bluuebunny/crossref_metadata_2025_split huggingface dataset:
Análise comparativa dos antecedentes pessoais e familiares dos pacientes autistas
Authors: Gomes João Pedro Paes , Costa Júlia Floriano da , Santos Júnior José Alfredo dos , Melo Dieggo Jefferson da Silva 
Published: October 2023

Objetivo: Analisar e comparar os antecedentes pessoais e familiares de pacientes autistas, por meio de um questionário sociodemográfico. Métodos: A coleta de dados ocorreu após o recrutamento adequado e o consentimento dos pacientes selecionados e seus responsáveis legais e foi realizada através do Autism Behavior Checklist (ABC), com o intuito de quantificar o número de sintomas do espectro em cada paciente, e do questionário sociodemográfico, criado a partir da literatura atual com o objetivo de encontrar os fatores de risco relevantes nos antecedentes de cada participante. Resultados: Os níveis de gravidade para o Transtorno do Espectro Autista (TEA), estipulados por critérios clínicos no DSM-V, coincidiram em geral com o escore ABC utilizado para quantificar o número de sintomas do TEA nessa pesquisa. Conclusão: Conclui-se que a gravidade dos sintomas do autismo demonstrou que pode ser influenciada por vários fatores, incluindo: renda familiar, idade parental, idade gestacional precoce, incidência de retrocessos durante o desenvolvimento, tipo de parto, nível educacional dos pais e estressores durante a gravidez.
Manifestações neurológicas e comportamentais em pacientes com COVID-19
Authors: Cunha Gabriella da , Medeiros Priscila , Catalan Daniel Thomé , Ananias Fernando 
Published: October 2023

Objetivo: Analisar distúrbios neurológicos e comportamentais da infecção pelo SARS-CoV-2 no Brasil. Métodos: Foi realizado um estudo observacional retrospectivo a partir da base de dados DATASUS. Variáveis como distúrbios na consciência/estado mental alterado, manifestações psicopatológicas, taxa de mortalidade e taxa de internação na UTI avaliadas por razão de chances (OR) e teste bicaudal (valor-p). Resultados: Distúrbios neurológicos e comportamentais foram reportados em 564 (3,13%) pacientes, manifestando confusão (0,77%), rebaixamento do nível da consciência (RNC) (0,46%), sonolência (0,37%) e queda do estado geral (0,37%). RNC (OR: 3.04, p < 0.01), desorientação (OR: 2.62, p < 0.01), confusão (OR: 2.29, p < 0.01), queda do estado geral (OR: 2.09, p < 0.01) e alteração sensorial (OR:1.91, p = 0.03) foram associados significativamente a mortalidade em pacientes com COVID-19 hospitalizados. Vertigem apresentou associação negativa com mortalidade da doença (OR: 0.26, p < 0.01) e agitação apresentou a maior mortalidade observada (82%, p < 0.01). Conclusão: Vertigem foi associada negativamente a mortalidade, enquanto RNC, desorientação, confusão, queda do estado geral e alterações sensoriais foi positivo.
Laserterapia de baixa intensidade como abordagem terapêutica para disfunções temporomandibulares: revisão de literatura
Authors: Bezerra Yanka Vieira , Cavalcante Samara Kelly da Silva , Santos Thaís Elane Oliveira , Campos Ana Beatriz de Souza Lima , Passos Renan Maia , Regis Ana Luiza Martins Barroso , Joventino Vitória Maria de Oliveira , Ribeiro Eliziane Pinto , Lima Sandy Rabelo , Dinelly Érika Matias Pinto 
Published: October 2023

