bluuebunny/crossref_metadata_2025_split huggingface dataset:
Occupational Injustice and the Right to Play: A Systematic Review of Accessible Playgrounds for Children With Disabilities
Authors: Gately Kelsey A. , Zawadzki Anna H. , Mosley Alyssia M. , Badua Alyssamarie K. , Swanberg Jennifer E. , Rosenthal Samantha R. 
Published: April 2023

AbstractImportance: Playgrounds facilitate important opportunities for growth and development during childhood. Despite accessibility regulations, these experiences are not afforded to children with disabilities as a result of environmental and societal barriers.Objective: To identify and synthesize existing research on the relationship between key areas of development and accessible play settings for children with disabilities to inform evidence-based interventions and advocacy work.Data Sources: The following databases were searched on January 30, 2021: Academic Search Complete/EBSCO, CINAHL/EBSCO, Education Research Complete/EBSCO, ERIC, OTseeker, and PubMed.Study Selection and Data Collection: This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were peer-reviewed, included children with disabilities ages 3 to 12 in an accessible play setting, and had outcomes related to areas of childhood development. Validated tools were used to determine risk of bias and quality of evidence.Findings: Nine articles met inclusion criteria: 1 Level 3b matched case–control study, 4 Level 4 cross-sectional studies, 3 Level 5 qualitative studies, and 1 mixed-methods study with Levels 4 and 5 evidence. Eight of 9 studies reported that social participation, play participation, and motor skills development were negatively affected despite playgrounds being labeled accessible.Conclusions and Relevance: Children with disabilities have decreased engagement in activities that provide opportunities for play, social participation, and motor skills development. Practitioners should address occupational injustice in the playground setting by engaging in program development, policy, and playground design to reduce stigma and increase accessibility.What This Article Adds: By addressing play accessibility, occupational therapy practitioners could significantly reduce instances of play inequity. Creating interdisciplinary teams to address accessible playground design locally would allow occupational therapy practitioners the opportunity to make a lasting impact for the children in their community.
Associations Among Clinical Factors and Occupational Therapy Service Utilization in Children With Autism Spectrum Disorder
Authors: Campi Emily , Sideris John , Wiles Amanda , Phillips Allison , Carrasquero Valentina Vera , Ausderau Karla , Baranek Grace 
Published: April 2023

AbstractImportance: Limited research has elucidated factors predicting occupational therapy–specific service utilization by children with autism. Such research is needed to inform reasons for receipt of services.Objective: To examine factors associated with occupational therapy service utilization by children with autism. We hypothesized that elevated sensory hyperresponsiveness; greater sensory interests, repetitions, and seeking; and lower adaptive behavior would predict more service utilization.Design: Analysis of extant data from a prospective, longitudinal survey study about autism symptom severity, adaptive behavior, sensory features, and demographic and service utilization information of children with autism ages 3 to 13 yr.Setting: Online parent survey regarding child behaviors during daily activities and contexts.Participants: 892 parents of children with autism from 50 U.S. states.Outcomes and Measures: We used scores on the Vineland Adaptive Behavior Scale–Second Edition, the Social Responsiveness Scale, and the Sensory Experiences Questionnaire Version 3.0 and responses to a demographic questionnaire. We formulated hypotheses after data collection but before analysis.Results: Predictors of higher occupational therapy service utilization were lower enhanced perception; lower adaptive behavior; elevated sensory interests, repetitions, and seeking behaviors; younger child age; and higher household income.Conclusion and Relevance: Results partially support our hypotheses. Sensory interests, repetitions, and seeking behavior predicted occupational therapy service utilization, whereas other sensory response patterns did not, suggesting a possible referral bias for certain sensory response patterns. Occupational therapy practitioners can educate parents and teachers about the scope of practice, which includes addressing sensory features beyond sensory interests, repetitions, and seeking behaviors.What This Article Adds: Children with autism who have impairments in adaptive functioning and high levels of sensory interests, repetitions, and seeking behaviors receive more occupational therapy services. Occupational therapy practitioners should be well trained to address such concerns and advocate for the profession’s role in mitigating the impact of sensory features on daily life.
Biochemical role of zinc in vivax malaria
Authors: L. Poojary Thaksha , K. Sudha , K. Sowndarya , Y. Durgarao 
Published: April 2023

Introduction and Aim: Zinc is a micronutrient that has a significant immune modulatory function, its deficiency is known to increase the risk of plasmodium infection in humans Although inflammatory processes contribute to the elimination of plasmodium, persistent inflammation is the underlying cause of malaria pathology. Cholinesterases are carboxypeptidases that are zinc dependent and are the indicators of low-grade inflammation. Plasma butyryl cholinesterase, is a biomarker of dietary status of zinc. Matrix metalloproteinases (MMP) are endopeptidases that contain zinc which take part in inflammatory reactions. They participate in remodeling of extracellular matrix and aid tissue repair. The current investigation aims to study the association of these metalloproteins with zinc in patients with vivax malaria.

