bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinantes das exportações brasileiras de mamão à luz do modelo gravitacional
Authors: Nunes Erivelton de Souza , Khan Ahmad Saeed , Sousa Eliane Pinheiro de , Tabosa Francisco José Silva
Published: July 2021

Resumo O presente estudo se propõe a analisar os determinantes das exportações brasileiras de mamão, considerando países da Europa, da América do Sul e da América do Norte que representam quase 99% do total de exportações da referida fruta de 2002 a 2017. Para tanto, empregou-se o modelo gravitacional, que consiste na aplicação da metodologia de dados em painel, e consideraram-se variáveis as rendas per capita do Brasil e dos países importadores, distância, taxa de câmbio, índice de liberdade comercial, preços internacionais e variáveis binárias, que correspondem ao bloco econômico do qual o país importador faz parte, e a presença de litoral. Os resultados mostraram que as exportações do mamão brasileiro são explicadas diretamente pelo produto do tamanho econômico de seus parceiros comerciais e inversa e proporcionalmente à distância que os separam do Brasil. Destaca-se, ainda, a relação direta desse fluxo comercial com os preços internacionais, bem como com a taxa de câmbio. Ademais, evidenciam-se desempenhos inferiores de países do Mercosul e do Nafta nas exportações do mamão brasileiro, quando comparados aos de países europeus.
Smart concept in rural tourism: a comparison between two phases (2016-2019)
Authors: Ballina Francisco Javier De la Ballina
Published: July 2021

Abstract: Smart Tourism is the main component of current destinations, however, there are severe difficulties for its application in small destinations. This problem is essential in the case of rural tourism. Taramundi is one of the most important rural destinations in Spain. There are two surveys about tourists conducted in 2016 and 2019. These surveys are about obtaining data on changes in the behavior of tourists in the dynamic field of mobile technologies. The results indicated the importance of the smartphone for rural tourism, the temporary growth in the use of its tourist utilities, and most importantly, the technological applications that improve the enjoyment stay. The rural tourist does not abandon the use of pre- and post-travel regarding Information and Communication Technologies (ICTs), but the interest in Tics during travel increases significantly. Specifically, the App of Destiny is the central element of smart rural tourism, seeing that it should focus on the increase of new technographic utilities for tourists. In the perspective of Gretzel (2018), the application of the concept of Smart Tourist Destination is impossible in rural areas. However, with a specialization approach, rural destinations must work towards the goal of “smartification.”
Valoração econômica da água na suplementação hídrica da agricultura brasileira em um modelo multissetorial de crescimento
Authors: Santos Peterson Felipe Arias , Spolador Humberto Francisco Silva
Published: July 2021

Resumo: Apesar de possuir uma das maiores reservas de água doce do mundo, o Brasil apresenta uma elevada concentração deste recurso hídrico na região Norte, de modo que existe relativa escassez no atendimento de diferentes demandas, entre as quais a irrigação, abastecimento humano e uso industrial. Nesse sentido, têm surgido propostas e experiências de políticas de cobrança pelo uso da água que, inevitavelmente, passam pela atribuição de um valor econômico para ela. Os resultados empíricos deste artigo fornecem estimativas do valor econômico da água utilizada na suplementação hídrica de lavouras selecionadas, por meio da aplicação de um modelo multissetorial de crescimento, calibrado para o ano de 2005, utilizando uma matriz de contabilidade social com discriminação da remuneração da água, e um exercício de decomposição do crescimento. Os valores da água obtidos são expressos por meio de dois conceitos distintos existentes em uma perspectiva intertemporal: sua remuneração-sombra e seu preço-sombra. Os maiores valores de remuneração e preço-sombra estão no grupo de “outras lavouras” – lavouras que não correspondem às produções de arroz e de cana-de-açúcar – do Centro-Sul brasileiro. Por outro lado, os menores valores foram obtidos para a cana-de-açúcar também no Centro-Sul, que é o maior demandante de água do país.
PATIENT SAFETY CULTURE FROM THE PERSPECTIVE OF NURSING PROFESSIONALS
Authors: Viana Keila Ellen , Matsuda Laura Misue , Ferreira Andressa Martins Dias , Reis Gislene Aparecida Xavier dos , Souza Verusca Soares de , Marcon Sônia Silva
Published: July 2021

