bluuebunny/crossref_metadata_2025_split huggingface dataset:
Género e representações sociais: duplo-padrão sexual em função da religião e da posição política
Authors: Alves Marta Pereira , Amâncio Lígia , Alferes Valentim Rodrigues 
Published: December 2015

O estudo de natureza não experimental apresentado pretendeu identificar e caracterizar os padrões sexuais pré-matrimoniais aos níveis individual e social e analisá-los em função do sexo, religião e posição política numa amostra de 308 estudantes do ensino superior. Os resultados apontaram para a adesão ao duplo-padrão sexual ao nível individual, mas para uma maior consensualidade na sua forma social, isto é, na percepção dessa duplicidade moral nos julgamentos e nas avaliações dos comportamentos sexuais pela sociedade em geral. Da análise da influência da opção religiosa e da posição política sobre as representações sociais da sexualidade pré-matrimonial, observou-se que os factores religiosidade e conservadorismo político estão negativamente associados à permissividade das atitudes sexuais, apesar da tendência comum dos diferentes grupos religiosos e políticos para a adesão ao duplo-padrão sexual, nas suas duas formas, individual e social. As implicações dos resultados são discutidas no âmbito da teoria das representações e do género.DOI: http://dx.doi.org/10.17575/rpsicol.v22i2.351
A qualidade conjugal como preditora dos estilos educativos parentais: o perfil discriminante de casais com filhos adolescentes
Authors: Mosmann Clarisse , Wagner Adriana , Sarriera Jorge 
Published: December 2015

O presente estudo buscou traçar um perfil discriminante de casais entre as dimensões da qualidade conjugal, adaptabilidade, coesão, satisfação, nível de conflito conjugal, as variáveis sócio-demográficas, e os estilos educativos parentais exercidos com os seus filhos. Para tanto utilizou-se uma amostra de 149 casais com, no mínimo, um filho adolescente, de nível sócio-económico médio, residentes na cidade de Porto Alegre e no interior do Rio Grande do Sul. Foi utilizado um instrumento composto de quatro escalas: três para mensurar as dimensões da conjugalidade e uma para as dimensões da parentalidade. Os resultados mostraram que as dimensões da qualidade conjugal se expressam de forma efectiva e dinâmica nas variáveis que compõe os estilos educativos parentais. Ademais esses resultados mostraram uma coerência de funcionamento entre as características individuais dos cônjuges, tanto no exercício da conjugalidade, quanto da parentalidade. DOI: http://dx.doi.org/10.17575/rpsicol.v22i2.352
Coronary Artery Fistulas: Symptoms may not Correlate to Size. An Emblematic Case and Literature Review.
Authors: Buccheri Dario , Pisano Calogera , Piraino Davide , Cortese Bernardo , Chirco Paola Rosa , Dendramis Gregory , Balistreri Carmela Rita , Andolina Giuseppe , Argano Vincenzo , Ruvolo Giovanni 
Published: December 2015

<p>Coronary artery fistulas are rare anatomic abnormalities of the coronary arteries present in 0.002% of the general population and represent 14% of all anomalies of coronary arteries. Their clinical relevance focuses mainly on the mechanism of "coronary steal phenomenon”, causing myocardial functional ischemia even in the absence of stenosis, hence common symptoms are angina or dyspnea. Small size fistulas are mostly asymptomatic and have excellent prognosis if managed medically with regular follow-up consisting also in echocardiography every 2-5 years. Big-sized and symptomatic fistulas, on the contrary, should undergo invasive closure, either with a transcatheter approach or with surgical ligation, whose results are equivalent at long-term follow-up. However, in some cases, symptoms may not correspond with size. Larger fistulas may be asymptomatic and very small fistulas may cause symptoms like angina in our patient. Here, we are presenting an emblematic and very rare case with a complete literature review. Particularly, very didactic angiography images and then during surgery are shown. </p>
Bartonella Henselae Endocarditis: A Serological Dilemma
Authors: Agrawal Yashwant , Ross Ronald , Kalavakunta Jagadeesh K 
Published: December 2015

