bluuebunny/crossref_metadata_2025_split huggingface dataset:
Screening for Depression, Anxiety, and Stress in the initial and middle stages of the COVID-19 pandemic in a university’s community in the Mid-West Brazil, 2020
Authors: Baptista Cremildo João , Martins Alberto Mesaque 
Published: September 2022

Objective: To measure the prevalence of depression, anxiety and stress levels in a university community during the COVID-19 pandemic. Methods: A cross-sectional exploratory-descriptive study was implemented in two stages, in the initial and middle stages of the COVID-19 pandemic in Brazil, with a sample of a university community in emergency remote learning. Results: The prevalence of high scores (Extremely severe) for depression, anxiety and stress, respectively, were 27.34 (25.30-29.47), 27.12 (25.08-29.25) and 19.38 (17.59-21.30) in the initial stage and 25.79 (24.11-27.82), 26.01 (24.33-28.05) and 17.18 (15.76-18.98) in the middle stage of the pandemic. Conclusions: The prevalence of high scores for the screened psychological disorders were high in both stages of the pandemic. We recommend preventive and care actions for the university community in periods of crisis such as the pandemic. Future studies can look at the trend in prevalence rates over time as social distancing measures, the pandemic and emergency remote learning are slowing down.
As consultas de enfermagem no rastreamento da depressão pós-parto – uma revisão sistemática
Authors: Silva Nathália Victória Dias Nunes da , Zveiter Marcele , Santos Simone Pereira dos , Silva Sandra Cristina de Souza Borges 
Published: September 2022

Objetivo: Descrever a participação da enfermagem no rastreamento da Depressão Pós-parto. Metodologia: Revisão sistemática do tipo escopo utilizando os descritores Depressão Pós-Parto. Obstétrica. Saúde Mental. Metodologia: O levantamento dos artigos foi feito na Web, em duas bibliotecas e três bases de dados: Biblioteca Virtual em Saúde (BVS), Portal de periódicos CAPES, PubMed, Embase, Science Direct, orientado pela questão norteadora: Como a enfermagem participa do rastreamento da Depressão Pós-parto? Do ano de 2017 até abril de 2022. A avaliação de títulos e resumos foi realizada através de um software de revisão gratuito da web Rayyan Qatar Computing Research Institute (Rayyan QCRI). Resultados: Foram encontrados 689 artigos, excluídas 421 publicações por títulos, sobrando 181 para leitura de resumos e apenas 9 artigos para serem avaliados na íntegra. Considerações finais: A enfermagem deve se fazer presente desde o pré-natal até o pós-parto participando do estabelecimento do diagnóstico da DPP, atuando na manutenção da amamentação, do acompanhamento das mulheres e seus bebês, e das intervenções que forem necessárias para cada mulher. O vínculo enfermeira-mãe é parte do cuidado de enfermagem que oferece segurança para a mulher e abre espaço para a expressão de dúvidas e sentimentos, incômodos e preferências, elementos fundamentais tanto no diagnóstico quanto no acompanhamento de cada mulher.
Caracterização do perfil de câncer da tireoide da população brasileira entre 2010 e 2019
Authors: Vilar Suyane Alves de Queiroga , Casimiro Wanessa Trigueiro , Cavalcanti Mariana Campelo Bezerra , Silva Vitor Giovani Souza da , Marinho André Luiz Zenaide , Araújo José Vitor de Sousa Almeida , Freitas Joyce Sthephanny de Fátima Santos , Deininger Layza de Souza Chaves 
Published: September 2022

