bluuebunny/crossref_metadata_2025_split huggingface dataset:
ORGANIZAÇÃO DO ACESSO AOS SERVIÇOS DE SAÚDE NA ATENÇÃO PRIMÁRIA EM TEMPOS DE PANDEMIA
Authors: Rállia Aquino Soares Andressa , Pereira Lima Larissa Rafaelly , Araújo de Souza Suelly , Maria Bezerra Borges Pinheiro Livia , Venancio Caitano dos Santos Jozivalda , Aser Veloso Costa Daniel 
Published: May 2023

Objetivo: Discutir sobre a organização do acesso às ações e serviços de saúde e o papel do enfermeiro da Atenção Primária à Saúde para promoção, prevenção e reabilitação da saúde da população em tempos de pandemia. Métodos: Estudo reflexivo, fundamentado na formulação discursiva da hierarquização e organização dos serviços de saúde no Brasil e o papel do enfermeiro da APS. A construção se deu a partir de diálogos em uma universidade federal, seguida de levantamento bibliográfico, associando os fundamentos teóricos às práticas que vêm sendo realizadas na APS. Resultados: A Atenção Primária em Saúde é o centro ordenador da rede e coordenador do cuidado, na pandemia da covid-19 se mostrou essencial, na prevenção, no reconhecimento dos sinais e sintomas e na organização do fluxo de atendimento. O enfermeiro de APS é um líder de equipe e se mostrou o profissional mais atuante em seu território. Conclusão: Considera-se a APS eixo central para identificação, monitoramento e acompanhamento na evolução da doença em casos confirmados e seus contatos. Fica evidente também que os enfermeiros desenvolvem participa em todo processo saúde-doença, sua atuação vais desde a promoção da saúde, passando pela prevenção da doença, assistência a pacientes suspeitos e no gerenciamento da equipe.
EFL Teachers’ Perceptions of a Long Shift to Online Learning in a Saudi University during the Coronavirus Pandemic
Authors: Al Shlowiy Ahmed , Layali Khaled 
Published: May 2023

Discovering the new variants of coronavirus by the end of 2020 pushed many countries to continue suspending universities and schools. A complete change to online learning seemed the only available option to continue education given the detection of new coronavirus variants. Such a long time of using online learning can display how teachers experience this hard time of the pandemic. The researchers performed this study to explore EFL teachers’ perceptions of online learning in a Saudi university during this period. They aimed to have a closer look at EFL teachers’ perceptions of the sudden shift into online learning. They focused on the teachers’ benefits, drawbacks, and suggestions. They used a questionnaire and interviews to collect qualitative data to answer research questions. Results showed five benefits and two drawbacks of using online learning to teach English in that Saudi university. The benefits are being a good and useful option for teaching during the coronavirus pandemic, motivation of teachers, ease of access and use, interacting between teachers and students, and being less teacher-centered. The drawbacks are disruption by poor Internet and technical issues and cheating by students on assessments. The participants provided some suggestions to improve the benefits and overcome the drawbacks.
The Prevalence Of Lead Poisoning in a Pediatric Population in Rural Pennsylvania
Authors: Rigas Mary Ann Prendiville 
Published: May 2023

Objective: To determine the prevalence of lead poisoning in a pediatric population in rural Pennsylvania. Design: A prospective clinical study. Setting: A Pediatrician's office in rural north central Pennsylvania. Patients: Three hundred fifty-three children aged nine months through six years presenting to their pediatrician's office for well-child or illness care over a 10 month period in 1992. Methods: Capillary blood samples were obtained on study patients and analyzed by atomic absorption for blood lead levels. Concurrently, questionnaires were administered to parents of study patients to assess their children's risk factors for lead poisoning. Main Results: Overall, 15% of children had blood lead levels greater than or equal to 0.48 micromole/L (10 micrograms/dL), 5% had levels greater than or equal to 0.72 micromole/ L (15 micrograms/dL), and 2% had levels greater than or equal to 1.0 micromole/L (20 micrograms/dL). The prevalence of lead poisoning was highest in children aged two to three years. Children on Medical Assistance had a higher prevalence of lead poisoning (23.5%) than children not on Medical Assistance (7.5%). The greatest source of lead exposure was lead-based paint found in homes built before 1977. Conclusions: These results demonstrate that there is a significant prevalence of lowlevel lead poisoning in this rural community and suggest that there may be a need for more extensive screening in geographic areas not usually thought to be at high risk for lead poisoning.
Enfermedad periodontal en pacientes pediátricos. Etiología, etiopatogenia, manejo estomatológico.
Authors: Jaramillo Córdova Adriana Carolina , Romo Cardoso Adriana 
Published: May 2023

