bluuebunny/crossref_metadata_2025 huggingface dataset:
Digital workflow for reconstructing the biomechanics of the masticatory apparatus in implant-supported prosthetics in edentulous patients
Authors:   Pavlov First Saint Petersburg State Medical University, Rozov Roman , Trezubov Vladimir ,   Izhevsk State Medical Academy, Urakov Alexander
Published: November 2024

Digital transformation of the algorithm of implant prosthetics includes the following steps: planning the spatial position of implants in the jawbone; making a surgical guide for real positioning of the virtual localization of implants; taking an optical impression; creating a framework and/or the implant prosthesis itself. However, the above digital chain lacks an important step that involves creating a new dynamic stereotype of the biomechanics of patient's masticatory apparatus, and taking into account its individual characteristics. In this situation, a digital workflow can help with the reconstruction of the biomechanics of the masticatory apparatus. The aim of the study was the clinical testing of the digital workflow for reconstructing the biomechanics of the masticatory apparatus in implant-supported prosthetics in edentulous patients. Digital modeling of the occlusal surface of artificial dentition was carried out in 82 patients (28 men, 54 women) aged 54 to 83 years (mean age 73.9 ± 4.9 years). In this case, the electronic axiograph CADIAX 3 diagnostic (GAMMA Dental), virtual articulators GAMMA Reference SL and AmannGirrbach Artex CR in the Exocad galway 3.0 and Zirkonzahn.Software program were used. X-ray cephalometric analysis was also used; it was carried out in the GAMMA and OrthoLine programs. The following stages have been introduced into the technological chain of prosthodontic treatment: digital registration of the lower jaw biomechanics in combination with the spatial construction of the occlusal plane with X-ray cephalometric analysis; manufacturing of the final prosthesis by copying it according to the temporary CAD/CAM prosthesis, with digital axiography, and, in particular, digital modeling of the occlusal surface of artificial teeth. This approach provided a high survival rate of supporting implants (97 %) and implant prostheses (98.1 %), and ease of use. Therefore, it contributed to the achievement of a high level of patient quality of life (scores on the GOHAI scale after treatment = 56.5 ± 10.0) associated with prosthetics.
An infected coronary artery stent, complicated by stent thrombosis followed by coronary artery perforation
Authors:   Bokhua Memorial Cardiovascular Center, Botchorishvili Inga , Kipiani Vahtang , Agladze Rusudan , Gaprindashvili Tamara , Khajalia Shota , Natsvlishvili Vaso , Pagava Zyrab
Published: November 2024

Approximately 5 million percutaneous coronary interventions are performed world-wide annually. Stent-related complications occur at a fairly low rate. The presented case describes a rare infection-related complex complications of percutaneous coronary in-terventions. A 46-year-old non-diabetic mail developed a fever of unknown origin after six days from the initial Percutaneous Coronary Intervention and was treated empirically with antibiotic therapy without suspicion on any iatrogenic infection. After two weeks from initial percutaneous coronary interventions a patient complained chest pain and with, ST-segment elevation myocardial infarction diagnoses were readmitted at our hos-pital. Early stent thrombosis was diagnosed by coronary angiography followed by sec-ond percutaneous coronary interventions. After some hours from the second angioplasty procedure acute stent thrombosis was developed. Coronary angiography revealed multi-ple extravasations on the site of thrombosis complicated with cardiac tamponade. A patient was urgently transferred to a cardiac operation theater. A Pseudomonas Aeru-ginosa (multiresistant) - was positive after coronary wall tissue histomorphological exam-ination. The fever manifestation must be considered in the differential diagnosis during one or two weeks after initial percutaneous coronary interventions. Diagnosis is based on positive blood cultures and is helpful to manage treatment strategy.
EDUCACIÓN Y CULTURA POPULAR EN BRASIL DESPUÉS DE LA SEGUNDA GUERRA MUNDIAL
Authors: Paiva Marlúcia Menezes
Published: November 2024