Objetivo: Revisar a literatura acerca do uso do laser de baixa intensidade como escolha de tratamento para disfunções temporomandibulares (DTM). Métodos: Pesquisaram-se os descritores “temporomandibular joint disorders”, “phototherapy” e “low-level light therapy”, conectados pelo operador booleano “AND”, na base de dados Pubmed nos últimos 5 anos. Resultados: Obtiveram-se 75 artigos, sendo selecionados 11 estudos, com base na leitura de títulos e resumos. Foram incluídos artigos em inglês e disponíveis na íntegra que relatassem o tema referido. Foram excluídos estudos laboratoriais, revisões de literatura e artigos que não abordassem o assunto. Foi selecionado um ensaio clínico que observou que o uso da fotobiomodulação com LEDs (Light-Emiting Diode), que são diodos emissores de luz, que ajudam a melhorar a limitação na movimentação da mandíbula. Foi eficaz nas atividades musculares. Apenas um estudo clínico inferiu que a laserterapia foi eficaz isoladamente e 9 estudos clínicos concluíram que o laser de baixa intensidade (LBI) quando associado a outras terapias promove efeitos positivos. Considerações finais: Em suma, os artigos demonstraram a eficácia da LBI para o tratamento da DTM, principalmente quando gerenciados em uma abordagem terapêutica multidisciplinar.
Relevância em distinções na conduta da síndrome coronariana aguda no sexo feminino
Authors: Pinheiro Ingrid Cristhine Manoel , Teixeira Ester Camargo , Silva Ana Karolliny das Neves Souto , Fernandes Cecília Dias , Nascimento Ester Carolina Amando , Nascimento Maria Eduarda Santiago , Paula Gabriella de , Vilhena Gleyce Kelly Setubal , Quarti Maikon Lucian Madeira 
Published: October 2023

Objetivo: Verificar a existência de diferenças no diagnóstico, tratamento e mortalidade da Síndrome Coronariana Aguda em pessoas do sexo feminino. Métodos: Revisão integrativa realizada no período de janeiro a março de 2023, considerando artigos publicados entre 2018 e 2023, em português, inglês e espanhol. Foram consultadas as bases de dados Medline, Lilacs e IBECS. Dos 128 artigos encontrados, 26 foram considerados adequados para compor esta revisão. Resultados: Na Síndrome Coronariana Aguda (SCA) há disparidade, de acordo com o sexo, na manifestação dos sintomas, realização do primeiro eletrocardiograma e uso de tratamento invasivo. Além disso, fatores estressantes, depressão, status socioeconômico, gestação e fatores hormonais alteram o perfil clínico e o tempo de intervenção, bem como, podem levar ao atraso na busca pelo atendimento. Considerações finais: Considera-se que a SCA, em mulheres, apresenta diferenças de incidência, evolução e desfecho em relação aos homens, com pior prognóstico no sexo feminino. Assim, há necessidade de conscientização e prevenção cardiovascular, para minimizar as complicações e melhorar o desfecho clínico.
Percepção do cuidador familiar na prevenção da lesão por pressão em idosos
Authors: Farias Ana Patricia do Egito Cavalcanti de , Queiroz Ronaldo Bezerra de 
Published: October 2023

Objetivo: Compreender a percepção do cuidador familiar na prevenção da lesão por pressão em idosos. Métodos: Estudo exploratório, descritivo com abordagem qualitativa, realizado no período de outubro de 2020 a fevereiro de 2021. A amostra foi composta por 50 cuidadores familiares de pacientes idosos que estavam internados no setor da clínica médica. A coleta de dados foi realizada mediante entrevista. O material foi processado por meio do software Interface de R pourles Analyses Multidimensionnelles de Textes et de Questionnaires. Resultados: Dos 50 cuidadores entrevistados, a faixa etária entre 31 e 45 anos representou 52%, filhos do idoso (54%), casados (56%), ensino médio completo (42%), não atuavam na área da saúde (46%), renda entre um e três salários mínimos (50%), o tempo médio de oferta de cuidados em função de dias foi de 358,76 dias (DP±678,6). Os discursos foram organizados em cinco classes, as quais incluíram aspectos relacionados à lesão como a compreensão da causa, dificuldades no cuidado, experiências adquiridas, cuidados e orientações recebidas no manejo da lesão por pressão. Conclusão: Os resultados desta pesquisa permitiram identificar diversas lacunas dos cuidadores no seu cotidiano concernente ao cuidado junto aos idosos.
Higher Levels of Income and Education are Associated with More Specialized Sport Participation Behaviors: Results from a Representative Sample of Youth Sport Parents from the United States
Authors: Post Eric G , Rivera Matthew J. , Doss Darleesa , Eberman Lindsey E. 
Published: October 2023

