bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of Physical Exercise-Based Rehabilitation on Long COVID: A Systematic Review and Meta-analysis
Authors: Zheng Chen , Chen Xiang-Ke , Sit Cindy Hui-Ping , Liang Xiao , Ming-Hui LI , Ma Alvin Chun-Hang , Wong Stephen Heung-Sang 
Published: August 2023

ABSTRACT

Purpose
The number of persons living with post-coronavirus disease 2019 (COVID-19) conditions or long COVID continues to rise worldwide; however, the etiology and treatment of long COVID remain nebulous. Therefore, efficient, feasible, and cost-effective therapeutic strategies for a large population with long COVID remain warranted. Physical exercise-based rehabilitation is a promising strategy for long COVID, although its therapeutic effects remain to be determined. This systematic review and meta-analysis aimed to examine the effects of physical exercise-based rehabilitation on long COVID.

Methods
The electronic databases Medline, Embase, Global Health (Ovid), CINAHL (EBSCO), Web of Science, WHO Global Research Database on COVID-19, LitCovid, and Google Scholar were searched from their inception to November 2022. The identified articles were independently screened by three reviewers, and a random-effects model was utilized to determine the mean differences in the meta-analysis.

Results
Twenty-three studies involving 1,579 individuals who had COVID-19 (752 women) were included. Physical exercise-based rehabilitation showed beneficial effects on long COVID-related symptoms characterized by dyspnea, fatigue, and depression, as well as on the 6-minute walk test, forced expiratory volume in 1 second/forced vital capacity, and quality of life in people who had COVID-19.

Conclusions
Physical exercise-based rehabilitation is a potential therapeutic strategy against long COVID and can be applied as a routine clinical practice in people who have recovered from COVID-19. However, customized physical exercise-based rehabilitation programs and their effects on specific types of long COVID require future large-scale studies.
Juliana em O Primo Basílio: o erótico como jogo de cifras e deslocamentos
Authors: Ferreira Vera Lucia Pian 
Published: August 2023

RESUMO: O presente ensaio enseja lançar luz sobre a complexa personagem Juliana do livro O Primo Basílio de Eça de Queiroz sob a perspectiva dos deslocamentos do seu erotismo e de como o desejo, diante da hipócrita moralidade do século XIX, encontra brechas inusitadas para a sua satisfação. A vilania de Juliana tem motivações mais profundas em seus recalques e suas ações revelam, a partir da genialidade da escrita de Eça, a busca do prazer sexual travestido de ressentimento e maldade. Juliana tem um corpo invisível que goza no prazer invertido que encontra no corpo da sua rival.
Management of cardiovascular disease risk in patients with rheumatoid arthritis
Authors: Murphy Louise 
Published: August 2023

Patients with rheumatoid arthritis along with a risk of developing cardiovascular disease are complex cases for nurses to manage. Louise Murphy details the challenges associated Rheumatoid Arthritis (RA) is a chronic destructive autoimmune disease, characterised by symmetric synovitis. The aetiology of rheumatoid arthritis is complex and largely unknown. Comorbidities such as cardiovascular disease (CVD) are frequently observed in patients with rheumatoid arthritis due to a combination of disease and genetic factors. Cardiovascular disease is one of the leading causes of death in people with rheumatoid arthritis ( Aletaha and Smolen 2018 ) with a 45-60% increased mortality rate due to cardiovascular related events compared to the general population. General practice nurses are in a unique position to be able to provide guidance, advice and support to patients with rheumatoid arthritis who need to make lifestyle changes to reduce CVD risk. General practice nurses can also screen for traditional CVD risk factors and undertake cardiovascular disease risk assessment safely and effectively to identify those patients with rheumatoid arthritis who are at risk of developing cardiovascular disease in the future.
Effect of surface matching mismatch of focal knee articular prosthetic on tibiofemoral contact stress using finite element analysis
Authors: Lee Jin-Ah , Koh Yong-Gon , Kim Paul S. , Park Joon-Hee , Kang Kyoung-Tak 
Published: August 2023

