bluuebunny/crossref_metadata_2025_split huggingface dataset:
O PAPEL DA INTERPROFISSIONALIDADE NO CUIDADO DA PESSOA IDOSA: UM RELATO DE EXPERIÊNCIA
Authors: Parreira Vaz Guilherme , Leite Bitencourt Evandro 
Published: May 2021

RESUMO
Qual o papel da interprofissionalidade no cuidado da pessoa idosa? Partindo desse questionamento, o objetivo deste artigo é descrever e discutir as funções desempenhadas pelo trabalho interprofissional em saúde para o cuidado do público idoso. Para tal, foram descritas e interpretadas experiências vivenciadas por um grupo de estudantes da disciplina de Saúde da Família I, do curso de Medicina da Universidade Federal do Tocantins, Câmpus Palmas-TO. Na metodologia foi utilizado um estudo descritivo do tipo relato de experiência a partir das aulas práticas realizadas no Parque Municipal da Pessoa Idosa Francisco Xavier do município de Palmas. Os resultados apontam para a necessidade de aprimoramento da interprofisionalidade nas equipes de saúde pelos seguintes motivos: a existência de especificidades para o cuidado do idoso dependentes da atuação interprofissional; a melhoria da humanização na saúde ser potencializada pelo trabalho integrado, assim como o papel formativo e socializador da interdisciplinaridade para se garantir a autonomia e qualidade de vida na terceira idade. O trabalho permitiu ainda a reflexão sobre a formação dos profissionais de saúde, sendo importante por ressaltar necessidade de capacitação dos servidores da saúde para a execução eficaz dos princípios defendidos pelo Sistema Único de Saúde (SUS).
Palavras- Chave: Interprofissionalidade. Saúde. Idoso.
ABSTRACT
What is the role of interprofessionalism in the care of the elderly? Based on this questioning, the purpose of this article is to describe and discuss the functions performed by interprofessional work in health care for the elderly public. For that, experiences were experienced and interpreted by a group of students of the discipline of Family Health I, of the Medicine course of the Federal University of Tocantins, Palmas-TO campus. In the methodology was used a descriptive study of the type of experience report from the practical classes held in the Municipal Park of the Elderly Francisco Xavier of the municipality of Palmas. The results point to the need to improve interprofisionality in health teams for the following reasons: the existence of specifics for the care of the elderly dependent on interprofessional work; the improvement of humanization in health will be enhanced by integrated work, as well as the formative and socializing role of interdisciplinarity to guarantee autonomy and quality of life in the elderly. The work also allowed for reflection on the training of health professionals, and it is important to emphasize the need for training of health workers for the effective execution of the principles defended by the Unified Health System (SUS).
Keywords: Interprofessionality. Health. Elderly.
HEPATITES VIRAIS: UMA ANÁLISE CLÍNICO-EPIDEMIOLÓGICA NO ESTADO DO TOCANTINS NOS ÚLTIMOS 18 ANOS
Authors: Moreira Gomes Arthur , Fernandes de Sousa Thácila , Lopes Dias da Silva Luísa , Galhardo de Carvalho Yasmin Christine , Pantoja Filgueira Michelle de Jesus 
Published: May 2021

As hepatites virais representam um grupo de doenças caracterizadas pela infecção por vírus que possuem hepatotropismo. Atualmente, conhecemos 5 tipos de vírus: Vírus da Hepatite A, Vírus da Hepatite B, Vírus da Hepatite C, Vírus da Hepatite D e Vírus da Hepatite E. Segundo a Organização Mundial de Saúde (OMS), cerca de 257 milhões de pessoas vivem com Hepatite Crônica pelo vírus B, enquanto 71 milhões apresentam infecção crônica pelo vírus C. Além disso, a estimativa é de que as hepatites virais sejam responsáveis por cerca de 1,34 milhão de mortes por ano. No Brasil, entre os anos de 1999 e 2018, foram confirmados 632.814 casos de hepatites virais, sendo a Hepatite B aquela com a maior proporção de casos (36,8%). Apesar disso, a maior causa de óbitos dentre as hepatites virais, se encontra na Hepatite C (76%). Objetivo: Identificar o perfil epidemiológico das hepatites virais no estado do Tocantins, nos últimos 18 anos (entre 2001 e 2018). Metodologia: É um estudo de corte transversal, com abordagem quantitativa, descritivo retrospectivo com o uso de dados secundário, coletados no Sistema de Informação de Agravos de Notificação SINAN-DATASUS/ Ministério da Saúde. Resultado: No período investigado foram confirmados 8.648 casos de hepatites virais no estado do Tocantins, sendo 61% dos casos correspondentes a Hepatite A, 27% de Hepatite B e 8% de Hepatite C. Os demais casos estão distribuídos entre outras formas de hepatite virais. As pessoas mais acometidas foram do sexo masculino, da cor parda, bem como a faixa etária entre 01 e 09 anos de idade. A região de saúde com o maior número de casos a Médio Norte Araguaia. Conclusão: Percebemos que os maiores números de casos registrados foram de Hepatites A. Apesar disso, o estudo demonstra uma tendência de declínio na taxa de incidência ao longo dos anos analisados.
Palavras-chave: Hepatite; Vírus da Hepatite; Epidemiologia; Saúde Pública.
Síndrome de Mirizzi em gestante: relato de caso.
Authors: Linhares moraes dos santos Jose arnon 
Published: May 2021

