Catálogo de publicaciones - revistas

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;A recently independent state, Timor-Leste, is progressing towards socioeconomic development, prioritizing women empowerment while its increased fertility rate (4.1) could hinder the growth due to an uncontrolled population. Currently, limited evidence shows that indicators of women's empowerment are associated with fertility preferences and rates. The objective of this study was to assess the association between women empowerment and fertility preferences of married women aged 15 to 49 years in Timor-Leste using nationally representative survey data. The study was conducted using the data of the latest Timor-Leste Demographic and Health Survey 2016. The study included 4040 rural residents and 1810 urban residents of Timor-Leste. Multinomial logistic regression has been performed to assess the strength of association between the exposures indicating women's empowerment and outcome (fertility preference). After adjusting the selected covariates, the findings showed that exposures that indicate women empowerment in DHS, namely, the employment status of women, house and land ownership, ownership of the mobile phone, and independent bank account status, contraceptive use, and the attitude of women towards negotiating sexual relations are significantly associated with fertility preferences. The study shows higher the level of education, the less likely were the women to want more children, and unemployed women were with a higher number of children. Our study also found that the attitude of violence of spouses significantly influenced women's reproductive choice. However, employment had no significant correlation with decision-making opportunities and contraceptive selection due to a lack of substantial data. Also, no meaningful data was available regarding decision-making and fertility preferences. Our findings suggest that women's empowerment governs decision-making in fertility preferences, causing a decline in the fertility rate.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;The COVID-19 pandemic has caused worldwide disruption to the entire educational system, including medical and health professions education. Considering the critical situation due to COVID-19, academic institutions shifted the entire pedagogical approach to the virtual learning mode. While delivering online teaching, educators experienced numerous challenges, including access to the internet, poor connectivity, and other technical issues. Some students did not have laptops and necessary devices to attend the Class. Besides, many educators were not confident enough to manage the online mode of delivery. In this perspective, we reviewed the evidence of best practices for the medical and health professions educators to deliver the curriculum through an online platform. Therefore, the current study aimed to review the best practices for effective online teaching and learning in medical and health professions education during COVID-19 and beyond. We reviewed the technical aspects of online teaching and educational strategies required for educators to provide quality training not just during the pandemic but beyond this crisis. The online literature search was performed on Medline, PubMed and google scholar databases for studies on online teaching in medical and health profession education and what are the best practices of teaching globally Online teaching and assessment must balance the requirements of technology, learning outcomes, delivery modes, learning resources, and learning resources. The study concludes that medical and health professions institutions strengthen technical infrastructure, promote continuous faculty development programs, and support indigent students to access digital technology.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt;&lt;sec&gt; &lt;title&gt;Background&lt;/title&gt; &lt;p&gt;A key component of the initial public health response to the COVID-19 pandemic involved the use of mass media briefings led by public health officials to communicate updates during a time of great uncertainty and rapidly changing information. This study aims to examine the consistency of communications expressed during the public health briefings to generate novel insights about the type, direction, and strength of public health messages. The data source included 131 readily accessible public health briefings alongside the provincial and national new confirmed case counts during the first two waves of rapidly increasing cases during the pandemic in Alberta, Canada. We employed sentiment analysis as a text mining technique to explore the types and frequency of words in public health briefings conveying positive and negative sentiments. Using statistical analyses and data visualizations, we examined how public health messaging shifted with case trends.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Results&lt;/title&gt; &lt;p&gt;Our findings indicate consistent public health messaging in terms of sentiments regardless of case count fluctuations, an association of specific words with conveying positive and negative sentiments, and a focus on particular message patterns at different points during the first two waves of the COVID-19 pandemic.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Conclusion&lt;/title&gt; &lt;p&gt;Our findings demonstrate the practical implications and methodological advantages of using sentiment analysis as a data analytics tool for rapidly and objectively assessing the consistency of health communications during a public health crisis.