Comparison of Surgical Techniques Used in Treating Acromioclavicular Dislocation in Patients Participating in Sports: A Systematic Review

Introduction: The acromioclavicular joint is a superficial diarthrodial joint that surrounds the medial articular facet of the acromion and the distal portion of the clavicle. Due to its anatomy and biomechanics, it is highly susceptible to trauma and in young men who play contact sports, acromioclavicular dislocation is common. This article aimed to systematically review the literature and compare the surgical techniques used in the treatment of acromioclavicular dislocation in patients who practice sports. Methods: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Eligible studies for this systematic review included articles in English or Spanish published between 2013 and 2023, which mention the occurrence of acromioclavicular dislocation during sports practices. Additionally, only studies that addressed the surgical treatment of acromion-clavicular dislocation and contained original data on the topic were included. Results: We found 144 eligible studies after searching the LILACS and PubMed databases. Based on the inclusion and exclusion criteria and the reviewers’ consensus, we selected four studies for the systematic review. 133 patients with AC joint displacement were evaluated. Mean Age: approximately 31.90 years. 81.92 of these injuries occurred during sports practice. Surgical Procedures Used: titanium plates fixation (49 patients), arthroscopy (24), single tunnel technique (30) and coracoid sling technique (30). The results of the visual analog scale and Constant-Murley scores varied between the techniques used. Twenty-two complications after surgical treatment were identified. Conclusion: A significant variability of operative techniques can be used in the surgical approach of acromioclavicular dislocation, such as arthroscopy, single tunnel, coracoid sling and titanium plates. Although it presented excellent functional results compared to the other three techniques evaluated by this review, using titanium plates is not the gold standard since other techniques not assessed by this work may be more effective.

Health Vigilance and Risk Factors for Cervical Cancer: A Study in the State of Maranhão, Brazil

The purpose of this cross-sectional study was to investigate the importance of health vigilance in the prevention of cervical cancer. The sample consisted of 536 women. To identify which risk factors were associated with cervical cancer or with an increase in the mortality rate of this kind of cancer, a logistic regression model was used. The Odds Ratios (OR) and their respective 95% confidence intervals were also calculated. Most of them were at the age of highest incidence of cervical cancer (21 - 59 years old), had an unstable conjugal situation, minimal educational level (78.7%), low income (58.3%), consumed alcoholic beverages (56.4%), had a history of smoking (57.0%) and possessed limited knowledge about the prevention. These results are discussed in terms of a predictive model for cervical cancer that considers the importance of public health vigilance in the screening and precocious diagnosis.

The Performance of the School Psychologist in Schools for the Inclusion of Autistic Students in the Scenario of COVID-19

During COVID-19,the repercussions on scholar dynamics,functioning and structure were inevitable,causing an impact on groups that,historically,are minority in relation to the scope of school inclusion policies,such as students diagnosed with autism spectrum disorder(ASD).This scenario is followed by educational phenomena in the face of which School Psychology has collaborated with the advancement of research and knowledge production.This qualitative study,based on Historical-Cultural Psychology and Critical School Psychology,analyzed the role of the school psychologist in monitoring students diagnosed with ASD in the context of regular school during the pandemic.The following procedures were conducted:application of an online questionnaire;and semi-structured interviews with four school psychologists.As a result,three zones of shared meanings were built:the claim for the right to education with support and adaptations;the psychologist as the great savior of inclusion;the non-total inclusion that denounces the structure of injustice by school.The information suggests that professional performance was hampered by different obstacles in the pandemic,such as the difficulty imposed by school,overload of demands,and impasses in the implementation of inclusion historically experienced at school,revealing that the school structure still carries historical consequences of exclusion.These shared meanings have demanded a professional performance with more effort,resistance,and strategies that accept the demands of school inclusion,providing collective mobilization,together with school actors,capable of breaking down barriers,especially those related to capacitist concepts.

