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Copyright of International Journal of Professional Business Review (JPBReview) is the property of Open Access Publications LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Psychosocial and structural stressors and low engagement in medical care likely contribute to the disproportionate burden of chronic disease among sexual minority men (SMM) across the life course. However, how these stressors impact engagement in medical care among young SMM (YSMM) across racial identities remains understudied. The association of psychosocial and structural stressors with forgoing care among YSMM across racial identities was examined using race-stratified adjusted logistic regression of cross-sectional data. Among 737 HIV-negative SMM aged 16–24 years, nearly all (93%) experienced discrimination in their daily lives. Non-Hispanic/Latinx Black participants reported significantly higher levels of discrimination, exposure to community violence, and food insecurity. Medical mistrust and mental health were not significantly different across racial groups. In the full sample model, education, food insecurity, and discrimination were associated with forgoing care. Among the non-Hispanic/Latinx White sample, medical mistrust and discrimination were associated with forgoing care. Among the non-Hispanic/Latinx Black sample, discrimination was associated with forgoing care. Among the Hispanic/Latinx sample, food insecurity was associated with forgoing care. Psychosocial and structural stressors were common in this YSMM cohort, and significantly different across racial/ethnic identities. Race-stratified analysis revealed differences in the association of stressors with forgoing care among YSMM across racial identities, not appreciated in the analysis limited to the total study population. Our findings may support efforts to address health inequity and improve engagement in medical care among SMM. [ABSTRACT FROM AUTHOR]

Objective: This systematic review with meta‐analysis was performed to assess whether motivational interviewing (MI) effectively prevents oral morbidities in adults. Methods: Studies considered were randomized controlled trials, cluster‐randomized controlled trials and community‐based randomized trials assessing interventions based on MI or indicating that a counselling technique based on the principles developed by Miller and Rollnick was used. Controls were any type of oral health education or negative controls. Participants were 18–60 years old. The main outcome was any oral morbidity. From 602 studies identified in MEDLINE, Scopus, Web of Science and LILACS databases, seven studies were included in the synthesis. Results: Studies included only evaluated periodontal outcomes, no studies were found for other oral morbidities. Patients' mean age was 43.7 years, and the follow‐up time after MI or MI‐based intervention varied between 1 month and 1 year. The total study population was 272 people with moderate‐to‐severe periodontitis; other groups analysed were pregnant women (n = 112) and patients with mental disorders and alcohol problems (n = 60). Meta‐analysis for the plaque index (four studies, n = 267), bleeding on probing (two studies, n = 177) and gingival index (two studies, n = 166) were carried out. The summary effects for the random‐effects model were estimated respectively as −3.59 percentage points (CI: [−11.44; 4.25] for plaque index, −6.41 percentage points (CI: [−12.18, −0.65]) for bleeding on probing and −0.70 (CI: [−1.87; 0.48]) for gingival index, marginally favouring the MI group. The reduced number of studies, the non‐disclosure of some aspects of the data and the heterogeneity among them undermine the precision of the estimates. Conclusion: The current evidence available is limited to periodontal outcomes, and it is not possible to determine whether MI effectively prevents oral morbidities in adults. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Engenharia Agricola e Ambiental - Agriambi is the property of Revista Brasileira de Engenharia Agricola e Ambiental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

BACKGROUND: In recent years, with ever-improving technology, considerable progress has been made in the approaches available to develop mobility assistive technology systems. OBJECTIVE: This paper aims to anticipate the future of assistive technologies of navigation and mobility for people with severe visual disabilities in the next twenty years (2021–2041). METHODS: We conducted a technology foresight exercise by identifying promising technologies and invited over 20,000 researchers worldwide to share their views on the future of assistive technologies for people with visual impairment. The technologies and respondents were identified from specialized journals indexed on Web of Science. RESULTS: Most respondents believe computer vision will be the most important assistive technology group for mobility and navigation for visually impaired people, especially with haptic feedback. They also believe that voice and vibrotactile are the most relevant feedback and that glasses and smartphones will be the most important tools for visual impairment support. CONCLUSIONS: While costs and lack of user training may hamper the development and use of these new technologies, they represent the future of assistive technology for people with visual impairments. [ABSTRACT FROM AUTHOR]