Con el avance del capitalismo en el mundo, especialmente después de la Segunda Guerra Mundial, surgió la necesidad de alfabetización de las poblaciones, aunque esta acción se ha dado de manera desigual entre los países desarrollados y periféricos. En Brasil no era muy diferente, en este país, las diferencias eran entre las regiones. En el Nordeste de Brasil, una de las regiones menos desarrolladas, en las décadas de 1950 y 1960, hubo algunas experiencias de Educación Popular. 1) En 1958, la Arquidiócesis de Natal (RN) inició el trabajo de alfabetización, utilizando la radio, con poblaciones en la periferia de su capital, Natal, extendiéndose pronto al ambiente rural, su punto más fuerte. El éxito de esta experiencia llevó a la extensión de esta acción educativa a las llamadas regiones subdesarrolladas del país: Norte, Nordeste y Centro-Oeste, a través de un acuerdo entre la Conferencia Nacional de Obispos de Brasil (CNBB) y el Gobierno Federal. De esta manera, se creó el Movimiento de Educación Básica (MEB), que desarrolló una acción misionera, desarrollista y libertaria, con la marcada presencia de los laicos de la Acción Católica. 2) La ciudad de Natal, que había elegido a un alcalde de orientación progresista, Djalma Maranhão, con su Departamento de Educación, y un gran número de intelectuales, creó un extenso programa de alfabetización, llamado "De pie en el suelo también se aprende a leer", que construyó escuelas hechas de paja de coco  y pisos de arcilla, Debido a la falta de financiamiento de los gobiernos estatal y federal, entonces, sus opositores. Estas dos experiencias recuerdan a la Institución Libre de Enseñanza (ILE) en España, una experiencia educativa que contó con una presencia masiva de intelectuales en sus filas. 3) La tercera experiencia, en 1963, fue llevada a cabo por el recién electo Gobierno del Estado, de tendencia desarrollista, que a través de su Secretario de Educación, Calazán Fernandes, invitó a Paulo Freire a poner a prueba su experiencia de alfabetización en la ciudad de Angicos.  Dentro de RN, y así nació la famosa experiencia educativa, Las Cuarenta Horas de Angicos, cuando ese educador, por primera vez, desarrolló su sistema de alfabetización, a mayor escala, que se dio a conocer en todo el mundo, ya que enseñaba a las personas a leer y escribir en solo 40 horas. Paulo Freire, para este trabajo, formó a estudiantes de la Universidad Federal de Rio Grande do Norte-UFRN. Desgraciadamente, todos estos experimentos han sido podados por gobiernos totalitarios, incluido el español ILE. En Brasil, no quedaba casi nada, la gente fue arrestada, exiliada, incluido Paulo Freire, y los materiales didácticos fueron quemados o arrojados a los ríos. Los maestros, los monitores, tenían miedo, solo porque estaban enseñando a leer y escribir a gente pobre y necesitada, o como decían, estaban "sedientos de conocimiento".
FORMACIÓN DE LOS ESTUDIANTES DEL 2º Y 3º AÑO DE LA CARRERA DE LICENCIATURA EN CIENCIAS DE LA EDUCACIÓN A PARTIR DE APRENDIZAJE BASADO EN PROYECTO COMUNITARIO (ABPC) EN LA FACULTAD DE HUMANIDADES-UNI, AÑOS 2023-2024
Authors: Rolín Ever Daniel Cáceres Rolín
Published: November 2024

Esta investigación trata de la formación de losestudiantes del segundo y tercer año de la carrerade licenciatura en Ciencias de la Educación de laFacultad de Humanidades de la sede filial Natalio yMayor Otaño, de la Universidad Nacional deItapúa-Paraguay durante los años académicos2023-2024. El trabajo se realizó en equipo a travésde diversos proyectos comunitarios que surgieronde las necesidades sociales de los propiosestudiantes según sus contextos atendiendo lasnecesidades de la comunidad. El objetivo fueFomentar el aprendizaje de los estudiantes a partirde la aplicación de proyectos por medio de latécnica activa del Aprendizaje Basado en ProyectoComunitario (ABPC). Con respecto a la metodologíautilizada, la misma fue la cualitativa y lacuantitativa. Desde la perspectiva cualitativa seoptó por el diseño de la Investigación AcciónParticipativa (IAP) sustentada en la teoría Sociocrítica con intervención a través de charlas ytalleres con los miembros de la comunidad y desdela postura de la cuantitativa se utilizó el diseño noexperimental de corte transversal. La poblaciónestuvo conformada por 80 estudiantes de laFacultad de Humanidades. Los instrumentosaplicados constituyeron la entrevista con preguntasabiertas utilizados con los profesores y unaencuesta tipo escala Likert aplicada a losestudiantes por medio de Google Forms. Losprincipales resultados denotan: la participación
activa de los estudiantes en los diversos proyectoscomunitarios; el aprendizaje significativo logradoacorde al currículo establecido de la asignaturaGestión Institucional y Diseño de ProyectosEducativos de la Universidad.
TARRALFAS E A EDUCAÇÃO POPULAR DE PESCADORES NA PRAIA DE PIRANGI DO SUL – RIO GRANDE DO NORTE – BRASIL
Authors: NASCIMENTO JOSE
Published: November 2024

O estudo aborda o tema sobre Educação Popular de pescadores em processo de letramento e textualização de seus saberes sobre a pesca artesanal e objetivou evidenciar a cultura artesanal como contexto para aquisição da escrita e da leitura. A metodologia utilizada baseou-se na pesquisa de campo com a realização de observação participante das práticas interdisciplinares dos professores que atuam no projeto Tarralfas, na Colônia de Pescadores Z10 em Pirangi do Sul, Rio Grande do Norte, Brasil. A pesquisa teve como marco temporal o período de 2017 a 2023 e possibilitou o conhecimento das etapas de alfabetização e pós-alfabetização dos pescadores-estudantes envolvidos na ação socioeducativa. Podemos concluir que o Projeto Tarralfas tem contribuído com a formação escolar de pescadores matriculados na modalidade de Educação de Jovens e Adultos (EJA).
Split Difference Weighting: An Enhanced Decision Tree Approach for Imbalanced Classification
Authors: Zhou Tingting , Gao Xuedong , Sun Xi , Han Lei
Published: November 2024