La periodontitis es una enfermedad infecciosa crónica que afecta al periodonto, esto se debe a la falta de higiene oral por parte del paciente, ya que determina una acumulación de biofilm dental, y con el tiempo la movilidad dentaria y pérdida de la pieza dental.
El objetivo de esta revisión bibliográfica es determinar el mejor manejo estomatológico, enfocado a la odontología preventiva en pacientes pediátricos y adolescentes. La metodología empleada para el desarrollo de este tema se basó en la revisión bibliográfica de artículos relacionados con el tema a tratar enfocándonos en artículos no más de 10 años de antigüedad, utilizando palabras claves específicas con el fin de encontrar bibliografía actualizada tanto en inglés como en español.
Es muy prevalente encontrar gingivitis o enfermedad periodontal en pacientes con enfermedades sistémicas, esto se da por la administración de fármacos o también por la deficiente higiene oral, lo cual genera un inadecuado barrido del biofilm dental, por lo tanto, es uno de los principales factores etiológicos para el desarrollo de la patología bucal.
Es importante que los padres de familia ayuden a sus hijos en el cepillado dental, ya que ellos a una edad corta no se pueden cepillar correctamente sus piezas dentales por su poca motricidad, y con el tiempo puede existir un acúmulo de biofilm dental y desarrollar gingivitis, por ello es muy importante que los padres ayuden a fomentar un buen cepillado dental.
Manejo farmacológico del dolor orofacial asociado a neuralgia del trigémino: reporte de dos casos clínicos
Authors: Rojas Carrera Cristina , Parise Vasco Juan Marcos , Masson Palacios Maria Jose , Agurto Castro Jorge 
Published: May 2023

Introducción: La neuralgia del trigémino es una afección descrita como un dolor neuropático repentino, punzante, momentáneo, paroxístico, unilateral y crónico en la región craneofacial. Se caracteriza por ser un síndrome de dolor facial debilitante que presenta episodios de choques eléctricos dolorosos limitado a las ramificaciones afectadas del nervio trigémino. Objetivo: El objetivo de este reporte es exponer el manejo farmacológico que recibieron dos pacientes con dolor orofacial asociado a neuralgia del trigémino. Presentación de casos: Caso 1.- Paciente femenina de 45 años que acudió por molestias a nivel facial del lado derecho, con diagnóstico confirmado de neuralgia del trigémino tipo I. Se realizó terapia infiltrativa-farmacológica del nervio trigémino, asociado con controles periódicos en los que se evaluó la mitigación del dolor como resultado favorable. Caso 2.- Paciente femenina de 47 años que acudió por presentar dolor crónico, exacerbado de forma súbita hace 1 mes y medio, refiere haber recibido terapia farmacológica infiltrativa del nervio trigémino hace 3 años, al examen clínico se determinó una neuralgia del trigémino tipo 2. Se realizó terapia infiltrativa-farmacológica del nervio trigémino con controles periódicos para evaluar el alivio del padecimiento. Conclusión: Es importante desarrollar un protocolo personalizado en el tratamiento para cada paciente con neuralgia del trigémino, tomando en cuenta las manifestaciones clínicas con el fin de tratar los episodios de dolor mediante terapia farmacológica.
IMPLEMENTASI KEBIJAKAN ALOKASI DANA DESA DI DESA PABUARAN KECAMATAN RANGKASBITUNG
Authors: Maulana Jaka , Sjafari Agus , Amiruddin Suwaib 
Published: May 2023

