bluuebunny/crossref_metadata_2025_split huggingface dataset:
Programa “Experiencias de Educación Emocional en la Escuela” para la reducción de la ansiedad en niños paraguayos
Authors: Gamarra Olivia , Benítez de Ortiz Corina Noemí 
Published: April 2022

Objetivos: Se pretendió conocer los efectos del programa Experiencias de educación emocional en la escuela en el nivel de ansiedad en niños. Este programa fue elaborado por las autoras, basado en los delineamientos Cognitivos Conductuales. Metodología: El estudio se inició con 104 niños de 10 a 12 años de una escuela de Yuty, Departamento de Caazapá, Paraguay a los que se les aplicó un instrumento, el SCARED (Screen for Child Anxiety Related Disorders). Se realizó la validación del instrumento para esa población y se seleccionó la muestra por conveniencia luego del pre-test. De esta selección se estableció una muestra de 16 niños considerando las mayores puntuaciones en el test. Se establecieron dos grupos (8 grupo experimental y 8 grupo control activo) con un diseño experimental pre-test, post test con grupo control activo. Al grupo experimental se aplicó el programa “Experiencias de educación emocional en la escuela” y al grupo control se aplicó un entrenamiento en educación emocional sin componentes de trabajo para la ansiedad. Resultados: La intervención en educación emocional redujo la ansiedad en un nivel marginalmente significativo en comparación con el grupo control con resultados medios (r=.42). Conclusiones: Los resultados de este estudio sugieren que existen ciertas evidencias de que el entrenamiento en educación emocional en la escuela reduce el nivel de ansiedad en niños, estimando que en muestras de mayor tamaño, las diferencias entre los grupos pueden ser estadísticamente más significativas.
Inovação Tecnológica em Crianças
Authors: Cardoso Raphael Moura 
Published: April 2022

Inovação é se tornou uma palavra de ordem no século XXI e está intimamente relacionado à criatividade. As crianças são reconhecidamente usuárias de tecnologias, mas apresentam geralmente desempenho fraco nas tarefas de uso de ferramentas que exijam inovação. Neste artigo, aborda-se a contribuição da abordagem comparativa para o entendimento da inovação na perspectiva do desenvolvimento humano, além de relacionar a inovação dentro do processo de aprendizagem. Finalmente, discute-se as implicações educacionais dos estudos de inovação comportamental para a Educação Infantil.
Palavras-Chave: Criatividade, Educação Infantil, BNCC, Psicologia da Tecnologia.
BENEFÍCIOS DO KINESIO TAPING NO CONTROLE DA DOR E NA QUALIDADE DE VIDA DE INDIVÍDUOS QUE APRESENTAM A SÍNDROME DA DOR SUBACROMIAL – REVISÃO BIBLIOGRÁFICA DA LITERATURA
Authors: Silva Joriana Tayrine Lima da , Souza Nayara Umbelina de , Lima Tatiely Marinho da Costa 
Published: April 2022

RESUMO
Introdução: A síndrome do impacto do ombro é uma patologia inflamatória que ocorre por compressão mecânica das estruturas do espaço subacromial. A kinesio taping consiste em uma fita elástica adesiva, que dentre outros benefícios, ajuda a diminuir o impacto sobre as articulações. Objetivo: Verificar, através de uma revisão bibliográfica, se o uso do kinesio taping em indivíduos com síndrome do impacto do ombro pode trazer melhoras, tanto no controle da dor, quanto na qualidade de vida dessas pessoas. Metodologia: Este artigo refere-se a uma revisão integrativa da literatura. A busca foi realizada na Biblioteca Virtual em Saúde, SciELO, COCHRANE and PUBMED. Foram incluídas pesquisas que analisaram o uso do kinesio taping em indivíduos com síndrome do impacto do ombro, sendo artigos publicados nos últimos 10 anos, nas línguas inglesa e portuguesa. Resultados: Após a aplicação dos critérios de inclusão e exclusão, permaneceram apenas 11 artigos para análise, entre os anos de 2011 a 2019. Observou-se que estes estudos mostraram vantagens no uso do kinesio taping, como o controle da dor nessa síndrome, porém evidenciaram que sozinho, não dá ao paciente melhores resultados para se manter uma qualidade de vida. Conclusão: O kinesio taping é uma técnica excelente para quem tem essa síndrome dolorosa, porém é importante associar a outras técnicas. Dessa forma conclui-se que o kinesio taping pode ser uma alternativa e/ou suporte para esse tipo de síndrome dolorosa.
Palavras-chaves: Bandage AND shoulder pain; Kinesio taping AND shoulder pain; Kinesio taping; Kinesio taping shoulder; Kinesio taping AND impingement syndrome.
Acetazolamide to treat symptomatic ruptured arachnoid cysts: illustrative cases
Authors: Watson Isabella , McDonald Patrick J. , Steinbok Paul , Graeber Brendon , Singhal Ashutosh 
Published: April 2022

