bluuebunny/crossref_metadata_2025 huggingface dataset:
Operações Urbanas Consorciadas em cidades de médio porte: buscando o equilíbrio nos projetos urbanos
Authors: Siqueira Marina Toneli , Doebeli Luísa Siqueira , Schleder Carolina Silva e Lima
Published: October 2022

Resumo O presente artigo tem como objetivo analisar os impactos das operações urbanas consorciadas em municípios de médio porte, com população entre 100 mil e 500 mil habitantes e não inseridos em regiões metropolitanas. As operações urbanas consorciadas são instrumentos para a implantação de grandes projetos urbanos nos quais a outorga de benefícios construtivos e urbanísticos financiaria investimentos em transformações urbanísticas estruturais, melhorias sociais e valorização ambiental. Embora seja um dos instrumentos mais polêmicos do Estatuto da Cidade, as pesquisas mais conhecidas sobre as operações exploram grandes metrópoles nacionais. Esta pesquisa, no entanto, realizou o levantamento das experiências de operações em cidades brasileiras de médio porte, visando compreender o equilíbrio entre benefícios e contrapartidas esperados dos projetos a partir da análise de legislações e decretos normativos, publicações nos diários oficiais, documentos e notícias locais, além de contatos diretos com as prefeituras. Como conclusão, ao longo do artigo, expõe-se o desequilíbrio entre os incentivos dados à iniciativa privada e os investimentos de caráter ambiental e social decorrentes das operações. Finalmente, questiona-se a adequação desse instrumento para as intervenções analisadas nas cidades de médio porte.
Therapeutic lying: Brazilian speech and language therapists’ point of view about a controversial communication strategy employed in the care for people with dementia
Authors: Lopes Isabella Amaral , Alves Emily Viega , Beber Bárbara Costa
Published: October 2022

ABSTRACT Purpose The objective of this research was to obtain the speech and language therapists’ point of view about the use of therapeutic lying as a communication strategy in dementia care. Methods The present research was a quantitative, qualitative, and descriptive cross-sectional study. Data was collected through an online survey with multiple choices and open answer questions. Results The quantitative results indicated that the majority of the speech and language therapists have already used therapeutic lying as a communicative strategy and wish to learn more about it, considering the technique as relatively valid, ethical and adequate. The qualitative results indicated the reasons for the usage of the technique: to reassure the patient in case of agitation; to encourage engagement in therapy; to avoid stress-related to memory loss; to manage difficulty or refusal to eat; to manage difficulty or refusal for drug treatment; to prevent patients from leaving the building; to manage delirium, confusion and/or paranoia; to ensure safety; and for use when other strategies do not work. Conclusion The majority of speech and language therapists use therapeutic lying in their clinical practice, taking into consideration the best interest of the person with dementia, although professionals recognize their lack of knowledge on the subject. They have considered the communication strategy as relatively ethical, valid and adequate. The article calls attention to the necessity of education and guidelines for speech and language therapists in the use of therapeutic lying among people with dementia.
Do Imaginário Marítimo de Nabuco
Authors: Feldman Luiz
Published: October 2022

RESUMO O artigo realiza uma análise textual dos escritos de Joaquim Nabuco na fase abolicionista para sustentar a tese de que, em sua reflexão, o Brasil forma-se a partir do mar. Essa formação é apresentada, em diálogo crítico com o historiador Oliveira Martins, como uma passagem da colônia deformada, enclausurada no Atlântico Sul imoral do tráfico de cativos, para a nação reformada, integrada ao oceano unificado sob hegemonia inglesa em torno de valores humanos. Embora não descarte um modo de vida telúrico no futuro, o autor se revela cético quanto à ideia de uma sociedade afastada do influxo eurocêntrico do mar. O artigo contrapõe-se a duas tendências da literatura especializada: reduzir o espaço brasileiro à terra brasileira e esvaziar o alcance da reflexão de Nabuco sobre a ordem mundial. Procura contribuir, nesse sentido, para a compreensão de uma perspectiva transoceânica de Nabuco, qualificado como um pensador marítimo sobre a realidade política e social brasileira.
Análise da contribuição de intervenções de promoção da saúde: o caso do Programa Academia da Cidade Recife, Pernambuco
Authors: Cazarin Gisele , Figueiró Ana Cláudia , Dias Sónia , Hartz Zulmir
Published: October 2022

Resumo Políticas de promoção da saúde em diversos países propõem a prática de atividade física em suas diretrizes. Avaliar os resultados dessas intervenções, ao mesmo tempo em que se constitui em importante apoio às decisões, pode ser desafiador. Para este estudo, utilizou-se uma avaliação baseada na teoria, a análise da contribuição. Foi explicitada a cadeia de resultados da intervenção e a teoria da mudança (TM), para analisar os elementos relacionados à sustentabilidade dos resultados do Programa Academia da Cidade (PAC) do município de Recife-PE, entre 2002 e 2016. Para validação da TM, procedeu-se a entrevistas com dez informantes-chave e realização de quatro grupos focais de junho a agosto de 2016. O teste da TM deu-se pela integração dos dados qualitativos produzidos, assim como a revisão de documentos provenientes da literatura e documentos oficiais e técnicos. Empregou-se a análise de conteúdo temática. Os resultados indicaram que a maior parte dos pressupostos foi confirmada na presença de outros fatores de influência (contextuais e explicações rivais). A testagem da TM revelou plausabilidade e validade da teoria do programa, permitindo concluir que a sustentabilidade de fatores estruturantes para o PAC contribuiu na manutenção dos resultados esperados, apesar da instabilidade ocorrida entre os anos de 2012 e 2016.
Formação de (novos) braços para a luta: experiências de acadêmicos na rede psicossocial
Authors: Querino Rosimár Alves , Limírio Camila dos Reis Juvenil , Assunção Luiza Maria de , Aragão Ailton de Souza
Published: October 2022

