bluuebunny/crossref_metadata_2025_split huggingface dataset:
Banheiros públicos como espaços de regulação cotidiana dos gêneros: entrevistas com mulheres lésbicas
Authors: Cicconetti Josefina Raquel , Magalhães Valéria Barbosa de 
Published: June 2021

O artigo discute a categoria lésbica “masculinizada”. Aborda-se a “masculinidade feminina”, mostrando que, em termos heteronormativos, ela é empregada para policiar e regular as masculinidades sem homens (como ocorre com a masculinidade das mulheres). A reflexão é feita a partir em narrativas orais de mulheres lésbicas identificadas como “masculinas” sobre sua experiência em banheiros públicos femininos. Busca-se entender como são suas vivências em relação à orientação sexual, expressão de gênero, performatividade e passabilidade.
SELLMER, Aulus. Desafios de uma vida corrida. Campinas, SP: Evidência, 2019
Authors: Monteiro Arlete Assumpção 
Published: June 2021

Em Desafios de uma vida corrida, o autor relembra, grava e seleciona lembranças de momentos vivenciados – e muitas vezes anotados – no decorrer de sua rotina diária como preparador físico de esportistas para realização de corridas de aventura, esportes radicais, maratonas e escaladas, acrescidas da sua prática como jornalista e radialista. O livro procura explicitar ao leitor a importância dos exercícios físicos para o homem na sociedade atual. “Minha intenção com este livro é mostrar como a vida pode ser muito melhor estruturada quando o esporte ou um exercício físico está presente nela. Uma simples rotina diária de exercícios e de treinamento tem efeito inacreditável...” (p. 22).
“O QUE OS OLHOS NÃO VEEM O CORAÇÃO NÃO SENTE”: RELIGIÃO – INCLUSÃO – EDUCAÇÃO
Authors: Silva Vera Luci Machado Prates da 
Published: June 2021

A história tem expandido o olhar sobre a complexidade da deficiência e sua presença no percurso da humanidade, bem como a forma de tratar as questões que envolvem as pessoas atingidas por ela. A Fraternidade Cristã de Pessoas com Deficiência (FCD) é um movimento que nasceu em meados do século XX, na Europa, de cunho essencialmente religioso. Traz em seu bojo forte impulso para a visibilidade da pessoa com deficiência à medida que vai possibilitando a ela a conquista da autoestima e autonomia e resgatando a dignidade humana inerente a todas as pessoas, com deficiência ou não. Nesse processo há um empoderamento e envolvimento em lutas por seus direitos e pelos direitos de outras pessoas marginalizadas. A conquista da autoestima e da autonomia e o resgate da dignidade humana são elementos fundamentais que sedimentam o alicerce para uma educação inclusiva.
Apresentação
Authors: Demartini Zeila de Brito Fabri , Campos Maria Christina Siqueira de Souza 
Published: June 2021

A proposta de abordar os desafios enfrentados no campo da educação no Brasil pretendia dar continuidade às discussões que a mesma exige de cientistas sociais e educadores em virtude da precariedade do atendimento ainda disponibilizado à população e também dos resultados muito aquém do desejado com relação à educação de crianças e jovens.
Norte Araguaia: territórios e conflitos – João Carlos Barroso (Org.)
Authors: Antuniassi Maria Helena Rocha 
Published: June 2021

BARROSO, Joao Carlos. Norte Araguaia: Territórios e Conflitos. Belém: NAEA. 2019. 270 p.
O livro em questão discute a estrutura, a história e os problemas atuais vivenciados pela microrregião Norte do Araguaia.
The Benefit of Dysphagia Screening in Adult Patients With Stroke: A Meta‐Analysis
Authors: Sherman Victoria , Greco Elissa , Martino Rosemary 
Published: June 2021

Background
Early identification of dysphagia aims to mitigate the risk of health consequences in adults poststroke; however, the evidence from experimental trials alone is inconclusive. This meta‐analysis assessed dysphagia screening benefit from both trial and observational data.

