bluuebunny/crossref_metadata_2025_split huggingface dataset:
El repensar de la capacidad juri?dica de las personas con discapacidad ante el modelo social: caso Me?xico
Authors: Pérez Fuentes Gisela María , Rodríguez Collado Margarita del Carmen 
Published: May 2021

Resumen
El objetivo de este arti?culo es analizar los modelos a trave?s de los cuales se ha tratado a la discapacidad, para explicar la nueva concepcio?n de la persona con esta condicio?n en Me?xico segu?n los principios que establece el modelo social, en virtud de que la promulgacio?n en 2006 de la Convencio?n sobre los Derechos de las Personas con discapacidad marca un rompimiento con el concepto y el tratamiento me?dico-rehabilitador de la discapacidad.
PALABRAS CLAVE: discapacidad, capacidad juri?dica, derechos.
Abstract
The objective of this article is to analyze the models through which disability has been treated, to explain the new conception of the person with this condition in Mexico according to the principles established by the social model, by virtue of the fact that the promulgation in 2006 of the Convention on the Rights of Persons with Disabilities marks a break with the concept and medical-rehabilitative treatment of disability.
KEYWORDS: disability, legal capacity, rights.

Resumo

O objetivo deste artigo e? analisar os modelos atrave?s dos quais se tratou a incapacidade, para explicar a nova concepc?a?o das pessoas com essa condic?a?o no Me?xico. Segundo os princi?pios que estabelece o modelo social, em virtude de que a promulgac?a?o em 2006 da Convenc?a?o sobre os Direitos das Pessoas com incapacidade marca uma ruptura com o conceito e o tratamento me?dico-reabilitador da incapacidade.
PALAVRAS CHAVE: incapacidade, capacidade juri?dica, direitos.
mHealth Interventions to Support Prescription Opioid Tapering in Patients With Chronic Pain: Qualitative Study of Patients’ Perspectives
Authors: Magee Michael Reece , McNeilage Amy Gray , Avery Nicholas , Glare Paul , Ashton-James Claire Elizabeth 
Published: May 2021

Background
Patients with chronic pain who are tapering prescription opioids report a need for greater support for coping with symptoms of pain and withdrawal. Mobile health (mHealth) technologies (SMS text messaging– or app-based) have the potential to provide patients with educational, emotional, and motivational support for opioid tapering beyond what is offered by their health care provider. However, it is not known whether patients with chronic pain who are tapering opioids would be willing or able to engage with technology-based support.

Objective
This study aims to examine patients’ use of mobile technologies in health care, interest in using mHealth support, preferences for the form and content of mHealth support, and potential barriers to and facilitators of engagement with mHealth support for opioid tapering.

Methods
A total of 21 patients (11 women and 10 men; age range 29-83 years) with chronic noncancer pain on long-term opioid therapy who had recently initiated a voluntary opioid taper were recruited from primary and tertiary care clinics in metropolitan and regional Australia for a larger study of patients’ experiences of opioid tapering. Participants had been taking prescription opioids for a mean duration of 13 (SD 9.6; range 0.25-30) years at the time of the study. Survey items characterized participants’ typical mobile phone use and level of interest in mobile technology–based support for opioid tapering. Semistructured interviews further explored patients’ use of mobile technologies and their interest in, preferences for, and perspectives on potential barriers to and facilitators of engagement with mHealth support for opioid tapering. Two researchers collaborated to conduct a thematic analysis of the interview data.

Results
All participants reported owning and using a mobile phone, and most (17/21, 81%) participants reported using mobile apps. The majority of participants expressed interest in SMS text messaging–based (17/21, 81%) and app-based (15/21, 71%) support for opioid tapering. Participants expected that messages delivering both informational and socioemotional support would be helpful. Participants expected that access to technology, mobile reception, internet connectivity, vision impairment, and low self-efficacy for using apps may be barriers to user engagement. Patients expected that continuity of care from their health care provider, flexible message dosing, responsivity, and familiarity with pain self-management strategies would increase user engagement.