Imbalanced data classification remains a significant challenge in machine learning, particularly in decision tree algorithms where majority class features are often overshadowed. This study introduces a novel split index based on class key decision factor (CKD factor) to address this issue. We propose two new algorithms: Split Difference Decision Tree (SDDT) and Weighted Split Difference Classification and Regression Tree (WSD-CART). These algorithms enhance feature expression for majority classes during node splitting, thereby improving classification performance on imbalanced datasets. Experiments conducted on five UCI datasets with varying imbalance levels demonstrate the effectiveness of our approach. The WSD-CART algorithm consistently outperformed traditional methods, showing significant improvements in F-score, AUC, precision, recall, and accuracy, particularly for majority classes. In a real-world application to space product material classification, our method increased the true positive rate for majority class identification from 66.32% to 76.17%, while maintaining high overall accuracy. This study contributes to the field of imbalanced learning by providing a new perspective on decision tree split criteria. The proposed methods offer both improved classification performance and interpretable decision rules, making them valuable for various domains dealing with imbalanced data.
Spatiotemporal Sequence Prediction Based on Spatiotemporal Self-Attention Mechanism
Authors: Zhao Yuan , Lu Junlin
Published: November 2024

This paper introduces the GCN-Transformer model, an innovative approach that combines Graph Convolutional Networks (GCNs) and Transformer architectures to enhance spatiotemporal sequence prediction. Targeted at applications requiring precise analysis of complex spatial and temporal data, the model was tested on two distinct datasets: PeMSD8 for traffic flow and KnowAir for air quality monitoring. The GCN-Transformer demonstrated superior performance over traditional models such as LSTMs, standalone GCNs, and other GCN-hybrid models, evidenced by its lower Root Mean Squared Error (RMSE) and Mean Absolute Error (MAE). An ablation study confirmed the importance of each component within the model, showing that removing elements like GCN layers, Transformer layers, attention mechanisms, or positional encoding detrimentally impacts performance. Overall, the GCN-Transformer model offers significant theoretical and practical contributions to the field of spatiotemporal data analysis, with potential applications across traffic management, environmental monitoring, and beyond.
Evaluating and Mitigating Gender Bias in Generative Large Language Models
Authors: Zhou Hanqing , Inkpen Diana , Kantarci Burak
Published: November 2024

The examination of gender bias, alongside other demographic biases like race, nationality, and religion, within generative large language models (LLMs), is increasingly capturing the attention of both the scientific community and industry stakeholders. These biases often affect generative LLMs, influencing popular products and potentially compromising user experiences. A growing body of research is dedicated to enhancing gender representations in natural language processing (NLP) across a spectrum of generative LLMs. This paper explores the current research focused on identifying and evaluating gender bias in generative LLMs. A comprehensive investigation is conducted to evaluate and mitigate gender bias across five distinct generative LLMs. The mitigation strategies implemented yield significant improvements in gender bias scores, with performance enhancements of up to 46% compared to zero-shot text generation approaches. Additionally, we explore how different levels of LLM precision and quantization impact gender bias, providing insights into how technical factors influence bias mitigation strategies. By tackling these challenges and suggesting areas for future research, we aim to contribute to the ongoing discussion about gender bias in language technologies, promoting more equitable and inclusive NLP systems.
Decision Making and Robust Optimization for Information Systems Oriented to Emergency Events
Authors: Nagy Mariana , De Miranda Joao Luis , Popescu-Bodorin Nicolaie
Published: November 2024

The landscape and the factors affecting the development of advanced tools (e.g., artificial intelligence, predictive analytics of outbreaks, knowledge management, vigilance, and reporting systems) with specific concern on supply chain disruptions are described, so as the main topics on health emergencies, preparedness, and mitigation are introduced. This work deals with Multi-Criteria Decision Making (MCDM) tools to address the Suppliers Selection Problem (SSP) and prepare emergency responses by applying Robust Optimization (RO) models, dealing with uncertainty and risk, and coping with computational issues. Definitions and goals are updated, and approaches and models for emergency preparation and responses are adjusted to enlighten the costing and performance indexes. Relevant topics are also integrated: the provisions (and procurement) disruptions and the mitigation of related impacts. After that, an actual situation for deciding on the supplier bid for Information Systems oriented to emergency events is addressed. The decision matrix is built using the referred criteria. Four different MCDM methods/models with the associated software are applied: (i) the simple additive model, (ii) the Technique for Order of Preference by Similarity to the Ideal Solution (TOPSIS) model, (iii) the "e" Fuzzy model, and (iv) - the Elimination and Choice Expressing Reality (ELECTRE) model. The hierarchy of alternatives is built, and the decision process ends by assigning one of the bidder supplier companies. As the differences between the obtained hierarchies are minor, a comparative analysis that addresses the deviation amplitude, the best and the least alternatives, is performed.
Multivariate Analysis of the Urban Heat Island of the Metropolitan Area of São Paulo, Brazil
Authors: Almeida Pedro Luis Barbosa de , Ribeiro Flávia Noronha Dutra
Published: November 2024