Methods and Results
Seven electronic databases were searched to December 2019. Unique abstracts and full articles were screened for eligibility by 2 independent blinded raters using a priori criteria and discrepancies resolved by consensus. Included studies were summarized descriptively and assessed for methodological quality using Cochrane Risk of Bias Tool. Across studies, pooled estimates of health benefit were derived for homogeneous data using Review Manger 5.3. From the yield of 8860 citations, 30 unique articles were selected: 24 observational and 6 randomized trials. Across studies, comparisons varied: no screening versus screening, late versus earlier screening, informal versus formal screening, pre‐ versus postscreening, and pre‐ versus poststroke guidelines that included screening. Pooled estimates across comparisons favored experimental groups for pneumonia odds ratio (OR), 0.57 (95% CI, 0.45–0.72), mortality OR, 0.52 (95% CI, 0.35–0.77), dependency OR, 0.54 (95% CI, 0.35–0.85), and length of stay standardized mean difference, −0.62 (95% CI, −1.05 to −0.20).

Conclusions
Combining evidence from experimental and observational studies derived a significant protective health benefit of dysphagia screening following adult acute stroke for pneumonia, mortality, dependency, and length of stay.
Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR
Authors: Al Kasab Sami , Almallouhi Eyad , Alawieh Ali , Wolfe Stacey , Fargen Kyle M. , Arthur Adam S. , Goyal Nitin , Dumont Travis , Kan Peter , Kim Joon‐Tae , De Leacy Reade , Maier Ilko , Osbun Joshua , Rai Ansaar , Jabbour Pascal , Grossberg Jonathan A. , Park Min S. , Starke Robert M. , Crosa Roberto , Spiotta Alejandro M. , Lena Jonathan R. , Chalhoub Reda , El‐Ghanem Mohammad , Yavagal Dileep R. , Peterson Eric C. , Raper Daniel , Brown Patrick A. , Kim Louis J. , Walker Melanie , Hoit Daniel Alan , Inoa‐Acosta Violiza , Nickele Christopher , Elijovich Lucas , Rodriguez‐Erazú Fernanda , Lima Jan , Brehm Alex , Kicielinski Kimberly 
Published: June 2021

Background
Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO.

Methods and Results

We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1,
P
<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes,
P
=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%,
P
=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%,
P
=0.543) between patients in the RT and control groups.

Conclusions
In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO.
Effect of Amplitude Spectral Area on Termination of Fibrillation and Outcomes in Pediatric Cardiac Arrest
Authors: Raymond Tia T. , Pandit Sandeep V. , Griffis Heather , Zhang Xuemei , Hanna Richard , Niles Dana E. , Silver Annemarie , Lasa Javier J. , Haskell Sarah E. , Atkins Dianne L. , Nadkarni Vinay M. ,   for the Pediatric Resuscitation Quality Collaborative (pediRES‐Q) Investigators
Published: June 2021

Background
Amplitude spectral area (AMSA) predicts termination of fibrillation (TOF) with return of spontaneous circulation (ROSC) and survival in adults but has not been studied in pediatric cardiac arrest. We characterized AMSA during pediatric cardiac arrest from a Pediatric Resuscitation Quality Collaborative and hypothesized that AMSA would be associated with TOF and ROSC.

Methods and Results

Children aged <18 years with cardiac arrest and ventricular fibrillation were studied. AMSA was calculated for 2 seconds before shock and averaged for each subject (AMSA‐avg). TOF was defined as termination of ventricular fibrillation 10 seconds after defibrillation to any non‐ventricular fibrillation rhythm. ROSC was defined as >20 minutes without chest compressions. Univariate and multivariable logistic regression analyses controlling for weight, current, and illness category were performed. Primary end points were TOF and ROSC. Secondary end points were 24‐hour survival and survival to discharge. Between 2015 and 2019, 50 children from 14 hospitals with 111 shocks were identified. In univariate analyses AMSA was not associated with TOF and AMS‐Aavg was not associated with ROSC. Multivariable logistic regression showed no association between AMSA and TOF but controlling for defibrillation average current and illness category, there was a trend to significant association between AMSA‐avg and ROSC (odds ratio, 1.10 [1.00‒1.22]
P
=0.058). There was no significant association between AMSA‐avg and 24‐hour survival or survival to hospital discharge.