The aim was to monitor the frequency of Breastfeeding (BF) and Exclusive Breastfeeding (EBF) in a Primary Healthcare Service, between the years of 2004 to 2015. This is a historical series is composed of eight cross-sectional surveys that were carried out during the annual vaccination campaigns. A total of 6027 children were evaluated, with a mean age of 6.2 months. There was a significant increase in the rates of BF (7.2%) and EBF (9.5%) in children less than four months old. In infants from four to five months old, a substantial decline was observed in the EBF rate between 2010 and 2015 (6.3%). The frequency of BF had a 10.1% increase in infants from six to nine months old and remained stable in children from 10 to 11 months of age. Among children less than six months old, monitoring by the health service had a positive impact on the frequency of BF (p < 0.001) and EBF (p < 0.001). The better BF and EBF rates seen in this study in infants followed up by the primary healthcare centers reinforce the evidence on the importance of expanding and qualifying primary healthcare as support for mother and child healthcare. [ABSTRACT FROM AUTHOR]

Discourses about technological transformation tend to focus on technology, as if its introduction was neutral regarding local variabilities, and the men and women that make it effective. This paper focuses on the technical act. The body is where the technical acts are inscribed and it is through the body that they are exteriorised. The purpose of this paper is to analyse the operative modes associated with the technical acts, from a gender perspective, in the context of the technological transformation in cork industry. The analysis of the work activity performed by men (punching operators) and women (choosers) was supported by observations, collective interviews, and group sessions to validate the results. The findings show male- and female-specific body techniques; how the efficacy of the technical acts contributes to the debate about the limits of technology; and how body techniques and effects on health tend to remain in silence due to automation. Practitioner summary: The reconfiguration of the human-machine relationships hardly leaves room for the analysis of how the body techniques evolve. This paper shows how the efficacy of men and women body techniques contributes to the debate about the limits of technology, even if these uses of one's body entail health costs. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Oral health of the mother-infant dyad is important to preserve general health. However, there are few instruments in Spanish for the evaluation of knowledge, attitudes and practices that determine this construct. Therefore, this research aimed to develop and evaluate the psychometric properties of the Maternal Oral Health Knowledge, Attitudes and Practices Questionnaire (CAPSOM in Spanish). Methods: In this instrument development study that carried out in 2018–2019, involving pregnant women between the ages of 18 and 45 in the city of Leon, Guanajuato, Mexico. The sample size was calculated based on 10 women per questionnaire item (n = 10 k). The study used Cronbach's alpha, the modified Lawshe test of validity criteria, factor analysis, and the level of difficulty and discrimination of the items. Results: 207 women took part with their signed, informed consent (25 ± 6 years). The internal consistency of the instrument, both total and by dimension was α = 0.70, α = 0.66 knowledge, α = 0.74 attitudes, and α = 0.66 practices. Values of Content Validity Ratio' ≥ 0.60 were obtained for the final 10 items and Content Validity Index' = 0.90. The average difficulty index of items was 0.40, and there were significant differences (Kruskall–Wallis, p < 0.001) in the discrimination test. Factor analysis demonstrated three main components. Conclusions: A valid and reliable 10-item Spanish questionnaire was designed to measure pregnant women's oral health knowledge, attitudes, and practices. [ABSTRACT FROM AUTHOR]

BACKGROUND: The deployment of automated vehicles is causing transport systems to undergo a transition period. Notwithstanding such technology advancements, the work activity in road transport remains severe in terms of working conditions, given an ever-increasing work intensification scenario. OBJECTIVE: To analyze the drivers' point of view over factors that determine the intensification of their work, to take preventive measures for future working conditions with automated vehicles. METHODS: A sample of 336 Portuguese professional drivers answered the Health and Work Survey. RESULTS: Work at an intense pace (70.6%) or working beyond the assigned timetable (68.5%) were reported as conditions that may induce work intensification. The need to follow production norms/meet strict deadlines or feeling exploited at work doubles the risk of musculoskeletal disorders. Moreover, dealing with tense situations with the public, exposure to constant interruptions, and once again feeling exploited at work, are risk factors that increase, at least, four times as much the perception of generalized discouragement, anxiety, or irritability. CONCLUSIONS: The recommendations that emerge from our findings aim at ensuring that automation does not end up becoming a new source of work intensification. [ABSTRACT FROM AUTHOR]