Agrawal Y., Ross R., and Kalavakunta J.K. Bartonella Henselae Endocarditis: A Serological Dilemma. International Cardiovascular Forum Journal. 2015;4:69-70 DOI: 10.17987/icfj.v4i0.127
Tricuspid Valve Obstruction by a Tumour Thrombus in Primary Liver Cell Carcinoma
Authors: Okeahialam Basil Nwaneri 
Published: December 2015

<p>Okeahialam B.N. Tricuspid valve obstruction by a tumour thrombus in primary liver cell carcinoma. International Cardiovascular Forum Journal. 2015;4:86-87 DOI: 10.17987/icfj.v4i0.129</p>
In-stent Restenosis: COMBO Stent May Guarantee a Proper Healing
Authors: Piraino Davide , Buccheri Dario , Dendramis Gregory , Cortese Bernardo , Andolina Giuseppe 
Published: December 2015

<p>The risk of ISR appears to be related to several factors which cooperate synergistically; among these factors an important role is played by: the metal struts of the stent and the consequent inflammatory stress on the vascular wall which favors an excessive neointimal proliferation that "attacking" the stent struts, progressively and critically reduce the vessel lumen.<br />Drug eluting balloon is the gold standard in this setting due to the absence of metallic struts. COMBO stent could be a viable alternative which may properly compare to DEB in the ISR treatment: one of a kind, because it has a dual therapy action, synergistically combining the effect of sirolimus with the presence of CD34+ antibodies on the surface of its struts, capturing circulating endothelial progenitor cells (EPCs), so mobilized EPCs differentiate into functional endothelium and allowing a homogeneous neointimal formation.<br /> Here we are presenting an intriguing case of a ISR treated successfully with COMBO and confirmed by 5-months angiographic and IVUS follow-up. </p>
Economic Evaluation of Cardiac Contractility Modulation (CCM) Therapy with the Optimizer IVs in the Management of Heart Failure Patients
Authors: Maniadakis Nikos , Fragoulakis Vasilios , Mylonas Charalambos , Sharma Rakesh , Stewart Coats Andrew 
Published: December 2015

<p class="NICEnormal"><strong>Background: </strong>Heart failure represents a major burden for health systems and societies. Cardiac contractility modulation (CCM) therapy was developed in recent years for patients with normal QRS in whom optimal pharmacological (OMT) treatment has failed to control symptoms adequately. This study presents an economic evaluation of CCM therapy for the UK.</p><p class="NICEnormal"><strong>Methods: </strong>A Markov model was built to simulate the management of patients under two therapy scenarios, on OMT alone and CCM+OMT respectively. The horizon is the patient’s life time and the cycle is 4 weeks. The model estimates life year (LYs), quality adjusted life years (QALYs) and overall treatment costs. Data to populate it came from relevant CCM trials, the literature and other sources.</p><p class="NICEnormal"><strong>Results: </strong>The total mean life-time cost was £37,467 in the CCM+OMT arm and £16,885 in the OMT arm. Patients in the OMT arm gained 7.00 LYs and 4.00 QALYs and those on CCM+OMT 7.96 and 5.26 respectively. The incremental cost per QALY was £16,405and the incremental cost per LY £21,415. Sensitivity analysis indicates that the results are pretty stable and stochastic analysis indicates that at a £30,000 per QALY threshold the likelihood of CCM+OMT being cost-effective is 99.8% and at £25,000 per QALY 97%.</p><p class="NICEnormal"><strong>Conclusion: </strong>The present analysis indicates that CCM may be cost-effective therapy. This early conclusion should be viewed in the light of the caveats of the modeling methods used, due to data availability. Long-term studies directly collecting hospitalization and mortality data should be undertaken to provide more robust evidence.</p>
Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge
Authors: Roffman Caroline E. , Buchanan John , Allison Garry T. 
Published: December 2015

