bluuebunny/crossref_metadata_2025_split huggingface dataset:
Os serviços sociais autônomos no Brasil como modelo jurídico-administrativo único
Authors: Almeida Edvaldo Nilo de 
Published: February 2023

Este artigo tem por objetivo estudar a concretização dos direitos fundamentais pelos serviços sociais autônomos no Brasil como modelo jurídico-brasileiro exclusivo, sem paralelo em outros países, passando por sua criação por meio de lei, personalidade jurídica de direito privado, fontes de custeio e finalidade social. O artigo utilizou-se do método hipotético-dedutivo, com base em procedimentos bibliográficos e documentais, por meio de doutrina, jurisprudência, legislação e notícias sobre o tema pesquisado. As conclusões estabelecem que os serviços sociais autônomos desempenham atividades vinculadas à assistência social ou ao ensino profissional de certos grupos sociais ou categorias profissionais, com recursos derivados de contribuições e dotações orçamentárias, e que, além dessas fundamentais atividades vinculadas a grupos sindicais, os serviços sociais autônomos vêm crescendo com contribuições relevantes em serviços voltados para toda a coletividade na área dos direitos fundamentais sociais.
Embates poéticos de Basílio: Brasil, Portugal e Itália
Authors: Versiani Carlos 
Published: February 2023

Neste artigo fazemos um estudo sobre o percurso biográfico e literário de José Basílio da Gama, entre o Brasil, Itália e Portugal, procurando compreender como sua poesia se faz presente em todo o processo histórico vivenciado pelo poeta, elegendo momentos que consideramos importantes para acompanhar o seu diálogo com diferentes representantes do contexto político e literário em que vivia, trazendo discussões e/ou documentações novas, que possam melhor esclarecer pontos sobre os quais ainda pairam dúvidas e controvérsias. Neste caminho, passamos por diferentes abordagens da crítica literária e historiográfica, que focaram o universo poético e temporal do árcade brasileiro. Assim, cruzamos algumas vezes o Atlântico, e também o Mediterrâneo, para melhor detectar os seus passos entre a terra pátria, o reino português e a cidade de Roma, e de que forma estes se imprimiram na sua produção poética: desde a formação jesuítica, a integração à Arcádia Romana e ao projeto da sua filial ultramarina, às redes de sociabilidade social, poética e política construídas entre a América e o universo metropolitano português. Ao final, encontramos um Basílio da Gama que pensamos mais inteiro e visível, que possa melhor servir de base para pesquisas futuras.
Tibetan Plateau Booster Effect on the Influence of Atlantic Multidecadal Variability on the East Asian Summer Rainfall
Authors: Yu Liwei , Si Dong , Jiang Dabang , Ding Yihui , Shen Xinyong , Lang Xianmei , Li Qingquan , Tian Zhiping 
Published: February 2023

Abstract
Although influences of the Atlantic multidecadal variability (AMV) and atmospheric heat source over the Tibetan Plateau (TPHS) on the East Asian summer rainfall (EASR) have been previously investigated, the relationship between the AMV and TPHS and their synergistic impact on the EASR are still unclear. We investigate the distinct relationship between the AMV and TPHS, and the role of the Tibetan Plateau (TP) on the impact of AMV on the EASR in this study. Results show that the AMV exerts a remote effect on the EASR through an atmospheric teleconnection, and the TP serves as a booster of this remote effect. The warming of the North Atlantic (positive phase of AMV) enhances the Asian summer monsoon through a zonal wave train along the northern midlatitudes, yielding an anomalous tripole rainfall pattern over East Asia. The enhanced warm and moist monsoon airflow converges and climbs up along the southern and eastern flanks of the TP, resulting in stronger latent heating over the TP than over other regions along the same latitude, due to the orographic effect of the huge plateau. The enhanced TPHS, in turn, further strengthens the summer monsoon and the East Asian tripole rainfall pattern by exciting a downstream meridional wave train. When the AMV and TPHS are in phase, the zonal wave train originating from the North Atlantic is strong and propagates eastward to the Asia–Pacific regions, significantly regulating the East Asian summer monsoon. Notably, the TP boosts this remote impact of the AMV through the effect of superimposition.