RESUMO
Introdução: A síndrome de Mirizzi é uma complicação rara da colelitíase, acometendo em média 3% dos pacientes com este diagnóstico. Possui predominância no sexo feminino na faixa etária de 21 a 90 anos. Ocorre, geralmente devido a obstrução extrínseca da via biliar, tanto por um cálculo grande impactado no infundíbulo, comprimindo o ducto colédoco; ou por uma fístula da vesícula biliar com o colédoco. O tratamento depende do grau de comprometimento da via biliar. Este estudo tem como objetivo demonstrar síndrome de mirizzi em uma paciente gestante que foi submetida a procedimento cirúrgica com bom desfecho clínico, cirúrgico e obstétrico.
Palavras-chave: Síndrome de Mirizzi; gestante;
IMPACTOS DA REDE CEGONHA NA MORTALIDADE NEONATAL EM GESTAÇÕES DE ALTO RISCO
Authors: DE OLIVEIRA JULLIETE CRISTINA , FRANCO SANTOS RAFAELA , PAES MARIA EDUARDA , RODRIGUES VIEIRA EDUARDO AUGUSTO , MARINHO ARAUJO FELIPE , ALVES EVANGELISTA HENRIQUE ALEXANDRE , CAMPOS DOS SANTOS RAPHAEL , FERREIRA BARBOSA PRISCILA 
Published: May 2021

Introdução: A Rede Cegonha é uma política pública instituída no âmbito do Sistema Único de Saúde com a finalidade de aprimorar a atenção pré-natal, servindo de ferramenta para a redução dos índices de mortalidade materno-infantil no Brasil. Em certas regiões do Brasil, os índices de mortalidade materna e infantil não apresentam significativas reduções, necessitando avaliar a efetividade da implantação da Rede Cegonha. Objetivo: Destacar os principais impactos da implantação da Rede Cegonha na saúde materno-infantil no Brasil. Método: Trata-se de um estudo epidemiológico, transversal e retrospectivo, do tipo revisão sistemática, cuja busca ativa ocorreu mediante dados da literatura disponível em bancos de dados online a partir de descritores cadastrados na BVS. Resultados: A análise possibilitou mostrar evidências de que há uma alta frequência de gestantes que se encontram em situação de risco. O enfoque em óbitos neonatais revelou que, em todos os estudos selecionados, os casos em que os neonatos evoluíram a óbito tiveram como principal preditor deste desfecho alguma intercorrência durante a gestação ou parto, devido a presença de fatores de risco gestacional. Destarte, pode-se perceber que a implantação da Rede não conseguiu ainda atingir melhora significativa à saúde materno-infantil, uma vez que, os estudos analisados demonstram uma alta prevalência de intercorrências durante o parto como reflexo de negligências na atenção ao pré-natal. Percebe-se também que, os cuidados relativos ao recém-nascido apresentam falhas, principalmente naqueles que necessitam de cuidados intensivos nos primeiros dias de vida. Conclusão: Ainda que a política seja relativamente nova, percebe-se que há necessidade de melhorias, principalmente no que cerne à efetivação da mesma.