AbstractBackgroundIt is recognized that multifactorial assessments are needed to evaluate balance and locomotor function in people with lower limb amputation. There is no consensus on whether a single screening tool could be used to identify future issues with locomotion or prosthetic use.ObjectiveThe purpose of this study was to determine whether different tests of locomotor performance during rehabilitation were associated with significantly greater risk of prosthetic abandonment at 12 months postdischarge.DesignThis was a retrospective cohort study.MethodData for descriptive variables and locomotor tests (ie, 10-Meter Walk Test [10MWT], Timed “Up & Go” Test [TUGT], Six-Minute Walk Test [6MWT], and Four Square Step Test [FSST]) were abstracted from the medical records of 201 consecutive participants with lower limb amputation. Participants were interviewed and classified as prosthetic users or nonusers at 12 months postdischarge. The Mann-Whitney U test was used to analyze whether there were differences in locomotor performance. Receiver operating characteristic curves were generated to determine performance thresholds, and relative risk (RR) was calculated for nonuse.ResultsAt 12 months postdischarge, 18% (n=36) of the participants had become prosthetic nonusers. Performance thresholds, area under the curve (AUC), and RR of nonuse (95% confidence intervals [CI]) were: for the 10MWT, if walking speed was ≤0.44 ms−1 (AUC=0.743), RR of nonuse=2.76 (95% CI=1.83, 3.79; P&lt;.0001); for the TUGT, if time was ≥21.4 seconds (AUC=0.796), RR of nonuse=3.17 (95% CI=2.17, 4.14; P&lt;.0001); for the 6MWT, if distance was ≤191 m (AUC=0.788), RR of nonuse=2.84, (95% CI=2.05, 3.48; P&lt;.0001); and for the FSST, if time was ≥36.6 seconds (AUC=0.762), RR of nonuse=2.76 (95% CI=1.99, 3.39; P&lt;.0001).LimitationsMissing data, potential recall bias, and assessment times that varied were limitations of the study.ConclusionsLocomotor performance during rehabilitation may predict future risk of prosthetic nonuse. It may be implied that the 10MWT has the greatest clinical utility as a single screening tool for prosthetic nonuse, given the highest proportion of participants were able to perform this test early in rehabilitation. However, as locomotor skills improve, other tests (in particular, the 6MWT) have specific clinical utility. To fully enable implementation of these locomotor criteria for prosthetic nonuse into clinical practice, validation is warranted.
Concussion Attitudes and Beliefs, Knowledge, and Clinical Practice: Survey of Physical Therapists
Authors: Yorke Amy M. , Littleton Sheila , Alsalaheen Bara A. 
Published: December 2015

Abstract

Background
A concussion is considered a mild traumatic brain injury that may cause physical, cognitive, affective, and sleep dysfunction. Physical therapists have been identified as health care providers involved in the multidisciplinary care of a patient with concussion.

Objective
The purpose of this study was to describe the current attitudes and beliefs, knowledge, and practice of physical therapists in the treatment of patients with concussion.

Methods
A 55-question electronic survey divided into 6 sections—(1) demographics, (2) current practice in concussion, (3) youth concussion legislation, (4) attitudes and beliefs toward concussion management, (5) concussion knowledge, and (6) clinical decision making—was developed and distributed online through selected American Physical Therapy Association sections.

Results
A total of 1,272 physical therapists completed the survey. Seventy percent of the respondents (n=894) reported having concussion training. Although supportive of the role of the physical therapist in the treatment of a person with concussion, the respondents demonstrated less confidence when making return-to-play decisions. Respondents correctly answered, on average, 13 (out of 15) concussion knowledge questions, with gaps exhibited in understanding the clinical utilization of concussion severity scales, the conservative treatment of youth who sustain a concussion, and anticipated normal computed tomography and magnetic resonance imaging after a concussion. When provided with clinical scenarios, respondents were able to recognize when a referral to a physician was indicated; however, they demonstrated variability in identifying a need for vestibular or manual physical therapy.

Limitations
Convenience sampling was utilized, limiting generalizability of the results of the study to the physical therapy profession as a whole.