Conclusions
In pediatric patients, AMSA was not associated with TOF, whereas AMSA‐avg had a trend to significance for association in ROSC, but not 24‐hour survival or survival to hospital discharge.

Registration

URL:
https://www.clinicaltrials.gov
; Unique identifier: NCT02708134.
Left Atrial Appendage Morphology and Local Thrombogenesis‐Related Blood Parameters in Patients With Atrial Fibrillation
Authors: Xu Buyun , Du Ye , Xu Chao , Sun Yong , Peng Fang , Wang Shengkai , Pan Jie , Lou Yuanqing , Xing Yangbo 
Published: June 2021

Background
Left atrial appendage (LAA) morphology predicts stroke risk in patients with atrial fibrillation. However, it is not precisely understood how LAA morphology influences stroke risk. The present study aimed to investigate the relationship between LAA morphology and local thrombogenesis‐related blood parameters in LAA.

Methods and Results

We enrolled 205 patients undergoing catheter ablation of atrial fibrillation. The prevalence of chicken wing–, cactus‐, windsock‐, and cauliflower‐type LAAs were 23.9%, 32.7%, 29.3%, and 14.1%, respectively. Blood samples were collected from the femoral vein, left atrium, and LAA in each patient. The levels of blood parameters were tested for each blood sample. The cauliflower‐type LAA was associated with elevated platelet P‐selectin expression, and interleukin‐6 levels and with lower NO levels in LAA blood samples (
P
<0.05) independent of LAA flow velocity and LAA volume. LAA flow velocity, which was lowest in the cauliflower‐type LAA, was the only independent predictor of von Willebrand factor antigen and plasminogen activator inhibitor‐1 levels in LAA blood samples. In femoral vein blood samples, no significant difference was detected in the above blood parameters among the four LAA morphological types. In all blood samples, the levels of thrombin‐antithrombin complex, D‐dimer, fibrinogen, and tissue plasminogen activator were comparable among the four LAA morphological types.

Conclusions
In patients with atrial fibrillation, LAA morphological types might be associated with local platelet activity, fibrinolysis function, endothelial dysfunction, and inflammation.
Everything in Nature is in Intellect: Forms and Natural Teleology in Ennead 6.2.21 (and elsewhere)
Authors: Noble Christopher Isaac 
Published: June 2021

Abstract
According to a straightforward reading of Enn. 6.2.21, all principles (logoi) in nature have their origin in corresponding features of a divine Intellect. But interpreters have often advocated more restricted readings of Intellect’s contents. These restricted readings are based in part on other textual evidence, and in part on the concern that a more expansive reading would require Intellect to think objects that are of trivial value (‘the value problem’) or whose purposes depend upon facts about sensible reality to which it has no access (‘the teleology problem’). I argue that restricted readings are not well supported, and that Plotinus is committed to his more expansive conception of Intellect’s contents by his understanding of Plato’s paradeigmatism.
Translating the Cult of the Book: Publishing and Performing the Fifth Dalai Lama’s The Wish-Fulfilling King from Lhasa to Beijing
Authors: Nourse Benjamin J. 
Published: June 2021

Abstract
In 1673 the Fifth Dalai Lama, Ngawang Lobzang Gyatso (Ngag dbang blo bzang rgya mtsho, 1617–1682) composed The Wish-Fulfilling King (Yid bzhin dbang rgyal), a ritual manual for the worship of the seven buddhas of healing. In the first hundred years after its composition, the Fifth Dalai Lama’s ritual text was published in the original Tibetan in no less than five different woodblock editions. It had also been translated into Mongolian and Chinese and published in several woodblock editions in those languages. Most of these woodblock editions were produced by imperially sponsored Tibetan Buddhist temples in Beijing. The ritual described in the text was performed in monasteries and temples across central Tibet, Mongolia, and in Beijing. This article examines the history of this text, its transmission, and what those tells us about the culture of Tibetan Buddhist books in the seventeenth and eighteenth centuries, particularly as they relate to the Mayāyāna ‘cult of the book.’
Vocal Fold Cyst Formation after Photoangiolytic KTP Laser Treatment of Early Glottic Cancer
Authors: Yan Kenneth , Friedman Aaron D. 
Published: June 2021