No Brasil, há uma maior incidência de neoplasias da glândula tireoide em mulheres do que em homens, principalmente de meia idade. Desse modo, o presente estudo teve como objetivo avaliar a mortalidade por câncer de tireoide, o investimento público destinado à hospitalização das pessoas com essa patologia, e os anos de vida perdidos por elas durante o período de 2010 a 2019. Por meio de um estudo descritivo, com abordagem quantitativa, os dados secundários foram coletados em outubro de 2021, disponibilizados pelo Departamento de Informática do Sistema Único de Saúde (DATASUS), consultando-se às bases de dados do Sistema de Informações Hospitalares (SIH) e Instituto Nacional do Câncer (INCA). Em relação à taxa de mortalidade, o aumento da incidência em mulheres e homens ocorreu após os 40 anos de idade, sendo a faixa etária de 70 a 79 anos a que teve maior número de óbitos. A faixa-etária de 50-59 anos apresentou maior taxa de APVP (anos potenciais de vida perdidos), baseando-se numa longevidade de 80 anos. As regiões Norte, Nordeste e Sul foram as que demandaram maior incentivo financeiro no controle dos transtornos tireoidianos. Assim, verifica-se a necessidade de um maior incentivo à realização de exames precoce, principalmente nas Regiões Norte, Nordeste e Sul, que quantitativamente requerem uma maior aplicação de recursos financeiros. Além disso, a alta taxa de incidência de neoplasias da glândula tireoide em mulheres e pessoas acima de 50 anos, no Brasil, reflete a necessidade de avanço nas práticas de atenção à saúde.
Metástase: manejo clínico e cuidados intensivos da dor oncológica
Authors: Rezende Isadora Pereira , Waltermann Martha Eliana , Oliveira Marcella Cabral de , Pinto Isla Daniela da Silva , Rodrigues Yasmin Rosa Storck Rocha , Lamas Júlia Maria Morena Afonso Campos e , Puglia Ana Clara , Maia Natália Toledo Borato , Oliveira Luís Ricardo Saldanha de , Silva Júnior Revaldo Afonso , Moreira Rodrigo Saito , Santos Carla Jamaina Bandeira 
Published: September 2022

A dor, como outros sinais vitais, é um indicador muito importante e pode evidenciar possíveis complicações da condição clínica do paciente. Neste quesito, a dor deve ser abordada como o quinto sinal vital de vida e deve ser avaliada mediante as necessidades e condições clínicas de cada paciente. Nesse aspecto, os cuidados paliativos devem ser especialmente voltados para aprimorar a qualidade de vida do paciente e dos familiares que sofrem com a metástase e o câncer. Para isso, o cuidado engloba uma assistência integral cujo benefício trata-se do alívio da dor, sofrimento e outros problemas de ordem espiritual, física e emocional. Dessa forma, o objetivo deste estudo se concentra em: Evidenciar qual o manejo clínico e os cuidados intensivos podem ser ofertados ao paciente com dor oncológica. A realização desta pesquisa ocorreu através de uma revisão integrativa da literatura, mediante o levantamento de dados nas bases científicas SCIELO, PUBMED e MDLINE. Os resultados mediante análise dos estudos apontam que os tratamentos convencionais já não são tão efetivos dependendo do estágio da metástase. Em casos avançados, a utilização de medicação oral já não supre os efeitos necessários, nesses casos, é de suma importância a busca por novas terapias de alívio, com técnicas de acupuntura, massagens, ofertas de atividades físicas, agulhamento, pilates e entre outros procedimentos fisioterapêuticos que atuam no estímulo da circulação sanguínea e promove o relaxamento. O manejo da dor em cuidados paliativos deve seguir as condutas de humanização, planejamento e sistematização de enfermagem, com intervenções baseadas nas necessidades e particularidades clínicas do paciente.
Pedagogia da presença: uma prática necessária na escola
Authors: Gomes Élida Fernandes da Silva , Monteiro Edenar Souza 
Published: September 2022

Este artigo faz parte do recorte da pesquisa de mestrado em andamento e tem como objetivo compreender as boas práticas e referências do sucesso da Pedagogia da Presença no processo de ensino-aprendizagem em uma escola de período integral, também conhecida como escola plena, localizada no município de Várzea Grande, o estado de Mato Grosso. Trata-se de uma pesquisa de cunho qualitativo do tipo estudo de caso e os dados foram obtidos através de entrevistas com professores e estudantes da referida escola. Para análise dos dados, foram construídas categorias à luz de Bardin e o aporte teórico foi baseado, sobretudo, em Freire, Costa e Almeida, que discorrem sobre as relações humanas, pautando-se em educação afetiva e práticas educacionais reflexivas. Em uma análise preliminar é possível concluir que tanto os professores como os alunos entendem a correlação entre o afeto e o aprender, aplicando a Pedagogia da Presença como construtiva e positiva e da influência da mesma no processo de ensino-aprendizagem.
A importância no tratamento da pneumonia adquirida na comunidade em crianças menores de 5 anos (PAC)
Authors: Oliveira Roseane da Silva , Rodrigues Junior Omero Martins , Gama Regiana Almeida da , Alho Rosane da Costa , Carmo Odirene Railane Ferreira do , Rodrigues Antônia Eliene da Silva , Andrade Marlene de Souza , Romão Maria Regina de Souza 
Published: September 2022