Penelitian ini bertujuan untuk mengetahui implementasi kebijakan alokasi dana desa di desa Pabuaran kecamatan Rangkasbitung. Metode penelitian kualitatif menjadi pendekatan yang digunakan dalam penelitian ini yaitu dengan pengambilan data melalui observasi, wawancara mendalam dan dokumentasi. Hasil penelitian ditemukan kebijakan alokasi dana desa di desa Pabuaran kecamatan Rangkasbitung memiliki kemanfaatan untuk Desa dari Desa dan masyarakat sekitar. Keterlibatan masyarakat menjadi aspek yang diperlukan untuk dapat mengendalikan secara lokalitas dalam mewujudkan lingkungan yang berkualitas. Pelibatan masyarakat dalam pembangunan, dimulai dari perencanaan, pelaksanaan sampai dengan pemanfaatan. Keberadaan implementasi kebijakan alokasi dana desa di desa Pabuaran kecamatan Rangkasbitung total dari pembangunan, namun dari jenis usulan program/kegiatan masih belum terealisasi semuanya.
KOLABORASI BERBASIS MASYARAKAT DALAM PENGELOLAAN SAMPAH POPOK BAYI OLEH KOMUNITAS SARANA OLAH SAMPAH DI KOTA TANGERANG
Authors: Puspasari Hilda , Yusuf Yusmedi , Kurniawan Irvan Arif 
Published: May 2023

Penelitian ini menjelaskan tentang kolaborasi berbasis masyarakat (Society-centered models) yang dilakukan oleh komunitas Sarana Olah Sampah. Komunitas Sarana Olah Sampah adalah komunitas lokal yang berperan dalam mengelola sampah popok bayi sekali pakai sehingga komunitas ini merupakan penggerak dalam pelaksanaan kolaborasi berbasis masyarakat. Adapun penelitian ini bertujuan untuk mengetahui adanya agenda dan visi bersama, kehadiran dan peran dari kelanjutan atau tulang punggung organisasi, strategi koordinasi untuk memperkuat aktivitas satu sama lain dan integrasi struktur pemerintahan multilevel. Penelitian ini menggunakan fenomenologis dengan pendekatan kualitatif. Teknik pengumpulan data yang digunakan ialah observasi, wawancara mendalam dan dokumentasi. Adapun aktor yang terlibat adalah komunitas Sarana Olah Sampah, Kimberly-Clark Softex, TPST Benua Hijau, Kelurahan Pabuaran Tumpeng, Dinas Lingkungan Hidup dan masyarakat. Hasil penelitian ini menunjukkan adanya pemahaman bersama dan stakeholder telah berperan aktif dalam kolaborasi. Stakeholder mempunyai tujuan yang sama dalam kolaborasi, pertemuan dengan para stakeholder hanya dengan pihak swasta dan semua stakeholder tidak ada pertemuan yang sifatnya formal. Kepercayaan sudah baik antara pihak swasta dan pemerintah, namun kepercayaan antara TPST dan masyarakat setempat belum sepenuhnya. Pihak swasta sebagai leader dalam mendukung kolaborasi dan mempercayakan semua kegiatan kepada Sarana Olah Sampah sehingga kedua belah pihak dilibatkan dalam setiap keputusan. Pihak swasta memberikan dukungan finansial dan non-finansial dan kedua belah pihak telah berkomitmen. Mobilisasi pendanaan berjalan dengan baik dan telah dilembagakan dalam bentuk MoU. Koordinasi, berbagi informasi, dan komunikasi sudah berjalan dengan baik walaupun belum sepenuhnya. Integrasi struktur pemerintahan multilevel bersifat lokal.
Reality Deterioration and Academic Precarity through the Lens of J. S. Le Fanu’s Wylder’s Hand and ‘The Haunted Baronet’
Authors: Aldrich O’Rourke Sean 
Published: May 2023