Palavras-chave: Mortalidade Infantil; Serviços de Saúde Materno-infantil; Sistema Único de Saúde e; Gravidez de Alto Risco.
CoTECH for single-cell joint detection of transcriptome and chromatin occupancy
Authors: Luo Yingjie , Xiong Haiqing , Wang Qianhao , Yu Xianhong , He Aibin 
Published: May 2021

Abstract
Here we present CoTECH, a high-throughput co-aasay that measures chromatin occupancy and transcriptome in single cells. The CoTECH method adopts a combinatorial indexing strategy to enrich chromatin fragments of interest as reported in CoBATCH in combination with a modified Smart-seq2 procedure to simultaneously capture the 3’ mRNA profiles in the same single cells. The whole experimental procedure can be handled within three days.The CoTECH acquires data quality of 1000-9000 unique mapped reads (DNA partition) and 1500-4000 expressed genes (RNA partition) per cell. Experimentally linking chromatin occupancy to transcriptional outputs and inferred molecular association between multimodal omics datasets made possible by CoTECH enables reconstructions of higher dimensional epigenomic landscape, providing new insights into epigenome-centric gene regulation and cellular heterogeneity in many biological processes. This step-by-step protocol is related to the publication “Single-cell joint detection of chromatin occupancy and transcriptome enables higher-dimensional epigenomic reconstructions” in Nature Methods.
Assessing Aerobic Fitness in the Health Care Setting for Survivors of Cancer
Authors: Furth Priscilla A. , White Katherine R. , Ibrahim Zara , Lu Jana 
Published: May 2021

Abstract
Step tests efficiently evaluate cardiovascular fitness and can be executed in a variety of physical settings without specialized equipment [1,2,3,4]. The technique is straightforward and accessible to health care professionals. It can be applied across different special populations including survivors of cancer [5]. Survivors of cancer benefit from programs that improve cardiovascular fitness and decrease sedentary behavior, but it is recommended that individuals receive clearance from a health care professional before initiating new vigorous exercise programs. The modified 3-minute step test presented here is a protocol for health care professionals to evaluate baseline levels of cardiovascular fitness prior to an exercise prescription and can be used to follow progress on programs designed to improve cardiovascular fitness.
Pancytopenia with Severe Thrombocytopenia in Asymptomatic Malaria in Advanced Pregnancy: A Case Report
Authors: Murewanhema Grant , Musiniwa Tapuwa Carol , Chimhina Maxwell Takura , Madombi Simbarashe , Nyakanda Munyaradzi Innocent , Madziyire Mugove Gerald 
Published: May 2021

Abstract
BackgroundMalaria in pregnancy is associated with significant morbidity and mortality, and requires early diagnosis and intervention. Plasmodium falciparum is responsible for 98% of malaria cases in Zimbabwe and causes the most severe disease. Abnormal haematological parameters are a frequent finding in patients with malaria; however, they are rarely the sole presenting feature. Case presentationWe present the case of a 32-year-old woman in her fifth pregnancy, with a history of one previous caesarean section, who presented for caesarean section and was incidentally noted to have severe thrombocytopenia. Subsequent investigations at a tertiary institution revealed a pancytopenia with thrombocytopenia as the most prominent feature in an asymptomatic patient. The unavoidable caesarean section done under platelet cover was eventful, with severe intractable haemorrhage necessitating an emergency hysterectomy. However, the patient made a full recovery with antimalarial treatment and blood product transfusions. ConclusionThis case is presented to illustrate the need to consider malaria as a differential diagnosis in pregnant patients from malaria-transmitting areas who have thrombocytopenia. Previous studies have shown that thrombocytopenia can be a predictor of malaria in patients who present with fever, and a marker of disease severity, but has no utility in prognostication and follow-up.
Performance Assessment of Dual Material Stack Gate Oxide TFET using Dielectric Pocket
Authors: Kumar Dharmender , Nigam Kaushal 
Published: May 2021

Abstract
This paper investigates the impact of lowK and high-K dielectric pockets on DC characteristics, analog/RF, and linearity performance of dual material stack gate oxide-tunnel field-effect transistor (DMSGODP-TFET). For this, a stack gate oxide with workfunction is considered to enhance the ON-state current (ION ), lower ambipolar current (Iamb) and lower the subthreshold swing. For this case, the gate electrode is tri-segmented, named as tunnel gate (M1), control gate (M2) and auxiliary gate (M3) with different gate lengths (L1, L2, L3) and work functions (φ1, φ2, φ3), respectively. To maintain dual-work functionality, the possible combinations of these work functions are considered. Technology computer-aided design (TCAD) simulations are performed and noted that the workfunction combination (φ1 = φ3 < φ2) outperforms as compared to other combinations. Where φ1 on the source side is used to enhance the ION , while φ3 (equal to φ1) is used on the drain side to minimize the Iamb. To further enhance the device performance, a high-K dielectric pocket is considered at the drain junction to suppress the Iamb whereas, a low-K dielectric pocket is employed at the source junction to enhance the ION . Moreover, length of gate segments, dielectric pocket height, and thickness are optimized to achieve a better switching ratio, subthreshold swing (SS) and reduce the Iamb which helps in the gain of device and design of analog/RF circuits. The proposed device as compared to dual material control gate-dielectric pocket-TFET (DMCG-DP-TFET) with SiO2 gate oxide shows improvement in ION /IOF F (∼ 4.23 times), 84 % increase in transconductance (gm), 136 % increase in cut-off frequency (fT ), 126 % increase in gain bandwidth product (GBP), point subthreshold swing (15.8 mV/decade) and other significant improvements in linearity figure of merits (FOMs) making the proposed device useful for low power switching, analog/RF and linearity applications.
Enhanced Binary Genetic Algorithm as a Feature Selection to Predict Student Performance
Authors: Turabieh Hamza 
Published: May 2021