&lt;/p&gt; &lt;/sec&gt;&lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt;&lt;sec&gt; &lt;title&gt;Introduction&lt;/title&gt; &lt;p&gt;Neck and back pain afflicts millions of people. Magnetotherapy has shown to have anti-inflammatory effects that could act on pain generation, but the literature lacks provide a precise therapeutic protocol.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Methods&lt;/title&gt; &lt;p&gt;A high-intensity electromagnetic field with a dedicated applicator was administered to 38 patients with low-back pain and 30 patients with neck pain. The device provides 60 mT and a frequency of 50 Hz for 30 minutes, the session was repeated 4 times.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Results&lt;/title&gt; &lt;p&gt;The mean VAS of the low-back pain group decreased from 6.56 to 4.54, with a significant reduction of 30.8%. The mean VAS of the neck pain group decreased from 6.51 to 1.96, with a significant reduction of 69.9%.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Discussion&lt;/title&gt; &lt;p&gt;The treatment used showed good results in both groups of the patient, without side effects. The therapeutic protocol adopted is safe, provide rapid relief from the pain and is not time demanding. This treatment could represent an effective non-pharmacologic physical therapy option in the treatment of low-back pain and cervical pain.&lt;/p&gt; &lt;/sec&gt;&lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;In this paper, we develop a time-fractional order COVID-19 model with effects of disease during quarantine which consists of the system of fractional differential equations. Fractional order COVID-19 model is investigated with ABC technique using sumudu transform. Also, the deterministic mathematical model for the quarantine effect is investigated with different fractional parameters. The existence and uniqueness of the fractional-order model are derived using fixed point theory. The sumudu transform can keep the unity of the function, the parity of the function, and has many other properties that are more valuable. Solutions are derived to investigate the influence of fractional operator which shows the impact of the disease during quarantine on society.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;Healthcare workers are at a high risk of violence all over the world. The hostility toward nurses, physicians, and hospital staff has reached the point that it can be considered a public health problem. In this paper, we focus on the harassment, aggression, and violence that many healthcare workers have encountered while treating unstable psychiatric patients in the middle of the COVID-19 pandemic. We present a case with a history of violence toward mental health workers, review psychopathological and clinical aspects, and discuss how both the COVID-19 pandemic and current challenges in psychiatric hospital settings increase the frequency and severity of these attacks and how this affects the team on inpatient psychiatric units. We used the CARE guidelines to provide the most accurate and transparent information about the patient and relevant psychosocial aspects. We also pooled more than 20 unique sources to cover all aspects of violent behaviors in all psychiatric settings for all age groups. We concluded that a lack of nursing staff, the mental burden imposed by difficult patients, and poor communication between team members are some of the factors contributing to patient violence. An incomplete understanding of the problem creates barriers to change on both personal and systematic levels. Constant violence and abuse against healthcare workers cause stress, decreased productivity, and work dissatisfaction. To improve the safety of healthcare professionals, especially in inpatient psychiatric settings, several system-based changes should be implemented.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt;&lt;sec&gt; &lt;title&gt;Context&lt;/title&gt; &lt;p&gt;The COVID-19 pandemic led to an abrupt disruption in access to services and personnel for collegiate student-athletes in the spring and summer of 2020. We sought to identify the effects of this unprecedented change by examining the psychological well-being, changes to normal routines, and return-to-play considerations of current student-athletes in order to guide support for both current and future student-athletes who may face similar situations.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Methods&lt;/title&gt; &lt;p&gt;We utilized a phenomenological approach to interview a purposeful sample of eighteen collegiate student-athletes (7 males, 11 females; mean age = 20 years) from across the United States. The participants were interviewed using a semi-structured interview protocol, which was audio recorded and transcribed verbatim using Zoom. The data were then analyzed and coded by a 3-person team via the consensual qualitative research tradition.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Results&lt;/title&gt; &lt;p&gt;Four domains emerged after data analysis: 1) ambiguity, 2) perspective, 3) bonding and cohesion, and 4) resource utilization. Participants discussed ambiguity in terms of eligibility and participation questions, academic changes, and varying COVID-19 policies. Participants shared a wide range of perspectives, from apprehension at the onset of the pandemic, to excitement when returning to campus and competition. They shared how bonding and team development were affected due to a lack of socialization and that support system dynamics between family, coaches, and teammates were strengthened. When describing resource utilization, participants discussed the use of personnel and supplies to help them adjust to changes in facility and space availability. The identification and utilization of resources enabled them to establish a “new normal” for their academics, workouts, and hobbies during the pandemic.