Materials and methods: Plasma zinc, butyrylcholinesterase (BChE) and erythrocyte acetylcholinesterase (AChE) were estimated spectrophotometrically in 100 vivax malaria patients and 50 healthy subjects. MMP9 was determined using ELISA.

Results: Plasma zinc was markedly lower in malaria patients compared to healthy controls (p<0.05). Both BChE and AChE decreased significantly in malaria (p<0.00) compared to healthy subjects. There was an elevation of MMP9 in malaria, although the increase was statistically insignificant. Cholinesterases correlated positively with zinc in controls and malaria. MMP9 showed a significant positive correlation with zinc in malaria patients (r=0.405, p=0.05).

Conclusion: The study highlights the role of zinc in the pathology of malaria as it is essential for the maintenance of several enzyme activities. Further, prompt administration of micronutrients like zinc may reduce the inflammation related morbidity in malaria.
An interprofessional collaborative approach to alleviate workplace stress among medical college faculty during COVID pandemic
Authors: R. Rajashree , Sindhu Suyog , Mandal Tatiyana , A. M. Ciraj 
Published: April 2023

Introduction and Aim: Job and stress are not mutually exclusive; in fact, stress is inherent to job. In the present era of COVID pandemic, working as health care providers may entail highest levels of stress leading to burnout. Thus, affecting work efficiency of faculty, in turn reflecting on students’ performance and health care services to patients. However, de-stressors like yoga and art-based interventions are scarce and not well documented to date. Hence, the present study was undertaken to determine the efficacy of stress alleviating yoga and creative art therapy through interprofessional collaborative approach.

Methods: Sixty medical faculty of either gender aging 30-60 years, were randomly divided into two equal groups - control and intervention group. The intervention group underwent yoga and creative art therapy for 10 days duration each. International stress management association (ISMA) stress questionnaire and Kessler’s psychological distress (K-10) scale were administered before and post-intervention, to compare the stress levels. Blood pressure (BP), pulse rate, body mass index (BMI) and waist hip ratio (WHR) were also measured. Comparative analysis of pre-post test scores was done using Student’s paired ‘t’ test.

Results: According to ISMA and K-10 scores, the intervention group showed statistically significant (p 0.05) decrease in stress levels among faculty. However, BP, BMI and WHR didn’t show any significant change after the intervention.

Conclusion: Yoga and art therapy were proved to be beneficial in reducing the stress levels among faculty significantly. Comparative analysis also showed significant reduction irrespective of their gender and specialty.
Multimodal perioperative management programme on postoperative discomfort among clients undergoing abdominal surgery at a selected hospital in Mangaluru
Authors: S. Latha , Kamath Neetha , Joseph Gincy , V. Rajesh 
Published: April 2023

Introduction and Aim: Apart from pain, numerous causes contribute to discomfort during the postoperative period. Hence, early postoperative nursing care should focus on reducing this discomfort. The present study aimed to find the effect of a management programme on postoperative discomfort (MPMP) among patients undergoing abdominal surgery.

Materials and Methods: This quasi-experimental study was conducted in a selected tertiary care hospital and included 183 adult patients who underwent laparotomy. The MPMP includes preoperative education, early ambulation, deep breathing exercises, and incentive spirometry. The participants were randomized into two interventional and one control group. The Intervention Group I patients performed deep breathing exercises and early ambulation after preoperative education, while Group II patients practiced incentive spirometry and early ambulation with preoperative education. The study included a control group who received routine nursing care. The primary outcome variable is postoperative discomfort (measured on days 1,3, and 5).

Results: The MPMP showed a significant difference in discomfort factors like pain during day1(p=0.007) and days 3 and 5 (p<0.001). Non-pain symptoms such as nausea, vomiting, movement restriction discomfort due to IV drips, and feeling cold showed higher significance for Groups I and II on days 3 and 5. Similarly, dry mouth, abdominal distension, and constipation showed a significant difference (p<0.05) on days 3 and 5 between the groups at a 5% significance level.