BACKGROUND
Arachnoid cysts are benign, often asymptomatic intracranial mass lesions that, when ruptured, may cause seizures, raised intracranial pressure, hemorrhage, and/or loss of consciousness. There is no widely agreed upon treatment, and there is debate as to whether a nonoperative or surgical approach is the best course of action. The carbonic anhydrase inhibitor acetazolamide may be an effective nonoperative approach in treating ruptured arachnoid cysts.

OBSERVATIONS
The Pediatric Neurosurgery Clinical Database at BC Children’s Hospital from 2000 to 2020 was queried, and four pediatric patients who were treated with acetazolamide after presentation with a ruptured middle cranial fossa arachnoid cyst were identified. All patients showed some degree of symptom improvement. Three of the patients showed complete reabsorption of their subdural collections in the ensuing 6 months. One patient had an inadequate response to acetazolamide and required surgical management.

LESSONS
Acetazolamide is a safe and reasonable primary treatment option in pediatric patients with ruptured middle cranial fossa arachnoid cysts, and it may help avoid the need for surgery.
Role of electromyography and ultrasonography in the diagnosis of double crush lumbar radiculopathy and common fibular injury: illustrative cases
Authors: Shields Lisa B. E. , Iyer Vasudeva G. , Harpring John E. , Rao Abigail J. , Zhang Yi Ping , Shields Christopher B. 
Published: April 2022

BACKGROUND
Double crush syndrome consists of two compression sites along a peripheral nerve and is rare in the lower extremities. Electrodiagnostic and ultrasound (US) studies may be helpful in evaluating foot drop involving overlapping pathologies.

OBSERVATIONS
Case 1 involved a man who presented with left dorsiflexor weakness and left foot numbness. Electromyography (EMG) revealed a left common fibular nerve entrapment neuropathy and left L5 radiculopathy. US and magnetic resonance imaging (MRI) revealed a large cystic lesion of the left common fibular nerve treated by cyst removal. The left foot drop persisted postoperatively. Lumbar computed tomography myelography revealed severe left foraminal stenosis at L5–S1. Multilevel lumbar laminectomies and facetectomies with an L5–S1 fusion were performed. Within 1 month postoperatively, the left foot drop had improved. Case 2 involved a man who developed a right foot drop caused by right lumbar foraminal stenosis at L4–5 and L5–S1. EMG and US of the right common fibular neuropathy showed large fascicles involving the right common fibular nerve. MRI revealed a hyperintense signal of the right common fibular nerve. Spontaneous improvement occurred within 6 months without surgery.

LESSONS
Spine surgeons should recognize double crush in the lower extremities. EMG and US are valuable in detecting peripheral nerve abnormalities, especially in cases with overlapping lumbar pathology.
Meningioma with holo-sagittal sinus involvement treated successfully with intrinsic sinus surgery: illustrative case
Authors: Rajagopal Megan , Toms Jamie , Graham R. Scott 
Published: April 2022

BACKGROUND
This report describes an unusual meningioma with a large left frontal component and extensive growth within the sagittal sinus and its successful treatment with a staged approach: left frontal craniotomy followed by a sagittal craniotomy and intrinsic removal of the tumor from the sagittal sinus.

OBSERVATIONS
A previously healthy 27-year-old presented with 6 months of progressively worsening bilateral headaches, visual changes, and nausea. On examination she had a left cranial nerve VI palsy and severe papilledema. Magnetic resonance imaging revealed a 5.1 × 3.8 × 4.1 cm homogenously enhancing left superior frontal parafalcine extra-axial mass with surrounding vasogenic edema and growth through the sagittal sinus extending just short of the torcula.