Resumo O objetivo deste estudo foi compreender o modo como tem ocorrido a inserção de acadêmicos na Rede de Atenção Psicossocial e as percepções sobre as contribuições para sua formação profissional. Trata-se de estudo transversal, descritivo e de natureza qualitativa, desenvolvido com questionário e técnica de grupo focal. Os participantes foram alunos de uma universidade federal, atuantes em instituições de saúde mental. Na análise temática foram delineadas três categorias: críticas aos currículos; relações entre universidade e rede; e aprendizados construídos. O estudo revelou amplitude das contribuições e afetações oriundas da inserção na rede. A inserção na rede permitiu aos graduandos o desenvolvimento de um compromisso ético-político com a defesa dos direitos humanos, com uma nova compreensão de sujeito e do cuidado psicossocial, bases da Reforma Psiquiátrica. Este estudo mostra a necessidade de expandir o diálogo entre instituições de ensino e instituições de saúde, de modo a fortalecer novas formas de cuidar e proporcionar alterações nos processos formativos, indispensáveis para a ampliação das experiências na saúde mental.
Yoga: um método-chave para o cuidado de si e do outro
Authors: Pantoja Patricia Dias , Chiesa Gustavo Ruiz
Published: October 2022

Resumo O objetivo deste ensaio é apresentar reflexões acerca dos benefícios do Yoga aos cuidadores ou profissionais de saúde, considerando esta prática como uma estratégia eficaz para enfrentar situações estressantes que essas pessoas vivem regularmente, levando a um melhor cuidado de si e do outro. Para apresentar essa proposição, recorreremos inicialmente a alguns aspectos históricos do Yoga, no intuito de esclarecer o seu contexto de surgimento, bem como seu desenvolvimento no mundo e no Brasil. Em seguida, refletiremos a respeito da importância do cuidado de si para o melhor cuidado do outro e, por fim, sobre os benefícios do Yoga aos cuidadores, em diálogo com a literatura científica. Acreditamos que a prática de Yoga, que contribui para o desenvolvimento integral do ser humano, pode ser um método-chave para que os profissionais da saúde aprendam a se conhecer melhor e a lidar melhor com suas dificuldades, aprimorando, consequentemente, o cuidado que é oferecido ao outro. Sugerimos que os currículos dos cursos de graduação em saúde do Brasil considerem a inserção do Yoga, para que esses profissionais possam aprender a utilizar esta estratégia na sua formação inicial, o que ajudaria na melhora da sua qualidade de vida e na de seus pacientes.
O sujeito e seu cuidado: a questão da adesão à medicação
Authors: Penaforte Thais Rodrigues
Published: October 2022

Resumo O mapeamento dos comportamentos frente ao uso de medicamentos informa as condições pelas quais um tratamento farmacológico é implementado. A localização da adesão à medicação como um problema clínico, evoca, no entanto, lugares bem demarcados quanto aos procedimentos para sua explicação e resolução. Nesse sentido, este trabalho busca problematizar os elementos fundantes do estudo da adesão à medicação, considerando que tal prática é hegemonicamente assimilada apenas por parâmetros científicos e biológicos, sem a inclusão de uma abordagem direcionada às especificidades históricas e culturais dos pacientes. Transferem-se, assim, a primazia da delimitação e a explicação da realidade ao próprio analista. Porém, o trabalho de campo demonstrou uma diversidade de posturas e agenciamentos quanto ao uso dos medicamentos, capaz de indicar que a geografia do cuidado não se orienta apenas a partir de um percurso linear, mas se apoia em espaços ambulantes e itinerantes, instalando-se em um campo paradoxal que mescla reprodução e criação.
Residência Multiprofissional em Saúde: (trans)formação para o SUS em comunidades quilombolas
Authors: Souza Vanessa Alves de , Gurgel Idê Gomes Dantas , Albuquerque Paulette Cavancanti de
Published: October 2022

Resumo A inserção e atuação profissional, no Sistema Único de Saúde (SUS), suscita debates e reflexões a respeito da formação de profissionais. Dessa forma, uma das estratégias para a obtenção de formação para o SUS são as Residências Multiprofissionais em Saúde (RMS). Neste estudo, objetivamos analisar as transformações no cotidiano dos serviços de saúde com a inserção do programa de Residência Multiprofissional em Saúde da Família, com ênfase na saúde da população do campo (RMSFC). Trata-se de um estudo de caso, de natureza qualitativa, tendo como participantes os atores que compõem o quadrilátero da formação, através de entrevistas semiestruturadas. Utilizamos a análise Discurso do Sujeito Coletivo (DSC), com o intuito de fazer o tratamento dos dados. Consideramos que esta pesquisa nos permitiu, ainda, visualizar as práticas e as transformações ocorridas nas Unidades Básicas de Saúde (UBS) após a inserção da RMSFC. Assim, temos informações importantes para refletir acerca de estratégias de formação de profissionais para trabalhar no SUS, especificamente no contexto da Saúde da População do Campo, contemplando comunidades quilombolas.
Grupos de medicação e experiência do adoecimento: compartilhamento de narrativas no contexto da atenção psicossocial
Authors: Maciel Carla Pinheiro , Leal Erotildes Maria
Published: October 2022