&lt;/p&gt; &lt;/sec&gt;&lt;sec&gt; &lt;title&gt;Conclusions&lt;/title&gt; &lt;p&gt;Collegiate student-athletes realized the seriousness of the pandemic and utilized their resources and support systems to adjust their routines and keep a positive attitude during COVID-19. At the same time, some student-athletes struggled with these changes. Personnel should be aware of these effects to provide care and prevent future negative effects.&lt;/p&gt; &lt;/sec&gt;&lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;Current public health advice is that high ultraviolet radiation (UVR) exposure is the primary cause of Malignant Melanoma of skin (CMM), however, despite the use of sun-blocking products incidence of melanoma is increasing. To investigate the UVR influence on CMM incidence worldwide WHO, United Nations, World Bank databases and literature provided 182 country-specific melanoma incidence estimates, daily UVR levels, skin colour (EEL), socioeconomic status (GDP PPP), magnitude of reduced natural selection (Ibs), ageing, urbanization, percentage of European descendants (Eu%), and depigmentation (blonde hair colour), for parametric and non-parametric correlations, multivariate regressions and analyses of variance. Worldwide, UVR levels showed negative correlation with melanoma incidence (“rho” = −0.515, p &amp;lt; 0.001), remaining significant and negative in parametric partial correlation (r = −0.513, p &amp;lt; 0.001) with other variables kept constant. After standardising melanoma incidence for Eu%, melanoma correlation with UVR disappeared completely (“rho” = 0.004, p = 0.967, n = 127). The results question classical views that UVR causes melanoma. No correlation between UVR level and melanoma incidence was present when Eu% (depigmented or light skin type) was kept statistically constant, even after adjusting for other known variables. Countries with lower UVR levels and more Eu% (depigmented or light skin people) have higher melanoma incidence. Critically, this means that individual genetic low skin pigmentation factors predict melanoma risk regardless of UVR exposure levels, and even at low-UVR levels.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;NV-CoV-2 is a nanoviricide that is covalently bonded with polyethylene glycol (PEG) and alkyl pendants. This molecular design is used to attack many strains of coronaviruses in a broad-spectrum manner. The ligand works by competitive inhibition and binds to the same site on the S-protein of SARS-CoV that attaches to the cognate cellular receptor, ACE2. This prevents SARS-CoV from binding and infecting the cell. NV-CoV-2 is designed to bind to the free virion particles at multiple points encapsulate the virus and disable its ability to infect the cells. The multi-point binding interaction, like a nano-velcro-tape, may lead to lipid-lipid fusion of the alkyl chains in the nanoviricide micelle with the lipid envelope of the virus. The virus becomes dismantled to a capsid form before the host immune system becomes involved. This putative mechanism is orthogonal to many other anti-coronavirus agents in development. Thus, it maybe possible to produce a stronger antiviral effect when combining NV-CoV-2 therapy with other anti-coronavirus therapies such as Remdesivir (RDV). NV-CoV-2 can encapsulate other antiviral compounds as well. In this study, RDV was encapsulated and protected from serum-mediated degradation &lt;italic&gt;in vivo&lt;/italic&gt;. As a result, RDV was available for a longer period of time to interact with RNA polymerase and inhibit.&lt;/p&gt; &lt;/abstract&gt;</jats:p>

<jats:p xml:lang="fr">&lt;abstract&gt; &lt;p&gt;Measures devised to contain the COVID-19, including isolation, social distancing, and quarantine, have profoundly affected people's lives around the world. One of the consequences of these actions has been a general reduction in the habitual daily physical activity among children and young people for whom schools represent the major setting for the promotion of sports, physically active play, movement skills learning, and other activity supportive of healthy, active lifestyles. Whilst acknowledging the seriousness of these changes, and their concomitant health risks, we suggest that COVID-19 offers an opportunity to think again about important features of school-based activity promotion in light of new lessons learnt during lockdown, emerging technologies, and adapted pedagogies. In these specific cases, COVID-19 could be judged a “fortuitous disruptor” to the extent that it has opened a window of opportunity to schools and teachers to reflect on their assumptions about the scope, content, and delivery of their curricula, and on the new professional knowledge that has emerged. Active Homework, or physical activity-related tasks assigned to students by teachers that are meant to be carried out before, after and away from school, that students can do on their own or with family members, is not a new idea, but the enforced changes to school provision have made it considerably more common since the pandemic. Perhaps Active Homework is a concept worth retaining as schools start to return to “normal”? We offer a typology of Active Homework, and examine opportunities to expand, extend, and enhance physical education and physical activity opportunities by breaking down the presumed boundary between school and home. In conclusion, we suggest that Active Homework is worth exploring as a potentially valuable approach to enhancing the quantity and quality of students' school-based health-related physical activity. If so, considerably more research and curriculum development is needed.&lt;/p&gt; &lt;/abstract&gt;</jats:p>