Background While previous studies have examined the impact of family socioeconomic characteristics on a child’s sport specialization behaviors, this research has been limited to affluent communities with limited sociodemographic diversity. Hypothesis/Purpose The purpose of this study was to examine associations of parent income and education with child sport specialization behaviors among a nationally representative sample of youth sport parents in the United States. Study Design Cross-sectional. Methods Parents of youth athletes in the United States (n=236, age: 39.2±8.1 years, 57.2% female) were recruited to complete an online questionnaire by Qualtrics Online Samples (Qualtrics, Provo, UT) using a combination of actively managed, double-opt-in market research panels. The questionnaire used for this study consisted of: 1) parent demographics (including parent age, race/ethnicity, biological sex, gender identity, household income, and educational status), and 2) child sport participation characteristics and sport specialization behaviors. Results Parents who reported an annual household income of $75,001 or more were more likely than parents making less than $75,000 to report that their child participated on an organized club team (OR [95%CI]: 1.94 [1.15-3.27]), participated on multiple organized teams at the same time (OR [95%CI]: 1.85 [1.10-3.11]), or specialized in a single sport (OR [95%CI]: 2.45 [1.45-4.14]). Parents who reported receiving a Bachelor’s degree or higher were more likely than parents who did not to report that their child participated on an organized club team (OR [95%CI]: 3.04 [1.78-5.18]), participated on multiple organized teams at the same time (OR [95%CI]: 2.42 [1.43-4.10]), or specialized in a single sport (OR [95%CI]: 1.94 [1.15-3.26]). Conclusions Thes results suggest that in the modern youth sport culture, family resources may serve as a major determining factor in the type of experiences available for a youth athlete. Level of Evidence III
Longitudinal Invariance Testing Of The Knee Injury Osteoarthritis Outcome Score For Joint Replacement Scale (KOOS-JR)
Authors: Dluzniewski Alexandra , Allred Caleb , Casanova Madeline P , Moore Jonathan D , Cady Adam C , Baker Russell T 
Published: October 2023

Background The Knee Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR) is a seven-item patient reported outcome measure used to assess perceived knee health. Though commonly used, the longitudinal psychometric properties of the KOOS-JR have not been established and further characterization of its structural validity and multi-group invariance properties is warranted. Purpose The purpose of this study was to evaluate psychometric properties of the KOOS-JR in a large sample of patients who received care for knee pathology. Study Design Original research. Methods Longitudinal data extracted from the Surgical Outcome System (SOS) database of 13,470 knee pathology patients who completed the KOOS-JR at baseline, three-months, six- months, and one-year. Scale structure was assessed with confirmatory factor analysis (CFA), while multi-group and longitudinal invariance properties were assessed with CFA-based procedures. Latent group means were compared with statistical significance set at α ≤ .05 and Cohen’s d effect size as d = 0.2 (small), d = 0.5 (medium), and d = 0.8 (large). Results CFA results exceeded goodness-of-fit indices at all timepoints. Multi-group invariance properties passed test requirements. Longitudinal analysis identified a biased item resulting in removal of item #1; the retained six-item model (KOOS-JR-6) passed longitudinal invariance requirements. KOOS-JR-6 scores significantly changed over time (p ≤ .001, Mdiff = 1.08, Cohen’s d = 0.57): the highest scores were at baseline examination and the lowest at 12-month assessment. Conclusions The KOOS-JR can be used to assess baseline differences between males and females, middle and older aged adults, and patients receiving total knee arthroplasty or non-operative care. Caution is warranted if the KOOS-JR is used longitudinally due to potential measurement error associated with item #1. The KOOS-JR-6 may be a more viable option to assess change over time; however, more research is warranted. Level of Evidence 3 © The Author(s)
The Use of Elastic Resistance Bands to Reduce Dynamic Knee Valgus in Squat-Based Movements: A Narrative Review
Authors: Forman Davis A , Alizadeh Shahab , Button Duane C , Holmes Michael WR 
Published: October 2023