Resumo A experiência do adoecimento é entendida enquanto dimensão subjetiva, estruturada socialmente, sobre a doença e suas repercussões pessoais, referidas ao campo das práticas, crenças e valores compartilhados. O grupo de medicação discutido neste estudo estimulou a produção de narrativas sobre a experiência do adoecimento para abordar o empoderamento do usuário, a partir do diálogo sobre uso e manejo de psicotrópicos. Trata-se de um estudo qualitativo, descritivo-exploratório. A questão de pesquisa foi: Como a experiência do adoecimento é apresentada nas narrativas dos participantes dos grupos de medicação? Vinte e dois usuários de serviços comunitários de saúde mental e cinco familiares destes participaram de duas reuniões do grupo de medicação e três grupos focais. A análise dos resultados materializou-se na perspectiva da antropologia médica e da psicopatologia fenomenológica. As categorias de análise deste artigo são: experiência de participação em grupos de medicação, experiência de uso e manejo da medicação, experiência com o adoecimento e diagnóstico. As narrativas produzidas indicaram que os diálogos em grupo sobre medicamentos subsidiam a formulação e o compartilhamento de significados atribuídos à experiência do adoecimento mental e de seu tratamento medicamentoso. Deste modo, os grupos de medicação reforçaram a atuação conjunta de profissionais, familiares e usuários, ampliando as possibilidades de cuidado sensível à experiência vivida.
Percepção de gestores e profissionais de saúde sobre o cuidado da obesidade infanto-juvenil no Sistema Único de Saúde
Authors: Silva Natanael de Jesus , Fagundes Andhressa Araújo , Silva Danielle Góes da , Lima Verônica da Silva
Published: October 2022

Resumo O estudo teve como objetivo analisar a percepção de gestores e profissionais de saúde sobre o cuidado disponível para crianças e adolescentes com sobrepeso e obesidade no Sistema Único de Saúde em Sergipe, Brasil. Trata-se de estudo qualitativo e exploratório, com amostra composta por 46 atores e coleta de dados por meio de entrevistas semiestruturadas. O cuidado existente foi percebido como falho e fragmentado, independentemente do nível de atenção à saúde. As principais dificuldades abrangeram o processo de trabalho, a gestão e organização do cuidado, a adesão familiar e a insuficiência de recursos. Potencialidades relacionadas à gestão, equipes e profissionais, que poderiam contribuir para a implantação de uma linha de cuidado integral, foram também identificadas. Contudo, a organização do cuidado à obesidade infantil ainda requer uma conectividade dos papéis e tarefas dos diversos atores, por meio da pactuação e corresponsabilização entre os serviços, profissionais e a família.
Describir los cuerpos. Entre la mirada diagnóstica y la escritura etnográfica
Authors: Castelli Rodríguez Luisina
Published: October 2022

Resumen Este artículo propone estudiar la relación entre quehacer etnográfico y elaboración textual de los cuerpos y corporalidades de las y los interlocutores. En particular, busca hurgar en la tensión entre la “mirada diagnóstica” que recae sobre los cuerpos de las personas con discapacidad y las posibilidades de la descripción etnográfica. El tema emerge de una investigación con personas con y sin discapacidad en espacios de prácticas artísticas “inclusivas” en Buenos Aires y Montevideo. El artículo sitúa a la descripción y la narrativa como prácticas políticas y recurre para su análisis a fragmentos de textos etnográficos “clásicos” y “contemporáneos” y a notas de campo de la autora.
Deficiência na cabeça: convite para um debate com diferença
Authors: Lopes Pedro
Published: October 2022

Resumo Este texto organiza-se como um convite para que se coloque deficiência na cabeça para fazer antropologia. Com base na bibliografia sobre marcadores sociais da diferença e interseccionalidade, o texto se divide em duas entradas. Na primeira delas, são apresentadas leituras a contrapelo de procedimentos basilares do trabalho com marcadores sociais da diferença na antropologia, que buscam dialogar com outros “aleijamentos” teórico-metodológicos que vêm sendo propostos como contribuições críticas dos estudos da deficiência. A partir da compreensão da deficiência como diferença, são apresentadas disputas acerca de formas e operações de classificação, com foco na produção brasileira. A segunda entrada, como uma pequena conclusão, consiste de um esquema de trabalho com a noção de diferença, ressaltando alguns de seus aspectos constitutivos.
Corn silage quality under delayed sealing and microbial inoculant use
Authors: Menezes Guilherme Lobato , Gonçalves Lúcio Carlos , Sousa Pamela Grossi de , Michel Pedro Henrique Fulgêncio , Oliveira Roseane Batitucci Passos de , Oliveira Alan Figueiredo de , Melo Daniel Ferreira de Oliveira , Pires Frederico Patrus Ananias de Assis , Jayme Diogo Gonzaga
Published: October 2022