Objective: The incidence of post-operative glottic cyst (POGC) formation in patients treated with transoral laser microsurgery with potassium-titanyl-phosphate laser (TLM-KTP) photoablation of early glottic carcinoma (EGC) has not previously been described. Methods: A retrospective chart review was performed to identify all patients with early glottic cancer who underwent with single-modality TLM-KTP at our institution. Each patient received regular follow up with videostroboscopy for tumor surveillance. New glottic cysts seen on surveillance examinations were noted and their management was documented. Results: A total of 33 patients met inclusion criteria. Eight patients (24%) developed POGC’s within the original geographic perimeter of the cancerous vocal fold(s): 6 in the infraglottic region and 2 near the vocal process, at an average of 8 months after their initial cancer surgery. Of these 8 POGC’s, 7 were at the periphery of the original tumor distribution and 1 was in the center of it. No POGC’s were associated with any change in voice. Four of the 8 POGC’s were phonosurgically excised, all without evidence of malignancy on pathology. The remaining 4 were monitored: 2 were stable for an average of 49 months of follow up; the remaining 2 resolved spontaneously by 7 and 31 months after first identification. Conclusions: POGC’s are a frequent sequela of TLM-KTP for EGC. While these results suggest that they are unlikely to represent submucosal recurrences, surgeons should have a low threshold to biopsy if there is clinical concern for such and should counsel patients pre-operatively about the potential for their formation.
Recreational ketamine-related deaths notified to the National Programme on Substance Abuse Deaths, England, 1997–2019
Authors: Corkery John Martin , Hung Wan-Chu , Claridge Hugh , Goodair Christine , Copeland Caroline S , Schifano Fabrizio 
Published: June 2021

Background: Ketamine is a phencyclidine derivative with dissociative anaesthetic properties. Increasing numbers of individuals in England take ketamine recreationally. Information on deaths arising from such use in England is presented. Methods: Cases were extracted on 31 January 2020 from the National Programme on Substance Abuse Deaths database, based on text searches of the cause of death, coroner’s verdict and positive toxicology results for the terms ‘ketamine’ or ‘norketamine’. Findings: During 1997–2005, there were <5 deaths p.a. in which ketamine was implicated. Numbers increased until 2009 (21), plateauing until 2016; thereafter, deaths have risen to about 30 p.a. Decedents’ characteristics ( N = 283): male 84.1%, mean age 31.2 (SD 10.0) years, employed 56.5%, drug use history 79.6% and living with others 60.3%. Ketamine was detected with other substances in most cases. Main (74.6%) underlying cause of death was accidental poisoning. Ketamine may have impaired judgement in other cases. Conclusions: Although controlled, recreational ketamine use and related fatalities continue to increase. Consumers need to be more aware of the potentially fatal risks they face.
A descriptive video analysis of interactions during inpatient brain injury rehabilitation groups
Authors: Patterson Freyr , Doig Emmah , Marshall Kathryn , Fleming Jennifer 
Published: June 2021

Introduction An advantage of using groups in rehabilitation is the opportunity for peer learning and support. This study aimed to describe and understand the nature of interactions occurring in inpatient occupational therapy brain injury rehabilitation groups, using video-recorded group interactions, to inform recommendations for group facilitation. Method Video recordings of four occupational therapy rehabilitation groups were taken. Twelve adults with brain injury who participated in the groups and four facilitators consented to the study. The data were analysed using a qualitative descriptive approach. Results Interactions were predominantly facilitated by facilitators and shaped by the nature of the group activities. Facilitators used a number of strategies to encourage interaction including knowledge of group participants, activity choice and physical positioning of group members. Conclusion Group facilitators utilise a number of strategies to encourage peer interactions. However, during structured activity-based rehabilitation groups, participants with a brain injury may focus predominantly on achieving the goal of the group rather than initiating peer interactions.
An exploration of the role of occupational therapists in addressing sexuality with service users post stroke
Authors: Heron Jessica , Owen-Booth Bethan 
Published: June 2021