Abstract The Urban Heat Island (UHI) effect, where urban regions experience higher temperatures than their rural counterparts, is a well-observed phenomenon with consequences such as health issues and increased energy consumption. In the Metropolitan Area of São Paulo (MASP), a dense urban zone with over 20 million inhabitants, the UHI effect is intensified due to rapid and unplanned urbanization. This research utilized meteorological data from MASP's weather stations and employed the k-means clustering algorithm to identify regions with pronounced UHI intensity. The study revealed four distinct clusters, with Cluster A exhibiting the most significant UHI effect. This effect was related with land use patterns, particularly the dominance of residential and commercial areas and a lack of green spaces. Seasonal variations in the UHI effect were also observed. The findings highlight the impact of urban development on localized climate change and provide valuable insights for urban planning and policy-making in MASP. Future studies could expand on these findings by including more variables and examining other global urban regions.
O modelo atômico de Thomson no PNLD 2021: uma crítica a partir de subsídios da epistemologia histórica de Gaston Bachelard
Authors: Aldi Artur , Belluco Mariana Fernandes
Published: November 2024

Resumo O atomismo é indispensável para a química moderna, carregando diversos aspectos epistemológicos e históricos de tal ciência. No ensino, o conceito de átomo permeia os currículos de maneira transversal, sendo abordado diretamente no conteúdo de modelos atômicos. Tendo isso em vista, esse artigo apresenta uma análise qualitativa do modelo atômico de Thomson apresentado pelos livros didáticos de ciências do ensino médio do PNLD 2021. Primeiro, o desenvolvimento histórico dos trabalhos de Thomson foi analisado a partir de fontes históricas primárias e secundárias, utilizando a epistemologia histórica de Gaston Bachelard. Em seguida, procedeu-se à avaliação do rigor histórico-filosófico do material dos livros didáticos. Identificou-se um modelo de Thomson distorcido, cujo desenvolvimento histórico é apresentado de maneira superficial e descontextualizada, omitindo elementos epistemológicos relevantes para a sua compreensão crítica. Com base nas análises, são apontadas perspectivas para ampliar a exploração de aspectos histórico-epistemológicos do modelo de Thomson no ensino.
Complete vaccination coverage of children born in 2017-2018, living in urban areas of state capitals and in 12 inland cities in Brazil: a population-based survey from a retrospective cohort study
Authors: Moraes José Cássio de , França Ana Paula , Guibu Ione Aquemi , Barata Rita Barradas , Domingues Carla Magda Allan Santos , Teixeira Maria da Gloria , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

ABSTRACT Objective To estimate vaccination coverage in children born between 2017-2018, living in urban areas of state capitals, the Federal District and 12 inland municipalities in Brazil, and to identify associated factors. Methods This was a household survey conducted between 2020-2022, among children up to 24 months old. Vaccination coverage was estimated according to family, maternal and child characteristics. Results Among the 37,801 children in the sample, complete coverage (doses administered) was 60.1% (95%CI 58.6;61.6) and 6.1% (95%CI 5.4;7.0) had not received any vaccines. Coverage was lower among children of mothers with lower level of education (OR = 0.70; 95%CI 0.54;0.90) and in those who experienced delays in receiving any vaccine by 6 months old (OR = 0.28; 95%CI 0.24;0.32). Conclusion Vaccination coverage is below the expected levels. Effective communication strategies are needed to reinforce the importance of routine vaccination, prevent delays and abandonment of the vaccination schedule, in order to recover the high coverage levels achieved in past decades.
Use of private vaccination services by infants in Brazilian municipalities: National Vaccine Coverage Survey 2020
Authors: Burdinski Ediane de Fátima Mance , Denardin Maiara Sulzbach , Marins Gisele , Otero Sandra Duran , França Ana Paula , Moraes José Cássio de , Luhm Karin Regina , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

ABSTRACT Objective To characterize the use of private services in infant vaccination and assess vaccination coverage according to the service used. Methods : This was a national vaccination survey conducted in 2020 that estimated the use of private vaccination services and vaccination coverage among infants residing in state capitals and 12 inland municipalities. Results : Of the 37,801 participants, 25.1% (95%CI 23.2;27.2) used private services at least once, with higher proportions in capitals, larger cities and in the South and Southeast regions. Socioeconomic and demographic differences were identified among families, based on the service used. The coverage for the set of vaccines administered up to 24 months was 60.3% (95%CI 58.6;62.0) in the public service and 59.5% (95%CI 55.9;63.0) in private services, and up-to-date vaccines, 10.3% (95%CI 9.1;11.6) and 9.4% (95%CI 7.4;11.8), respectively. Conclusion The use of private services was frequent, with low coverage for the set of vaccines, regardless of the type of service used, especially for up-to-date vaccines.
Utilização de serviços privados de vacinação por lactentes em municípios brasileiros: Inquérito Nacional de Cobertura Vacinal 2020
Authors: Burdinski Ediane de Fátima Mance , Denardin Maiara Sulzbach , Marins Gisele , Otero Sandra Duran , França Ana Paula , Moraes José Cássio de , Luhm Karin Regina , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