Abstract The objective of this work was to determine the effects of sealing delay for 12 hours and of the use of microbial inoculant with heterofermentative bacteria on whole-plant corn (Zea mays) silage. The experimental design was completely randomized in a 2×2 factorial arrangement (with or without inoculant × with or without sealing delay). Silage was evaluated for: chemical composition in vitro dry matter digestibility (IVDMD), fermentative parameters, losses, aerobic stability, and microbiological profile. The heating of the silage caused by respiration increased the contents of neutral detergent insoluble protein and of acid detergent insoluble protein by 77 and 27.3%, respectively. Soluble carbohydrate losses increased the contents of neutral detergent fiber corrected for ash and protein by 9.1% and of acid detergent fiber by 5.1%, but decreased the content of nonfibrous carbohydrates by 11.2%. IVDMD did not differ between treatments. Silages with delayed sealing and the inoculant showed higher pH and contents of acetic acid, propionic acid, and ammoniacal nitrogen, but a lower content of lactic acid. Delayed sealing reduces the nutritional value, increases the fibrous fractions, and decreases the soluble carbohydrates, whereas the use of inoculant does not improve the nutritional value and aerobic stability of the silages.
HOW THE LOWERING OF PRESSURE OR THE FORMATION OF ICE AFFECT THE FORMATION AND DISSOCIATION OF METHANE HYDRATES: VARIATIONS IN TERMS OF METASTABLE PHASE AND ANOMALOUS SELF-PRESERVATION
Authors: Gambelli Alberto Maria , Rossi Federico
Published: October 2022

This research proposes the multiple and consecutive formation of methane hydrates with the same gas-water mixture and in a small-scale reactor. The scope consisted of better exploring how the variation of the initial pressure of the system modified the formation and dissociation processes. One of the most promising solutions for gas hydrates exploitation consists in the replacement of methane with carbon dioxide. This process inevitably requires the formation of CO2 hydrates; thus, more details and analyses on the driving forces of the formation process are required in order to improve the overall replacement efficiency. Also, the competition with ice was analyzed. Nine tests were carried out in order to consider all these parameters. Each test was characterized thermodynamically and the time required to complete each specific phase of the process was measured. The tests were carried out at two different initial pressures: 60 and 50 bar, respectively. It was found that the main effect, associated with a lower initial pressure and/or with the presence of ice, is the stretching of the so-called metastable phase; since the local conditions became suitable for the formation of hydrates, the system required more time to begin in these latter cases. In the tests made at 60 bar, the delay in hydrate formation related to the metastable phase was equal to 0.73-1.04 h, while it ranged from 7.29 to 15.16 h in the tests made at 50 bar. Moreover, the results proved that the presence of ice hindered the formation process by reducing the heat transfer rate and by lowering the volume available for the process. Conversely, the begin of the dissociation phase was similar in all the experiments: the anomalous self-preservation, or the capability of the system to preserve itself even outside the hydrate stability zone was not observed, proving again that these limiting factors (lower initial pressure and ice formation) mainly affected the process during the formation phase.
Ultimate bearing capacity of UHPC-encased CFST medium-long columns under axial compression
Authors: Wu Qing-Xiong , Xu Zhi-Kun , Yuan Hui-Hui , Qin Zhi-Qing
Published: October 2022

To study the effect of slenderness ratio on the ultimate bearing capacity of UHPC (ultra-high performance concrete)-encased concrete-filled steel tubular (UC-CFST) columns, a total of nine specimens under axial compression were tested. A finite element model, considering the effects of material nonlinearity and interaction between concrete and steel tube, was developed. A full-range analysis was carried out on the typical load–deformation response of the UC-CFST medium-long columns. The experimental and numerical analysis results showed that with the increase in slenderness ratio, the deformation capacity of the UC-CFST columns increased, the ultimate bearing capacity decreased, and the failure mode changed from exceedance of compressive strength to loss of stability. The internal forces and stress distributions at the mid-height section of the columns at different stages were also investigated. Finally, the applicability of various methods for calculating the ultimate bearing capacity of ordinary concrete-encased CFST (OC-CFST) columns to UC-CFST columns was discussed, including the methods recommended by Chinese standard T/CECS 188-2019, European standard Eurocode 4, Australian/New Zealand joint standard AS/NZS 5100.6 : 2017 and American standard ANSI/AISC 360-16. It was found that the method recommended in AS/NZS 5100.6 : 2017 was suitable for calculating the ultimate bearing capacity of UC-CFST medium-long columns.
Direct-to-Consumer Genetic Testing in South Africa: Stumbling Over the First Legal Hurdle?
Authors: Gooden Amy , Thaldar Donrich W
Published: October 2022

Despite the growing popularity of direct-to-consumer genetic testing, there is minimal South African literature on the topic. The limited available research suggests that direct-to-consumer genetic testing is unregulated. However, we suggest that direct-to-consumer genetic testing is indeed regulated, and unusually so. The first step in the process – the collection of a saliva sample by consumers themselves – is unlawful on a plain reading of the National Health Act 61 of 2003 and the Regulations Relating to the Use of Human Biological Material. This is because these statutes require that certain healthcare professionals must remove saliva for genetic testing. Yet, on closer analysis, such an apparent ban on the self-collection of saliva is neither aligned with a purposive interpretation of the relevant legislation, nor would it survive constitutional scrutiny – as it impedes an individual's autonomy. It is concluded that, contrary to a plain reading of the relevant statutes, individuals can lawfully collect their own saliva for direct-to-consumer genetic testing. To provide legal clarity we recommend that the relevant provisions of the National Health Act 61 of 2003 and the Regulations Relating to the Use of Human Biological Material be amended to allow individuals to collect their own saliva samples.
Facing the Music through Environmental Administrative Penalties: Lessons to be Learned from the Implementation and Impact of Section 24G?
Authors: Hall Jenny
Published: October 2022