The immersive, fictional space that Irish gothicist Joseph Sheridan Le Fanu calls his reader to occupy has been underexplored in existing critical literature. This article draws on comments made by China Miéville to demonstrate the power of Le Fanu’s efforts to pull readers into his fictional world in the critically neglected Wylder’s Hand and ‘The Haunted Baronet’. This immersion can allow readers to feel the social critiques embedded in this fiction more powerfully because, while imaginatively occupying this world, they are made to witness – and are implicated in the construction of realities in – Le Fanu’s fictional communities. This reality creation is a process that can be better understood through the lens of social constructionism, allowing insight into how Le Fanu’s fictional communities steadily form often unjust, inadequate visions of reality through interactions in those communities. Further, this article explores one potential application of this visceral experience as social critique. When we close the pages of the text, we can start to explore the mirroring of those fictional experiences with the experience of existing in the neoliberal structures present in academia. Such structures are often constructed, like Le Fanu’s fictional realities, into unjust shapes that both victimize the most vulnerable and steadily reveal their inadequacy. The ways in which Wylder’s Hand and ‘The Haunted Baronet’ prompt readers to recognize and move beyond flawed, constructed, deteriorating frameworks highlight the new critiques we can discover in Le Fanu’s fiction by examining the effects of this radical immersion into which the fiction invites us. It also points to the importance of analyzing Le Fanu’s fiction more broadly, beyond his most critically discussed works, to find more insightful ways of reading and understanding the implications of his fiction.
Application of numerical simulation studies to determine dynamic loads acting on the human masticatory system during unilateral chewing of selected foods
Authors: Stróżyk Przemysław , Bałchanowski Jacek 
Published: May 2023

Introduction: This paper presents its kinematic-dynamic computational model (3D) used for numerical simulations of the unilateral chewing of selected foods. The model consists of two temporomandibular joints, a mandible, and mandibular elevator muscles (the masseter, medial pterygoid, and temporalis muscles). The model load is the food characteristic (i), in the form of the function Fi = f(Δhi)−force (Fi) vs change in specimen height (Δhi). Functions were developed based on experimental tests in which five food products were tested (60 specimens per product).Methods: The numerical calculations aimed to determine: dynamic muscle patterns, maximum muscle force, total muscle contraction, muscle contraction corresponding to maximum force, muscle stiffness and intrinsic strength. The values of the parameters above were determined according to the mechanical properties of the food and according to the working and non-working sides.Results and Discussion: Based on the numerical simulations carried out, it can be concluded that: (1) muscle force patterns and maximum muscle forces depend on the food and, in addition, the values of maximum muscle forces on the non-working side are 14% lower than on the working side, irrespective of the muscle and the food; (2) the value of total muscle contraction on the working side is 17% lower than on the non-working side; (3) total muscle contraction depends on the initial height of the food; (4) muscle stiffness and intrinsic strength depend on the texture of the food, the muscle and the side analysed, i.e., the working and non-working sides.
Emerging role of long non-coding RNA MALAT1 related signaling pathways in the pathogenesis of lung disease
Authors: Liu Jun , Ali Md Khadem , Mao Yuqiang 
Published: May 2023

Long non-coding RNAs (lncRNAs) are endogenously expressed RNAs longer than 200 nt that are not translated into proteins. In general, lncRNAs bind to mRNA, miRNA, DNA, and proteins and regulate gene expression at various cellular and molecular levels, including epigenetics, transcription, post-transcription, translation, and post-translation. LncRNAs play important roles in many biological processes, such as cell proliferation, apoptosis, cell metabolism, angiogenesis, migration, endothelial dysfunction, endothelial-mesenchymal transition, regulation of cell cycle, and cellular differentiation, and have become an important topic of study in genetic research in health and disease due to their close link with the development of various diseases. The exceptional stability, conservation, and abundance of lncRNAs in body fluids, have made them potential biomarkers for a wide range of diseases. LncRNA MALAT1 is one of the best-studied lncRNAs in the pathogenesis of various diseases, including cancers and cardiovascular diseases. A growing body of evidence suggests that aberrant expression of MALAT1 plays a key role in the pathogenesis of lung diseases, including asthma, chronic obstructive pulmonary diseases (COPD), Coronavirus Disease 2019 (COVID-19), acute respiratory distress syndrome (ARDS), lung cancers, and pulmonary hypertension through different mechanisms. Here we discuss the roles and molecular mechanisms of MALAT1 in the pathogenesis of these lung diseases.
Evaluation of the readability, understandability, and actionability of COVID-19 public health messaging in Atlantic Canada
Authors: Kelly Katherine Jennifer , Campbell Alyson , Salijevic Anja , Doak Sarah , Michael Laurie , Montelpare William 
Published: May 2023