Objectives: This systematic review with meta‐analysis was performed to assess whether motivational interviewing (MI) is effective in the prevention of early childhood caries (ECC) and to examine potential sources of heterogeneity. Methods: Interventions based on motivational interviewing were considered eligible. The main outcome was new caries lesions (some studies included white‐spot lesions in total count), and secondary outcomes included caregivers' oral health knowledge, home‐care behaviours, plaque index, gingival index and fluoride varnish applications. Controls were any type of oral health education or negative controls without any specific intervention. Results: From a total of 1498 studies identified in the databases search, 1078 were assessed for eligibility by reading titles and abstracts, after removal of duplicates. Full‐text screening was performed in 61 articles, with 18 reporting on 14 different studies included in the qualitative synthesis and 8 in the quantitative synthesis (four studies included new white‐spot lesions in total count). Subgroup analysis was performed by the control group dmft/dmfs and the test for subgroup differences suggests that there is a subgroup effect (P =.06), so population caries experience modifies the effect of MI‐based intervention. In populations with high caries experience, the MI‐based approach proved preventing an average of 3.15 (95% CI: −6.14, −0.17) dmfs in young children. In samples with low caries experience, differences were smaller, since the caries levels were already lower (−0.31; 95% CI: −0.63, 0.00). Conclusion: Motivational interviewing has the potential to modify knowledge and behaviours and reduce ECC with a more significant impact on children with high caries experience. [ABSTRACT FROM AUTHOR]

Aims: This systematic review with meta-analysis aimed to verify the effects of Blood Flow Restriction (BFR) on the strength, muscle mass and physical function of older individuals and compare to the exercises program with low and high load. Methods: The search was performed in the databases: Pubmed, Science Direct, Scielo, LILACS, and Google Scholar. The methodological quality of the studies was assessed using the PEDro Scale. Results: Eight studies were eligible. The strength improvement were from 2.9 to 35.6% (SMD: 0.68; CI: 0.05, 1.32; p <.05), the muscle cross-sectional area (CSA) increased from 3.1 to 8% (SMD 0.47; CI 0.11, 0.82; p <.01), and physical function from 12 to 28% (SMD: −0.15; CI −1.01, 0.70; p >.05). Conclusion: BFR training was effective for increasing strength, muscle mass and physical function in the older adults, presenting the advantage of less mechanical stress, and should be considered as an alternative when traditional training is contraindicated. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem em Foco is the property of Conselho Federal de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: This study aimed to investigate the differential preventive effect of motivational interviewing (MI) on early childhood caries (ECC) according to socioeconomic variables, using a community‐based trial in a public healthcare setting. Methods: A cluster‐randomized, double‐blind study with two parallel groups in healthcare clinical settings (HCCs) comparing conventional oral health education (CE) and MI aimed at mothers of children born in 2013 and 2014. The oral health team of 6 of the 12 HCCs were trained in MI. This training was intensive for active learning of the basic MI principles, conducted by a psychologist who is a PhD in psychiatry and has extensive experience in conducting MI training workshops. It was held in an experiential format divided into two 4‐hour shifts, with a 1‐week interval. Children who attended at least one dental visit in the first year of life at their HCC were clinically evaluated by trained examiners and parents responded to a questionnaire. The effect of MI on the caries outcome compared with CE was evaluated in different subgroups: family income, mother's education and skin colour. Results: One hundred and eighty‐six were included in the CE group and 228 in the MI group. The caries rate per 100 surface‐year was 1.29 (95%CI: 0.92‐1.80) in the CE group and 0.46 (95%CI: 0.29‐0.73) in the MI group. The effect of MI was statistically significant in the lower‐income category (P = .03); MI prevented 57% of carious lesions (IRR = 0.43, 95% CI 0.22‐0.83) and reduced the occurrence of the disease on more than one surface per 100 followed surface‐year in this same category in the equivalent income subgroup (IRD = −1.37, P = .04). Conclusions: Motivational interviewing had a greater preventive effect against caries in children whose families are of lower income. [ABSTRACT FROM AUTHOR]