Significance Statement
The Atlantic multidecadal variability and atmospheric heat source over the Tibetan Plateau have been proposed as key drivers of the decadal–multidecadal climate variability in East Asia. In this study, we reveal a distinctive relationship between the Atlantic multidecadal variability and atmospheric heat source over the Tibetan Plateau. Moreover, our study shows that the Atlantic multidecadal variability exerts a remote effect on the East Asian summer rain through a zonal atmospheric teleconnection, and the Tibetan Plateau serves as a booster of this remote effect. Our results would be important for the understanding and predicting the decadal–multidecadal variations of summer climate in East Asia.
Thoracic paravertebral versus interpleural catheter for post-thoracotomy pain control in minimally invasive cardiac surgery
Authors: Pujara Jigisha , Singh Guriqbal , Prajapati Mrugesh , Ninama Sunil , Rajesh Venuthurupalli S P , Trivedi Visharad , Pandya Himani 
Published: February 2023

Objective The aim of this study was to compare efficacy and safety of paravertebral block (PVB) and interpleural analgesia (IPA) after minimally invasive cardiac surgery through thoracotomy in terms of quality of analgesia, post-operative mechanical ventilation time, intensive care unit (ICU) and hospital length of stay (LOS) and complications. Design A randomized, prospective study. Participants A total of 50 adult patients (18–50 years old) undergoing minimally invasive cardiac surgery via thoracotomy. Intervention Patients were randomized for group A: paravertebral epidural catheter ( n = 25), group B: interpleural catheter ( n = 25). All patients were given Inj. Bupivacaine 0.125%, 8 ml and Inj. Tramadol 100 mg as an adjuvant, total volume 10 ml. Results After obtaining institutional review board approval, data collected and analysed – visual analogue score (VAS) at rest and on coughing, haemodynamic and respiratory parameters, time to extubation, supplementary analgesia requirement, LOS and complications. VAS was recorded at 0, 2, 3, 4, 8, 12 and 24 h post-extubation, while blood gases at-after shifting, 4, 8, 12 and 24 h. There were no significant differences in haemodynamic or respiratory parameters, VAS at rest and on coughing, ventilation duration, ICU and hospital LOS between two groups. The requirement of rescue analgesia was in one patient of mini coronary artery bypass in group B, while one patient in group A required reintubation due to respiratory acidosis and got successfully extubated on next day morning. Conclusion PVB and IPA both are safe and effective techniques for minimally invasive cardiac surgery with thoracotomy. It allows optimal pain control and safe ICU fast-track post-operative course.
Effectiveness and safety of rectal dexibuprofen versus oral ibuprofen for closure of patent ductus arteriosus in preterm infants with gestational age<34 weeks: A pilot study
Authors: Pan Jing-jing , Yang Yang , Cui Shu-dong , Chen Xiao-qing , Zhou Xiao-guang 
Published: February 2023

This pilot study aimed to explore the effectiveness and safety of dexibuprofen suppository in the treatment of PDA in preterm infants. Preterm infants with gestational age <34 weeks and color Doppler echocardiographic evidence of hemodynamically significant PDA (hs PDA) with systemic hypoperfusion was intended to be included into this study since January 2020. As of January 1, 2021, this trial had recruited 87 preterm infants who met the inclusion criteria. Neonates were admitted into hospital within 1 hour after birth and were randomly assigned into two groups. Group one included 44 preterm newborns administered with oral ibuprofen. Group two included 43 preterm newborns administered with dexibuprofen suppository. This preliminary study showed that rectal dexibuprofen and oral ibuprofen were both effective for the closure of PDA, and the closure rate of dexibuprofen suppository was comparable to that of oral ibuprofen after the 1st and 2nd courses of treatment. In addition, rectal dexibuprofen did not increase the incidence of adverse outcomes, including bronchopulmonary dysplasia, intraventricular hemorrhage, sepsis, and necrotising enterocolitis. This pilot study showed dexibuprofen suppository is as effective and safe as oral ibuprofen; yet, better designed, muticenter controlled studies are still needed.
A Meta-Research of Randomized Controlled Trials in the Field of Mental Health: Comparing Pharmacological to Non-Pharmacological Interventions from 1955 to 2020
Authors: Chen Sheng , Lee Alina , Wang Wei 
Published: February 2023