Physiological plasticity in eucalyptus clones in the vegetative stage contributes to drought tolerance

With the expansion of eucalyptus crops to areas with severe water limitations,physiological studies involving eucalyptus clones to identify those that are tolerant to water stress become important.The objective of this study was to assess morphological and physiological responses by eucalyptus clones subjected to drought stress and rehydration.The experiment consisted of three eucalyptus clones:VC865,I224 and I144 and two water regimes:control and water stress followed by rehydration,with six replicates.Leaf water potential,gas exchange,maximum quantum efficiency of photo systemⅡand plant height and stem diameter were evaluated under drought stress and rehydration.After6 d of rehydration,the number of leaves,leaf area and dry mass of root,leaf,stem and their total were evaluated.All clones showed intense reduction of gas exchange during the drought stress period,and only VC865 and 1144 showed rapid recovery with 3 d of rehydration.Clone 1224 showed greater reduction in height,stem diameter,number of leaves,water potential at midday(Ψ_(w)_(Midday)),and maximum quantum efficiency of photosystemⅡ(F_(v)/F_(m)).Clones VC865and T144 showed lower reductions inΨ_(wMidday)and F_(v)/F_(m) under stress.VC865 had lower reductions in leaf number,leaf area and higher leaf dry mass,while clone I144 had higher height and lower reduction in root dry mass under.Both these clones showed higher water use efficiency with 3d of rehydration.These different phenotypic plasticities gave the clones VC865 and 1144 efficient mechanisms of acclimatization to stress and more drought tolerance,enhancing their greater capacity for recovery after stress,which allowed lower dry mass reduction.Clone 1224,however,was more susceptible to drought stress,undergoing greater physiological damage with only partial recovery during rehydration.

Efficiency in Teaching Speaker and Listener Repertoires:Comparing Three Instructional Sequences in Autistic Children

Previous studies have investigated the efficiency in teaching listener and speaker repertoires in children diagnosed with autism spectrum disorder(ASD).Some investigations focused on listener responding by function,feature,and class(LRFFC)and intraverbal by function,feature,and class(FFC).For some children,teaching intraverbal FFC was more efficient because it resulted in a better emergence effect of a related untaught repertoire(LRFFC).For other children,teaching LRFFC along with tacting pictures was more efficient,resulting in a better emergence effect of a related untaught repertoire(intraverbal FFC).In these cases,it is not clear whether the tact increased the efficiency of LRFFC training because a comparison with a condition in which tacts were not required was not conducted.This investigation consisted of a replication with two children diagnosed with ASD.Three instructional sequences were compared:teaching LRFFC-probing intraverbal;teaching LRFFC+tacts-probing intraverbal;teaching intraverbal-probing LRFFC.For a child,all sequences were equally efficient because all related untaught repertoires emerged without errors.However,the acquisition of intraverbals during training occurred with variability.In the case of the second child,the most efficient sequence consisted of teaching intraverbals,resulting in the emergence of LRFFC without errors.In both cases of teaching LRFFC,the emergence of related intraverbals was partial and acquisition of the trained repertoires occurred with variability.The case that did not demand tact responses was slightly more efficient.Data were discussed in the sense that the best instructional sequence may vary from learner to learner.

Homer in Nietzsche’s Art of Interpretation

The main purpose of this paper is to demonstrate the relevance of the aesthetic understanding of the Western culture’s development in Nietzsche’s thought based on his artistic conception of interpretation.In order to accomplish this,his considerations on the figure of Homer in the production of the classical imaginary of Greek culture are taken as a discursive motif in the comparison between three distinct nuclei of his oeuvres,namely,his methodological discussions on philology,his theoretical analyses on the rhetorical nature of language-both from the time of his academic activity in Basel-and his philosophical reflections on creative interpretation in the 1880s.The fundamental premises raised by such comparison are the following:(a)interpretation as an art is a consequence of language as a pragmatically produced system of references;and(b)language is a practical aspect of the individual’s synthetic organic condition as a body in the world.As such,interpretation would be an aesthetic synthesis in Nietzsche’s philosophy.As a concluding remark,it should be demonstrated how the interpreter conceived as a creator is as worthwhile for understanding the historical processes of cultural transmission as it is for launching prospects for the future of cultural horizons.

Maximum Power Tracking of Photovoltaic Modules Based on Fuzzy Logic Employing Four-Phase Intervaled Boost Converter

Currently, there are significant investments in the study of distributed generation, including solar energy by the photovoltaic conversion method. Basically, a cell directly converts solar energy to electricity. For this, static converters are required. However, relevant issues arise in this process: point of maximum efficiency of module generation, strategy of control of the flow of energy to the network. The aim of this work is to monitor the main variables of a photovoltaic system, specifically the voltage and current module and their derivates. The goal is to implement the maximum power tracking technique using Fuzzy logic. In addition, the energy provided by the cell will be employed in an inverter stage that can operate as an active filter, voltage regulator, or generator of reactive and active power. The feasibility of using Fuzzy logic will also be studied. The first stage of this work involves parameterization and simulation of photovoltaic modules. The initial study examines the compatibility of a commercial module and its catalog data with the results of simulation. The simulated I-V characteristics show almost identical results to the catalog data. In sequence, a boost or lift DC-DC converter is employed to emulate variable load for maximum power transfer.