ABSTRACT Objective: to assess the patient safety culture among the Nursing team members of four public teaching hospitals. Method: a cross-sectional study with a quantitative approach, conducted between June and September 2019, by applying the E-questionnaire of Hospital Safety Culture. The participants were 376 Nursing professionals from four hospitals, whose data were subjected to statistical analysis, considering the positive answers to the questions for the classification in strong areas (≥ 75%), areas with potential (50%-74.9%) and weak areas (≤ 49.9%) for the safety culture. Results: only one dimension, organizational learning/continuous improvement, was considered strong for patient safety, for having obtained 84.8% of positive answers. Among the other dimensions, four were considered areas with potential and seven, weak areas. Conclusion: the Nursing professionals assessed the patient safety culture in the researched hospitals as weak.
INFLUENCE OF HUMAN ROTAVIRUS VACCINE IN HOSPITALIZATIONS FOR GASTROENTERITIS IN CHILDREN IN BRAZIL
Authors: Gomes Raimundo Nonato Silva , Fonseca Paula Isabella Marujo Nunes da , Rodrigues Andreza , Pereira Carolina , Gomes Vânia Thais Silva , Filha Francidalma Soares Sousa Carvalho
Published: July 2021

ABSTRACT Objectives: to describe and analyze the influence of human rotavirus vaccine on hospitalizations for gastroenteritis in children under 5 years of age, in Brazil, 2001 to 2018 (pre- and post-vaccination period). Method: this is a retrospective, descriptive ecological study, combining the description of a time series from 2001 to 2018 and collected in the months August 2019 to Janaury 2020. The data were obtained from a secondary source. To analyze the effect of different variables, multiple models of mathematical evaluations were used (accumulated growth rate, geometric growth rate; standard deviation, mean, variance and simple linear regression). The level of significance was set at 5% (p <0.05). Results: there was a reduction in hospitalizations related to gastroenteritis in children under 5 years old, when comparing the pre- and post-vaccination periods. This reduction occurred in all Brazilian regions. Conclusion: after the implementation of human rotavirus vaccine, there was a significant reduction in hospitalizations of children under 5 years.
VALIDATION OF A BOOKLET FOR THE CORRECT USE OF PERSONAL PROTECTIVE EQUIPMENT IN THE CONTEXT OF COVID-19
Authors: Silva Ana Beatriz Pereira da , Menezes Harlon França de , Silva Hosana Lourenço da , Fonseca Michelle Carneiro , D'Eça Junior Aurean , Silva Richardson Augusto Rosendo da
Published: July 2021

ABSTRACT Objective: to describe the process for the elaboration and validation of a digital educational booklet intended for health professionals on the correct use of Personal Protective Equipment in the context of COVID-19. Method: a methodological study conducted between June and September 2020, operationalized in three stages: 1ststage: bibliographic survey; 2ndstage: elaboration of the booklet with the graphic designer to help in the development process of the technology; 3rdstage: content validation of the booklet by specialists through the Delphi technique. The validation was performed by 35 health and biology professionals and the local for selection of these was the Lattes Platform, using the Delphi technique in two rounds. The Content Validation Index was considered an acceptance criterion, with an agreement ≥ 0.78 among the judges being considered a good level. Results: the first version of the booklet obtained a global Content Validation Index of 0.79. There were suggestions for improvement that were accepted and, after the Delphi 2 phase, there was the resubmission of the booklet; it presented a global Content Validation Index of 0.99. Conclusion: the booklet was validated regarding its content and is compatible with its intended purpose, being important for the promotion of knowledge about the correct procedure to put on this equipment so that prevention measures are effective and shared.
Avaliação dos pacientes em relação à presença do estudante de medicina durante os atendimentos ambulatoriais
Authors: Oliveira Mikelen de , Botim Talita Rossi , Oliveira Lilian Cassimiro de , Freitas Brunnella Alcantara Chagas de , Ferreira Débora Carvalho
Published: July 2021

Resumo: Introdução: A educação médica nas últimas décadas caminhou para um entendimento da importância de que os futuros profissionais sejam submetidos à aprendizagem em cenários de práticas o mais cedo possível dentro da graduação médica. Objetivo: Tendo em vista esse cenário diferenciado, o estudo dedicou-se a realizar uma avaliação pelos pacientes dos atendimentos em ambulatório do SUS realizados por estudantes de Medicina de diversos períodos, sob supervisão de preceptores médicos. Método: Foi realizado estudo transversal e descritivo por meio da aplicação de 200 questionários autopreenchidos. Resultado: A maior parte dos pacientes entrevistados relatou que foi informada previamente desse tipo de atendimento, que houve solicitação de consentimento e que os estudantes foram respeitosos e educados. Por conta disso, os pacientes sentiram-se satisfeitos em contribuir para o aprendizado dos estudantes e receberam mais explicações do seu estado de saúde. Tudo isso resultou em uma taxa de 98,5% de satisfação dos pacientes com o atendimento recebido. Em relação à duração do atendimento, houve relação entre a percepção de inadequação do tempo, a ausência do pedido de consentimento e a baixa escolaridade. Alguns pacientes mencionaram situações de incômodo, constrangimento ou desrespeito. Conclusão: A pesquisa demonstrou que a maioria dos pacientes entrevistados se sentiu satisfeita com o atendimento recebido pelos estudantes, o que comprova que esse tipo de metodologia de ensino tem sido bem recebido pela população. O estudo também evidenciou alguns aspectos que precisam ser melhorados, revelando necessidade de ações por meio da coordenação para aperfeiçoar esse importante método de ensino e o serviço de saúde ofertado à população.
Four Corners: an educational strategy for learning infectious diseases in medical school
Authors: Henriques Bárbara Labella , Almeida Maria Claudia Stockler , Gryschek Ronaldo Cesar Borges , Avelino-Silva Vivian
Published: July 2021