Section 24G was inserted into the National Environmental Management Act 107 of 1998 to provide a mechanism for authorising activities that commence unlawfully. It contains South Africa's only environmental administrative fine - and a quasi one at that. The section has spawned much debate and controversy, including the fact that its existence and purported abuse undermine the fundamental objectives of environmental impact assessments - a cornerstone of government's legislative and decision-making response to the environmental right. This article presents certain results of the first part of an empirical study which explored the criticisms of section 24G; the extent to which it has a deterrent effect, and the lessons that can be learned in designing an administrative penalty system. Approximately 400 people, including representatives from government, the regulated community and environmental consultants were interviewed or surveyed. The results yielded several observations. This article focuses on the extent to which the section is used and the degree of awareness and knowledge about section 24G. The second part of the study probes the deterrent effect of section 24G in more depth by considering the influence that experience – either own or other's – has had on the regulated community.
Triceps-off transfascial sleeve approach, functional outcomes and surgical technique in distal humerus fractures
Authors: Nkomo W , Rachuene P , Dey R , Maqungo S , Roche S , Solomons M
Published: October 2022

BACKGROUND: We aimed to assess functional and clinical outcomes of patients who underwent open reduction and internal fixation of distal intra-articular fractures of the humerus through a previously undescribed approach through the triceps tendon, called the triceps-off, transfascial sleeve (TOFS) approach METHODS: We conducted an ambispective cohort study of ten patients who underwent open reduction and internal fixation of the distal humerus through the TOFS approach at a tertiary hospital between March 2016 and January 2019. Patients were identified from the prospectively kept surgical database. All had AO type C fractures of the distal humerus. The mean age was 36.7 ± 14.9 years (range 19-68). The assessment consisted of a review of their hospital records, range of motion, triceps strength, ultrasound evaluation of triceps tendon integrity, X-rays for union rates and adequacy of reduction, and DASH scores RESULTS: The mean time of follow-up was 10.8 ± 4.7 months (range 6-19). The mean arc of motion was 114.7 ± 25.1 degrees (range 80-150). There was a decrease in mean triceps muscle strength compared to the uninjured side: 66% at 45° of flexion, 70% at 90° and 86% at 120° of elbow flexion. The mean DASH score was 15.7 ± 8.9, indicating mild residual impairment (range 5-31). The DASH score had a strong correlation (r = 0.71; p < 0.05) with the follow-up period. All tendons were intact on ultrasound evaluation. One patient had deep surgical site infection, treated with surgical debridement, antibiotics and plate removal with resolution of sepsis and healing. All fractures united by six months CONCLUSION: TOFS is a successful surgical approach for reduction and fixation of AO type C intra-articular distal humerus fractures, with excellent tendon healing rates. It is, however, associated with mild residual functional impairment and residual triceps weakness Level of evidence: Level 4
Emergency Action Planning in Kansas High Schools
Authors: Hedberg Riley , Messamore William , Poppe Tanner , Tarakemeh Armin , Baker Jordan , Burkholder Rick , Salazar Luis , Vopat Bryan , Darche JP
Published: October 2022

INTRODUCTION. Current evidence shows a variable rate of emergency action plan (EAP) implementation and a low rate of compliance to EAP guidelines in United States secondary schools. Compliance to emergency action plan recommendations in Kansas high schools is not known. The purpose of this study was to identify the emergency preparedness of public high school athletics in the state of Kansas and identify prevailing characteristics of schools that correlate with decreased compliance of an EAP.
METHODS. Athletic directors for public high schools in the state of Kansas were asked to participate in a web-based questionnaire that was emailed to each athletic director. The questionnaire identified demographics of the study population, EAP implementation rates, compliance to national EAP guidelines, access to certified medical personnel, and training received by athletics personnel. Descriptive statistics were then compiled and reported.
RESULTS. The response rate for the survey was 96% (341/355). A total of 94.1% (320/340) of schools have an EAP, 81.4% (276/339) of schools have an automated external defibrillator (AED) at all athletic venues, and 51.8% (176/340) of schools had an athletic trainer (AT) on staff. Urban schools were significantly more likely than rural schools to have an AT on staff (OR=11.10, 95% CI=[6.42, 19.18], p<0.0001), have an EAP (OR=3.69, 95% CI=[1.05, 13.02], p=0.0303), require additional training for coaches (OR=2.69, 95% CI=[1.42, 5.08], p =0.0017), and have an AED on-site for some events (OR=2.18, 95% CI=[1.24, 3.81], p=0.0057).
CONCLUSIONS. Most Kansas high schools have an EAP in place and have at least 1 AED. Emergency planning should be improved through venue specific EAPs, access to early defibrillation, and additional training. Rural and low division schools have lower AT staffing and consequently are more significantly impacted by these factors. Rural and low division schools are more significantly impacted than urban and high division schools and this should be taken into account in future improvement strategies.
Variations in Postpartum Opioid Prescribing Practices among Obstetrician-Gynecologists
Authors: Nikhita Ravikanti  , Okut Hayrettin , Keomany Jennifer , Ablah Elizabeth , Bradley Kent
Published: October 2022

