274 research outputs found

    Explicações teleológicas no ensino de evolução

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    O presente estudo tem como finalidade investigar o pensamento teleológico e suas implicações para o ensino e a formação de professores de Biologia. Particularmente, visa a compreender como os professores utilizam os argumentos teleológicos na elaboração das explicações sobre temáticas de evolução no ensino de Biologia. O trabalho empírico focaliza as soluções apresentadas por docentes às diversas situações em que o pensamento teleológico assume em aula, nas quais predominam uma visão linear e progressista sobre evolução. Tomando como referência a análise realizada, argumenta-se que a complexidade do pensamento teleológico não se restringe ao ensino Biologia e, portanto, os usos dados didáticos devem ser analisados em relação às finalidades educativas e não unicamente aos critérios científicos. Apontamos para seu uso consciente e em situações específicas

    OARSI year in review 2023:Rehabilitation and outcomes

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    Objective: We systematically reviewed the literature to identify comparative studies of core treatments (exercise, education, or weight management), adjunct treatments (e.g. electrotherapeutical modalities, bracing), or multimodal treatments (core plus other treatments), for treating osteoarthritis (OA) complaints, published between 1 March 2022 and 1 March 2023. Design: We searched three electronic databases for peer-reviewed comparative studies evaluating core treatments, adjunct treatments, or multimodal treatments for OA affecting any joint, in comparison to other OA treatments. Two authors independently screened records. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. A narrative synthesis focusing on pain and function outcomes was performed in studies with a mean sample size of at least 46 participants per treatment arm. Results: 33 publications (28 studies), 82% with PEDro ratings of good or excellent, were eligible for narrative synthesis: 23 studies evaluated knee OA; one knee OA or chronic low back pain; two knee or hip OA; one hip OA only; and one thumb OA. No studies identified a dose, duration or type of exercise that resulted in better pain or function outcomes. Core treatments generally showed modest benefits compared to no or minimal intervention controls. Conclusions: Rehabilitation research continues to be focused on the knee. Most studies are not adequately powered to assess pain efficacy. Further work is needed to better account for contextual effects, identify treatment responder characteristics, understand treatment mechanisms, and implement guideline care.</p

    Efecto de diferentes regimenes de riego sobre la carga frutal, tama\uf1o de fruta y rendimiento del olivo cv. Sevillana

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    In order to determine the effects of different regulated deficit irrigation (RDC) strategies in olives ( Olea europea L.), four irrigation treatments were applied, for three seasons, in an eight-year-old orchard of cv. 'Sevillana' olives, growing in the locality of Tierras Blanca, San Felipe, V Region, Chile (32\ub047' S; 70\ub042' W; 800 m above sea level). Treatments were: T1, irrigated at 100% of crop evapotranspiration (ETc) for the entire season; T2, 100% ETc from beginning of shoot growth until the end of fruit growth stage II and 40% ETc during stage III; T3, 100% ETc from beginning of shoot growth until the end of fruit growth stage II and 25% ETc during stage III; and T4, 60% ETc throughout the entire season. Both stem water potential and stomatal conductance were affected by RDC, especially when 40 and 25% ETc were applied. During fruit stage III, water stress did not affect the fruit-bearing load, however during this stage severe water stress affected the final fruit weight. Water stress during the whole season (60% ETc), produced a strong reduction on the fruit-bearing load of the season of high production, which seems to have its origin in the previous season. According to the results, the best strategy for RDC in olives seems to be moderate stress (application of 40% Etc) in phase III of fruit growth.Con el objetivo de determinar el efecto de diferentes estrategias de riego deficitario controlado (RDC) en olivos ( Olea europea L.), se aplicaron cuatro tratamientos de riego, en tres temporadas, a un huerto de ocho a\uf1os de edad, del cv. Sevillana, ubicado en la localidad de Tierras Blancas, San Felipe, V Regi\uf3n (32\ub047' lat. Sur, 70\ub042' long. Oeste, 800 m.s.n.m). Los tratamientos fueron: T1, regado con el equivalente al 100% de la evapotranspiraci\uf3n del cultivo (ETc) durante toda la temporada; T2, 100% de la ETc desde brotaci\uf3n hasta el t\ue9rmino de la fase II de crecimiento del fruto y 40% durante la fase III; T3, 100% de la ETc desde brotaci\uf3n hasta el t\ue9rmino de la fase II de crecimiento del fruto y 25% durante la fase III; y T4, 60% de la ETc durante toda la temporada. Tanto el potencial h\ueddrico xilem\ue1tico como la conductancia estom\ue1tica se vieron afectados por la aplicaci\uf3n de riego restringido, especialmente cuando se aplicaron 40 y 25% de la ETc. D\ue9ficit h\ueddricos durante la fase III de crecimiento de frutos no afectaron la carga frutal, sin embargo restricciones h\ueddricas severas durante esta fase tuvieron incidencia en el peso final del fruto. D\ue9ficit h\ueddricos durante toda la temporada (60% ETc), produjeron una fuerte reducci\uf3n en la carga frutal de la temporada de alta producci\uf3n, la que parece tener su origen en el a\uf1o anterior. De acuerdo a los resultados, la mejor estrategia RDC en olivo parece ser un estr\ue9s moderado (aplicaci\uf3n del 40% de la ETc) en la fase III de crecimiento del fruto