Abstract
Students’ performance prediction systems play a vital role in enhancing the educational performance inside universities, schools, and training centers. Big data can come from different resources such as exam centers, virtual courses, registration departments, e-learning systems, and so on. Extracting meaningful knowledge from educational data is a complex task, so, reducing the data dimensionality is needed. In this paper, we proposed an enhanced binary genetic algorithm (EBGA) as a wrapper feature selection algorithm. Novel hybrid selection mechanism based on a k-means algorithm and Electromagnetic-like mechanism (EM) method is proposed. K-means will cluster the population into a set of clusters, while EM will determine a value called a total force (TF) for each solution. Each cluster has an accumulated total force (ATF) (i.e., adding all TFs together). Selection process will select two solutions with the highest TF from the cluster, which has the highest ATF. We employed a hybrid machine learning approach between the proposed EBGA and five different classifiers (i.e., k-Nearest Neighbors (k-NN), Decision Trees (DT), Naive Bayes (NB), Support Vector Machine (SVM), and Linear Discriminant Analysis (LDA)). Two real case studies obtained from UCI Machine Learning Repository are used in this paper. Obtained results showed the ability of the proposed approach to enhance the performance of the binary genetic algorithm. Moreover, the performances of all classifiers are improved between 1% to 11%.
Impact of Highest Maximum Sustained Wind Speed and Its Duration on Storm Surges and Hydrodynamics Along Krishna-Godavari Coast
Authors: Sebastian Maneesha , Behera Manasa Ranjan 
Published: May 2021

Abstract
The storm surge and hydrodynamics along the Krishna-Godavari (K-G) basin are examined based on numerical experiments designed from assessing the landfalling cyclones in Bay of Bengal (BoB) over the past 38 years with respect to its highest maximum sustained wind speed and its duration. The model is validated with the observed water levels at the tide gauge stations at Visakhapatnam during Helen (2013) and Hudhud (2014). Effect of gradual and rapid intensification of cyclones on the peak water levels and depth average currents are examined and the vulnerable locations are identified. The duration of intensification of a rapidly intensifying cyclone over the continental shelf contributed to about 10-18 % increase in the peak water levels, whereas for the gradually intensifying cyclone the effect is trivial. The inclusion of the wave-setup increased the peak water levels up to 39% compared to those without wave-setup. In the deep water region, only rapidly intensifying cyclones affected the peak MWEs. Intensification over the continental slope region significantly increases the currents along the shelf region and coast. The effect on peak maximum depth averaged current extends up to 400 km from the landfall location. Thus, it is necessary to consider the effect of various combinations of the highest cyclone intensity and duration of intensification for identifying the worst scenarios for impact assessment of coastal processes and sediment transport. The study is quite useful in improving the storm surge prediction, in preparedness, risk evaluation, and vulnerability assessment of the coastal regions in the present changing climate.
Classification for Avian Malaria Parasite Plasmodium Gallinaceum Blood Stages by Using Deep Convolutional Neural Networks
Authors: Kittichai Veerayuth , Kaewthamasorn Morakot , Thanee Suchansa , Jomtarak Rangsan , Klanboot Kamonpob , Naing Kaung , Tongloy Teerawat , Chuwongin Santhad , Boonsang Siridech 
Published: May 2021