Introduction. Cesarean patients are commonly prescribed opioids when discharged from the hospital. This study aimed to determine if there were differences in prescribing practices based on the postoperative day opioid prescriptions were written, and before and after the publication of the American College of Obstetricians and Gynecologists (ACOG) Committee Opinion 742.
Methods. This retrospective chart review study included women who had a live birth via cesarean at a single institution from July 1, 2017, to February 28, 2021, and excluded patients with chorioamnionitis or discharged after more than 4 days. Opioids were converted to oral morphine milligram equivalents (MME) for comparison, and total MME was calculated for each prescription. Patients were grouped based on date of delivery in comparison to the publication of ACOG Committee Opinion 742 (July 2018). IRB approval was obtained for this study.
Results. Out of 411 patients, 93.9% (n=386) had opioids prescribed at discharge, 85.5% of whom (330/386) received a prescription written on the day of discharge. There was no difference in the quantity of MMEs in discharge prescriptions between those written on the day of discharge and those written on a prior day. Patients delivering after the new ACOG Opinion (63.9%, n=263) received discharge prescriptions with fewer average MMEs (159.53±61.64) than those who delivered before the publication (36%, n=148) (187.35±53.42), c2 (1, N=411) = 17.71, p < 0.001.
Conclusions. Patients delivering via cesarean after the published ACOG Committee Opinion 742 received discharge prescriptions with fewer MMEs. There was no difference between prescriptions written the day of versus before discharge.
Auction Practices in the Early Modern Period Ottoman Empire
Authors: ÜNLÜ Ertan
Published: October 2022

Nowadays, auction is a popular sales mechanism that is used for a wide range of and the various purposes, from works of art to real estate, from food to clothing and hobby products. This mechanism, which includes the sale of the goods to the buyer who gives the highest bidder, is also defined by different terms such as open bidding and vendue etc. The auction practice, which has been seen in this way since ancient times, was also used in the early modern period Ottoman world. Therefore, the focus of this article is auction practices in the early modern period Ottoman Empire. The purpose of this is to understand whether the auction had a formation phase in the Ottoman Empire or not. In this direction, the subject has been examined around movable goods and the capital of the empire is at the centre of the study. The sources of the article constitute the lists of heritage and old property, which sold, and auction registers in the Ottoman Archives.
Cognitive Computing for Multimodal Sentiment Sensing and Emotion Recognition Fusion Based on Machine Learning Techniques Implemented by Computer Interface System
Authors: Marandi Arun Kumar , Jethava Gordhan , Rajesh A , Gupta Sachin , Sagar Shrddha , Sharma Sonia
Published: October 2022

A multiple slot fractal antenna design has been determined communication efficiency and its multi-function activities.  High-speed small communication devices have been required for future smart chip applications, so that researchers have been employed new and creative antenna design. Antennas are key part in communication systems, those are used to improve communication parameters like gain, efficiency, and bandwidth. Consistently, modern antennas design with high bandwidth and gain balancing is very difficult, therefore an adaptive antenna array chip design is required. In this research work a coaxial fed antenna with fractal geometry design has been implemented for Wi-Fi and Radio altimeter application. The fractal geometry has been taken with multiple numbers of slots in the radiating structure for uncertain applications. The coaxial feeding location has been selected based on the good impedance matching condition (50 Ohms). The overall dimension mentioned for antenna are approximately 50X50X1.6 mm on FR4 substrate and performance characteristic analysis is performed with change in substrate material presented in this work. Dual-band resonant frequency is being emitted by the antenna with resonance at 3.1 and 4.3 GHz for FR4 substrate material and change in the resonant bands is obtained with change in substrate. The proposed Antenna is prototyped on Anritsu VNA tool and presented the comparative analysis like VSWR 12%, reflection coefficient 9.4%,3D-Gain 6.2% and surface current 9.3% had been improved.
Analysis of Computer Network Security Storage System Based on Cloud Computing Environment
Authors: Vekariya Daxa , Kannan MK Jayanthi , Gupta Sachin , Muthusamy P. , Mahajan Rohini , Pandey Arvind Kumar
Published: October 2022

A fundamental component of cloud computers from a business perspective is that users are allowed to use any desire and pay with a product that desire. Its cloud services were accessible anytime and anywhere consumers needed them. As a result, consumers are free to purchase whatever IT services they want, and they don't have to worry about how easy things can be managed. The remote server is used in a new information storage computing architecture that is considered an Internet generation. Ensuring security, material at resource providers' sites is a challenge that must be addressed in cloud technology. Thus, rather than reliance on a single provider for knowledge storing, this research implies developing construction for protection of knowledge stockpiling with a variation of operations, in which knowledge is scrambled and divided into numerous cipher frames and distributed across a large number of provider places. This support was applied to provide greater security, scalability, or reliability that was suggested according to the new structure. This paper, presented an encoded model for the cloud environment to improve security. The proposed model comprises the parity metadata for the database management provision to the provider. In the developed encoder chunks parity is not stored within the single resources with the provision of the available information chunks. The constructed security architecture in the RAID layer increases the dependability of the data with the deployment of the RAID 10 deployment. The developed RAID-based encoder chunks exhibit improved efficiency for the higher uptime at a minimal cost.
Servicios de Inteligencia británicos para la vigilancia de Ferrol entre 1739 y 1756, Oviedo, IFESXVIII / Ediciones Trea (ACESXVIII, 10), 2022.
Authors: Amenedo-Costa Mónica
Published: October 2022