LESSONS
This case report describes a fast-growing meningioma with a unique pattern of spread, growing through the sagittal sinus as if it were a conduit and resulting in complete occlusion of flow in the sinus. An important recognition in this case was that a robust parasagittal venous plexus had developed on either side of the falx cerebri with drainage to the inferior sagittal sinus. This collateral drainage pattern allowed for an extradural opening of the sagittal sinus from front to back and intrinsic resection of the tumor from the sinus with preservation of the lateral walls of the sinus.
Trigeminal neuropathy after tozinameran vaccination against COVID-19 in postmicrovascular decompression for trigeminal neuralgia: illustrative case
Authors: Onoda Keisuke , Sashida Ryohei , Fujiwara Ren , Wakamiya Tomihiro , Michiwaki Yuhei , Tanaka Tatsuya , Shimoji Kazuaki , Suehiro Eiichi , Yamane Fumitaka , Kawashima Masatou , Matsuno Akira 
Published: April 2022

BACKGROUND
Vaccines against coronavirus disease 2019 have a high level of efficacy and safety across all populations. However, numerous case series have been published on neurological disorders, including Bell’s palsy, Guillain-Barre syndrome, transverse myelitis, and multiple sclerosis. The authors presented a case of trigeminal neuropathy after coronavirus vaccination in a patient who had undergone microvascular decompression (MVD) for trigeminal neuralgia (TN).

OBSERVATIONS
A 77-year-old woman presented with acute trigeminal neuropathy after receiving a Pfizer-BioNtech vaccination (tozinameran) against severe acute respiratory syndrome coronavirus 2. The patient had undergone MVD for TN and the facial pain completely disappeared. One month later, she received the first injection of the tozinameran vaccine. Twelve hours after vaccination, she presented with numbness and pain induced by touching any place on the entire right face. No eruption was observed on her face. The serum herpes zoster virus antibodies were confirmed within the normal range. Magnetic resonance imaging revealed no abnormalities. The authors suspected a right trigeminal neuropathy after vaccination. Administration of carbamazepine and pregabalin improved TN but facial numbness persisted, especially in the mandibular division.

LESSONS
The coronavirus is a possible etiology of secondary trigeminal neuropathy in the case of MVD for TN.
Undifferentiated presentation of unilateral agenesis of a cervical pedicle and a contiguous vertebral hemangioma: illustrative case
Authors: Alsuwaihel Mosaab , El-Mughayyar Dana , MacLennan Matthew , Attabib Najmedden 
Published: April 2022

BACKGROUND
Unilateral agenesis of a cervical pedicle is a known rare entity that has been well described over the past 70 years. It is usually an incidental or minimally symptomatic presentation with no significant clinical repercussion. No previous report has described concurrent non-osseous developmental abnormalities alongside this unique pathology.

OBSERVATIONS
This case reported a cervical hemangioma with associated unilateral pedicle agenesis and an incidental finding of callosal dysgenesis and lipoma. The initial presentation consisted solely of persistent neck pain, with cervical radiography illustrating significant kyphotic deformity secondary to apparent anterolisthesis of C3-C4. The patient underwent a combined approach: anterior cervical corpectomy at C4-C5 with supplemental posterior fusion. The authors provided a review of the literature concerning developmental pedicle abnormalities and vertebral hemangioma. Pedicle agenesis is known to be associated with multiple pathologies, but the authors have not found evidence of a clinical paradigm consisting of a vertebral hemangioma in the presence of cervical pedicle agenesis, callosal dysgenesis, or callosal lipoma.

LESSONS
Careful evaluation of radiographs with appropriate subsequent multimodal imaging is key to identifying unique pathologies in the spine that complement a patient’s history and clinical findings. If multiple abnormalities are noted, a novel clinical etiology or syndrome must be considered.
Long-term progression-free survival achieved in the skull base metastasis of gastrointestinal stromal tumor with introduction of tyrosine kinase inhibitor: illustrative case
Authors: Kawanishi Akiya , Umekawa Motoyuki , Miyawaki Satoru , Fujitani Shigeta , Ishizawa Takeaki , Ushiku Tetsuo , Hongo Hiroki , Teranishi Yu , Shojima Masaaki , Shin Masahiro , Hasegawa Kiyoshi , Saito Nobuhito 
Published: April 2022

BACKGROUND
Gastrointestinal stromal tumors (GISTs) are common subepithelial tumors that rarely metastasize to the intracranial space. Because the standard treatment for metastatic intracranial GISTs has not been established, multimodal therapies are needed, especially in the case of skull base metastasis. However, its outcome has not always been favorable. The authors report the longest known surviving case of skull base metastasis of GIST treated with imatinib only.