Conclusions
The results of this study indicate that patients with chronic noncancer pain may be willing to engage with SMS text messaging–based and app-based mHealth interventions to support opioid tapering. However, the feasibility and acceptability of these interventions may depend on how patients’ preferences for functionality, content, and design are addressed.
An mHealth App to Support Patients With Psoriasis in Relation to Follow-up Consultations: Qualitative Study
Authors: Trettin Bettina , Danbjørg Dorthe Boe , Andersen Flemming , Feldman Steven , Agerskov Hanne 
Published: May 2021

Background
Teledermatology has the potential to help deliver health care by transforming the relationship between patients and health care professionals (HCPs), shifting the power of consultation so that patients can become more informed, assertive, and involved in their care. Mobile health (mHealth) is a promising and reliable tool for the long-term management of patients with psoriasis on systemic treatment. In an attempt to facilitate a more patient-centered approach in clinical practice, we designed and developed an mHealth solution to support patients with self-management and empowerment.

Objective
The aim of this study is to explore the experiences and perceptions of patients and health care professionals of using an mHealth solution that was developed using a participatory design approach.

Methods
This was an exploratory qualitative study. Data were collected through semistructured interviews with patients and focus group interviews with HCPs.

Results
All participants found it easy to use the mHealth solution, and the patients found it convenient. Patients’ reflexivity was improved because they could prepare ahead of consultations. Video consultations provided patients with a degree of freedom in their everyday lives, with not having to attend in-person visits. Among the HCPs, there were concerns regarding their medical responsibilities, as they could not assess the patients’ skin as they used to. The mHealth solution required new workflows and procedures that were not part of the existing consultation routines.

Conclusions
The mHealth solution can strengthen the relationship between HCPs and patients and facilitate patients to become more active in their care. Alignment and structure in relation to the selection of eligible patient candidates for being offered the mHealth solution could reduce social health inequalities. In addition, video consultations changed HCPs’ work practice, necessitating new types of skills to communicate with patients.
A CROSS-SECTIONAL STUDY ON MENTAL HEALTH AND CARDIOVASCULAR REACTIVITY AMONG FRESH RESIDENT DOCTORS DURING COVID19 PANDEMIC IN INDIA
Authors: KUMAR SUMIT , BANERJEE ARIJITA , AHMAD AQUIL 
Published: May 2021

Objective: The adverse psychological impact in doctors battling the Corona Virus Disease 2019 (COVID 19) epidemic arise from various social and administrative issues like excessive workload, inadequate interpersonal communications, biased work culture and lack of social support thus raising a warning of the mental health in doctors. The present study was done to assess the mental health and stress reactivity among the resident doctors who have been working for a prolonged duration during covid 19 pandemic in India.
Methods: The subjects included 162 young resident doctors both males and females, of age group between 25-30 y, among which 92 were posted in covid wards on a rotation basis from 1st April 2020 to 31st December 2020 and 70 were doing duty in regular non-covid wards or not had done even a single duty in covid ward during the above period. All participants completed an online questionnaire that included the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI)–II, Connor-Davidson resilience scale (CDRISC) and Social Support Rating Scale (SSRS) followed by a cold pressor test to assess stress reactivity.
Results: There were significant differences in the mental health and stress reactivity scores with lower resilience scores, lower social support rating scores, increased anxiety and depression in Covid ward doctors (p=0.001).
Conclusion: The ﬁndings suggested high levels of training, resilience helpful social support and unbiased work culture were necessary to health care workers engaged in public health emergence.
A Novel Drug Delivery System: Review on Microspheres
Authors: Raj Hans , Sharma Shagun , Sharma Ankita , Verma Kapil Kumar , Chaudhary Amit 
Published: May 2021

Microspheres are multiparticulate drug delivery systems that are designed to deliver drugs to a particular location at a fixed rate. Microspheres are free-flowing powders made up of biodegradable proteins or synthetic polymers with particle sizes ranging from 1 to 1000µm. Benefits of the use of microspheres in fields such as drug delivery, bone tissue manufacturing, and the absorption and desorption of contaminants by regeneration. The study shows the method of planning and measurement of microsphere parameters. Microspheres are complex, such as bioadhesive microspheres, polymeric microspheres, magnetic microspheres, floating microspheres, radioactive microspheres. Microspheres may be used in various fields such as cosmetics, oral drug delivery, target drug delivery, ophthalmic drug delivery, gene delivery, and others listed in the study. In order to achieve optimal therapeutic effectiveness, it is important to deliver the agent to the target tissue at an optimum level within the right timeframe, resulting in little toxicity and minimal side effects. There are different approaches to supplying the medicinal drug to the target site in a continuous managed manner. One such strategy is the use of microspheres as drug carriers. In this article, the value of the microsphere is seen as a novel drug delivery carrier to achieve site-specific drug delivery was discussed.
Keywords: microspheres, method of preparations, polymer, bioadhesion, types of microspheres
Directive speech acts in the school slogans
Authors: Mubarok Yasir , Anggraeni Dhea Nur , Sugiyo Sugiyo 
Published: May 2021