Objective: to characterize clinically and epidemiologically the patients attended by a public home care program in the city of Montes Claros, Minas Gerais, Brazil. Methodology: A cross - sectional and exploratory study was carried out between June 2017 and January 2018, with 131 patients enrolled and attended by the Home Care Service - Better at Home. Data were collected using an instrument containing sociodemographic, clinical and functional variables and were analyzed by descriptive statistics. Results: The majority of the patients were elderly (67.9%), female (55%), brown (47.3%), married (31.3%) and / or unmarried to bed (71%) and were fed orally (68.7%). Vascular diseases (42%) were the most prevalent, 45.8% of the patients had pressure lesions, and home care was performed mainly by the nurse (83.2%) and the physician (82.4%). Conclusion: The characterization of the profile, besides describing problems, contributes to patient care, impacting on the planning and implementation of appropriate interventions. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Critically ill patients are susceptible to the development of dry eye. Few studies have been conducted on how to best prevent and treat this condition. Objective To compare the effectiveness of 2 nursing interventions in preventing dry eye in adult intensive care unit patients: liquid artificial tears (Lacribell; Latinofarma) and artificial tears gel (Vidisic Gel; Bausch and Lomb). Methods In this randomized controlled trial, 140 participants were randomly assigned to 1 of 2 treatment groups: a liquid artificial tears group (n = 70) and an artificial tears gel group (n = 70). The study inclusion criteria were as follows: admission to the intensive care unit, age of 18 years or older, no diagnosis of dry eye at admission, receipt of mechanical ventilation, blink rate of less than 5 times per minute, and a score of 7 or less on the Glasgow Coma Scale. On 5 consecutive days, a single researcher who was unaware of the treatment assignment assessed the participants' eyes using the fluorescein eye stain test and the Schirmer test for dry eye. Results Dry eye developed in 21% of participants who received liquid artificial tears versus 9% of participants who received artificial tears gel (P =.04). Conclusions In this study, artificial tears gel was superior to liquid artificial tears in preventing the development of dry eye. These results may help nurses deliver evidence-based eye care aimed at reducing the risk of dry eye in critically ill patients. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to identify the number of students from a higher education institution into the interior of São Paulo state who experienced their entry into alcohol, tobacco and other substances in order to evaluate the occurrence and dependency level on them. Materials and Methods: An extract of a compiling, exploratory, descriptive study under a quantitative approach was conducted in 416 undergraduate students. The data were collected over the third quarter of 2017 by applying a semi-structured questionnaire prepared by the authors in addition to the Triage Questionnaire for Alcohol, Tobacco and other Drugs Use. A descriptive statistical analysis was conducted for data analysis as well as a Pearson' chi-squared test, according to the instructions for the application of the selected instrument. This study was received and approved by the Research Ethics Committee. Results: The general rates for entry and drug type are 140 (30%) for tobacco derivatives, 303 (66%) for alcohol beverages, 89 (19%) for marijuana, 32 (7%) for cocaine/crack, 24 (5%) for amphetamines or ecstasy, 30 (7%) for inhalant drugs, 45 (10%) for hypnotics/sedatives, 36 (8%) for hallucinogens and 9 (2%) for opioids. Discussion: Students showed to be involved in all types of substances which is linked to flexibility in relation to their use in the university environment and their easy access. Conclusions: Undergraduate students have a real and intense relationship with alcohol, tobacco and other drugs. In addition to this relationship, the risk of addiction to these substances is presented as a major social and healthcare problem. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: to validate the vulnerability markers of dysfunctions in the socioemotional development of infants. Methods: study with a sequential exploratory mixed-method design. The vulnerability markers elaborated in the qualitative phase were analyzed by experts in the quantitative phase using the Delphi technique with a minimum consensus of 70%. Seventeen judges answered the questionnaire in the first round of analysis and 11 answered in the second round. Results: in the first round, two markers did not reach minimum consensus: the presence of instability in family relationships (66%) and delinquency and/or drug abuse by parents/caregivers (65%). In the second round, all markers were validated, with more than 90% agreement in most of the attributes, and reached the minimum consensus of 73%. Conclusion: the eight vulnerability markers reached the minimum consensus for validation, and a relevant instrument for infant care can be developed after assessing the reliability and clinically validating these markers. [ABSTRACT FROM AUTHOR]