    Growth Diagrams for Individual Finger Strength in Children Measured with the RIHM

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    Background: Although grip and pinch strength provide a more global measure of a large number of digits and muscles, measuring strength of individual fingers or the thumb can provide additional and more detailed information regarding hand strength. Questions/purposes: We developed growth diagrams for individual finger strength in children. Patients and Methods: We measured thumb palmar abduction, thumb opposition, and thumb flexion in the metacarpophalangeal joint, and abduction of the index and little fingers in 101 children (4-12 years old) using a myometer. We recorded hand dominance, gender, height, and weight. All measurements were performed in a randomized order by the same researcher. We developed statistical models for drawing growth diagrams using estimated percentiles for each strength measurement. Separate models for dominant and nondominant hands of boys and girls were developed, in addition to a combined model. Results: Because there was no difference in strength between boys and girls and between dominant and nondominant hands, both hands and genders were combined in one growth diagram for each measurement. The normative data were presented in a table format and in growth diagrams for each myometer measurement. Conclusions: These diagrams can be used for pediatric patients such as patients with congenital malformations or neuromuscular disorders who receive interventions or therapy aimed at function of the hand, fingers, or thumb. The growth diagrams facilitate distinguishing between the effects of growth and intervention on strength development

    CONNECTIVITY BETWEEN POPULATIONS OF THE MARINE CRAB LIOCARCINUS DEPURATOR IN THE ATLANTO-MEDITERRANEAN TRANSITION: A FIVE YEAR SERIES

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    Abstract: We carried out a spatial and temporal genetic differentiation analysis using seven populations of the marine crab Liocarcinus depurator to elucidate the effect of three oceanographic discontinuities in the Atlanto-Mediterranean coast: Gibraltar Strait, Almeria-Oran Front and Ibiza Channel. To conduct this study, a 527 bp fragment of the mitochondrial COI gene was sequenced in individuals captured in the period 2014-2018 from the following Iberian coast populations: Cádiz, West Alboran, East Alboran, Alacant, Valencia, Ebro Delta and North Catalonia. Two haplogroups were detected; one characteristic of Atlantic waters and the other of Mediterranean. Their differential distribution allowed understanding the connectivity between populations. The effect of the oceanographic fronts on gene flow varied over time. Their effects were significant for the Gibraltar Strait (2014 and 2017), Almeria Oran Front (2013, 2014, 2015, 2016 and 2017) and Ibiza Channel (2015). Interestingly, the joint analysis of West Alboran, East Alboran and Alacant populations allowed a more precise detection of the location of the Almeria Oran Front biological effects. Finally, significant differences were observed in connectivity between Valencia and Ebro Delta in 2015, although there is not an oceanographic discontinuity between them. The main conclusion is that the gene flow is mediated by oceanographic fronts, but their intensity and effects change over time.CTM2017-88080 AEI/FEDER, UE) (CTM2015-66400-C3-3-R MINECO/FEDER) (2017 SGR 1120)