The purpose of the research is to identify directive illocutionary acts in school slogans. This study aims to investigate several categories of directive illocutionary speech acts in the school slogans at MTS Negeri 3 Tangerang. The method used by researchers is qualitative descriptive methods by referring to Searle's speech acts theory. The results showed that three kinds of directive speech acts are utilized in the school slogans; advising twenty utterances, commanding one utterance, requesting two utterances. Based on the results, the most dominant type of directive speech acts used was advising with 20 occurrences. It means that the school provides a lot of advice to their students (addressee) through these school slogans. In addition, context and co-context have a very important role in understanding the slogans thus the slogan found contains more to the philosophy of life and educational values.
Recursos econômicos de idosos em corresidência
Authors: Leão Silva Jainne Oliveira , Sampaio Talita Santos Oliveira , Souza Adrielle Santos , Vilela Alba Benemérita Alves , Sampaio Lucas Silveira 
Published: May 2021

O presente estudo objetivou verificar os recursos econômicos dos idosos em corresidência. Trata-se de um estudo descritivo, transversal e quantitativo, vinculado ao Núcleo de Pesquisa e Estudos em Saúde do Idoso da Faculdade Independente do Nordeste. Utilizou-se o banco de dados do munícipio de Vitória da Conquista e foram incluídos no estudo todos os idosos em corresidência cadastrados nas Unidades de Saúde da Família e que denotaram condições cognitivas de responder aos questionamentos do Mini Exame do Estado Mental, totalizando 239 idosos. Dentre os participantes, a idade encontrada foi entre 60 anos e 95 anos. Houve predominância do sexo feminino (77%) e do estado civil casado (42,6%) e viúvos (41,8%). Referente aos aspectos econômicos observou-se uma predominância de renda de apenas 1 salário mínimo (67,4%) e fonte de renda baseada em aposentadorias e pensões (87,4%). Identificou-se uma maior convivência com netos (57,3%), seguido de filhos (55,2%) e filhas (54,0%). Verificou-se neste estudo que, quanto a percepção de suficiência de renda para as necessidades básicas dos idosos sempre faltava um pouco. Dessa forma, este estudo permite um maior conhecimento da população e da comunidade cientifica sobre a temática, favorecendo políticas sociais e de saúde para idosos e familiares no intuito de favorecer um bom convívio.
Survival estimates and risk factors for failure of palatal and buccal mini-implants
Authors: Arqub Sarah Abu , Gandhi Vaibhav , Mehta Shivam , Palo Ledjo , Upadhyay Madhur , Yadav Sumit 
Published: May 2021

ABSTRACT

Objectives
The primary objective was to compare the success and survival rates of palatal and buccal mini-implants for different locations and treatment requirements. The secondary objective was to evaluate risk factors influencing the survival of mini-implants.

Materials and Methods
In this retrospective cohort, records of 127 orthodontic patients with 257 mini-implants were included after imposing inclusion/exclusion criteria. Along with the implant failure data, factors such as age, sex, transverse location, anteroposterior location, and purpose of mini-implants were recorded. Kaplan–Meier survival analysis was used to draw the curves and a Nathan Mantel-David Cox test to compare variables.

Results
The failure rate of palatal mini-implants was 8.5%, whereas the failure rate for buccal shelf mini-implants was 68.7% (P &lt; .0001). A significant difference was that the survival rates of palatal mini-implants were dependent on the purpose of the mini-implants and, for the buccal mini-implants, they were dependent on the skeletal malocclusion and location type of mini-implants (P &lt; .05).