La documentación producida por los servicios de inteligencia británicos ha sido objeto de estudio en este trabajo con el fin de examinar la obtención y difusión de información sobre Ferrol entre los años 1739 y 1756. La producción de comunicaciones oficiales fue empleada por el Gobierno británico para llevar a cabo una vigilancia rigurosa sobre la política naval española en esta ciudad. Los servicios de inteligencia emitían correspondencia directamente a las autoridades gubernamentales que se constituyó como una herramienta indispensable para la recepción de noticias de calidad, rigurosa y veraz que servía de soporte para la toma de decisiones informadas como base para la preservación de la seguridad y prosperidad del país. Entre los autores de los documentos se encuentran secretarios de Estado, personal del Almirantazgo, y representantes de las embajadas y consulados destinados en diversos puntos de la geografía europea.
Police Ethics in Rural Contexts: A Left Realist Consequentialist View
Authors: Nolan James J. , DeKeseredy Walter S. , Brownstein Henry H.
Published: October 2022

This article presents crime survey data from the state of West Virginia in the United States showing that, controlling for structural conditions, community atmosphere is significantly related to crime, violence and many other social problems in rural places. These results help identify measurable and achievable progressive desired ends in rural policing, replacing law enforcement outputs (for example, arrests, gun and drug seizures) with safe, strong community outcomes as the summum bonum (i.e, ultimate outcome) of policing. Findings show that interdependent communities where police are partners with residents are the safest, while conflict communities where the police are viewed as adversaries are least safe. These results suggest a left realist consequentialist approach to police ethics to dismantle the hegemony of draconian policies and practices.
Hachas kañaris: ¿objetos funcionales y/o simbólicos?
Authors: NARVÁEZ GEOVANNY
Published: October 2022

Este artículo propone un análisis e interpretación sobre las hachas kañaris. Las hachas kañaris son objetos de metal precolombinos encontrados en la región austral del Ecuador, en el área de Ingapirca, las cuales pertenecen a la cultura kañar de la fase de Cashaloma. Estos objetos fueron posiblemente utilizados en diferentes manifestaciones culturales. De esta manera, se busca establecer una relación con el tumi o cuchillo ceremonial, objeto presente en algunas culturas precolombinas de la parte andina –Chimú, Moche, Lambayeque, Kañari e Inka–; y también con el topónimo tumipampa, antigua denominación de la actual ciudad de Cuenca (Ecuador). En específico se analizan seis hachas kañaris con el fin de plantear algunas hipótesis sobre las mismas, sus usos y significados –utilitarios, ceremoniales, medicinales, toponímicos, simbólicos– para aplicarlos posteriormente en un proyecto artístico audiovisual (tableaux vivants) y de esta manera incitar a la reflexión y debate desde la antropología y el arte.

Palabras clave: hacha kañari, tumi, Cashaloma, iconografía, interpretación, antropología visual, tableau vivant.
Movilidades culturales. Una práctica cultural norteamericana en nuestras calles
Authors: WASHCO-CASTRO ADRIÁN
Published: October 2022

El presente artículo explica la producción artística de cuatro obras que indagan sobre la identidad de la cultura biker en Ecuador mediante la investigación de sus emblemas, códigos, simbología, estética y forma de vestir, lo cual se puede observar en los motoencuentros. Los motociclistas ecuatorianos se inspiraron en las legendarias historias de los clubes de motos que nacieron en Estados Unidos a partir de la Segunda Guerra Mundial.

Palabras clave: Arte, cultura biker, identidad, club de motos, estilo.
Post-COVID-19 vaccine SARS-CoV-2 antibody investigation in healthcare professionals
Authors: GÜRER GİRAY Burcu , GÜVEN AÇIK Gökçe , BAŞ Sevda Meryem , BULUT Yunus Emre , KOTANOĞLU Mustafa Sırrı
Published: October 2022

Objectives: Main purpose of this study was evaluating inactive severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) vaccine subsequent anti-S1 IgG feedback and the aspects involved in such reactions for professionals in healthcare (HCP) as the dominant risk group.Methods: Thirty-six HCPs with previous COVID-19 infection and 164 with no priors, 200 in total, who was working in the Ankara Public Health Molecular Diagnosis Laboratory were included. Main tool of identifying humoral immune response quantifably in serum samples which were obtained 28 days after administering each of two doses of vaccine was Roche Elecsys SARS-CoV-2 kit. Results: Average antibody levels of 164 negative HCPs were 15.82 ± 8.59 IU/mL and 26.042 ± 10.73 IU/mL while 36 positive HCPs demonstrated antibody responses as 66.083 ± 33.927 IU/mL and 90 ±  27.012 IU/mL 28 days after each of two doses of vaccine for both individual groups respectively. A statistically meaningful difference was found in antibody levels after two vaccine doses in both groups (p < 0.0001). The authors observed statistically higher average antibody levels after initial vaccine dosage in HCPs with infection than the antibody levels of naive individuals after second dose (p < 0.0001). Age, gender and vaccination feedback did not have a statistically meaningful disparity (p > 0.05). Conclusions: It was concluded that the average antibody level achieved after inital dose n HCPs with COVID-19 infection was surpassing the average antibody level obtained after the second dose in naive HCPs. The authors recommend further clinical researches on antibody levels and the extent of protection to prohibit COVID-19
Management of the Infertile Male with Azoospermia
Authors: TEK Mesut , AKBAY Erdem
Published: October 2022