A pneumonia, doença infecciosa das vias aéreas inferiores, está entre as três principais causas de morbimortalidade infantil nos países em desenvolvimento. Objetivou-se para tanto discorrer acerca da importância do tratamento da Pneumonia Adquirida na Comunidade (PAC), em crianças menores de 5 anos, descrevendo as características e antibiotiterapia, comparando a eficácia dos medicamentos recomendados pela OMS. Material e Método: Tratou-se de uma revisão integrativa de literatura junto às bases de dados LILACS, PUBMED/MEDELINE e SCIELO, entre 2013 e 2022. Identificaram-se 86 artigos, sendo 7 utilizados na elaboração do trabalho. Resultados mostram que a PAC é a principal causa de morte entre as doenças infecciosas que acometem as crianças. Sua rápida identificação é de suma importância, para início de um tratamento adequado e para evitar maiores complicações ou até mesmo o óbito. Torna-se necessário um melhor acesso a estratégias eficazes de prevenção e gestão em países de baixa e média renda, enquanto novas estratégias são necessárias para lidar com a carga residual da doença, uma vez implementadas.
#YoSoy132 as a Continuation of the 1968 Legacy
Authors: Wax-Edwards Jessica 
Published: September 2022

This chapter explores the links between the legacy of the events of 1968 and the #YoSoy132 student movement, with specific reference to the graphic art produced by students of both. My visual analyses of cultural legacy is informed by the notion of spectrality and haunting as introduced by Jacques Derrida in the Spectres of Marx (1994). As argued by Derrida, the study of hauntology is borne out of a ‘concern for justice’. This chapter explores the contexts of recent historical injustice that characterised and coloured the 2012 general presidential elections. These injustices, seen in the 2006 repression of Atenco and a historical trend for controversy relating to elections in Mexico, provide further examples of the ruptures and ghosts that fuelled the emergence of the #YoSoy132 movement and the graphic artworks produced alongside it. This chapter will examine the visual parallels that exist between the artistic outputs of the 1968 and 2012 student protest movements and, specifically, the role of graphic art in disseminating and articulating civil dissent. In this vein, this chapter seeks to address the extent to which the graphic art produced by #YoSoy132 members is influenced by the art of the 1968 protestors and the complex memory of that violent repression.
The Health Impacts of Coal Mining and Coal-based Energy
Authors: Paul Denoon-Stevens Stuart , du Toit Katrina 
Published: September 2022

This chapter investigates the relationship between coal mining, coal-based energy production, and health in Emalahleni. We find in this chapter that this region has generally worse health metrics per capita compared to national averages despite its strong economic foundation and role. We also find that, excluding initiatives undertaken by the mines, the resourcing of the area per capita in terms of health personnel and finances was significantly below national averages. This again shows a lack of sensitivity by the state to the unique health challenges faced by regions with a high prevalence of coal mining and coal-based energy production.
Relating this to the just transition literature, with the (likely) move to cleaner energy production, residents of this area will continue to experience health issues due to coal mining and coal-based power production for decades to come. Thus a just transition necessitates action on the part of the state to address this legacy of poor health outcomes.
The novel bio-SYNTAX scoring system for predicting the prognosis of patients undergoing percutaneous coronary intervention with left main coronary artery disease
Authors: Yoon Jae Yong , Lee Jang Hoon , Kim Hong Nyun , Kim Namkyun , Jang Se Yong , Bae Myung Hwan , Yang Dong Heon , Park Hun Sik , Cho Yongkeun 
Published: September 2022

BackgroundSimple and effective risk models incorporating biomarkers associated with left main coronary artery (LMCA) stenosis are limited. This study aimed to validate the novel Bio-Clinical SYNTAX score (Bio-CSS) incorporating N-terminal pro-B-type natriuretic peptide (NT-proBNP) in patients with LMCA stenosis.MethodsPatients who underwent percutaneous coronary intervention (PCI) for LMCA stenosis using a drug-eluting stent (n = 275) were included in the study. We developed the Bio-CSS incorporating NT-proBNP and validated the ability of the Bio-CSS to predict major adverse cardiac events (MACEs) and compared its performance to that of the SYNTAX score (SS) and SS II. The MACEs were defined as death, non-fatal myocardial infarction (MI), and repeat revascularizations.ResultsThe Bio-CSS (34.7 ± 18.3 vs. 51.9 ± 28.4, p &lt; 0.001), as well as SS (23.6 ± 7.3 vs. 26.7 ± 8.1, p = 0.003) and SS II (29.4 ± 9.9 vs. 36.1 ± 12.8, p &lt; 0.001), was significantly higher in patients with MACEs. In the Cox proportional hazards model, the log Bio-CSS (hazard ratio 8.31, 95% CI 1.84–37.55) was an independent prognostic factor for MACEs after adjusting for confounding variables. In the receiver operating characteristic curves, the area under the curve of the Bio-CSS was significantly higher compared to those of SS (0.608 vs. 0.706, p = 0.001) and SS II (0.655 vs. 0.706, p = 0.026). Patients were categorized into the three groups based on the tertiles of the Bio-CSS. Patients in the highest tertile of the Bio-CSS had significantly higher MACEs compared to those in the lower two tertiles (log-rank p &lt; 0.001).ConclusionIn patients who underwent PCI for LMCA stenosis, the novel Bio-CSS improved the discrimination accuracy of established combined scores, such as SS and SS II. The addition of NT-proBNP to the clinical and angiographic findings in the Bio-CSS could potentially provide useful long-term prognostic information in these patients.
A novel FGF23 mutation in hyperphosphatemic familial tumoral calcinosis and its deleterious effect on protein O-glycosylation
Authors: Zuo Qingyao , Yang Weili , Liu Baoyue , Yan Dong , Wang Zhixin , Wang Hong , Deng Wei , Cao Xi , Yang Jinkui 
Published: September 2022