Objective This study aimed to provide a general overview of mental health randomized controlled trials (RCTs) and summarize the temporal trends in terms of the number of studies, median sample sizes, and median effect sizes using data collected from the Cochrane Database of Systematic Reviews (CDSR). Methods Using data collected from the CDSR, the temporal trends are compared in terms of the number of studies, median sample sizes, and median effect sizes between two broad categories of interventions: pharmacological RCT (ph-RCT) and non-pharmacological RCT (nph-RCT), and in conjunction with major mental disorder categories. Results Chronologically, the number of mental health RCTs reported in publications has increased exponentially from 1955 to 2020. While ph-RCT comprised a majority of mental health RCTs in the earlier years, the proportion of nph-RCTs increased more quickly over time and markedly exceeded ph-RCT after 2010. The median sample size for all 6,652 mental health RCTs was 61, with 61 for ph-RCT and 60 for nph-RCT. Over time, the median fluctuated but an increasing trend was observed over the past 60+ years. The median of the effect size, measured by Pearson's r, for overall RCTs was 0.18, and nph-RCT (0.19) had a larger median effect size compared to ph-RCT (0.16). Over the years, the nph-RCT had a larger median effect size than the ph-RCT. Differences in the median effect sizes among the categories of mental disorders were also noted. Schizophrenia had the most RCTs, with a median Pearson's r value of 0.17. Mood disorder had the second largest number of RCTs and a median Pearson's r value of 0.15. Neurotic/stress-related mental disorder had the third largest number of RCTs with the highest median Pearson's r being 0.23. Conclusions This study provides meaningful information and filled the knowledge gap in mental health RCTs.
Clinico-Investigative Profile of Prolonged Hyperbilirubinemia in Newborns Presenting to Tertiary Health-Care Setup in Rural Maharashtra
Authors: Pandey Amit Kumar , Jadhav Jayashree , Upadhyay Suryaprakash 
Published: February 2023

Introduction Prolonged hyperbilirubinemia is defined as high bilirubin levels (>10 mg/dL) persisting beyond day 14 of life in term neonates and beyond day 21 in preterm neonates. Methods and Material A prospective cross-sectional study was conducted at a rural tertiary care hospital after obtaining an ethical approval and an informed consent. All infants under 6 months of age with hyperbilirubinemia after 21 days in preterm and 14 days in term were included. This study was designed to determine the proportion of prolonged hyperbilirubinemia and its causes and investigative profile in rural tertiary care. Results Out of total infants showing hyperbilirubinemia, 30.51% of patients had conjugated hyperbilirubinemia with female predominance, whereas 69.49% had unconjugated hyperbilirubinemia with male predominance. In our study, 38.14% were diagnosed with breast milk jaundice, followed by 33.90% caused by septicemia and 10.17% cases of cephalhematoma. In addition, hypothyroidism and TORCH infections were observed in 4.24% of cases, whereas a single case of cystic hygroma, subdural emphysema, pyloric stenosis, and G6PD deficiency was seen. In comparison, late-onset hemorrhagic disease of newborns was observed in 3.39% of cases. Conclusion Breast milk jaundice was the most frequently encountered etiologies of prolonged hyperbilirubinemia and hence, unnecessary investigation for unconjugated hyperbilirubinemia should be avoided.
‘It Makes Me Feel Old’: Understanding the Experience of Recovery From Ankle Fracture at 6 Months in People Aged 50 Years and Over
Authors: Tutton Elizabeth , Gould Jenny , Lamb Sarah E. , Costa Matthew L. , Keene David J. 
Published: February 2023

Ankle fracture is a common injury, and depending on injury severity, treatment may be a support boot, cast or surgery. Older people, particularly those with severe injuries who are asked to restrict weight bearing, struggle with early recovery. To elicit older peoples’ experience of recovery 6 months after injury, we drew on a phenomenological approach using interviews. Findings revealed that getting on with life was a way of accepting what it feels like to ‘be vulnerable’, needing to ‘be safe’ while determinedly working hard to ‘be myself’. Being vulnerable identified endurance of inactivity, loneliness and dependency in the non-weight bearing period of recovery, followed by a struggle to weight bear while lacking confidence and being fearful of falling and causing further damage. Being safe conveyed fragility where sensations, pain and stiffness acted as bodily reminders of injury. Lack of function and awareness of danger led to carefulness where planning or curtailing of activities ensured their safety. Being myself showed a determination to push away from a disrupted self-identify of being older or disabled while being challenged by the continuous process of learning to be more mobile. A lack of readiness for old age created a drive to age well. Despite loss of ability, participants hoped to regain their pre-injury way of living. This study challenges practice that disregards the hard work required to recover from ankle fracture. As comorbidity increases with age, failure to consider this aspect may contribute to frailty in this group of older people.
Retrospective evaluation of the effect of inhalant anesthesia on complications and recurrence rates in feline urethral obstruction
Authors: Perrucci Jessica , Walton Rebecca , Zorn Chelsea , Yuan Lingnan , Mochel Jonathan P , Blong April 
Published: February 2023