AimsFocal knee arthroplasty is an attractive alternative to knee arthroplasty for young patients because it allows preservation of a large amount of bone for potential revisions. However, the mechanical behaviour of cartilage has not yet been investigated because it is challenging to evaluate in vivo contact areas, pressure, and deformations from metal implants. Therefore, this study aimed to determine the contact pressure in the tibiofemoral joint with a focal knee arthroplasty using a finite element model.MethodsThe mechanical behaviour of the cartilage surrounding a metal implant was evaluated using finite element analysis. We modelled focal knee arthroplasty with placement flush, 0.5 mm deep, or protruding 0.5 mm with regard to the level of the surrounding cartilage. We compared contact stress and pressure for bone, implant, and cartilage under static loading conditions.ResultsContact stress on medial and lateral femoral and tibial cartilages increased and decreased, respectively, the most and the least in the protruding model compared to the intact model. The deep model exhibited the closest tibiofemoral contact stress to the intact model. In addition, the deep model demonstrated load sharing between the bone and the implant, while the protruding and flush model showed stress shielding. The data revealed that resurfacing with a focal knee arthroplasty does not cause increased contact pressure with deep implantation. However, protruding implantation leads to increased contact pressure, decreased bone stress, and biomechanical disadvantage in an in vivo application.ConclusionThese results show that it is preferable to leave an edge slightly deep rather than flush and protruding.Cite this article: Bone Joint Res 2023;12(8):497–503.
Diabetic control and compliance using glycated haemoglobin (HbA1C) testing guidelines in public healthcare facilities of Gauteng province, South Africa
Authors: Kone Ngalulawa , Cassim Naseem , Maposa Innocent , George Jaya Anna 
Published: August 2023

Objective
This study aimed at evaluating diabetic control and compliance with testing guidelines, across healthcare facilities of Gauteng Province, South Africa, as well as factors associated with time to achieve control. South Africa’s estimated total unmet need for care for patients with type 2 diabetes mellitus is 80%.

Research design, methods and findings
The data of 511 781 patients were longitudinally evaluated. Results were reported by year, age category, race, sex, facility and test types. HbA1C of ≤7% was reported as normal, >7 - ≤9% as poor control and >9% as very poor control. The chi-squared test was used to assess the association between a first-ever HbA1C status and variables listed above. The Kaplan-Meier analysis was used to assess probability of attaining control among those who started with out-of-control HbA1C. The extended Cox regression model assessed the association between time to attaining HbA1C control from date of treatment initiation and several covariates. We reported hazard ratios, 95% confidence intervals and p-values. Data is reported for 511 781 patients with 705 597 laboratory results. Poorly controlled patients constituted 51.5%, with 29.6% classified as very poor control. Most poorly controlled patients had only one test over the entire study period. Amongst those who started with poor control status and had at least two follow-up measurements, the likelihood of achieving good control was higher in males (adjusted Hazard Ratio (aHR) = 1.16; 95% CI:1.12–1.20; p<0.001) and in those attending care at hospitals (aHR = 1.99; 95% CI:1.92–2.06; p<0.001).

Conclusion
This study highlights poor adherence to guidelines for diabetes monitoring.
Survival outcomes and quality of life after percutaneous cryoablation for liver metastasis: A systematic review and meta-analysis
Authors: Khanmohammadi Shaghayegh , Behnoush Amir Hossein , Akhlaghpoor Shahram 
Published: August 2023

Background
Liver metastasis is present in a wide range of malignancies, with colorectal cancer as the most common site. Several minimally invasive treatments have been suggested for managing hepatic metastases, and cryoablation is among them, yet not widely used. In this systematic review, we aimed to assess the effectiveness of percutaneous cryoablation in all types of liver metastases.

Methods
A systematic search was performed in international databases, including PubMed, Scopus, Embase, and Web of Science, to find relevant studies reporting outcomes for percutaneous cryoablation in liver metastasis patients. In addition to baseline features such as mean age, gender, metastasis origin, and procedure details, procedure outcomes, including overall survival, local recurrence, quality of life (QoL), and complications, were extracted from the studies. Random-effect meta-analysis was performed to calculate the mean difference (MD) and 95% confidence interval for comparison of QoL.

Results
We screened 2131 articles. Fifteen studies on 692 patients were included. Mean overall survival ranged from 14.5–29 months. The rate of local recurrence in the included studies ranged from 9.4% to 78%, and local control progression-free survival ranged from 1 to 31 months. The total QoL decreased one week after the cryoablation procedure (-3.08 [95% Confidence interval: -4.65, -1.50], p-value <0.01) but increased one month (5.69 [3.99, 7.39], p-value <0.01) and three months (3.75 [2.25, 5.24], p-value <0.01) after the procedure.

Conclusion
Cryoablation is an effective procedure for the treatment of liver metastases, especially in cases that are poor candidates for liver resection. It could significantly improve QoL with favorable local recurrence.
Vaccine effectiveness in symptom and viral load mitigation in COVID-19 breakthrough infections in South Korea
Authors: Jang Jieun , Jeong Hyopin , Kim Bong-Hwa , An Sura , Yang Hye-Ryun , Kim Sunjoo 
Published: August 2023

Objectives
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine effectiveness in coronavirus disease (COVID-19) patients with breakthrough infections has not been established in South Korea. To address this, we assessed the impact of vaccination on symptom occurrence and viral load.