Background Conditioned place preference ( CPP) to ethanol (EtOH) is an important addiction-related alteration thought to be mediated by changed neurotransmission in the mesocorticolimbic brain pathway. Stress is a factor of major importance for the initiation, maintenance, and reinstatement of drug abuse and modulates the neurochemical outcomes of drugs. Thus, the aim of this study was to investigate the effects of concomitant exposure to chronic EtOH and stress on CPP to this drug and alterations of dopaminergic and serotonergic neurotransmission in mice. Methods Male Swiss mice were chronically treated with EtOH via a liquid diet and were exposed to forced swimming stress. After treatment, animals were evaluated for conditioning, extinction, and reinstatement of CPP to EtOH. Also, mice exposed to the same treatment protocol had their prefrontal cortex ( PFC), nucleus accumbens ( NAc), and amygdala dissected for the quantitation of dopamine, serotonin, and their metabolites content. Results Data showed that previous chronic exposure to EtOH potentiated EtOH conditioning and increased dopaminergic turnover in PFC. Exposure to stress potentiated EtOH conditioning and decreased dopaminergic turnover in the NAc. However, animals exposed to both chronic EtOH and stress did not display alterations of CPP and showed an elevated content of dopamine in amygdala. No treatment yielded serotonergic changes. Conclusions The present study indicates that previous EtOH consumption as well as stress exposure induces increased EtOH conditioning, which can be related to dopaminergic alterations in the PFC or NAc. Interestingly, concomitant exposure to both stimuli abolished each other's effect on conditioning and PFC or NAc alterations. This protective outcome can be related to the dopaminergic increase in the amygdala. [ABSTRACT FROM AUTHOR]

Abstract: Ocimum gratissimum L. is popularly used to treat diabetes mellitus. The hypoglycemic activity of this medicinal species has been confirmed by in vivo studies. The present study conducted a chemical investigation of a leaf decoction (10% p/v) of O. gratissimum monitored by in vivo hypoglycemic activity assays. Four phenolic substances were identified: l-caftaric acid (1), l-chicoric acid (2), eugenyl-β-d-glucopyranoside (3) and vicenin-2 (4). The acute hypoglycemic activity of the O. gratissimum decoction fractions Og1-S (300mg/kg), Og1-A (240mg/kg) and Og1-B (80mg/kg) was evaluated intraperitoneally in normal and streptozotocin-induced diabetic mice. They reduced glycemia by 63%, 76% and 60% (in 120min), respectively, in the diabetic mice. Subfractions of Og1-A were also evaluated under the same conditions: Og1-AS (200mg/kg) and Og1-AP (40mg/kg) produced a decrease of only 37% and 39%, respectively. Among the major phenolic substances, only chicoric acid (2; 3mg/kg) reduced significantly the glycemic levels of diabetic mice by 53%, 120min after treatment. This is the first study describing the hypoglycemic activity of chicoric acid in an animal model of diabetes mellitus. In addition, we suggest that there may be other substances contributing to this activity. Thus, for the first time, a correlation is established between the hypoglycemic activity of O. gratissimum and its chemical composition. [Copyright &y& Elsevier]

Purpose: To analyze the quality of research on the use of benzodiazepines (BZDs) in the emergency room by the elderly population through the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative. Methods: A systematic review was carried out according to the following steps: (1) identification of studies, in which studies were selected from different combinations of the descriptors 'elderly-aged,' 'benzodiazepines,' and 'emergency room' in the EMBASE-MEDLINE, SciELO, Scopus, and Web of Science databases; (2) evaluation of studies, in which the title, abstract, and full text of the studies were assessed; (3) evaluation of the methodological quality of the studies. The criteria used were those included in the STROBE recommendations. Results: At the end of the selection process, only six articles were identified which met the specific criteria. The sample sizes in these studies varied from 118 to 1,611 patients. More than half (4) of the studies did not describe the type of design used, whereas all collected demographic data and analyzed details on the use of BZDs, such as type administered and/or its relationship to the symptoms, were shown. No article fully complied with the STROBE criteria. Conclusions: This review shows a lack of methodological quality in the studies performed to date that have evaluated the use of BZDs in elderly patients in emergency rooms. These findings should guide future research in this subject area, providing a more complete approach on aspects related to the use of medications by this specific population. [ABSTRACT FROM AUTHOR]