Objectives The aim of this study was to evaluate the use of inhalant anesthesia vs sedation for urinary catheter placement in male cats with urethral obstruction. The primary outcome measures were the incidence of complications related to catheterization, the incidence of recurrent urethral obstruction (rUO; both during hospitalization and within 1 year) and survival. The secondary aim of this study was to evaluate the association between baseline serum biochemical concentrations and antispasmodic medications with complications and short-term rUO. Methods We carried out a retrospective review of records from a university teaching hospital from 2009 to 2020. Cats were included if diagnosed with a urinary obstruction, based on the presence of a large, painful and non-expressible bladder, a urinary catheter was placed and hospitalization occurred for a minimum of 24 h. Collected baseline data included age, breed, weight, serum biochemical concentrations and if cats underwent sedation or inhalant anesthesia for urethral catheterization. For the comparison of inhalant anesthesia or sedation, univariate logistic regression was used. Results There was no statistically significant difference in complications or the recurrence of obstruction in cats with urethral obstruction that underwent inhalant anesthesia compared with sedation. All serum biochemical concentrations were significantly associated with survival. Decreased serum ionized calcium was found to be statistically significantly associated with higher complication rates ( P = 0.0086), as well as short-term recurrence of obstruction ( P = 0.004). Increased serum potassium concentrations were found to be statistically significantly associated with the risk of short-term recurrent urethral obstruction ( P = 0.0345). No significant difference was found between the use of antispasmodic medications with short-term recurrence. Conclusions and relevance No significant difference was found between complications or recurrence rates when comparing the use of inhalant anesthesia to sedation protocols. Baseline serum biochemical data were significantly associated with complications, survival and short-term recurrence rates.
Healthcare Costs and Health-Related Quality of Life in Older Multimorbid Patients After Hospitalization
Authors: Salari Paola , Henrard Séverine , O’Mahony Cian , Welsing Paco , Bhadhuri Arjun , Jungo Katharina Tabea , Beck Thomas , O’Mahony Denis , Byrne Stephen , Spinewine Anne , Knol Wilma , Rodondi Nicolas , Schwenkglenks Matthias 
Published: February 2023

Objectives: We identified factors associated with healthcare costs and health-related quality of life (HRQoL) of multimorbid older adults with polypharmacy. Methods: Using data from the OPERAM (OPtimising thERapy to prevent Avoidable hospital admissions in the Multimorbid older people) trial, we described the magnitude and composition of healthcare costs, and time trends of HRQoL, during 1-year after an acute-care hospitalization. We performed a cluster analysis to identify groups with different cost and HRQoL trends. Using multilevel models, we also identified factors associated with costs and HRQoL. Results: Two months after hospitalization monthly mean costs peaked (CHF 7′124) and HRQoL was highest (0.67). They both decreased thereafter. Age, falls, and comorbidities were associated with higher 1-year costs. Being female and housebound were negatively associated with HRQoL, while moderate alcohol consumption had a positive association. Being independent in daily activities was associated with lower costs and higher HRQoL. Conclusion: Although only some identified potential influences on costs and HRQoL are modifiable, our observations support the importance of prevention before health deterioration in older people with multimorbid illness and associated polypharmacy.
Implementation and impact of a Dementia Friends pilot
Authors: Tirado-Rafferty Alisa , Petrescu-Prahova Miruna , Belza Basia , Berridge Clara , Zhou Yuanjin , La Fazia David M 
Published: February 2023

Introduction Dementia Friends is a dementia awareness program that trains lay leaders (called “dementia champions”) to give presentations about dementia to combat stigma in their community. Objective In this mixed methods study, we aimed to evaluate the impact and implementation of a pilot Dementia Friends program in Washington State to assess whether it improved attitudes towards people living with dementia. Method Fifteen champions were recruited, who organized 22 Dementia Friends sessions, reaching 214 Dementia Friends participants. We collected data through interviews with champions and surveys administered to Dementia Friends participants before, immediately after, and 1-month after attending a Dementia Friends session. The survey collected demographic information and measured respondent attitudes towards people living with dementia using the Dementia Attitudes Scale. Results Quantitative analysis showed that Dementia Attitude scores improved after a Dementia Friends session; this improvement was maintained through the 1-month follow-up. In qualitative analysis of champion interviews, we identified several suggestions regarding implementation of the Dementia Friends program, which could strengthen the program and better support champions in their role, such as increasing logistical assistance during participant recruitment. Conclusion Dementia Friends sessions were effective in improving participant attitudes towards people living with dementia and inspiring ongoing action towards building Dementia-Friendly communities. Champions found deep meaning in their role, but would benefit from increased support to make the volunteer role more sustainable. Our findings can inform efforts to successfully deliver Dementia Friends in other locations.
Robotic Belsey Mark IV Repair of the Paraesophageal Hernia
Authors: Reza Joseph A. , Bakhos Charles , Su Stacey , Petrov Roman , Abbas Abbas E. 
Published: February 2023