Conclusion: This study showed that postoperative discomforts could be minimized by the early practice of the MPMP program in patients undergoing surgery.
Climatic control on seasonal variations in mountain glacier surface velocity
Authors: Nanni Ugo , Scherler Dirk , Ayoub Francois , Millan Romain , Herman Frederic , Avouac Jean-Philippe 
Published: April 2023

Abstract. Accurate measurements of ice flow are essential to predict future changes in glaciers and ice caps. Glacier displacement can in principle be measured on the large scale by cross-correlation of satellite images. At weekly to monthly scales, the expected displacement is often of the same order as the noise for the commonly used satellite images, complicating the retrieval of accurate glacier velocity. Assessments of velocity changes on short timescales and over complex areas such as mountain ranges are therefore still lacking but are essential to better understand how glacier dynamics are driven by internal and external factors. In this study, we take advantage of the wide availability and redundancy of satellite imagery over the western Pamirs to retrieve glacier velocity changes over 10 d intervals for 7 years and for a wide range of glacier geometry and dynamics. Our results reveal strong seasonal trends. In spring/summer, we observe velocity increases of up to 300 % compared to a slow winter period. These accelerations clearly migrate upglacier throughout the melt season, which we link to changes in subglacial hydrology efficiency. In autumn, we observe glacier accelerations that have rarely been observed before. These episodes are primarily confined to the upper ablation zone with a clear downglacier migration. We suggest that they result from glacier instabilities caused by sudden subglacial pressurization in response to (1) supraglacial pond drainage and/or (2) gradual closure of the hydrological system. Our 10 d resolved measurements allow us to characterize the short-term response of glaciers to changing meteorological and climatic conditions.
Resolución de hiato vocálico en la koiné griega: la secuencia [i.a] en los papiros documentales
Authors: Berenguer Sánchez José Antonio 
Published: April 2023

La aplicación de nuevas herramientas para el análisis del corpus digital de los papiros griegos nos permite acceder a más datos que los tradicionalmente mencionados en gramáticas y manuales. Hay grafías que reflejan distintos resultados en los procesos de resolución de hiato vocálico. Su examen nos permite valorar mejor la incidencia del fenómeno, así como la frecuencia con que se manifiesta en cada secuencia a lo largo del tiempo, redimensionando enfoques anteriores. En secuencias heterosilábicas [V1.V2], en las que V1 = /i/ y V2 = vocal [- cerrada] [- anterior], se observa la existencia de variantes gráficas que reflejan tanto la desaparición de V1 como de V2. A partir del estudio de los datos y de la comparación tipológica, podemos establecer que la distribución acentual condicionó las variantes más frecuentes: elisión, verosímilmente previa reducción de V2 en terminaciones heterosilábicas átonas de palabras proparoxítonas, omisión de V1 en terminaciones heterosilábicas paroxítonas con desplazamiento acentual de V1 a V2. En los datos de resolución de la secuencia [i.a] se aprecia una gran variabilidad de resultados en contextos equivalentes. Como apoya también la comparación tipológica, factores no fonéticos pueden haberse contrapuesto a los condicionantes fonéticos del proceso.
Di căn phổi từ sarcoma xương thể giãn mạch hay u tế bào khổng lồ? Báo cáo trường hợp bệnh và thách thức trong thực hành lâm sàng
Authors: Công Cung Văn 
Published: April 2023

Bệnh sarcoma xương có nguồn gốc từ tế bào gốc tạo xương. Mô bệnh học sarcoma xương theo phân loại của Tổ chức Y tế thế giới năm 2002 bao gồm: (1) Sarcoma xương thông thường (chiếm 70-75% các trường hợp); (2) Sarcoma xương tế bào nhỏ; (3) Sarcoma xương bề mặt ác tính cao; (4) Sarcoma xương dạng giãn mạch; (5) Sarcoma xương dạng thứ phát (trong Paget, sau tia xạ); (6) Sarcoma xương dạng trung tâm ác tính thấp; (7) Sarcoma xương cận vỏ; (8) Sarcoma xương màng xương. Sarcoma xương thường có độ ác tính cao, di căn sớm, thậm chí phát hiện di căn ngay tại thời điểm chẩn đoán, vị trí hay di căn nhất là phổi. Sarcoma xương dạng giãn mạch (Telangiectatic osteosarcoma -TOS) là một phân nhóm sarcoma xương hiếm. Bệnh thường xuất hiện ở vị trí đầu các xương ống dài. Xương đùi là vị trí thường gặp nhất, tiếp theo là xương cánh tay và xương chày. Về mặt mô học, TOS được mô tả là bao gồm nhiều khoang phình giãn nhỏ chứa đầy máu và các tế bào sarcomatous cao cấp có thể được quan sát thấy ở vành ngoại vi và trong vách ngăn. Chúng tôi giới thiệu trường hợp bệnh ban đầu được chẩn đoán lâm sàng u tế bào khổng lồ, đã phẫu thuật cắt cụt chi cách thời điểm báo cáo trên 1 năm. Giải phẫu bệnh khi đó đã cảnh báo đây có thể là sarcoma xương thể giãn mạch (Telangiectatic osteosarcoma - TOS), song bệnh nhân đã không lưu ý đến điều trị bổ trợ. Một năm sau bệnh nhân xuất hiện di căn phổi với khối u lấp lòng phế quản gốc trái gây xẹp hoàn toàn phổi một bên và vài nốt khác bên phổi đối diện. Khuyến cáo việc xác định chính xác tình trạng lành/ác hay chẩn đoán phân biệt giữa u tế bào khổng lồ xương và sarcoma xương thể giãn mạch trường hợp bệnh này vào thời điểm phẫu thuật là vô cùng quan trọng.
Investigating the Relationship between Primary School Teachers’ Knowledge of Differentiated Instruction and the Frequency of its Implementation to Students with Learning Difficulties
Authors: Papanthymou Anastasia , Darra Maria 
Published: April 2023