RESUMO Objetivo Caracterizar a utilização dos serviços privados na vacinação de lactentes e avaliar as coberturas vacinais segundo serviço utilizado. Métodos Inquérito nacional de vacinação realizado em 2020 que estimou a utilização de serviços privados de vacinação e as coberturas vacinais de lactentes residentes nas capitais dos estados, no Distrito Federal e em 12 municípios do interior. Resultados Dos 37.801 participantes, 25,1% (IC95% 23,2;27,2) utilizaram alguma vez serviços privados, com maiores proporções em capitais, cidades de maior porte e regiões Sul e Sudeste. Identificaram-se diferenças socioeconômicas e demográficas nas famílias, segundo o serviço utilizado. A cobertura para o conjunto de vacinas aplicadas até 24 meses foi de 60,3% (IC95% 58,6;62,0) no serviço público e de 59,5% (IC95% 55,9;63,0) no privado, e das vacinas em dia, de 10,3% (IC95% 9,1;11,6) e 9,4% (IC95% 7,4;11,8), respectivamente. Conclusão A utilização dos serviços privados foi frequente, com baixas coberturas para o conjunto de vacinas, independentemente do tipo de serviço utilizado, especialmente para vacinas em dia.
Vaccination coverage, barriers and vaccine hesitancy in children up to 24 months old: a population survey in a state capital in the Western Amazon
Authors: Macedo Thaiane Rodrigues de Oliveira , Borges Maria Fernanda de Sousa Oliveira , Silva Ilce Ferreira da , França Ana Paula , Moraes José Cássio de , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

ABSTRACT Objective To estimate vaccination coverage, identify barriers and hesitancy to vaccinating children up to 24 months, born between 2017-2018, living in the urban area of Rio Branco, Acre, Brazil. Methods Population survey carried out from 2020 to 2021, which assessed sociodemographic characteristics and vaccination status among children. Results Among 451 included children, vaccination coverage was below 80%. Meningococcal C vaccine had the lowest coverage for administered doses (76.3%; 95%CI 70.5;81.3) and doses on time (27.4%; 95%CI 23.1;32.1). The statements “vaccines cause serious adverse reactions” (26.4%; 95%CI 18.1;36.8) and “you don’t need vaccination for diseases that no longer exist” (22%; 95%CI 15.7;29.8) were the most frequent regarding vaccination hesitancy. Lack of vaccines was the main barrier to care (86.6%; 95%CI 71.8;94.3). Conclusion Vaccination coverage in children born in 2017-2018 was below the target recommended for the full schedule of administered doses, both valid and timely administered.
Cobertura vacinal, barreiras e hesitação vacinal em crianças de até 24 meses: inquérito populacional em uma capital do oeste amazônico
Authors: Macedo Thaiane Rodrigues de Oliveira , Borges Maria Fernanda de Sousa Oliveira , Silva Ilce Ferreira da , França Ana Paula , Moraes José Cássio de , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

RESUMO Objetivo Estimar a cobertura vacinal, identificar barreiras e hesitação à vacinação em crianças com até 24 meses, nascidas em 2017 e 2018, residentes na área urbana de Rio Branco-AC. Métodos Inquérito populacional realizado de 2020 a 2021, que avaliou as características sociodemográficas e a situação vacinal em crianças nascidas entre 2017 e 2018. Resultados Entre as 451 crianças estudadas, as coberturas vacinais foram inferiores a 80%. A menor cobertura para doses aplicadas (76,3%; IC95% 70,5;81,3) e oportunas (27,4%; IC95% 23,1;32,1) foi para o reforço da meningocócica C. As afirmações “vacinas causam reações adversas graves” (26,4%; IC95% 18,1;36,8) e “não precisa da vacina para doenças que não existem mais” (22%; IC95% 15,7;29,8) foram as mais frequentes quanto à hesitação vacinal. A falta da vacina foi a principal barreira assistencial (86,6%; IC95% 71,8;94,3). Conclusão As coberturas vacinais em crianças nascidas em 2017 e 2018 ficaram abaixo da meta preconizada nos esquemas completos de doses aplicadas, válidas e oportunas.
Coberturas vacinais por estrato social nas capitais da região Centro-Oeste do Brasil: inquérito domiciliar em coorte de crianças nascidas em 2017 e 2018
Authors: Lima Jaqueline Costa , Garcia Érica Marvila , Oliveira Sandra Maria do Valle Leone de , Araújo Wildo Navegantes de , Lopes Emmanuela Maria de Freitas , Teles Sheila Araújo , Caetano Karlla Antonieta Amorim , Teixeira Ana Izabel Passarela , Alves Bárbara Manuella Cardoso Sodré , França Ana Paula , Moraes José Cássio de , Domingues Carla Magda Allan Santos , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: November 2024