BackgroundHyperphosphatemic familial tumoral calcinosis (HFTC) is a rare disease characterized by hyperphosphatemia and ectopic calcification, predominantly at periarticular locations. This study was performed to characterize the clinical profile of tumoral calcinosis and to identify gene mutations associated with HFTC and elucidated its pathogenic role.MethodsThe three subjects (two male and one female) were aged 30, 25 and 15 years, respectively. The clinical features, histopathological findings, and outcomes of three subjects with HFTC were retrospectively reviewed. The three subjects were analyzed for FGF23, GALNT3 and KL mutations. Function of mutant gene was analyzed by western blotting and wheat germ agglutinin affinity chromatography.ResultsAll subjects had hyperphosphatemia and elevated calcium-phosphorus product. Calcinosis positions included the left shoulder, left index finger, and right hip. Bone and joint damage were present in two cases and multiple foci influenced body growth in one case. The histopathological features were firm, rubbery masses comprising multiple nodules of calcified material bordered by the proliferation of mononuclear or multinuclear macrophages, osteoclastic-like giant cells, fibroblasts, and chronic inflammatory cells. The novel mutation c.484A&gt;G (p.N162D) in exon 3 of FGF23 was identified in one subject and his family members. Measurement of circulating FGF23 in the subject confirmed low intact FGF23 and increased C-terminal fragment. In vitro experiments showed that the mutant FGF23 proteins had defective O-glycosylation and impaired protein proteolysis protection.ConclusionWe identified a novel FGF23 missense mutation, and confirmed its damaging role in FGF23 protein O-glycosylation. Our findings expand the current spectrum of FGF23 variations that influence phosphorus metabolism.
New insights into thyroid dysfunction in patients with inactivating parathyroid hormone/parathyroid hormone-related protein signalling disorder (the hormonal and ultrasound aspects): One-centre preliminary results
Authors: Januś Dominika , Roztoczyńska Dorota , Janeczko Magdalena , Starzyk Jerzy B. 
Published: September 2022

ObjectiveThis study aimed to present the spectrum of thyroid dysfunction, including hormonal and ultrasound aspects, in a cohort of paediatric and adult patients diagnosed with inactivating parathyroid hormone (PTH)/PTH-related protein signalling disorders 2 and 3 (iPPSD).MethodsThe medical records of 31 patients from 14 families diagnosed with iPPSD between 1980 and 2021 in a single tertiary unit were retrospectively analysed. Biochemical, hormonal, molecular, and ultrasonographic parameters were assessed.ResultsIn total, 28 patients from 13 families were diagnosed with iPPSD2 (previously pseudohypoparathyroidism [PHP], PHP1A, and pseudo-PHP) at a mean age of 12.2 years (ranging from infancy to 48 years), and three patients from one family were diagnosed with iPPSD3 (PHP1B). Thyroid dysfunction was diagnosed in 21 of the 28 (75%) patients with iPPSD2. Neonatal screening detected congenital hypothyroidism (CH) in 4 of the 20 (20%) newborns. The spectrum of thyroid dysfunction included: CH, 3/21 (14.2%); CH and autoimmune thyroiditis with nodular goitre, 1/21 (4.8%); subclinical hypothyroidism, 10/21 (47.6%); subclinical hypothyroidism and nodular goitre, 1/21 (4.8%); primary hypothyroidism, 4/21 (19%); and autoimmune thyroiditis (Hashimoto and Graves’ disease), 2/21 (9.6%). Thyroid function was normal in 7 of the 28 (25%) patients with iPPSD2 and in all patients with iPPSD3. Ultrasound evaluation of the thyroid gland revealed markedly inhomogeneous echogenicity and structure in all patients with thyroid dysfunction. Goitre was found in three patients.ConclusionThe spectrum of thyroid dysfunction in iPPSD ranges from CH to autoimmune thyroiditis and nodular goitre. Ultrasonography of the thyroid gland may reveal an abnormal thyroid parenchyma.
Outcomes of hyperlactatemia on admission in critically ill patients with acute myocardial infarction: A retrospective study from MIMIC-IV
Authors: Lu Ting , Tan Liao , Xu Kai , Liu Jia , Liu Chong , Zhang Guogang , Shi Ruizheng , Huang Zheng 
Published: September 2022