Azoospermia means the complete absence of spermatozoa upon examination of the semen. Azoospermia may result from a lack of spermatozoa production in the testicles, or from an inability of produced spermatozoa to reach the emitted semen. Azoospermia is generally examined in two groups as obstructive and non-obstructive. Pretesticular causes usually include endocrine disorders that affect spermatogenesis, testicular causes include primary testicular pathologies, and posttesticular causes include obstructive pathologies. In order to make the exact diagnosis, a good urological, hormonal and genetic evaluation is required. The underlying etiologic cause determines the treatment strategy in azoospermic cases. If it is possible to see sperm in the ejaculate, pregnancy is tried to be achieved with ejaculate sperm, if not, with the spermatozoa obtained by interventional methods, by using assisted reproductive techniques. As the etiology of azoospermia is understood and treatment methods are improved, it is thought the rate of obtaining sperm both in the ejaculate and with interventional methods will increase, and as a result, higher pregnancy rates should be achieved. It is thought that there will be important developments in the treatment of azoospermia in the near future, as there have been significant advances in gene therapies and mesenchymal stem cell studies started on humans.
The relationship between parenting style and adolescent self-esteem in a secondary school
Authors: Mola Sewagegn
Published: October 2022

The main objective of the study was to assess the relationships between parenting styles and students’ self-esteem in secondary school. The researcher selected 54 participants out of 274 students through a simple random sampling technique. The data gathering tool was a questionnaire and we used the Pearson product-moment correlation and t-test to test the relationship between parenting style and adolescent self-esteem. Qualitative data were organised based on descriptions, narrations and interpretations from the research questions, and triangulation was made to balance the data systematically by using document analysis. The result revealed that there is a positive, negative and weak relationship between parenting styles and students’ self-esteem. The result reveals that there is significant statistical difference between boys and girls in their self-esteem. The result revealed that there are various factors that contribute to adolescent self-esteem differences, such as family background, socialisation and interaction between a child and their parents.

Keywords: Relationship, parenting style, adolescent, self-esteem, students;
Assessing the effect of biosolids on soil health
Authors:   ADAS, UK, Nicholson Fiona A. , Bhogal Anne ,   ADAS, UK, Rollett Alison ,   ADAS, UK, Williams John R. ,   ADAS, UK
Published: October 2022

This chapter reviews the evidence for both the beneficial and potentially harmful effects of biosolids application on soil health, and highlights areas where further research is still required.
Fair-trade coffee: how fair is fair?
Authors:   InfoBridge Foundation, The Netherlands, Bronkhorst Ruud
Published: October 2022

An important aspect of sustainability that needs discussion is a fair income for producers and laborers involved in agriculture. This chapter discusses what ‘fair’ means and the approach used by some major Voluntary Sustainability Standards to calculate ‘fair’ prices for producers. This is followed by two alternative approaches to calculate prices: the ‘Living Income Reference Price Formula’ and the ‘Living Income/Fair Price Approach’, a bottom-up approach for defining what is a ‘fair’ price from the farmers’ perspective.
Ecological perspectives on the coffee leaf rust
Authors:   University of Michigan, USA, Hajian-Forooshani Zachary , Vandermeer John ,   University of Michigan, USA
Published: October 2022

This chapter provides an ecological approach to the problem of coffee leaf rust. It first provides a brief overview of the research which has stemmed from a more technocentric approach to understanding and subsequently control CLR. The authors intentionally keep this section brief, but try to highlight areas which are of potential ecological and evolutionary interest within this thread of research. This technocentric approach has been the main line of inquiry regarding coffee leaf rust and there are various resources available which provide in-depth information for ongoing research on these topics for interested readers. Next, the chapter synthesizes and discusses the sparsely available information about the community ecology and natural enemies of coffee leaf rust around the world. The chapter then presents two case studies about coffee which the authors feel represent a more ecological (i.e. intelligible) approach to understanding the pathogen.
Integrated management of nematodes of coffee
Authors:   Embrapa Recursos Genética e Biotecnologia, Brazil, Carneiro Regina M. D. G. , dos Santos Marcilene F. A. ,   Embrapa Recursos Genética e Biotecnologia, Brazil
Published: October 2022

This chapter reviews the main soil-based nematodes affecting coffee plants. In each case, the chapter discusses pest distribution and range, symptoms and damage caused, diagnosis, life cycle and control measures. These include preventative measures to limit movement of infected material, use of resistant varieties, cultural control measures such as use of rotations as well as biological control using parasitic microorganisms. An accompanying chapter reviews insect pests and diseases affecting coffee plants.
Integrated management of soil-borne insect and fungal pests of coffee
Authors:   Instituto Capixaba de Pesquisa, Assistência Técnica e Extensão Rural (INCAPER), Brazil, Fanton Cesar J. , Queiroz Renan B. ,   Instituto Capixaba de Pesquisa, Assistência Técnica e Extensão Rural (INCAPER), Brazil, Zambolim Laércio ,   Universidade Federal de Viçosa, Brazil
Published: October 2022

This chapter reviews the main soil-borne insect pests and fungal diseases affecting coffee plants. It begins by assessing insect pests such as termites, leaf-cutting ants, mealybugs, cicadas, root flies and White grubs. In each case, the chapter includes an overview, discussión of pest life cycle, damage caused and management options. The chapter then discusses key soil-borne fungal diseases: Rhizoctoniosis, Rosellinia root rot, Ceratocystis canker stain and Coffee Wilt Disease. In each case it covers disease symptoms, factors affecting incidence, epidemiology and disease management. An accompanying chapter reviews the main soil-based nematodes affecting coffee plants.