Conclusion
Physical therapists demonstrated a solid foundation of concussion knowledge, but gaps still existed. Future professional development opportunities should be developed to target identified gaps in knowledge and current practice patterns.
Improving Shoulder Kinematics in Individuals With Paraplegia: Comparison Across Circuit Resistance Training Exercises and Modifications in Hand Position
Authors: Riek Linda M. , Tome Joshua , Ludewig Paula M. , Nawoczenski Deborah A. 
Published: December 2015

AbstractBackgroundCircuit resistance training (CRT) should promote favorable kinematics (scapular posterior tilt, upward rotation, glenohumeral or scapular external rotation) to protect the shoulder from mechanical impingement following paraplegia. Understanding kinematics during CRT may provide a biomechanical rationale for exercise positions and exercise selection promoting healthy shoulders.ObjectiveThe purposes of this study were: (1) to determine whether altering hand position during CRT favorably modifies glenohumeral and scapular kinematics and (2) to compare 3-dimensional glenohumeral and scapular kinematics during CRT exercises.HypothesesThe hypotheses that were tested were: (1) modified versus traditional hand positions during exercises improve kinematics over comparable humerothoracic elevation angles, and (2) the downward press demonstrates the least favorable kinematics.DesignThis was a cross-sectional observational study.MethodsThe participants were 18 individuals (14 men, 4 women; 25–76 years of age) with paraplegia. An electromagnetic tracking system acquired 3-dimensional position and orientation data from the trunk, scapula, and humerus during overhead press, chest press, overhead pulldown, row, and downward press exercises. Participants performed exercises in traditional and modified hand positions. Descriptive statistics and 2-way repeated-measures analysis of variance were used to evaluate the effect of modifications and exercises on kinematics.ResultsThe modified position improved kinematics for downward press (glenohumeral external rotation increased 4.5° [P=.016; 95% CI=0.7, 8.3] and scapular external rotation increased 4.4° [P&lt;.001; 95% CI=2.5, 6.3]), row (scapular upward rotation increased 4.6° [P&lt;.001; 95% CI=2.3, 6.9]), and overhead pulldown (glenohumeral external rotation increased 18.2° [P&lt;.001, 95% CI=16, 21.4]). The traditional position improved kinematics for overhead press (glenohumeral external rotation increased 9.1° [P=.001; 95% CI=4.1, 14.1], and scapular external rotation increased 5.5° [P=.004; 95% CI=1.8, 9.2]). No difference existed between chest press positions. Downward press (traditional or modified) demonstrated the least favorable kinematics.LimitationsIt is unknown whether faulty kinematics causes impingement or whether pre-existing impingement causes altered kinematics. Three-dimensional modeling is needed to verify whether “favorable” kinematics increase the subacromial space.ConclusionsHand position alters kinematics during CRT and should be selected to emphasize healthy shoulder mechanics.
Disability Trajectories in Patients With Complaints of Arm, Neck, and Shoulder (CANS) in Primary Care: Prospective Cohort Study
Authors: Miedema Harald S. , Feleus Anita , Bierma-Zeinstra Sita M.A. , Hoekstra Trynke , Burdorf Alex , Koes Bart W. 
Published: December 2015

Abstract

Background
Nontraumatic complaints of arm, neck, and shoulder (CANS) represent an important health issue, with a high prevalence in the general working age population and huge economic impact. Nevertheless, only few prospective cohort studies for the outcome of CANS are available.

Objectives
The purpose of this study was to identify disability trajectories and associated prognostic factors during a 2-year follow-up of patients with a new episode of CANS in primary care.

Design
This was a prospective cohort study.

Methods
Data of 682 participants were collected through questionnaires at baseline and every 6 months thereafter. Disability was measured with the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). Latent class growth mixture (LCGM) modeling was used to identify clinically meaningful groups of patients who were similar in their disability trajectory during follow-up. Multivariate multinomial regression analysis was used to evaluate associations between sociodemographic, complaint-related, physical, and psychosocial variables and the identified disability trajectories.

Results
Three disability trajectories were identified: fast recovery (67.6%), modest recovery (23.6%), and continuous high disability (8.8%). A high level of somatization was the most important baseline predictor of continuous high disability. Furthermore, poor general health, widespread complaints, and medium level of somatization were associated with this trajectory and &gt;3 months complaint duration, musculoskeletal comorbidity, female sex, history of trauma, low educational level, low social support, and high complaint severity were associated with both continuous high disability and modest recovery. Age, kinesiophobia, and catastrophizing showed significant associations only with modest recovery.