BackgroundIt has not been verified whether there is a correlation between admission hyperlactatemia and outcomes in critically ill patients with acute myocardial infarction (AMI), especially in large data studies, which we aimed to do in this study.MethodsFor this retrospective study, we extracted analysis data from a famous online intensive care unit database, the Medical Information Mart for Intensive Care (MIMIC)-IV. Included patients were divided into four groups according to the serum lactate level on admission. Hospital mortality and mortality over time were the main outcomes. To explore the relationship between admission hyperlactatemia and outcomes in critically ill patients with AMI, logistic regression, Cox regression, Kaplan-Meier curves, and subgroup analyses were used.Results2171 patients matching the selection criteria were enrolled in this study. After adjusting for potential confounding factors, hyperlactatemia on admission contributed to increased short-term mortality in critically ill patients with AMI. The adjusted odds ratio for hospital mortality were 1.62, 3.46 and 5.28 in the mild, moderate, and severe hyperlactatemia groups (95% CI: 1.20-2.18, 2.15-5.58, and 2.20-12.70, respectively). The adjusted hazard ratio for 7-day and 30-day mortality were 1.99 and 1.35 (95% CI: 1.45-2.73 and 1.09-1.67) in the mild hyperlactatemia group, 3.33 and 2.31 (95% CI: 2.22-4.99 and 1.72-3.10) in the moderate hyperlactatemia group, 4.81 and 2.91 (95% CI: 2.86-8.08 and 1.88-4.50) in the severe hyperlactatemia group. The adjusted hazard ratio for 1-year and 5-year mortality were 2.03 and 1.93 (95% CI: 1.58-2.62 and 1.52-2.47) in the moderate hyperlactatemia group, 1.92 and 1.74 (95% CI: 1.28-2.89 and 1.17-2.59) in the severe hyperlactatemia group. Subgroup analyses indicated that the positive correlation between serum lactate level on admission and short-term mortality of critically ill patients with AMI was similar in the subgroups of cardiogenic shock and acute heart failure (P for interaction &gt; 0.05).ConclusionHyperlactatemia, especially moderate and severe hyperlactatemia, on admission is closely related to higher short-term mortality incidence in critically ill patients with AMI. The relationship between serum lactate level on admission and short-term mortality of critical AMI patients is stable in subgroups of cardiogenic shock and acute heart failure.
Pumped storage power station using abandoned mine in the Yellow River basin: A feasibility analysis under the perspective of carbon neutrality
Authors: Xi Furui , Yan Ruiwen , Shi Jusong , Zhang Jinde , Wang Runping 
Published: September 2022

Greenhouse gas emissions, mainly CO2, lead to global climate change, and the resulting ecological environment problems bring severe challenges to human survival and development. As the world’s largest developing country and carbon emitter, China is facing the dual pressure of socio-economic development and carbon emission reduction. In order to cope with global climate change and achieve the goal of carbon neutrality and carbon peak as soon as possible, China needs to accelerate the optimization of energy structure, gradually increase the proportion of renewable energy utilization, and accelerate the solution of the bottleneck problem of renewable energy storage. As an energy basin, the Yellow River basin is a key demonstration area to promote energy system reform in China. There are a large number of abandoned mines in the Yellow River basin, which provide a new idea to build pumped storage power stations using abandoned mines (PSPSuM) for renewable energy storage. From the perspective of multidisciplinary integration, this study deeply discusses the relevant evaluation principles and technical key points of constructing PSPSuM in the region, and preliminarily carries out the feasibility assessment. The results show that 91 PSPSuM can be built in the Yellow River basin, with a total installed capacity of 15,830 MW, comprehensively considering the aspects of spatial size, spatial structure and space stability.