Abstract
The infection of an avian malaria parasite (Plasmodium gallinaceum) in domestic chickens presents a major threat to the poultry industry because it causes economic loss in both the quality and quantity of meat and egg production. Computer-aided diagnosis has been developed to automatically identify avian malaria infections and classify the blood infection stage development. In this study, four types of deep convolutional neural networks, namely Darknet, Darknet19, Darknet19-448 and Densenet201 are used to classify P. gallinaceum blood stages. We randomly collected a dataset of 12,761 single-cell images consisting of four parasite stages from ten-infected blood films stained by Giemsa. All images were confirmed by three well-trained examiners. The study mainly compared several image classification models and used both qualitative and quantitative data for the evaluation of the proposed models. In the model-wise comparison, the four neural network models gave us high values with the mean average accuracy of at least 97%. The Darknet can reproduce a superior performance in the classification of the P. gallinaceum development stages across any other model architectures. Furthermore, the Darknet has the best performance in multiple class-wise classification, with average values of greater than 99% in accuracy, specificity, and sensitivity. It also has a low misclassification rate (< 1%) than the other three models. Therefore, the model is more suitable in the classification of P. gallinaceum blood stages. The findings could help us create a fast screening method to help non-experts in field studies where there is a lack of specialized instruments for avian malaria diagnostics.
Multimodal magnetic resonance and fluorescence imaging of the induced pluripotent stem cell transplantation in the brain
Authors: Zhang Yunchao , Wang Feifei , Tao Qing , Wang Nana , Gi Xingrui , Li Yonggang , Yu Shuang , Zhang Jingzhong 
Published: May 2021

Abstract
Objectives The understanding of the engrafted cell behaviors is the prerequisite to optimize cell therapy, and a multimodal imaging at both anatomical and molecular levels is designed to achieve this goal. Results We constructed a lentiviral vector carrying ferritin heavy chain 1 (FTH1), near-infrared fluorescent protein (iRFP) and enhanced green fluorescent protein (EGFP) via T2A linker, and established the induced pluripotent stem cells (iPSCs) culture stably expressing these three reporter genes. These iPSCs showed green and near-infrared fluorescence as well as the iron uptake capacity in vitro. After transplanted the labeled iPSCs into the rat brain, the engrafted cells could be in vivo imaged using magnetic resonance imaging (MRI) and near-infrared fluorescent imaging (NIF) up to 60 days at the anatomical level, moreover, these cells could be detected using EGFP immunostaining and Prussian blue stain at the cellular level. Conclusions Our study provides a novel tool to study the cellular behaviors of the transplanted cells in a multimodal way, which will be valuable for the effectiveness and safety evaluation of cell therapy.
MIMO­­­-CSRR Antenna for ISM Band Applications
Authors: kumar satish , Thangavel Gunasekaran , Ismaili Said Amer Salim Al Ismaili , Subramanian Balambigai 
Published: May 2021

Abstract
For the operation of 2.45GHz ISM band, a 2x2 Multiple Input Multiple Output (MIMO) antenna system is designed and fabricated. Complementary Split Ring Resonator (CSRR) is used in the MIMO patch and loaded on its ground plane to miniaturize the single antenna element. The single patch antenna element of 14x18 mm2 is fixed in a board of the Designed MIMO antennae system measuring 100x50x0.8 mm3. The antenna is tested by measuring radiation pattern, gain, VSWR, mutual coupling and return loss. The results of the Designed antenna systems are in good agreement with the simulations. In comparison to a conventional microstrip antenna, the Designed antenna achieves a 75% reduction in the resonant frequency.
Outcome After Mitral Valve Repair Or Replacement For Non-Ischemic Mitral Regurgitation: A System Review And Meta-Analysis
Authors: Fan Qianqian , Li Xiaoguang , Cao Guilan , Yu Puliang , Zhang Fengxiao 
Published: May 2021

Abstract
Background: Mitral regurgitation (MR) is a rather common valvular heart disease. The purpose of this meta-analysis is to compare the outcomes, and complications of mitral valve replacement (MVR) with surgical mitral valve repair (MVr) of non-ischemic MR (NIMR).Methods: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched through Oct 2020. 4834 studies were reviewed, and only 20 studies enrolling a total of 21,898 patients with NIMR were included. Eligible studies were enrolling patients with MR and reporting early (30-day or in-hospital) or late all-cause mortality. For each study, data regarding all-cause mortality and incidence of reoperation and operative complications in both groups were used to generate odds ratios (ORs) or hazard ratios (HRs). Results: The pooled analysis showed that lower age, rate of women and incident of hypertension, signiﬁcantly rates of diabetes and atrial ﬁbrillation in MVR group than MVr group, no signiﬁcant difference in rates of pre-operative left ventricle ejection fraction (LVEF) and heart failure. Subjects in MVr group is slightly less than MVR group. Replacement of MR has significantly increased risk of early and late mortality. Moreover, the rate of re-operation and post-operative MR in MVr group is lower than MVR group.Conclusions: In patients with NIMR, MVr procedure achieves higher survival and fewer complications than surgical MVR. Given these results, MVr surgery should be a priority for NIMR patients.