    Growth Diagrams for Grip Strength in Children

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    Abstract: Grip strength dynamometers often are used to assess hand function in children. The use of normative grip strength data at followup is difficult because of the influence of growth and neuromuscular maturation. As an alternative, infant welfare centers throughout the world use growth diagrams to observe normative growth. The aim of this study was to develop similar growth diagrams for grip strength in children. We measured the grip strength, hand dominance, gender, height, and weight of 225 children, 4 to 12 years old. We developed separate statistical models for both hands of boys and girls for drawing growth curves. Grip strength increased with age for both hands. For the whole group, the dominant hand produced higher grip strength than the nondominant hand and boys were stronger than girls. The grip strength of boys and girls differed between 2 and 19 N for the different age groups. Because grip strength measurements are accompanied by a rather large variance, the growth diagrams (presenting a continuum in grip strength) make it possible to better observe grip strength development with time corresponding to a more exact age. Depending on the accuracy needed, the use of one combined diagram could be considered. Level of Evidence: Level II, diagnostic study. See Guidelines for Authors for a complete description of levels of evidence

    The Ultrashort Mental Health Screening Tool Is a Valid and Reliable Measure With Added Value to Support Decision-making

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    BACKGROUND: Mental health influences symptoms, outcomes, and decision-making in musculoskeletal healthcare. Implementing measures of mental health in clinical practice can be challenging. An ultrashort screening tool for mental health with a low burden is currently unavailable but could be used as a conversation starter, expectation management tool, or decision support tool.QUESTIONS/PURPOSES: (1) Which items of the Pain Catastrophizing Scale (PCS), Patient Health Questionnaire (PHQ-4), and Brief Illness Perception Questionnaire (B-IPQ) are the most discriminative and yield a high correlation with the total scores of these questionnaires? (2) What is the construct validity and added clinical value (explained variance for pain and hand function) of an ultrashort four-item mental health screening tool? (3) What is the test-retest reliability of the screening tool? (4) What is the response time for the ultrashort screening tool?METHODS: This was a prospective cohort study. Data collection was part of usual care at Xpert Clinics, the Netherlands, but prospective measurements were added to this study. Between September 2017 and January 2022, we included 19,156 patients with hand and wrist conditions. We subdivided these into four samples: a test set to select the screener items (n = 18,034), a validation set to determine whether the selected items were solid (n = 1017), a sample to determine the added clinical value (explained variance for pain and hand function, n = 13,061), and a sample to assess the test-retest reliability (n = 105). Patients were eligible for either sample if they completed all relevant measurements of interest for that particular sample. To create an ultrashort screening tool that is valid, reliable, and has added value, we began by picking the most discriminatory items (that is, the items that were most influential for determining the total score) from the PCS, PHQ-4, and B-IPQ using chi-square automated interaction detection (a machine-learning algorithm). To assess construct validity (how well our screening tool assesses the constructs of interest), we correlated these items with the associated sum score of the full questionnaire in the test and validation sets. We compared the explained variance of linear models for pain and function using the screening tool items or the original sum scores of the PCS, PHQ-4, and B-IPQ to further assess the screening tool's construct validity and added value. We evaluated test-retest reliability by calculating weighted kappas, ICCs, and the standard error of measurement.RESULTS: We identified four items and used these in the screening tool. The screening tool items were highly correlated with the PCS (Pearson coefficient = 0.82; p &lt; 0.001), PHQ-4 (0.87; p &lt; 0.001), and B-IPQ (0.85; p &lt; 0.001) sum scores, indicating high construct validity. The full questionnaires explained only slightly more variance in pain and function (10% to 22%) than the screening tool did (9% to 17%), again indicating high construct validity and much added clinical value of the screening tool. Test-retest reliability was high for the PCS (ICC 0.75, weighted kappa 0.75) and B-IPQ (ICC 0.70 to 0.75, standard error of measurement 1.3 to 1.4) items and moderate for the PHQ-4 item (ICC 0.54, weighted kappa 0.54). The median response time was 43 seconds, against more than 4 minutes for the full questionnaires.CONCLUSION: Our ultrashort, valid, and reliable screening tool for pain catastrophizing, psychologic distress, and illness perception can be used before clinician consultation and may serve as a conversation starter, an expectation management tool, or a decision support tool. The clinical utility of the screening tool is that it can indicate that further testing is warranted, guide a clinician when considering a consultation with a mental health specialist, or support a clinician in choosing between more invasive and less invasive treatments. Future studies could investigate how the tool can be used optimally and whether using the screening tool affects daily clinic decisions.LEVEL OF EVIDENCE: Level II, diagnostic study.</p

