspitze (German Alps) in the winter 2018/19 allowed the retrieval of the optical and micro-physical properties of ice and mixed clouds, showing a good agreement of the statistical relationship between the ice water path and the ice optical depth with the ones from previous works. In this paper the optical depths retrieved from FIRMOS are initially compared with selected cases calculated from backscattering light detection and ranging (lidar) data by using a transmittance method. Then, in order to compare the whole FIRMOS dataset, the power-law relationship between backscattering and extinction is used to apply the Klett method and automatize the routine. Minimizing the root mean square differences, the exponent k of the power-law relationship is assessed to be 0.85 with a variability in the range of 0.60–1.10 for ice clouds and 0.50 with a variability within 0.30–0.70 for mixed clouds.
Towards a history of Holocene P dynamics for the Northern Hemisphere using lake sediment geochemical records
Authors: Moyle Madeleine , Boyle John F. , Chiverrell Richard C. 
Published: October 2021

Abstract. Present-day lake water phosphorus (P) enrichment and accelerated P cycling are changes superimposed on a dynamic Holocene history of
landscape development following glaciation, changes in climate, and long-term low-intensity human activity. Knowledge of the history of long-term
P dynamics is essential for understanding present-day landscape P export and for managing both terrestrial and aquatic
environments. This study is the first attempt to constrain the timing and magnitude of terrestrial changes in Holocene P dynamics across the
Northern Hemisphere using lake sediment records. Here we reconstruct trajectories in terrestrial Holocene P dynamics for the Northern Hemisphere. We apply a simple process model to published
lake sediment geochemical P records from 24 sites, producing records of landscape P yield and reconstructing lake water total
phosphorus (TP) concentrations. Individual site trajectories of landscape P yield and lake water TP vary systematically, with differences
attributable to local landscape development history. Three distinct traits are apparent. Mountain sites with minimal direct human impact show
falling P supply and conform to conceptual models of natural soil development (Trait 1). Lowland sites where substantial (pre-)historic
agriculture was present show progressively increasing P supply (Trait 2). Lowland sites may also show a rapid acceleration in P supply
over the last few centuries, where high-intensity land use, including settlements and farming, is present (Trait 3). Where data availability
permitted comparison, our reconstructed TP records agree well with monitored lake water TP data, and our sediment-inferred P yields are
comparable to reported catchment export coefficients. Comparison with diatom-inferred TP reveals good agreement for recent records. Our reconstructions form the first systematic assessment of average terrestrial P export for the Northern Hemisphere over the Holocene and
provide the empirical data needed for constraining long-term landscape P cycling models and values for terrestrial P export that could
be used for ocean P cycling models. The long-term perspective provided by our sediment-inferred TP can be used to identify pre-disturbance
baselines for lake water quality, information essential to target-driven lake management. We find the first detectable anthropogenic impacts on
P cycling ca. 6000 BP, with more substantial impacts as early as 3000 BP. Consequently, to characterize pre-disturbance lake P
conditions at Trait 2 and Trait 3 sites, it is necessary to consider time periods before the arrival of early farmers. Our use of trait
classifications has a predictive power for sites without sediment records, allowing prediction of TP baselines and P trajectories based on
regional landscape development history.
ASSOCIATION OF INFANT FEEDING PRACTICES AND FOOD NEOPHOBIA AMONG PRE-SCHOOL CHILDREN IN OROGUN COMMUNITY, IBADAN
Authors: Okonkwo E. M. , Samuel F. O. 
Published: October 2021

This study determined food neophobia (FN) and the relationship of infant feeding practice (IFP) and (FN) among pre-school children in Orogun community, Ibadan. Three hundred and seventy mothers of pre-school children were chosen using a systematic random sampling technique from a pre-survey house to house list of eligible children. A semi-structured questionnaire that included socio-demographic characteristics, retrospective breastfeeding practice, retrospective complementary feeding practice (CFP) and FN scales were used to collect information. Data were analyzed using descriptive and logistic regression. The exclusive breastfeeding (EBF) rate was 26.8% and 38% of the mothers had a good breastfeeding practice. Timely initiation of complementary feeding was 54%. The prevalence of FN was 35%. Logistic regression analysis showed that the odds for FN was higher among children who were initiated to breastfeeding late (OR = 1.45, 95% CI: 0.886 – 2.31), children that were not breastfed on demand (OR = 1.766, 95% CI: 0.925 – 3.372), those not exclusively breastfed for six months (OR = 1.366, 95% CI: 0.834 – 2.240) and children introduced to complementary food before 6 months (OR = 1.473, 95% CI: 0.787 – 2.760). Most rejected foods were from the fruits and vegetable group. There were suboptimal IFP in the study and prevalence of FN was high. Poor IFP were associated with FN. Community-based nutrition education programs should be encouraged to improve IFP.