RESUMO Objetivo Analisar a cobertura vacinal completa em nascidos vivos em 2017 e 2018, nas capitais da região Centro-Oeste do Brasil, segundo estratos sociais. Métodos Inquérito domiciliar de base populacional com amostragem por conglomerados. Analisou-se a cobertura vacinal completa em crianças aos 12 e 24 meses de idade e os fatores sociodemográficos. Resultados Foram analisadas 5.715 crianças. A cobertura completa aos 12 meses de idade foi 67,9% (IC95% 65,4;70,4) e aos 24 meses de idade foi 48,2% (IC95% 45,3;51,1). A maior cobertura foi da vacina pneumococo (91,3%) e a pior da segunda dose da vacina rotavírus (74,2%). Em Campo Grande, nenhuma vacina alcançou cobertura acima de 90%, destacando-se as vacinas BCG (82,9%) e hepatite B (82,1%). Campo Grande e Brasília tiveram piores coberturas vacinais no estrato social alto (24 meses de idade). Conclusão A cobertura vacinal na região Centro-Oeste foi inferior a 80%, abaixo da meta preconizada e associada com fatores socioeconômicos.
FORMAÇÃO DOCENTE EM COMUNICAÇÃO ALTERNATIVA: EFEITOS EM PLANOS DE AULA DE ALUNOS COM AUTISMO
Authors: Barbosa João Paulo da Silva , Nunes Debora Regina de Paula
Published: November 2024

Os prejuízos sociocomunicativos evidenciados em educandos com Transtorno do Espectro do Autismo (TEA) comprometem suas interações sociais e seu desempenho acadêmico.  Estudos apontam que esses déficits podem ser mitigados pelo uso da Comunicação Alternativa e Ampliada (CAA), implementada por professores, em contexto escolar. Nessa perspectiva, a presente pesquisa teve como objetivo analisar, por meio de uma pesquisa-ação estratégica, os efeitos de um programa de formação em CAA no plano de aula de professores que lecionam para alunos com TEA na sala de aula regular. Participaram do estudo cinco docentes que atuavam no Ensino Fundamental. Os dados, obtidos por meio de questionários, entrevistas e diários de campo, foram analisados utilizando a técnica de análise de conteúdo, complementada por estatística lexicométrica. Os resultados indicaram que o programa de formação, conduzido remotamente, contribuiu para o aprimoramento do conhecimento das docentes sobre TEA e CAA. Foram identificadas limitações na transposição do conhecimento teórico para a prática docente. Os achados desta pesquisa destacam a necessidade de estudos voltados para modelos de formação docente em CAA em contexto educacional.
Efficacy and Safety of Sotagliflozin in Patients with Type 1 Diabetes and CKD
Authors: Sridhar Vikas S. , Odutayo Ayodele , Garg Satish , Danne Thomas , Doria Alessandro , Mauer Michael , Davies Michael J. , Banks Phillip , Girard Manon , Cherney David Z.I.
Published: November 2024

Key Points

Poor glycemic control in type 1 diabetes and CKD is associated with a higher risk of CKD progression.

In a subgroup of inTandem participants with type 1 diabetes and CKD, adding sotagliflozin to insulin reduced HbA1c, body weight, and systolic BP without increasing severe hypoglycemia, compared with adding placebo.

In participants with type 1 diabetes and CKD, sotagliflozin did not significantly increase the risk of DKA, however, there were a small number of diabetic ketoacidosis events.

Background

This analysis evaluated the efficacy and safety of sotagliflozin, a dual sodium-glucose cotransporter 1 and 2 inhibitor, added to insulin in patients with type 1 diabetes and CKD.

Methods

We used data from the 52-week pooled inTandem 1 and 2 trials and the 24-week inTandem 3 trial to assess the effects of sotagliflozin (200 mg [inTandem 1 and 2 only] or 400 mg daily) versus placebo on glycated hemoglobin (HbA1c; primary end point), body weight, systolic BP, insulin dose, and safety end points including adjudicated severe hypoglycemia and diabetic ketoacidosis (DKA), stratified by CKD.