Limitations
Loss to follow-up ranged from 10% to 22% at each follow-up measurement. Disabilities were assessed only with the DASH and not with physical tests. Misclassification by general practitioners regarding specific or nonspecific diagnostic category might have occurred. The decision for optimal LCGM model, resulting in the disability trajectories, remains arbitrary to some extent.

Conclusions
Three trajectories described the course of disabilities due to CANS. Several prognostic indicators were identified that can easily be recognized in primary care. As some of these prognostic indicators may be amenable for change, their presence in the early stages of CANS may lead to more intensive or additional interventions (eg, psychological or multidisciplinary therapy). Further research focusing on the use of these prognostic indicators in treatment decisions is needed to further substantiate their predictive value.
Criterion Validity of the activPAL Activity Monitor for Sedentary and Physical Activity Patterns in People Who Have Rheumatoid Arthritis
Authors: Larkin Louise , Nordgren Birgitta , Purtill Helen , Brand Charles , Fraser Alexander , Kennedy Norelee 
Published: December 2015

Abstract

Background
Accurate measurement of physical activity and sedentary behavior is an important consideration for health care professionals. The activPAL activity monitor has not been validated against a criterion measure for people with rheumatoid arthritis (RA).

Objective
The objective of this study was to determine the criterion validity of the activPAL activity monitor for measuring step counts, transition counts, and time spent in sedentary, standing, and walking behaviors in people with RA.

Design
A laboratory-based criterion validation study was conducted.

Methods
Participants with a confirmed medical diagnosis of RA were recruited from 2 outpatient rheumatology clinics. The testing procedure consisted of standardized testing components and tasks related to activities of daily living. Participants wore an activPAL activity monitor and were video recorded throughout the testing procedure. Direct observation was used as the criterion measure. Data analysis consisted of validation analysis of the activPAL activity monitor data and the criterion measure data.

Results
Twenty-four people participated in the study. Data from 20 participants were included in the final analysis. The activPAL significantly underestimated step counts by 26% and transition counts by 36%. There was no significant difference between the activPAL activity monitor and the criterion measure for time spent in sedentary, standing or light activity, and walking behaviors.

Limitations
Validation of activities of daily living in a laboratory environment is a limitation of this study.

Conclusions
The activPAL activity monitor underestimated step and transition counts and, therefore, is not valid for measuring these outcomes in people with RA. Relative to direct observation, the activPAL activity monitor is valid for measuring time spent in sedentary, standing, and walking behaviors in people with RA.
Physical Therapists' Ways of Talking About Overweight and Obesity: Clinical Implications
Authors: Setchell Jenny , Watson Bernadette M. , Gard Micheal , Jones Liz 
Published: December 2015

BackgroundHow people think and talk about weight is important because it can influence their behavior toward people who are overweight. One study has shown that physical therapists have negative attitudes toward people who are overweight. However, how this finding translates into clinical practice is not well understood. Investigating physical therapists' ways of thinking and speaking about overweight and obesity in the context of their work can provide insight into this underresearched area.ObjectivesThe purpose of this study was to investigate physical therapists' ways of talking about overweight individuals and discuss clinical implications.DesignAn interpretive qualitative design was used.MethodsThe research team used discourse analysis, a type of inductive qualitative methodology, to guide data collection and analysis. The data came from 6 focus groups of 4 to 6 physical therapists in Queensland, Australia, who discussed weight in a physical therapy environment. Participants (N=27) represented a variety of physical therapy subdisciplines.ResultsData analysis identified 4 main weight discourses (ways of thinking and speaking about weight). Participants described patients who are overweight as little affected by stigma and difficult to treat. Furthermore, participants portrayed weight as having simple causes and being important in physical therapy. Alternate weight discourses were less frequent in these data.ConclusionsThe results indicated that some physical therapists' understandings of weight might lead to negative interactions with patients who are overweight. The findings suggest physical therapists require more nuanced understandings of: how patients who are overweight might feel in a physical therapy setting, the complexity of causes of weight, and possible benefits and disadvantages of introducing weight-management discussions with patients. Therefore, education should encourage complex understandings of working with patients of all sizes, including knowledge of weight stigma.