OBSERVATIONS
A 52-year-old male with a history of GIST presented with left facial swelling and numbness. Examinations revealed a 70-mm tumor occupying the left middle cranial fossa and the orbit. The authors performed transnasal endoscopic tumor biopsy for definitive diagnosis and reintroduced imatinib treatment. The tumor significantly decreased in size early after the introduction of imatinib, and symptoms completely disappeared within several weeks. The lesion has remained shrunk radiologically for 63 months, and the patient is continuously being followed up under imatinib treatment.

LESSONS
The authors reported a rare case of skull base metastasis of GIST successfully treated solely with systemic therapy with a tyrosine kinase inhibitor, achieving tumor control for over 5 years. This case suggests that tyrosine kinase inhibitors might play a key role in the multidisciplinary treatment for skull base metastases of GIST.
Level of knowledge and compliance of care for cancer patients with febrile neutropenia of nurses in the emergency service at the National Institute of Neoplastic Diseases, 2020 [Nivel de conocimiento y cumplimiento de los cuidados a pacientes oncológicos con neutropenia febril de las enfermeras del servicio de emergencia del Instituto Nacional de Enfermedades Neoplásicas, 2020]
Authors: Suasnabar Reyes Sara Cecilia , Manchay Huacac Carmen Rosa 
Published: April 2022

Febrile neutropenia in cancer patients is an oncologic emergency, due to immunosuppression that leaves the patient vulnerable to bacterial, fungal and viral infections that put his life at risk. Therefore, in addition to timely medical management, adequate nursing care is necessary to prevent or avoid complications. Objective: To determine the relationship between the level of knowledge and compliance with care in oncologic patients with febrile neutropenia in nurses of the emergency department at the National Institute of Neoplastic Diseases. Methodology: Quantitative approach study, descriptive, correlational, cross-sectional, descriptive method. Population: 58 nursing graduates working in the emergency service, 2 instruments developed by the researchers were applied, for the knowledge variable a questionnaire was used as an instrument, for the variable compliance with the care of the patient with febrile neutropenia a checklist was used. Results: 86.2% of the nurses presented a high level of knowledge and 13.8% a medium level of knowledge. Regarding patient care compliance, it was found that 77.6% of the nurses performed regular care and 22.4% performed good care. Regarding the association of the variables, a p= .796 was obtained between the level of knowledge and care compliance and a Spearman's Rho coefficient (-.035), which determines that there is no relationship between the variables. Conclusions: In the present study it was evidenced that there is no relationship between the level of knowledge and care compliance in oncologic patients with febrile neutropenia in the nurses of the Emergency Department at the National Institute of Neoplastic Diseases.
New Narratives, Racialization, Global Crises, and Social Engagement
Authors: Moura Hudson , Cooley Heidi Rae 
Published: April 2022

These published proceedings draw from the various and impressive contributions to the III Interactive Film and Media Conference in August 2021. They are organized into five sections according to theme. In the first two sections, the papers concentrate on social engagement. The first set of papers focuses on racism in the time of COVID-19, indigenous identity and incarceration. The second involves interactive responses to social issues such as migration, sexual harassment, and refugees. Sections three and four foreground debates about the levels of interactivity experienced in films and games. In the third set of papers, the authors focus on the medium’s capacities to involve the player or the user in interactivity, while papers comprising the fourth set question the process of immersion and explore levels of interactivity more fully. Finally, in the fifth and final section, the papers focus on the environment of digital art, literature, and media, challenging our understanding of what is an “art” and “literature,” and what is “human” in a digital world. Here we invite you to explore the published papers in the proceedings from the #IFM2021 Virtual Conference.
Barriers and facilitators to providing human immunodeficiency virus pre-exposure prophylaxis decision support to black patients in Canada: a cross-sectional study
Authors: Guillaume Genevieve , Ramos S. Raquel , M'Rabiu Abubakari Gamji , Turner DeAnne Elizabeth , Ajiboye Wale , Yusuf Abban , Djiadeu Pascal , Odhiambo Apondi Judith , Pedersen Cheryl , Lofters Aisha , Williams Geoffrey , Nelson LaRon E. 
Published: April 2022