Results

CKD was identified in 237/1575 inTandem 1 and 2 participants and 228/1402 inTandem 3 participants. At week 24, significant, placebo-adjusted reductions in HbA1c were observed—inTandem 1 and 2: non-CKD subgroup (sotagliflozin 200 mg: −0.4%, 95% confidence interval [CI], −0.4 to −0.3; 400 mg: −0.4%, 95% CI, −0.5 to −0.3) and CKD subgroup (sotagliflozin 200 mg: −0.4%, 95% CI, −0.6 to −0.1; 400 mg: −0.3%, 95% CI, −0.5 to −0.1). For systolic BP, there was a significant reduction at week 24 with sotagliflozin in the non-CKD subgroup, but no effect in the CKD subgroup in inTandem 1 and 2. At week 52, the incidence of severe hypoglycemia was lower with sotagliflozin (7% on 200 mg and 4% on 400 mg) compared with placebo (17%) in the CKD subgroup of inTandem 1 and 2, whereas the incidence of severe hypoglycemia was 5%–6% across non-CKD subgroups. The incidence of adjudicated DKA at week 52 was 1%, 5%, and 3% for placebo, 200, and 400 mg in the CKD subgroup compared with 0%, 3%, and 4% in the non-CKD subgroup, respectively. The results were generally similar in inTandem 3, except systolic BP was significantly reduced with sotagliflozin versus placebo in CKD and non-CKD subgroups.

Conclusions

In participants with type 1 diabetes and CKD, sotagliflozin treatment had similar HbA1c, body weight, and systolic BP lowering effects as in participants with type 1 diabetes without CKD. In addition, sotagliflozin was associated with a lower to neutral risk of severe hypoglycemia and did not significantly increase the risk of DKA among a small number of DKA events.

Clinical Trial registration numbers:

NCT02384941, NCT02421510, NCT02531035.
ETHNICITY IN THE IDENTITY POLITICS OF POST-SOVIET TATARSTAN: FROM THE 'PA-RADE OF SOVEREIGNTIES' TO THE PRAGMATICS OF CULTURAL MANAGEMENT
Authors:   Tatarstan Academy of Sciences, Sagitova I. V.
Published: November 2024

The article examines how ethnicity has been institutionalized and interpreted in the identity politics of the Republic of Tatarstan over the past 30 years of its post-Soviet development. The analysis includes a diachronic study of factors in the actualization of ethnicity in different periods of modern Russian history: disintegration (early 1990s) and reintegration (from the 2000s to the present). The analysis of factors that determine changes in the functional component of ethnicity in ethnocultural and ethnopolitical processes within the republic, in the context of national development vectors, provides the research with a new perspective. Focusing on the inertial and dynamic components of the phenomenon allows us to consider their dialectical interaction, as well as its plasticity and situational nature in the context of the dynamics of the political process in modern Russia. The polypardigmatic approach used by the author allows us to identify the foundations of ethnic identification processes in the field of politics in Tatarstan. The analysis reveals the role of regional political and 'symbolic' elites in the context of the dynamics of the political process. The analysis is of practical importance since the ethnic factor has to be taken into account, particularly in times of political turbulence resulting from recent external challenges.
POLITICAL-TERRITORIAL INTEGRITY OF THE UNITED KINGDOM: INSTITUTIONAL INNOVATIONS AND MIMETIC ISOMORPHISM
Authors:   Perm Federal Research Center, Ural Branch, RAS, Grabevnik M. V.
Published: November 2024

The political-territorial heterogeneity is regularly managed by the states through institutional reforms of various kinds. Such reforms may be the result of the creation of new institutional arrangements (institutional innovation), but more often they exhibit a certain degree of borrowing from already known institutional practices (institutional borrowing). The research aims to analyze institutional reforms in the United Kingdom aimed at maintaining political-territorial integrity (in relation to the regional autonomies of Northern Ireland, Scotland, and Wales) during the modern devolution period (1998-2023). The theory of institutional isomorphism (P. DiMaggio and W. Powell) is used as a methodological framework. The author demonstrates two key institutional mechanisms in the processes of managing political-territorial heterogeneity in the United Kingdom – institutional innovations (primarily in the cases of Scotland and Northern Ireland) and mimetic institutional isomorphism (in the case of Wales and rarely in the case of Northern Ireland). The author concludes by suggesting that referendums and intergovernmental center-regional agreements might be indicators of normative institutional isomorphism.
NARRATIVES ON THE DEPORTATION OF THE KARACHAY PEOPLE AND THE CAUCASIAN WAR IN THE PUBLIC DISCOURSE OF THE KARACHAY-CHERKESS REPUBLIC
Authors:   European University at Saint-Petersburg, Ushparov I. A.
Published: November 2024

The study of the politics of memory in Russian regions is a pressing area of research in memory studies. With the help of MAXQDA, the article analyzes the experiences of regional actors using competing narratives about the deportation of the Karachay people and the Caucasian War in the public discourse. The results show that both narratives focus on describing historical events through the language of trauma. The regional authorities utilize the memory of the deportation and the Caucasian War to promote reconciliation and unite competing interethnic groups. They simultaneously construct an image of 'us' through victimization and glorification of the past. The main difference between narratives is the question of institutionalization of those responsible for the tragic events in the collective memory. The narrative of the Caucasian War highlights the role of certain 'central' powers whose interests led to the conflict in the North Caucasus. Additionally, regional actors avoid mentioning specific dates in public speeches due to the existing disputes over the duration of the Caucasian War. The use of an agonistic model of interaction with the different memories of the past and the integration of various struggle groups into a single symbolic space is one of the tools for leveling the conflict potential in the region
CONFLICT FACTORS IN PUBLIC CONTESTS FOR THE POSITION OF THE HEAD OF THE MUNICIPALITY
Authors:   Perm State University, Subbotina A. A.
Published: November 2024