Designing Artemisinins with Antimalarial Potential, Combining Molecular Electrostatic Potential, Ligand-Heme Interaction and Multivariate Models

Artemisinins tested against W-2 strains of malaria falciparum are investigated with molecular electrostatic potential (MEP), in an attempt to identify key features of the compounds that are necessary for their activities, as well as to investigate likely interactions with the receptor in a biological process and to use that information to propose new molecules. In order to discover the best geometry involving the ligand-receptor complexes (heme) studied and help in the proposition of the new derivatives, molecular simulations of interactions between the most negative charged region around the peroxide and heme locates (the ones around the Fe2+ ion) were carried out. In addition, PCA (principal components analysis), HCA (hierarchical cluster analysis), SDA (stepwise discriminant analysis), and KNN (K-nearest neighbor) multivariate models were employed to investigate which descriptors are responsible for the classification between the higher and lower antimalarial activity of the compounds, and also this information was used to propose new potentially active molecules. The information accumulated in studies of MEP, molecular docking, and multivariate analysis supported the proposal of new structures with potential antimalarial activities. The multivariate models constructed were applied to the new structures and indicated numbers 19 and 20 as the most prominent for syntheses and biological assays.

Influence of MIG/MAG Welding Process on Mechanical and Pitting Corrosion Behaviors on the Super-Duplex Stainless Steel SAF 2507 Welded Joints

The main objective of this research is to better understand the correlation between the constituent phases presented in the super-duplex steel SAF 2507 when it is under welding process by arc shielding gas MIG-MAG (Metal Inert Gas-Metal Active Gas). Conventional short circuit transfer and derivative STT (Surface Tension Transfer) using the 2594 welding wire as a filler metal and the effects on welding power in hardness, toughness and pitting corrosion are considered here. The results showed that the welding energy (Ew) changed the α/γ-phase’s balance and occasionally formed σ-phase in ferrite grain boundaries which led to changes in hardness, toughness and pitting corrosion resistance in molten zone (MZ), heat activated zone (HAZ) and metal base regions (MB). Furthermore, the increased amount of γ-phase improved the pitting corrosion resistance index (PRENγ) mainly in the MZ. This is due to decrease of α-phase fraction and formation of coarser grains, for higher welding energy. The toughness in the MZ decreased with less formation of γ-phase, coalescence of ferritic grains and localized formation of σ-phase, raising the hardness in the HAZ when the welding energy was lower.

Design of N-11-Azaartemisinins Potentially Active against Plasmodium falciparum by Combined Molecular Electrostatic Potential, Ligand-Receptor Interaction and Models Built with Supervised Machine Learning Methods

N-11-azaartemisinins potentially active against Plasmodium falciparum are designed by combining molecular electrostatic potential (MEP), ligand-receptor interaction, and models built with supervised machine learning methods (PCA, HCA, KNN, SIMCA, and SDA). The optimization of molecular structures was performed using the B3LYP/6-31G* approach. MEP maps and ligand-receptor interactions were used to investigate key structural features required for biological activities and likely interactions between N-11-azaartemisinins and heme, respectively. The supervised machine learning methods allowed the separation of the investigated compounds into two classes: cha and cla, with the properties εLUMO+1 (one level above lowest unoccupied molecular orbital energy), d(C6-C5) (distance between C6 and C5 atoms in ligands), and TSA (total surface area) responsible for the classification. The insights extracted from the investigation developed and the chemical intuition enabled the design of sixteen new N-11-azaartemisinins (prediction set), moreover, models built with supervised machine learning methods were applied to this prediction set. The result of this application showed twelve new promising N-11-azaartemisinins for synthesis and biological evaluation.

Scientometric Analysis of Research Output from Brazil in Response to the Zika Crisis Using e-Lattes

Purpose:This paper aims to test the use of e-Lattes to map the Brazilian scientific output in a recent research health subject:Zika Virus.Design/methodology/approach:From a set of Lattes CVs of Zika researchers registered on the Lattes Platform,we used the e-Lattes to map the Brazilian scientific response to the Zika crisis.Findings:Brazilian science articulated quickly during the public health emergency of international concern(PHEIC)due to the creation of mechanisms to streamline funding of scientific research.Research limitations:We did not assess any dimension of research quality,including the scientific impact and societal value.Practical implications:e-Lattes can provide useful guidelines for different stakeholders in research groups from Lattes CVs of members.Originality/value:The information included in Lattes CVs permits us to assess science from a broader perspective taking into account not only scientific research production but also the training of human resources and scientific collaboration.