    Tailoring and evaluating treatment with the Patient-Specific Needs Evaluation:A Patient-Centered Approach

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    BACKGROUND: No patient-reported instrument assesses patient-specific information needs, treatment goals, and Personal Meaningful Gain (PMG, a novel construct evaluating individualized, clinically relevant improvement). This study reports the development of the Patient-Specific Needs Evaluation (PSN) and examines its discriminative validity (i.e., its ability to distinguish satisfied from dissatisfied patients) and test-retest reliability in patients with hand or wrist conditions.METHODS: A mixed-methods approach was used to develop and validate the PSN, following COSMIN guidelines, including pilot testing, a survey (pilot: n=223, final PSN: n=275), cognitive debriefing (n=16), expert input, and validation. Discriminative validity was assessed by comparing the satisfaction level of patients who did or did not achieve their PMG (n=1,985) and test-retest reliability using absolute agreement, Cohen's kappa, and ICCs (n=102). We used a sample of 2,860 patients to describe responses to the final PSN.RESULTS: The PSN has only five questions (completion time ±3 minutes) and is freely accessible online. The items and response options were considered understandable by 90-92% and complete by 84-89% of the end-users. The PSN had excellent discriminative validity (Cramer's V: 0.48, p&lt;0.001) and moderate to high test-retest reliability (Kappa: 0.46-0.68, ICCs: 0.53-0.73).CONCLUSIONS: The PSN is a freely available patient-centered decision-support tool that helps clinicians tailor their consultations to the patient's individual needs and goals. It contains the PMG, a novel construct evaluating individualized, clinically relevant treatment outcomes. The PSN may function as a conversation starter, facilitate expectation management, and aid shared decision-making. The PSN is implementation-ready and can be readily adapted to other patient populations.LEVEL OF EVIDENCE: I.</p

    Interannual fuctuations in connectivity among crab populations (Liocarcinus depurator) along theAtlantic‑Mediterranean transition

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    An interesting evolutionary question that still remains open is the connectivity between marine populations. Marine currents can favour the dispersal of larvae or adults, but they can also produce eddies and gyres generating oceanographic fronts, thus limiting gene flow. To address this subject, we selected the Atlantic-Mediterranean transition, where several fronts are located: Gibraltar Strait (GS), Almeria-Oran Front (AOF) and Ibiza Channel (IC). Seven populations of the marine crab Liocarcinus depurator (Cadiz, West and East Alboran, Alacant, Valencia, Ebro Delta and North Catalonia) located along this transition were analysed in six consecutive years (2014–2019) using a fragment of the COI (Cytochrome Oxidase subunit I) gene. All sequences (966) belonged to two well defined haplogroups: ATL (most abundant in Atlantic waters) and MED (predominant in Mediterranean waters). Following a geographic variation, the frequency of ATL decreased significantly from Cadiz to North Catalonia. However, this variation presented steps due to the effect of oceanographic restrictions/fronts. Significant effects were recorded for GS (2015, 2017, 2018 and 2019), AOF (all years except 2018) and IC (2016). The intensity and precise location of these fronts changed over time. Multivariate analyses distinguished three main population groups: Cadiz, Alboran Sea and the remaining Mediterranean populations. These findings could be relevant to properly define Marine Protected Areas and for conservation and fisheries policies
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