An elastic band wrapped around the distal thighs has recently been proposed as a method for reducing dynamic knee valgus (medial movement of the knee joint in the frontal/coronal plane) while performing squats. The rationale behind this technique is that, by using an external force to pull the knees into further knee valgus, the band both exaggerates the pre-existing movement and provides additional local proprioceptive input, cueing individuals to adjust their knee alignment. If these mechanisms are true, then elastic bands might indeed reduce dynamic knee valgus, which could be promising for use in injury prevention as excessive knee valgus may be associated with a greater risk of sustaining an ACL rupture and/or other knee injuries. Due to this possibility, certain athletic populations have already adopted the use of elastic bands for training and/or rehab, despite a limited number of studies showing beneficial findings. The purpose of this narrative review is to examine current literature that has assessed lower limb muscle activity and/or lower limb kinematics performance on squat-based movements with or without an elastic band(s). Importantly, this paper will also discuss the key limitations that exist in this area, propose suggestions for future research directions, and provide recommendations for training implementations. Level of Evidence 5
The Effect of Ball Heading and Subclinical Concussion On the Neuromuscular Control Of The Lower Limb: A Systematic Review
Authors: Kakavas Georgios , Giannakopoulos Ioannis , Tsiokanos Athanasios , Potoupnis Michael , Tsaklis Panagiotis V. 
Published: October 2023

Background Soccer is unique among sports because it is the only sport that involves purposeful use of the head to control, pass, or shoot the ball. Over the previous five years, a relationship between lower extremity (LE) injury and sports related concussion (SRC) has been established in various sporting populations. Athletes at the high school, collegiate, and professional levels have demonstrated a greater risk for sustaining a LE injury post SRC. The purpose of this systematic review was to examine the relationship of the SRC with the incidence of LE injuries. Methods Ten databases were searched with the following keywords: Lower limb, ball heading, neuromuscular control, concussion, MEDLINE, Ovid MEDLINE(R) Daily, and Ovid MEDLINE(R), EMBASE, and Scopus. The search was limited to English-language and peer-reviewed publications, until 15/12/2022. The PEDro scale was used for the assessment of the risk of bias among the included studies. All included papers were qualitatively analyzed. Results A total of 834 studies were identified and 10 articles (four concussion-MSK biomechanics, six concussion-MSK injury) were included in the qualitative analyses. Included papers ranged from low to high quality. Due to the heterogeneous nature of the included study designs, quantitative meta-analysis was unable to be performed. All four of the included concussion-MSK biomechanics studies demonstrated, to some degree, that worse cognitive performance was associated with lower extremity MSK biomechanical patterns suggestive of greater risk for MSK injury. Among the six injury related studies, two investigations failed to determine group differences in cognitive performance between subsequently injured and non-injured athletes. Conclusion More research is needed to better understand the relationship of SRC and lower extremity injuries and the extent to which they are related to concussions and/or repetitive neurotrauma after ball heading sustained in soccer. Level of Evidence 2
The MyJump App is a Valid Method of Assessing and Classifying Limb Symmetry During Recovery from Anterior Cruciate Ligament Reconstruction
Authors: Whiteley Isaac , Sideris Vasileios , Kotsifaki Roula , King Enda , Whiteley Rod 
Published: October 2023

Background Jump testing performance and limb symmetry measures are important metrics for clinicians to monitor during rehabilitation after Anterior Cruciate Ligament (ACL) reconstruction, however they require hardware and software which is not commonly available in clinical practice. Video-based solutions may present a feasible alternative, but their veracity in classifying patients using limb-symmetry of 90% has not been established, nor have the clinimetric values for the performance measures been reported in this population. Purpose To describe the diagnostic accuracy (pass/fail using 90% LSI) and clinimetrics of an iPad-based app (“MyJump”) compared to reference force plate analyses for limb symmetry, jump/hop height, contact time, flight time, and reactive strength index Study design Prospective cohort, diagnostic accuracy Methods Fifty-one consecutive patients recovering from ACL reconstruction undertaking routine independent clinical evaluation of their hop and jump performance were concurrently and independently examined using force plates and the MyJump app. Diagnostic accuracy of MyJump was compared to reference force plate analyses using a criterion of 90% limb symmetry. Results Diagnostic accuracy of the MyJump app was very good: positive predictive value for jump height was 0.83 and 1.0 for reactive strength index, and negative predictive value was 0.95 and 1.0 for the same metrics, respectively. Of the 131 classifications made using the MyJump app, there were five false positives and three false negatives – all of these were in classification of jump height with no misclassifications of RSI. Irrespective of jump type, the MyJump app displayed excellent reliability (ICC>0.95) for both height and reactive strength index. Minimum detectable changes were approximately 1cm for height, 0.1 for reactive strength index, 0.02s for contact time, and 0.3s for flight time. Conclusion Where force plates are unavailable, the MyJump app is a valid and reliable substitute for criteria assessment of jump/hop height and reactive strength index in those recovering from ACL surgery using a 90% limb symmetry threshold. The minimum detectable changes vary by metric but are likely sufficiently accurate to detect clinical changes. Level Of Evidence Level 3
Reliability and Measurement Error of the Qualitative Analysis of Single Leg Loading (QASLS) Tool For Unilateral Tasks
Authors: Parry Gemma N , Herrington Lee C , Munro Allan G 
Published: October 2023