Introduction Research suggests stroke negatively affects sexuality yet is rarely addressed by healthcare professionals. This study aims to explore occupational therapists’ perceptions of addressing sexuality post stroke with service users and whether they perceive it to fit into their scope of practice. Method A qualitative study was undertaken following an inductive reasoning approach. Three occupational therapists working within stroke rehabilitation were purposively recruited. Data were gathered through semi-structured interviews and analysed using inductive thematic analysis to generate four significant themes. Findings Findings generated the following themes: (1) Acknowledging the impact stroke has on sexuality. (2) Consideration of the appropriate stage of the stroke journey to address sexuality; identifying home/community environments to be more appropriate, utilising a multi-disciplinary approach to facilitate this. (3) Barriers to addressing sexuality, including staff’s personal feelings, inexperience, limited resources and ageism. (4) Facilitators to addressing sexuality, including approaching the topic appropriately and utilising the role of occupational therapy and resources. Conclusion This study highlights the gap in the stroke journey where sexuality lies and the role occupational therapists can play in closing this gap. Utilising facilitators such as resources and a multi-disciplinary approach can overcome barriers to practice including embarrassment, prejudice and inexperience.
Ayurveda Body–Mind Constitutional Types and Role of Yoga Intervention Among Type 2 Diabetes Mellitus Population of Chandigarh and Panchkula Regions
Authors: Sivapuram Madhava Sai , Srivastava Vinod , Kaur Navneet , Anand Akshay , Nagarathna Raghuram , Patil Suchitra , Biman Saranga , Chander Ishwar , Jyoti Saras , Nagendra Hongasandra Ramarao 
Published: June 2021

Background: Type 2 diabetes needs a better understanding of etiological factors and management strategies based on lifestyle and constitutional factors, given its high association rate with many cardiovascular, neurological disorders, and COVID-19 infection. Purpose: The present study was undertaken to investigate the effect of Diabetes-specific integrated Yoga lifestyle Protocol (DYP) on glycemic control and lipid profiles of diabetic adults. Along with the DYP intervention, the individuals residing in Chandigarh and Panchkula union territories in the northern part of India were assessed for Ayurveda-based body–mind constitutional type. Ayurveda describes body–mind constitution as “ prakriti,” which has been discussed from two angles, namely physiological and psychological as body and mind are correlated. Methods: Cluster sampling of waitlist control study subjects was used as the sampling method for the study. A total of 1,215 registered subjects (81 diabetic) responded in randomly selected clusters in Chandigarh and Panchkula. Ayurveda physicians did Ayurveda body–mind constitutional assessment called prakriti assessment (physiological body–mind constitution assessment) in 35 participants (23 diabetic, 12 prediabetic) as a part of the study. Results: A group of 50 subjects was randomly selected for yoga intervention out of 81 diabetes mellitus adults, and 31 subjects were enrolled as waitlist controls. A significant decrease in the glycosylated hemoglobin levels from 8.49 ± 1.94% to 7.97 ± 2.20% in the intervention group was noticed. The lipid profiles of the DYP intervention and control groups were monitored. Three-month follow-up results of lipid profile diagnostic tests in intervention and control groups showed a significant difference between the two groups ( P < 0.05). Most diabetic and prediabetic individuals were found to have pitta dosha ( pitta controls all heat, metabolism, and transformation in the mind and body) as dominant constitution type. Conclusion: The study results demonstrated significant positive effects of yoga in diabetic individuals. This study has indicated the evidence for the safety and efficacy of the validated DYP for community-level interventions to prevent maladies like brain damage and stroke.