The main purpose of this study is to investigate the perceptions of primary school teachers in the Dodecanese (Greece) regarding the relationship between their knowledge of differentiated instruction and the frequency of its implementation to students with learning difficulties. The research was conducted through quantitative approach using an anonymous electronic questionnaire on a sample of 174 primary school teachers of all specialties in the Dodecanese, during the period from February 13, 2021 to April 28, 2021. The correlation analysis (Spearman's rho) revealed that there is a positive correlation between teachers’ knowledge of differentiated instruction and the frequency of its implementation to students with learning difficulties. Therefore, it was found that as the teachers' knowledge of differentiated instruction practices increases, the frequency of their implementation increases.
County Rurality is Associated with Increased Tumor Size and Decreased Survival in Patients with Ewing Sarcoma
Authors: Alsoof Daniel , Kasthuri Viknesh , Homer Alexander , Glueck Jacob , McDonald Christopher L. , Kuris Eren O. , Daniels Alan H. 
Published: April 2023

Background Ewing Sarcoma (ES) is an aggressive tumor affecting adolescents and young adults. Prior studies investigated the association between rurality and outcomes, although there is a paucity of literature focusing on ES. Objective This study aims to determine whether ES patients in rural areas are subject to adverse outcomes. Methods This study utilized the Surveillance, Epidemiology, and End Results (SEER) database. A Poisson regression model was used with controls for race, sex, median county income, and age to determine the association between rurality and tumor size. A multivariate Cox Proportional Hazard Model was utilized, controlling for age, race, gender, income, and tumor size. Results There were 868 patients eligible for analysis, with a mean age of 14.14 years. Of these patients, 97 lived in rural counties (11.18%). Metropolitan areas had a 9.50% smaller tumor size (p<0.0001), compared to non-metropolitan counties. Patients of Black race had a 14.32% larger tumor size (p<0.0001), and male sex was associated with a 15.34% larger tumor size (p<0.0001). The Cox Proportional Hazard model estimated that metropolitan areas had a 36% lower risk of death over time, compared to non-metropolitan areas (HR: 0.64, p ≤ 0.04). Conclusion Patients in metropolitan areas had a smaller tumor size at time of diagnosis and had a more favorable survival rate for cancer-specific mortality compared to patients residing in rural areas. Further work is needed to examine interventions to reduce this discrepancy and investigate the effect of extremely rural and urban settings and why racial disparities occur.
O DIRETIVO E O COMPROMISSIVO COMO CARACTERÍSTICAS SUI GENERIS DA POÉTICA DE OVÍDIO MARTINS: UMA ANÁLISE LINGUÍSTICO-LITERÁRIA
Authors: Oliveira Guilherme Delgado 
Published: April 2023