Conclusions
The overall survival rate of palatal mini-implants was high, at 91.5%. Of the buccal mini-implants, inter-radicular mini-implants had the highest survival rate for 12 (75.5%) and 24 (71.9%) months, while buccal shelf mini-implants had the lowest success and survival rates for 12 (31.3%) and 24 (20.8%) months. Class III malocclusion had the lowest survival rate for the buccal mini-implants (65.3% and 54.2%) for 12 and 24 months.
São Paulo metrópole e colônia: planejamento urbano, segregação racial e espaço racializado | São Paulo metropolis and colony: urban planning, racial segregation, and racialized space
Authors: Barzaghi Clara , D'Ugo Bragaia Flavio Antonio 
Published: May 2021

Este artigo procura aproximar a disciplina do planejamento urbano e postulações de teóricos como Abdias Nascimento, Lélia Gonzalez, Csaba Deák, Sueli Schiffer, Michel Foucault e Achille Mbembe que, a partir de diferentes pontos de partida, caminham para a ideia de que o espaço urbano do século XX é resultado de relações de poder racializadas. Para tanto, recupera brevemente a história de São Paulo sob a ótica das relações econômicas, elabora um diagnóstico da atual segregação socioespacial na cidade e coloca esses elementos em uma perspectiva política e filosófica a partir da qual é possível pensar na cidade como tecnologia de controle de corpos fundada, por sua vez, por uma lógica colonizadora. Dessa forma, o presente artigo se insere em uma frente de trabalho do planejamento urbano que, levando em consideração os aspectos políticose econômicos do presente e do passado que levaram à desigualdade econômica suas diversas expressões no território, examina a cidade sob a ótica da segregação racial, entendida como fundamental para a perpetuação de práticas colonialistas.
Una revisión a los Practicum de Educación desde las tecnologías
Authors: Bartolomé Pina Antonio Ramón , Cantón Mayo Isabel , Moral Ferrer José Manuel 
Published: May 2021

Entre los años 2014 y 2016 algunas universidades españolas han participado en el proyecto I+D+i ”Estudio del impacto de las erubricas federada en la evaluación de las competencias en el practicum”, financiado por el Plan Nacional de I+D+i de Excelencia (2014-2017) nº EDU2013-41974-P. Aunque el proyecto está dirigido a obtener información y producir innovación en la evaluación de las competencias del practicum utilizando rúbricas electrónicas, en el proceso se ha recogido abundante información de gestores, guías de estudio, tutores académicos y tutores de los centros. Entre esa información se incluyen datos sobre el uso de las tecnologías en la tutorización del practicum en estudios de Educación.Este trabajo recoge específicamente la información sobre el uso de tecnologías y se basa en un cuestionario aplicado a gestores y responsables de Practicum y TFG/TFM en grados de Educación. El cuestionario se aplicaba mediante entrevista personal y recoge otros temas además de los planteados aquí. Un informe más completo de ese estudio incluyendo esos otros temas puede encontrarse en Autores (2015).
Therapeutic and diagnostic algorithm for the treatment of lymphocele in renal transplant recipients
Authors: Shabunin A. V. , Arablinskiy A. V. , Drozdov P. A. , Nesterenko I. V. , Makeev D. A. , Rumer V. B. , Zhuravel O. S. 
Published: May 2021

Relevance. Retroperitoneal lymphocele is one of the most common complications in renal transplant recipients.Objective. To improve the results of treatment of kidney transplant recipients with retroperitoneal lymphocele by using a modern diagnostic and treatment algorithmMaterials and methods. Materials and methods: From June 2018 to March 2021 at the State Clinical Hospital named after S.P. Botkin, Moscow performed 174 kidney transplants from a posthumous donor. The accumulation of lymph in the retroperitoneal space was recorded in 24 patients, which amounted to 13.7%. Indications for surgical correction were found in 16 patients, which amounted to 9.1%. Computed tomography in 10 patients (62.5%) showed a wide adherence of the lymphocele cavity to the parietal peritoneum; peritoneum, the complexity of the planned laparoscopic surgery was assessed as high. These patients underwent laparoscopic peritoneal fenestration with ultrasound navigation. In 2 patients (12.5%), lymphocele adherence to the peritoneum was not revealed; these patients underwent open surgery.Results. Results: No relapses of lymphocele were detected after surgery. Mortality was not recorded. In the group of patients who underwent laparoscopic peritoneal fenestration with predictable low complexity, one postoperative complication was diagnosed – migration of the loop of the small intestine into the lymphocele cavity with subsequent infringement. The duration of hospitalization with laparoscopic intervention was 2.1 ± 0.43 (2–3) days, with open one it was 8.45 ± 3.25 (7–12) (p = 0.001).Conclusion. The use of a modern diagnostic and treatment algorithm can improve the results of treatment of kidney transplant recipients with retroperitoneal lymphocele.
X-ray study as an alternative method for visualizing changes in lungs, with infection caused by COVID-19
Authors: Litvinenko E. A. , Erovenko M. M. , Burova I. V. 
Published: May 2021