Objective: Surgical repair of paraesophageal hernias in patients with hostile abdomen is challenging. Despite its utility as an open procedure, the adoption of the minimally invasive Belsey Mark IV procedure has been limited because of the complexity of using traditional video-assisted thoracoscopic instrumentation. The robotic platform offers additional degrees of freedom, which enables minimally invasive transthoracic approach despite challenging anatomy. The purpose of this article is to describe a technique of robotic approach for the Belsey Mark IV operation. Methods: We retrospectively reviewed 5 cases of the robotic Belsey Mark IV procedure completed at a single institution between June 2018 and November 2021. Data were collected from a review of the medical records, including operative reports, anesthesia records, imaging, and clinical notes. The operative technique is described in the present article. There were 4 men and 1 woman. The average age of the patients was 64.4 ± 13.6 years, with an average body mass index of 24.5 kg/m2. Three patients had undergone previous transabdominal hiatal hernia repair, and 2 of them had 2 prior repairs. One patient underwent simultaneous pulmonary left lower lobectomy for cancer with the Belsey Mark IV procedure. Results: The average operative time was 209 ± 95 min (110 to 360 min). The average postoperative length of stay was 4.2 days, and 2 patients experienced complications including bleeding and persistent air leak (after lobectomy). The average blood loss was 67 ± 25 mL. Conclusions: The robotic platform enables a transthoracic minimally invasive approach to the Belsey Mark IV operation.
Risk factors for diabetic foot ulcers: A systematic review and meta-analysis
Authors: Tang WH , Zhao YN , Cheng ZX , Xu JX , Zhang Y , Liu XM 
Published: February 2023

Objective To systematically evaluate the risk factors for developing diabetic foot ulcers (DFU). Methods The Cochrane Library, PubMed, Web of Science, SinoMed, CNKI, VIP, and Wanfang Data were searched for relevant studies on DFU risk factors, and the search time frame was from database creation to March 2022. Meta-analysis was performed using RevMan 5.3. Results A total of 26 publications were included, including 3 cohort studies, 22 case–control studies, and one cross-sectional study. Meta-analysis showed that advanced age [MD = 6.04, 95% CI (3.92, 8.16)], male [OR = 1.84, 95% CI (1.48, 2.29)], elevated body mass index [MD = 1.58, 95% CI (0.47, 2.69)], prolonged duration of diabetes [MD = 2.72, 95% CI (2.33, 3.11)], comorbid nephropathy [OR = 3.15, 95% CI (2.68, 4.60)], comorbid neuropathy [OR = 4.80, 95% CI (2.79, 8.27)], comorbid retinopathy [OR = 3.37, 95% CI (2.26, 5.02)], elevated systolic blood pressure [OR = 8.19, 95% CI (6.33, 10.05)], elevated fasting glucose [MD = 1.60, 95% CI (0.21, 3.00)], elevated glycated hemoglobin [MD = 1.24, 95% CI (0.94, 1.54)], elevated triglycerides [MD = 0.44 (95% CI (0.15, 0.73)], elevated fibrinogen [MD = 1.35, 95% CI (0.62, 2.08)], elevated white blood cell count [MD = 2.56, 95% CI (2.24, 2.88)], elevated C-reactive protein [MD = 15.08, 95% CI (8.03, 22.13)], decreased ankle-brachial ratio [MD = −0.26, 95% CI (−0.36, −0.16)], and decreased total protein levels [MD = −4.58, 95% CI (−6.91, −2.25)] were risk factors for developing DFU ( p < 0.05), and increased HDL cholesterol levels [MD = −0.22, 95% CI (−0.36, −0.08)] were protective factor for developing DFU ( p < 0.05). Conclusion There are many risk factors for developing of ulcers in the diabetic feet, and early prevention and intervention should be performed as early as possible to assess the risk of developing diabetic foot patients.