Methods
We performed a retrospective cohort study of 9,030 COVID-19 patients enrolled between February and November 2021. The impact of vaccination on the incidence of symptoms and viral load as indicated by cycle threshold (Ct) values of RdRp and E genes was evaluated using relative risks (RRs) and 95% confidence intervals (95% CIs).

Results
Compared with unvaccinated patients, fully vaccinated patients were associated with a reduced symptom onset of cough, sputum, and myalgia in COVID-19 patients (RR (95% CI) = 0.86 (0.75–0.99) for cough; RR (95% CI) = 0.74 (0.56–0.98) for sputum; RR (95% CI) = 0.65 (0.53–0.79) for myalgia, respectively). Additionally, lower risk of high viral load, Ct value of RdRp gene <15 or Ct value of E gene <15, was observed especially in fully vaccinated patients younger than 40 years ((RR (95% CI) = 0.69 (0.49–0.96) for RdRp gene; (RR (95% CI) = 0.71 (0.53–0.95) for E gene).

Conclusion
SARS-CoV-2 vaccination was associated with a reduced risk of COVID-19 symptoms as well as decreased viral load, especially in patients younger than 40 years.
A ideologia de branqueamento nas imagens do Antigo Egito: Contribuições para práticas de ensino nos anos iniciais.
Authors: De Souza Sheila Perina 
Published: August 2023

A partir das reflexões a respeito da ideologia de branqueamento presente nas imagens veiculadas sobre o Egito Antigo, este trabalho pretende apresentar contribuições para prática em sala de aula por meio de um relato de prática desenvolvido no segundo ano do ensino fundamental. Inicialmente discutimos a carga ideológica do branqueamento presente na sociedade brasileira e de modo específico em São Paulo, e suas reverberações na escola contemporânea que apresenta dificuldades em cumprir as prescrições da Lei 11.645. Secundariamente, fundamentados em Diop (2011), Shoah (2004) e Oliva (2017) buscamos discutir a adesão do Brasil às imagens construídas sobre o Antigo Egito a partir da ideologia de branqueamento. Por fim, apresentamos um relato de prática em sala de aula com o objetivo de responder a questão feita por pelo importante intelectual brasileiro, Abdias do Nascimento (1978): “De que forma, onde e quando a história da África, o desenvolvimento de suas culturas e civilizações, as características do seu povo são ensinadas nas escolas brasileiras?”. Em nossa proposta didática disponibilizamos aos alunos o discurso dos egípcios antigos sobre si mesmos, apresentando a informação de que eles se autodenominavam como KMT (negros), ao invés de aderirmos ao discurso eurocêntrico, optamos por oferecer outro discurso, para desviar da história única sobre a África (ADICHIE, 2019). Ao discutirmos sobre Cleópatra em sala de aula apresentamos as pesquisas feitas por egiptólogos que apontam para sua identidade racial mista que difere das representações da midiáticas que tem embranquecido essa importante governante egípcia. Ao compartilharmos essa experiência buscamos colaborar para a construção de práticas não eurocêntricas desde a mais tenra idade na cotidianidade escolar. De maneira a construir caminhos que propiciem ensino da África a partir de uma perspectiva crítica, não apenas em datas comemorativas ou projetos, fundamentado na necessidade de combater a ideologia do branqueamento no ensino, diariamente.
A ideologia de branqueamento nas imagens do Antigo Egito: Contribuições para práticas de ensino nos anos iniciais.
Authors: Perina de Souza Sheila 
Published: August 2023