Introduction: Healthcare settings can build towards a specific social environment, in which Black patients can make informed health decisions, including those about whether or not to use PrEP. We utilize self-determination theory for guidance to identify the extent to which current HIV pre-exposure prophylaxis (PrEP) decision support practices from healthcare professionals (HCP) are autonomy supportive. This identifies future developments and implementations of interventions for HCP capacity building to enhance the autonomy of Black patients who are considering using PrEP. Methods: Using a cross-sectional design for examining HCPs' perspectives on delivering quality PrEP usage-related decision support. Through a cross-sectional online survey of 24 HCP from 10 community-based health centers serving in Toronto, Canada, descriptive statistics were characterized in close-ended survey data and sample. Open-ended survey responses were analyzed using Q- sorting methodology. Results: Of the HCP, 40% were willing to provide PrEP decision support to Black-identified patients. HCP reported barriers of needing education about PrEP and available resources (96%) There’s a need for more education and resources to facilitate decision support for Black patients to improve decision support and reduce PrEP uptake disparities. Conclusion: It is imperative that cultural humility in healthcare is upheld to provide informed decision support since not only health conditions vary from patient to patient, but life experiences and background are equally crucial to the health status of that individual. Competence development among HCP can take the forms of providing training to increase cultural humility awareness, knowledge, and skills that can build towards an environment in which Black patients are informed about and for their health decisions.
Creation of a remote clinical practice curriculum for first year nursing students: Reflections and lessons learned
Authors: MacEachern Diane , Miranda Joyal , Cherney Shari 
Published: April 2022

Introduction: A problem-based learning approach using intentionally created client profiles and nursing care summaries formed the foundation of a remote clinical experience for first year undergraduate nursing students. Methods: Using carefully designed client scenarios, care summaries and active learning strategies, students were introduced to the nursing profession and provided the opportunity to develop skills in collaboration, critical thinking, clinical reasoning, and clinical judgement. Results: Based on discussion with students, the remote experience assisted in the development of several skills addressing communication, theoretical foundation, and critical thinking. As well, this experience allowed for the integration and application of newly acquired nursing knowledge, and an enhanced understanding of the role of the professional nurse. Implications: Significant lessons learned may serve other nursing programs around the world as we continue to navigate both current and future public health mandates while managing competing demands for in-person clinical practice sites. Conclusion: Face-to-face clinical experiences remain a critical component of comprehensive nursing education, however, given today’s climate and continued restrictions, a hybrid model, utilizing a remote platform, is worthy of further exploration.
Studying the effect of silymarin against oxidative stress induced by chemotherapeutic protocol in breast cancer women
Authors: Abdul Razzaq Bahir , Ghazal Mohammad R.I. , Al-Khazragy Khalid A. , Al-Rawaq Khudder Jasim 
Published: April 2022

Breast cancer became the commonest type of cancers among Iraqi women since the last two decades. The main underlying cause is thought to be DNA damage; much of which is oxidative in nature. CAF protocol (Cyclophosphamide + Adriamycin + 5-FU) associated with toxic effects in several body organs, mainly through production of free radicals and reactive oxygen species. Silymarin, the dried extract of a ripe seeds of the plant silybium marianum, was found to be a powerful antioxidant protective agent against toxin -induced tissue damage .The objective of this study is to evaluate the possible time and dose-dependent protective effect of the orally administered silymarin as antioxidant agent against oxidative stress induced by CAF protocol (mainly Adriamycin) in breast cancer women. This study included 94 subjects, 20 were healthy control women (for matching with oxidative stress markers) and 74 were breast cancer women that randomly distributed and allocated into three groups:Group (A): Include 24 patients who received CAF protocol by I.V infusion once every 21 days and for 63days.Group (B): Include 25 patients who received 210mg/day of along with the same CAF protocol of group (A);Group (C): Include 25 patients who received 420mg/day of silymarin along with the same CAF protocol of group (A). Oxidative stress markers (MDA and GSH) were measured at baseline (zero time), after 21, 42, and 63 days of treatment for each patient group.Our results showed an increase in the oxidative stress for both baseline patients and those treated with CAF protocol, manifested by significant increase in MDA levels and GSH depletion, a state which is significantly reversed by use of silymarin, in a time and dose-dependent manner. Breast cancer and itsantineoplastic CAF protocol produce free radicals which attenuate antioxidant defense mechanism of the body leading to several toxic effects on different body organs, so the use of antioxidant agent (silymarin) in this study may ameliorate, in a time and dose-dependant manner,theharmfuleffects of this protocol.