A comprehensive neuromonitoring approach in a large animal model of cardiac arrest

Background:Anoxic brain injuries represent the main determinant of poor outcome after cardiac arrest(CA).Large animal models have been described to investigate new treatments during CA and post-resuscitation phase,but a detailed model that includes extensive neuromonitoring is lacking.Method:Before an electrically-induced 10-minute CA and resuscitation,46 adult pigs underwent neurosurgery for placement of a multifunctional probe(intracranial pressure or ICP,tissue oxygen tension or PbtO_(2) and cerebral temperature)and a bolt-based technique for the placement and securing of a regional blood flow probe and two sEEG electrodes;two modified cerebral microdialysis(CMD)probes were also inserted in the frontal lobes and accidental misplacement was prevented using a perforated head support.Result:42 animals underwent the CA procedure and 41 achieved the return of spontaneous circulation(ROSC).In 4 cases(8.6%)an adverse event took place during preparation,but only in two cases(4.3%)this was related to the neurosurgery.In 6 animals(13.3%)the minor complications that occurred resolved after probe repositioning.Conclusion:Herein we provide a detailed comprehensive neuromonitoring approach in a large animal model of CA that might help future research.

Phytosociology and Floristic Composition of the Infesting Community in Rice Crop Waterlogged

The objective of this study is to identify and quantify the floristic composition of the weed community in the rice crop waterlogged in the municipality of Arari-MA. The botanical material was obtained in three areas by randomly a hollow rectangle of 0.50 m × 0.30 m by forty five times in each plot. The aerial parts of weeds were harvested, identified, counted and oven dried with forced air ventilation at 333.15 K to 343.15 K. These data were used to determine the phytosociological parameters and the Shannon-Wiener diversity index was also calculated. A total of 6607 plants were collected, being 4115 (62.28%) in the vegetative phase and 2492 (37.72%) in the reproductive phase. The monocotyledonous group obtained the largest number of plants, 2882 in the vegetative phase and 1535 in the reproductive phase. The Cyperaceae family recorded nine species and four genera and the Poaceae, seven and four species in the vegetative and reproductive phases, respectively. The species of higher IVI in the vegetative phase was E. sellowiana in the area A1 with 82.86%, and in the reproductive F. dichotoma with IVI of 90.49% in the area A3. The individuals density and species richness were higher in the vegetative phase of the culture and the monocotyledonous group predominated with the Cyperaceae and Poaceae families, and the weed diversity among the areas was low.

The European of the Future as a “New Synthesis”: Nietzsche and the Ethnological Task of the West

From a hermeneutic and comparative perspective,the purpose of this paper is to discuss investigative paths of ethnological and ethnographic aspects in Nietzsche’s writings that became relevant for different elaborations of the concept of synthesis in specific thought cycles of his work.In a first step,these aspects are verified in his school,philological and philosophical texts,described in relation to his studies on ancient Greek culture and compared under the parameter of the different conceptions of synthesis developed by him in each identified phase.Subsequently,the concept of synthesis is discussed as physiology(considering body,consciousness,and language),explaining human life as a creative expression of nature itself.With this explanation,it becomes possible to understand the processes related to the concept of synthesis as the task of those he terms as good Europeans,and the great politics in his philosophy of the future.The identification between the feeling of resistance(Widerstandsgefühl)and the imminence point of the preliminary stage of dominion structures(Herschafts-Gebilde)in the last analyzed conception of synthesis is the logical and ethical path towards the demonstration intended here.The article concludes by demonstrating the creative and dynamic character of the metaphilosophical scope of the task proposed by him in the mid-1880s and the possibilities opened up from then on for future discussions of culture,aesthetics,knowledge,logic,ethics,and politics.