Introduction. Despite the existence of generally accepted diagnostic protocols, when a new coronavirus infection is suspected, in some cases, it is increasingly difficult to detect changes in the lung tissue in a timely manner due to the heavy workload of the main method of radiation diagnostics – computed tomography. Purpose of the study. To determine the effectiveness of the appointment of an X-ray examination as first-line metgod, as well as to carry out a comparative analysis of the use of radiation diagnostics methods – computed tomography and radiography in relation to the diagnostic sensitivity to changes in lung tissue when a person is infected with the SARS-COV-2 virus.Materials and methods. 150 patients (63.0 ± 8.4 years) with confirmed coronavirus infection were examined. Each of the participants underwent X-ray examination and computed tomography of the chest organs. The percentage of subjects studied for each of the degrees of severity of lung damage was determined to identify the proportion of involvement of lung tissue in the pathological process in the bulk of the examined individuals.Results. Of the 150 patients, changes in the lung tissue during chest X-ray were detected in 97 (65%), respectively, in 53 (35%), pathological changes in the lungs were not visualized. When examining patients by computed tomography, changes in the lungs were detected in 143 patients (95%), X-ray morphological changes were not detected in 7 subjects (5%). When detecting the volume of lung damage, it turned out that the majority of the subjects – 86 people (57%) – had the degree of damage CT-2. The degree of CT-1 and CT-3 was determined in 26 (17%) and 25 (17%) patients, respectively. CT-4 was observed in 6 patients (4%), and in 5% of cases, CT was not able to detect pathological changes in the lung tissue, the degree of CT-0 was established.Conclusion. In the assessment of viral lung damage, radiography takes a significant place, but in 35% of cases, radiographic examination failed to identify the existing pathological changes. CT of the chest organs confirms its value as the “gold standard” in the study of pulmonary pathology in coronavirus infection, but if it is impossible to perform it, radiography is recommended.
Radiologic examination of pharynx for oropharyngeal dysphagia in a patient with dermatomyositis (clinical observation)
Authors: Kovaleva N. V. , Khelkovskaya-Sergeeva A. N. , Ushakova M. A. 
Published: May 2021

Dermatomyositis – a systemic connective tissue disease, from the group of idiopathic inflammatory myopathies. Affection of the skeletal muscle tissue in inflammatory myopathies causes progressive muscle weakness. In dermatomyositis reduction in contraction ability of the muscles involved in the act of swallowing, leads to violation of the mechanism of respiratory protection from getting food masses inside and from development of dysphagia.The purpose of the study was to evaluate the changes detected in the process of radiologic examination of the dermatomyositis patient’s throat.Materials and methods. Patient K. 61 years old, he has dermatomyositis and clinical signs of oropharyngeal dysphagia. The patient underwent a pharyngeal radiologic examination, which allowed to confirm the disturbance of swallowing function and to establish the fact of aspiration.Results and discussion. Radiological examination of the pharynx showed signs of pharynx hypotony, pharyngeal ectasia, stasis, residual amount of radiocontrast agent in caudal section of larynx, penetration, aspiration.Conclusion. Radiological examination of the pharynx in patients with dermatomyositis is important method examination of studying swallowing disorders and predicting risk of serve complications.The peculiarity of this case is the demonstration of swallowing dysfunction dynamics in a patient with dermatomyositis at admission to the clinic and after treatment.