A partir das reflexões a respeito da ideologia de branqueamento presente nas imagens veiculadas sobre o Egito Antigo, este trabalho pretende apresentar contribuições para prática em sala de aula por meio de um relato de prática desenvolvido no segundo ano do ensino fundamental na escola Vera Cruz. Inicialmente discutimos a carga ideológica do branqueamento presente na sociedade brasileira e de modo específico em São Paulo, e suas reverberações na escola contemporânea que apresenta dificuldades em cumprir as prescrições da Lei 11.645. Secundariamente, fundamentados em Diop (2011), Shoaht (2004) e Oliva (2017) buscamos discutir a adesão do Brasil às imagens construídas sobre o Antigo Egito a partir da ideologia de branqueamento. Por fim, apresentamos um relato e uma reflexão de prática em sala de aula com o objetivo de responder a questão feita pelo importante intelectual brasileiro, Abdias do Nascimento (1978): “De que forma, onde e quando a história da África, o desenvolvimento de suas culturas e civilizações, as características do seu povo são ensinadas nas escolas brasileiras?”. Em nossa proposta didática compartilhamos com os alunos o discurso dos egípcios antigos sobre si mesmos, apresentando a informação de que eles se autodenominavam como KMT que significa negros (DIOP, 2011). Ao discutirmos sobre Cleópatra em sala de aula, olhamos para as investigações feitas por egiptólogos que apontam para sua identidade racial mista que difere das representações trazidas no discurso das crianças, influenciada pelo discurso midiático que tem embranquecido essa importante governante egípcia. No ensino da África, optamos por compartilhar constatações científicas feitas por diferentes pesquisadores a fim de apresentar outras narrativas possíveis, que se desvinculem da eurocêntrica. A prática de ensino apresentada é fruto do Projeto Travessias da escola Vera Cruz que tem somado esforços para que as contribuições dos povos africanos e de seus descendentes sejam trabalhados, a partir de uma perspectiva crítica, desde a mais tenra idade.
PENDUGAAN KEBUTUHAN DAYA LISTRIK BERBANTUAN METODE LINEARISASI FUNGSI NONLINEAR UNTUK PRODUKSI SEBUAH GENERATOR OKSIGEN
Authors: Maulana Muhammad Azril , Goeritno Arief 
Published: August 2023

Kebutuhan daya listrik untuk pembuatan suatu peralatan produksi menjadi sangat penting, agar biaya konsumsi daya listrik dapat diantisipasi dan diinternalisasi menjadi biaya produksi. Daya listrik terkonsumsi untuk pembuatan setiap generator oksigen bukan menjadi hal utama, namun keberadaan unsur tersebut tetap harus diperhitungkan. Berdasarkan hal itu, maka pada penelitian ini diprediksi kebutuhan daya listrik untuk produksi sebuah generator oksigen. Prediksi kebutuhan daya listrik dilakukan dengan metode konvensional berbasis deret waktu, sehingga diperlukan penetapan dua sasaran penelitian yang meliputi (i) mengukur nilai tegangan, mengukur nilai arus, dan menghitung daya untuk kebutuhan fase perakitan dan produksi dan (ii) membuat persamaan regresi linear kebutuhan daya listrik dan menguji kevalidan koefisien korelasi berbantuan metode linearisasi fungsi nonlinear. Metode penelitian dilakukan dengan (i) pencatatan nilai tegangan dan arus, dilanjutkan dengan penghitungan daya listrik terkonsumsi saat fase perakitan dan proses produksi; dan (ii) pembuatan persamaan regresi linear melalui tahapan linearisasi fungsi nonlinear untuk perolehan penggambaran suatu hubungan satu variabel bebas (predictor, x) dengan suatu variabel tak-bebas (response, y), dilanjutkan tahapan perolehan dan uji validitas terhadap koefisien korelasi. Hasil pengukuran tegangan dan arus bervariatif saat fase perakitan maupun saat proses produksi, kemudian dilakukan perhitungnan daya listrik dengan hukum Ohm. Saat fase perakitan, setelah melalui proses linearisasi fungsi nonlinear diperoleh persamaan atau dalam bentuk persamaan regresi linear , dan nilai koefisien korelasi, r sebesar -0,86635. Saat fase proses produksi, setelah dilakukan proses linearisasi fungsi nonlinear diperoleh persamaan atau dalam bentuk persamaan regresi linear, yaitu , dan nilai koefisien korelasi, r sebesar -0,36831. Berdasarkan hasil-hasil tersebut dapat disimpulkan, bahwa koefisien korelasi yang diperoleh telah sesuai persyaratan pada kisaran nilai , namun terkategori dengan kriteria “hubungan kuat” saat fase perakitan dan kriteria “hubungan lemah” saat fase proses produksi. Kriteria “hubungan kuat” pada fase perakitan, disebabkan oleh jumlah peralatan listrik untuk fase perakitan hanya terdiri atas tiga macam peralatan listrik, sedangkan kriteria “hubungan lemah” pada fase proses produksi, disebabkan oleh jumlah peralatan listrik untuk fase proses produksi sebanyak sepuluh peralatan atau berjumlah tiga kali lipat lebih dari fase perakitan.
Hydrodynamics of shear thinning fluid in a square microchannel: a numerical approach
Authors: Yadav Sandeep , Khatoon Bushra , -Ul-Hasan Shabih , Alam M. Siraj 
Published: August 2023