IntroductionEffective communication of COVID-19 information involves clear messaging to ensure that readers comprehend and can easily apply behavioral recommendations. This study evaluated the readability, understandability, and actionability of public health resources produced by the four provincial governments in Atlantic Canada (New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island).MethodsA total of 400 web-based resources were extracted in June 2022 and evaluated using the Flesch-Kincaid Grade Level, CDC Clear Communication Index, and the Patient and Education Materials Assessment Tool. Descriptive statistics and a comparison of mean scores were conducted across provinces and type of resources (e.g., text, video).ResultsOverall, readability of resources across the region exceeded recommendations, requiring an average Grade 11 reading level. Videos and short form communication resources, including infographics, were the most understandable and actionable. Mean scores across provinces differed significantly on each tool; Newfoundland and Labrador produced materials that were most readable, understandable, and actionable, followed by New Brunswick.DiscussionRecommendations on improving clarity of COVID-19 resources are described. Careful consideration in the development of publicly available resources is necessary in supporting COVID-19 knowledge uptake, while reducing the prevalence of misinformation.
Incidence and risk factors of deep vein thrombosis in patients with spinal cord injury: a systematic review with meta-analysis
Authors: Shang Zhizhong , Wanyan Pingping , Zhang Baolin , Wang Mingchuan , Wang Xin 
Published: May 2023

BackgroundSpinal cord injury (SCI) is a highly disabling disease with huge public health burden. The complications associated with it, especially deep vein thrombosis (DVT), further aggravate the disability.ObjectiveTo explore the incidence and risk factors of DVT after SCI, in order to provide guidance for disease prevention in the future.MethodsA search was performed on PubMed, Web of Science, Embase, and Cochrane database up to November 9, 2022. Literature screening, information extraction and quality evaluation were performed by two researchers. The data was later combined by metaprop and metan commands in STATA 16.0.ResultsA total of 101 articles were included, including 223,221 patients. Meta-analysis showed that the overall incidence of DVT was 9.3% (95% CI: 8.2%–10.6%), and the incidence of DVT in patients with acute and chronic SCI was 10.9% (95% CI: 8.7%–13.2%) and 5.3% (95% CI: 2.2%–9.7%), respectively. The incidence of DVT decreased gradually with the accumulation of publication years and sample size. However, the annual incidence of DVT has increased since 2017. There are 24 kinds of risk factors that may contribute to the formation of DVT, involving multiple aspects of the baseline characteristics of the patient, biochemical indicators, severity of SCI, and comorbidities.ConclusionsThe incidence of DVT after SCI is high and has been gradually increasing in recent years. Moreover, there are numerous risk factors associated with DVT. Comprehensive preventive measures need to be taken as early as possible in the future.Systematic Review Registrationwww.crd.york.ac.uk/prospero, identifier CRD42022377466.
The role and implications of left atrial fibrosis in surgical mitral valve repair as assessed by CMR: the ALIVE study design and rationale
Authors: el Mathari Sulayman , Kluin Jolanda , Hopman Luuk H. G. A. , Bhagirath Pranav , Oudeman Maurice A. P. , Vonk Alexander B. A. , Nederveen Aart J. , Eberl Susanne , Klautz Robert J. M. , Chamuleau Steven A. J. , van Ooij Pim , Götte Marco J. W. 
Published: May 2023

BackgroundPatients with mitral regurgitation (MR) commonly suffer from left atrial (LA) remodeling. LA fibrosis is considered to be a key player in the LA remodeling process, as observed in atrial fibrillation (AF) patients. Literature on the presence and extent of LA fibrosis in MR patients however, is scarce and its clinical implications remain unknown. Therefore, the ALIVE trial was designed to investigate the presence of LA remodeling including LA fibrosis in MR patients prior to and after mitral valve repair (MVR) surgery.MethodsThe ALIVE trial is a single center, prospective pilot study investigating LA fibrosis in patients suffering from MR in the absence of AF (identifier NCT05345730). In total, 20 participants will undergo a CMR scan including 3D late gadolinium enhancement (LGE) imaging 2 week prior to MVR surgery and at 3 months follow-up. The primary objective of the ALIVE trial is to assess the extent and geometric distribution of LA fibrosis in MR patients and to determine effects of MVR surgery on reversed atrial remodelling.ImplicationsThis study will provide novel insights into the pathophysiological mechanism of fibrotic and volumetric atrial (reversed) remodeling in MR patients undergoing MVR surgery. Our results may contribute to improved clinical decision making and patient-specific treatment strategies in patients suffering from MR.