Biomonitoring the <i>Vitex gardneriana</i>Shauer (Lamiaceae) Toxic Effects to Shed Light on Bioactive Compounds against a Major Coconut Pest Mite

The coconut mite, Aceria guerreronis Keifer (Acari: Eriophyidae), is a major pest of coconut plantations (Cocos nucifera L.) worldwide. Here, we conducted a bioguided phytochemical approach using toxicity and repellency bioassays of nonpolar extract and its fractions of Vitex gardneriana Schauer (Lamiaceae) leaves to this pest. Nonpolar crude extract was fractionated by column chromatography using solvents with increased polarity and binary mixtures, resulting in five semipurified groups. The biomonitoring bioassay provided active fractions and led to the isolation and characterization of the bioactive compound squalene, a biosynthetic precursor of 20-hydroxyecdysone, which plays an important role in plant defense against arthropods. The LC50 of the crude extract of V. gardneriana for A. guerreronis was estimated to be 0.185 mg·mL-1 and LC80 = 4.123 mg·mL-1. Also, the extract was highly repellent to this pest for up to 24 h. The fractions of V. gardneriana, and also squalene, caused mortality to A. guerreronis. The potential of V. gardneriana fractions/squalene as biopesticides for controlling A. guerreronis in coconut plantations is discussed herein.

Additional Records of the American Elephantfish <i>Callorhinchus callorynchus</i>(Chondrichthyes, Holocephali, Chimaeriformes) in Southeastern Brazil

Chimaeras, fish in the order Chimaeriformes, are among the rarest and least studied fish in the class Chondrichthyes (cartilaginous fish). Previous records have indicated that a species of chimaera known as the elephantfish, or cockfish, Callorhinchus callorynchus, may be found in marine waters off southeastern Brazil, as far north as the state of São Paulo. Here we report that C. callorynchus, caught with bottom gillnet, was found in an urban fish market in the city of Rio de Janeiro (~23˚S). This and other records from a variety of places call into question the distribution limits of the American elephantfish in the southwestern Atlantic Ocean and whether, at least seasonally, this species may often be found as far north as the state of Rio de Janeiro. Because of scientific and conservation interests in the poorly known Chimaeriformes, we recommend long-term monitoring of the fish catch in ports along the southern Brazilian coast, to better understand the natural history of the intriguing chimeras.

Environmental siblings of black agents of human chromoblastomycosis

Agents of human chromoblastomycosis,a skin disease almost exclusively caused by members of the order Chaetothyriales,are assumed to be traumatically inoculated into the skin with sharp environmental materials such as plant thorns or wooden splinters carrying the respective opportunist.In the supposition that such fungi should have their main habitat in the environment,we investigated the occurrence of black fungi in living areas of patients with chromoblastomycosis.In South America Fonsecaea agents are prevalent as agents of the disease,while also related Cladophialophora species,known from other types of skin infections,are known from the continent.Ninety environmental isolates were preliminarily selected as possible agents of chromoblastomycosis,based on morphology.Judging from ITS sequence data isolates were attributed to the genera Cladophialophora,Cyphellophora,Exophiala,Fonsecaea,Phialophora,and Veronaea.A total of 45 fungi morphologically identified as Fonsecaea or Cladophialophora isolated from debris and thorns of living prickly plants in Brazil were processed for taxonomic studies.Phylogenetic analysis revealed that the isolates indeed belonged to the Chaetothyriales,but only rarely an agent of chromoblastomycosis was concerned;only two strains of F.pedrosoi and one F.monophora were isolated from debris plants.The remaining isolates belonged to hitherto unknown molecular siblings of Fonsecaea.Two novel taxa are introduced.

The differential genetic signatures related to climatic landscapes for jaguars and pumas on a continental scale

Modern and paleoclimate changes may have altered species dynamics by shifting species’niche suitability over space and time.We analyze whether the current genetic structure and isolation of the two large American felids,jaguar(Panthera onca)and puma(Puma concolor),are mediated by changes in climatic suitability and connection routes over modern and paleoclimatic landscapes.We estimate species distribution under 5 climatic landscapes(modern,Holocene,last maximum glaciations[LMG],average suitability,and climatic instability)and correlate them with individuals’genetic isolation through causal modeling on a resemblance matrix.Both species exhibit genetic isolation patterns correlated with LMG climatic suitability,suggesting that these areas may have worked as“allele refuges.”However,the jaguar showed higher vulnerability to climate changes,responding to modern climatic suitability and connection routes,whereas the puma showed a continuous and gradual transition of genetic variation.Despite differential responsiveness to climate change,both species are subjected to the climatic effects on genetic configuration,which may make them susceptible to future climatic changes,since these are progressing faster and with higher intensity than changes in the paleoclimate.Thus,the effects of climatic changes should be considered in the design of conservation strategies to ensure evolutionary and demographic processes mediated by gene flow for both species.