Resumo: Este artigo tem como objetivo demonstrar, através de uma análise linguístico-literária, que a linguagem usada na vertente lírica de luta da obra Caminhada (2015) de Ovídio Martins é, essencialmente, compromissiva e diretiva. Assim, por via da análise de composições poéticas do autor, concluiu-se que os mesmos se deixam, por um lado, guiar pelo comprometimento em relação a causas que nutrem os princípios de direitos universais (como a liberdade de expressão e a luta para a emancipação) e pela atenção dada às classes menos favorecidas materialmente. Por outro, verificou-se que há uma preocupação do autor em recorrer a uma linguística injuntiva espelhada numa postura de contestação e revolta, características de uma literatura engajada. Assim, o repúdio a situações mais injustas, perpetuadas pelo contexto de um regime opressivo do qual foi vítima o próprio autor, é de se destacar. Os atos verbais que enformam os versos são suportados por conteúdos proposicionais como ordem, conselho, pedido, aviso e advertência. Tais atos ancoram, por sua vez, em dispositivos linguísticos, a nível da superfície textual, como os modos imperativo e indicativo, o tempo futuro, os pronomes da segunda pessoa gramatical, as interrogativas diretas e as perguntas retóricas, enquanto forças ilocutórias ao serviço da intenção do autor.
UMA ANÁLISE DISCURSIVA DO ESTATUTO DAS LÍNGUAS NACIONAIS DE ANGOLA
Authors: Penitente Andrade Natalia 
Published: April 2023

Resumo: Este artigo, que parte do projeto Imagens de língua: sujeito, deslocamento, conhecimento e tempo[1], tem como objetivo geral analisar os discursos presentes no Estatuto das Línguas Nacionais sobre a Língua Portuguesa em Angola, e como objetivos específicos: investigar as imagens de línguas em Angola que se depreendem da análise do corpus; por meio do estudo das escolhas lexicais usadas para caracterizar a língua; e analisar as estratégias textuais e discursivas que contribuem para a construção e disseminação de imagens de língua. Foi mobilizada, como fundamentação teórica, a análise do discurso, partindo dos pressupostos de Pêcheux (199); Pottier (1978), para observar as marcas linguísticas discursivas, por meio das modalizações; e Thompson (1997) com as perspectivas ideológicas. Constatamos que o predomínio de determinada língua, no caso, a Língua Portuguesa falada em Angola, estabelece uma hegemonia e consequentemente desigualdades, e isto implica ideologias linguísticas associadas a posicionamentos dentro de um campo social, também identificamos uma polarização entre língua(s) nacional(is) e língua portuguesa, bem como a unificação da língua e sua imposição.

[1] Coordenado pelo Professor. Dr. Valdir Heitor Barzotto que propôs investigar os mecanismos que concorrem na formação das imagens de língua em contextos multilíngues. A intenção foi analisar os discursos produzidos em quatro instâncias argumentadoras (o Estado, a Igreja, a Universidade e a Comunidade), partindo do pressuposto de que os mecanismos discursivos presentes em textos acadêmicos, ao serem propagados, podem potencializar as mudanças linguísticas e de representação do que seja o tempo, a cultura e espaço adequado para os sujeitos que os incorporam (BARZOTTO, 2010)
OS ESCRITOS PÚBLICOS FRONTEIRIÇOS:UM ESTUDO DA PAISAGEM DA FRONTEIRA OIAPOQUE-SAINT-GEORGES A LUZ DA ECOLINGUÍSTICA
Authors: Nascimento Jamille , Day Kelly 
Published: April 2023

Este trabalho objetiva apresentar o mapeamento dos escritos públicos presentes no panorama franco-brasileiro como resultado da investigação de como e se a paisagem linguística da fronteira expõe as estratégias político-linguísticas que são adotadas pelos falantes de Português e Francês em contato na região e como estas estratégias operam na modelagem da ecologia linguística. Além disso, o trabalho visa classificar e categorizar os escritos públicos de Oiapoque e elaborar um cenário dessas políticas in vitro e in vivo. As análises propostas são realizadas sob as perspectivas teórico-metodológicas provenientes das discussõe Ecolinguísticas de Haugen (1972), Couto (2002-2018), Albuquerque (2020), associadas às proposições sobre Política Linguística de Calvet (1996 -2002), Savedra e Lagares (2012), Spolsky (2016), bem como sobre a constituição do meio ambiente enquanto espaço que reflete as dinâmicas linguísticas, com as abordagens sobre a Paisagem Linguística de Shohamy e Gorter (2009) que são fundamentais para o entendimento sobre os ecossistemas e suas espécies linguísticas. É um trabalho de cunho quanti-qualitativo e descritivo efetivado a partir da coleta imagética dos usos da língua francesa no lócus da pesquisa. De modo geral, percebeu-se que a paisagem linguística é por si só uma das estratégias de interação comunicativa ilustrando os usos cotidianos das línguas no ecossistema. Observou-se ainda que as placas tendem a ser o marco referencial dessas estratégias; é uma paisagem plurilinguística, concentrada, principalmente, na parte central da cidade e tende a ser oriunda de acordos pessoais, com finalidade informativa e com característica local, refletindo o bilinguismo endêmico da região.