Background Movement quality assessment is popular within clinical and sporting practice, due to the contribution diminished or suboptimal movement quality is believed to have on musculoskeletal (MSK) injury risk. Various movement quality assessments exist, many are limited to bilateral or jumping movements evaluation. Qualitative analysis of single leg loading (QASLS) is a new clinical assessment tool for unilateral tasks that utilizes a dichotomous scoring system of ten questions relating to the segmental body regions of the trunk, lower and upper limb. Purpose To determine the intra and inter-rater, within- and between-session reliability of the QASLS tool during two unilateral movement tasks, and provide insight to measurement error and smallest detectable difference (SDD). Study Design Reliability Study Methods Fifteen healthy females (mean age 19 years SD2; height 167 cm, +/- 6; weight 56 kg, +/- 6) completed two unilateral tasks, single leg squat (SLS) and single leg landing (SLL), within session data collection occurred on the same day, with between session data collection occurring seven days later. Tasks were scored with the QASLS tool via video playback. Intra-Class correlation coefficients (ICCk,3) were used to measure within and between session reliability, and Kappa coefficients and percentage of exact agreement (PEA%) were used to determine intra and inter-rater reliability. Standard error of measurement (SEM) and the SDD for the compound score of each limb was calculated. Results Within session reliability of QASLS scores was good (ICC = 0.82-0.86) for SLS and moderate (ICC = 0.67-0.87) for SLL. Between session reliability was moderate (ICC = 0.69-0.87) for SLS and excellent (ICC = 0.92-0.93) for SLL. SEM was less than 1 point, and SDD for compound score ranging from 1.0-2.5 points. Intra-rater agreement of compound QASLS score was near perfect (k = 0.85-100; PEA% 90-100%) and agreement of individual components was substantial- near perfect (k = 0.13-0.74; PEA% 78-100%). Inter-rater agreement for compound QASLS scores ranged from non-substantial (k = 0.13-0.74; PEA% 43.3-90%) for SLS and non-slight (k =0.03-0.17; PEA% 43.3-60%) for SLL. Conclusions The QASLS movement analysis tool can be used to analyze movement quality during two unilateral loading tasks with moderate to excellent within and between session reliability. PEA% was acceptable for inter-rater agreement, however rater education training is recommended to develop more acceptable levels of reliability. Level of Evidence 3
Translasi Representasi Matematis Siswa SMP dalam Menyelesaikan Masalah Ditinjau Berdasarkan Kemampuan Matematika
Authors: Sari Erni Agustina , Susanah Susanah 
Published: October 2023

This study aims to analyze the translation of mathematical representations of verbal problems. Three grade VIII students of junior high school were selected as subjects based on the results of the task of translation ability of mathematical representation. Assignments in the form of algebraic problems were given to subjects and then task-based interviews were carried out. The translation indicator of the mathematical representation used to analyze the results of problem solving and interviews consists of four stages, namely unpacking the source, preliminary coordinator, constructing the target, and determining equivalence.
The results of this study indicate that high ability students solve problems well. At the unpacking stage, the source is translated using verbal representations, coordinating understanding is translated using visual and symbolic representations, constructing the target goals is translated using symbolic representations, and in determining suitability is translated using verbal representations. Students with ability are solving problems well but there are still errors at the stage of coordinating initial understanding and constructing target goals. Students disassemble the source translated using verbal and symbolic representations, coordinate the initial understanding translated using visual and symbolic representations, construct the target goals translated using symbolic representations, and determine the suitability of being translated using verbal representations. Low ability students cannot continue solving problems. As for the translation of the subject's representation in disassembling the source is translated using verbal representations, coordinating the initial understanding is translated using visual and symbolic representations, not constructing the target goals, and using verbal representations when determining the suitability of being translated.