Abstract
In this present work, a numerical study was conducted for the formation of a slug bubble for shear thinning non-Newtonian fluid in a cross-junction 2-D square horizontal microchannel. Carboxymethyl cellulose (CMC) of concentration 0.2 (w/w%) percent was used as a continuous phase that shows the shear thinning behavior of non-Newtonian fluid and Nitrogen (N2) was used as the discrete phase. The pressure-based double precision solver was used in ANSYS FLUENT 2021 R2 with the volume of fluid (VOF) method. The finite volume method is applied for the discretization of the continuity and momentum equation. This article also focuses on the fluctuation of static pressure, mechanism of slug, annular, and churn annular flow i.e., obtained by the variation in the inlet velocities. On the other hand, a concept that was applied in this work was also validated with the prior literature data.
Igreja Católica e a cultura digital como espaço de evangelização
Authors: Vilela da Silva Renê Augusto 
Published: August 2023

O artigo aborda a influência da cultura digital na evangelização da Igreja Católica. Trata-se de uma reflexão bibliográfica que visa explanar sobre parte das mudanças culturais que surgiram nos últimos anos e que acarretam mudanças no comportamento religioso. As popularizações da internet, das redes sociais, dos meios digitais de comunicação são um fenômeno que abarca a religiosidade, a transmissão de sua mensagem de conversão e de profissão de fé. Entende-se que as novas maneiras de comunicação, linguagens, tecnologias e interatividade atingem a relação do humano com Deus e as percepções sobre o sagrado. Avaliamos essa dimensão de evangelização e cultura digital a partir do Concílio Vaticano II que propõe um diálogo com a sociedade e com o avanço de outras ciências. A partir do Inter Mirifica a Igreja abriu-se para imergir na comunicação social (e em consequência digital). A cibercultura se apresenta como um meio de evangelização e que deve contar com um aprofundamento por parte da Igreja. Existem canais e redes que são frutos de estudos e seguem a doutrina da fé, porém surgem inúmeros influenciadores digitais, palestrantes entre outros que merecem e carecem de atenção para que não ocorram discrepâncias no anúncio da mensagem da Boa-Nova. O artigo visa refletir sobre a comunicação religiosa e a cultura interativa que respeita a ética e os princípios católicos.
Sindemia, Estado y Políticas Sociales: Reflexión desde la Experiencia de Puerto Rico
Authors: De Jesús-Dávila Amelisse 
Published: August 2023

Introducción: Las características contextuales de Puerto Rico, previo a la llegada de este virus, delinearon un panorama político, económico y social muy desafiante. Desde ellas se enmarcaron las respuestas dadas por el gobierno una vez declarado el estado de emergencia en el Archipiélago. Por ello, se realizó una breve reflexión crítica, a partir de los aportes teóricos del concepto salubrista sindemia y un enfoque de los derechos humanos.
Objetivo: Describir las políticas sociales que trataron de responder a la emergencia salubrista provocada por el CoVID-19 en Puerto Rico y valorar su relación con un enfoque holístico, salubrista y desde los derechos humanos.
Conclusión: Existe la urgencia de la aplicación de un enfoque de derechos humanos en el manejo de esta emergencia para garantizar condiciones de mayor justicia y equidad a todas las personas que se han visto afectadas por el COVID-19. Por ello se puntualizan unas recomendaciones al papel de la profesión de trabajo social en Puerto Rico.
Educación escolar y COVID-19: Análisis desde el Trabajo Social en Puerto Rico
Authors: Cedeño Nieves Yajaira , Nieves Rolón Irvyn E. , Pérez Luna Natalie J. 
Published: August 2023

Introducción: Un rendimiento académico positivo suele ser señal de éxito académico y aumenta las posibilidades de que quienes tengan ese récord estudiantil luego alcancen el éxito en su futuro profesional. Sin embargo, el rendimiento académico del sector de estudiantes puede verse perjudicado por factores el nivel socioeconómico (NSE). En 2020, la pandemia por COVID-19 ocasionó el cierre de varias escuelas en Puerto Rico, lo cual perjudicó mayormente a estudiantes con escasos recursos que, incluso, dependen de los almuerzos ofrecidos en la escuela para poder alimentarse adecuadamente y del equipo disponible en las escuelas para poder realizar sus tareas.
Objetivo: Por consiguiente, el presente artículo tiene como objetivo discutir el impacto de la pandemia por COVID-19 en la educación y el rendimiento escolar de estudiantes con un bajo nivel socioeconómico en Puerto Rico.
Método: En este artículo se analizaron investigaciones, opiniones profesionales, la difusión en los medios que abordaron el fenómeno de la pandemia por COVID- 19 y el impacto que tuvo en escolares puertorriqueños. Dicha información fue analizada para aportar al trabajo social, la educación y las ciencias sociales en general.
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