A 'contest model' for mayoral selection was introduced to enhance manageability and control at the local level by the region. However, conflicts often arise during these contests. Based on the 'principal-agent' approach, the author formulated hypotheses regarding the factors of conflict. To identify the nature of conflicts in these contests, 17 indicators were developed. The regression analysis showed that conflicts were more likely to occur in territories where multiple business actors were present. The conflict in contests was also influenced by the personal characteristics of the winning candidate. However, the party composition of the local legislature was not significant in the contests. The analysis demonstrated that the 'contest model' did not drastically change the established practices of interaction among elites. Actors adjusted their existing behavior models to conform to the new rules.
TRANSFORMATION OF THE IMAGE OF ATATURK IN THE MODERN MEMORIAL CULTURE OF TURKEY
Authors:   Voronezh State University, Androsova Ya. S. , Kyrchanoff M. V. ,   Voronezh State University
Published: November 2024

The article analyzes the development features and main transformation vectors of Atatürk's image in Turkey's modern memory policy. The authors presume that various agents of historical politics inspired the formation and actualization of different perceptions of Mustafa Kemal Atatürk's political heritage as the creator of modern Turkish statehood in political and public spaces. It is assumed that this discourse of collective memory of Atatürk in modern Turkish society develops as a heterogeneous, visualizing and actualizing various viewpoints, which include a nationalist republican perception and its moderate Islamist alternative. The paper analyzes the contribution of intellectuals to the development and transformation of the images of Atatürk in modern historical politics and the emerging memorial culture. The authors state that secular authors defend the concepts of Atatürk, proposed earlier in the ideology of civil Turkish republican nationalism. The research analyzes how opponents of this viewpoint, represented by moderate Islamists, seek to initiate a revision of the image of Atatürk. Moreover, the article shows the role of ideological contradictions in the pluralistic Turkish society, which significantly affect the strategies of intellectuals as participants in historical politics.
NEW MARKERS OF THE NATIONAL IDENTITY OF THE REPUBLIC OF KAZAKHSTAN: THE FORMATION OF ANTI-RUSSIAN SENTIMENTS IN SOCIAL MEDIA
Authors:   Astrakhan Tatishchev State University, Khrapov S. A. , Chernichkin D. A. ,   Astrakhan Tatishchev State University, Topchiev M. S. ,   Astrakhan Tatishchev State University, Krivenko А. I. ,   Astrakhan Tatishchev State University
Published: November 2024

The article focuses on the formation of the national identity of the Republic of Kazakhstan, the definition of its new markers, and the processes of anti-Russian sentiment formation in social media. The authors use an interdisciplinary research methodology combining socio-philosophical, philosophical-political, socio-cultural and informational approaches. The analysis of the processes of national identity formation in Kazakhstan takes into account the specifics of the post-Soviet space along with the specifics of its development in political and socio-cultural aspects. Special attention is paid to the correlation of the levels of national identity: cultural-historical (ethnic) and national-civic. The authors believe that the ethnic aspect of national identity is transforming in modern Kazakhstan, leading to the growth of anti-Russian sentiments. The article defines 8 new markers of the national identity of Kazakhstan; in relation to 4 markers an empirical study of the correlation with the dynamics of anti-Russian sentiments in social media is conducted. Network analysis is used as a method of empirical research, which allows investigating the media space resources of Kazakhstan. The authors note that certain trends (new markers) in the formation of Kazakhstan's national identity create the risk of an increase in anti-Russian sentiments, which will significantly exacerbate threats to the social security of the entire Caspian macro-region.
RUSSIA'S IMAGE IN "HUANQIU SHIBAO" NEWSPAPER
Authors:   Kazan (Volga Region) Federal University, Wang Zhaoxu
Published: November 2024

"Huanqiu Shibao (Global Newspaper)", a structural division of the main periodical in China "People's Daily", specializing in coverage of international events and processes. The article characterizes what image of Russia is formed in the materials of this newspaper for the first half of 2023. The epistemological study of publications under the heading "politics" is determined by the refraction of the concept of the category "political". The author discovers an informational trace from the use of "soft power", in particular in the preamble of the newspaper "Huanqiu Shibao" with the wording: "InoSMI materials contain assessments of foreign media only and do not reflect the position of the InoSMI editorial board." In the "politics" column, the newspaper "Huanqiu Shibao" acts as an advocate of Russia (a way/method of keeping the "other" in dependence), while the "economics" column in the Chinese newspaper is built from the position of geo-economics, where economic issues are a continuation of politics. Images of Russia in political science materials are usually presented in the form of heroic, mythological, epic, zoomorphic, transcendental characters/metaphors. Images of Russia in eclectic economic and political science materials are examined according to stratification, corruption, financial, geo-economic, technological status/value/state.