Abstract: Introduction: An extensive literature has demonstrated the benefits of active learning in medical education and has revealed the need for updating the teaching methodologies. Active learning strategies consolidate the theoretical knowledge, while simultaneously encouraging the student´s concrete abilities. Nonetheless, remodeling the pedagogical practice is challenging. Several active learning strategies are available and selecting the most suitable one is often a matter of format, not of content. In this article, we discuss the experience of the ‘Four Corners’ technique in the teaching of Infectious Diseases during the internship at our institution. Experience report: The four corners strategy can be adapted to different topics and should be implemented as follows: 1. pre-activity learning: students receive the supportive material for previous analysis; 2. Preparation of the room: each of the four corners is labeled with a different case vignette; 3. Dividing tasks: the specific assignments are divided among the students; 4. Activity: the students read the case vignette and discuss the questions, while the mediator has an observer’s role, and 5. Debriefing: final discussion with all participants led by the mediator. The entire process takes from 2h30 to 3 hours. Discussion: The educational process emerges from the learner´s experience. Many instructors working in higher education believe they promote critical thinking and active teaching during their classes; however, the percentage of teachers who regularly use active teaching strategies is still low. A range of different active learning strategies have been described and many can be adapted to different scenarios; most approaches change the nature of the learning experience but do not always require a change in the given subject. The Four Corners technique is an active learning strategy that promotes debate and exchange of ideas among students. Conclusion: This experience report describes an active learning strategy for the teaching of Infectious Diseases to medical students. The medical education improvement goes through highlighting the teacher’s role as a mediator of the learning process; proposing new teaching strategies is challenging and requires frequent adjustments. The Four Corners strategy improves student’s engagement with the learning process, and it is an efficient strategy to comprise an extensive theoretical content in a relatively short discussion time.
A new species of Macrocentrum (Melastomataceae: Merianieae) from Pará, Brazil
Authors: Goldenberg Renato , Michelangeli Fabián A.
Published: July 2021

Abstract We describe Macrocentrum aurimontium (Melastomataceae: Merianieae), a new species that has been collected twice in the state of Pará, Northern Brazil. Macrocentrum aurimontium closely resembles M. latifolium, a species from French Guiana, due to its isomorphic leaves and 4-merous flowers, but differs from it by the eglandular trichomes up to 4 mm long on the adaxial foliar surface (vs. glabrous or deciduously strigulose, then the trichomes 0.1–0.2 mm long in M. latifolium), denticulate to denticulate-serrulate, always ciliate leaf margin (vs. minutely serrulate, eciliate), sepals 0.5–0.7 mm long, triangular to broadly triangular, with an obtuse to rounded apex, the external teeth projecting 0.2–0.5 mm above them (vs. sepals ca. 0.1 mm long, oblate, the external teeth with the same size as the sepals) and the fruits shorter and narrower (2.7–3.7 × 1.2–1.4 mm vs. 4–5.5 × 3.1–4 mm).
Disentangling Cuscuta identification in Brazil: a first taxonomic contribution to the northeast region species
Authors: Nepomuceno Silmara Cecília , Buril Maria Teresa
Published: July 2021

Abstract Cuscuta is a genus of Convolvulaceae distributed worldwide and comprises about 200 species, of which 26 were reported to Brazil. They are characterized by being holoparasites, leafless, gamopetalous, bisexual and usually pentamerous flowers. Studies available for South American Cuscuta are mostly from late XIX and early XX centuries. The restriction of taxonomic bibliographies, together with the fact that taxonomic informative characters are restricted to their tiny flowers, make the species identification a challenge. In this context, this work aimed to study the diversity of Cuscuta for the northeast region of Brazil and allow species identification. Field works were carried out in all northeast region states and about 150 specimens from 17 herbarium collections were analyzed. A lectotypification is proposed for C. racemosa. Cuscuta orbiculata, cited to Mexico, Guatemala and Brazil (Goiás and northeast region), is synonymized under C. tinctoria. Eight species were recognized, occurring mainly in areas of Caatinga, that predominates in the region. Descriptions, taxonomic comments, illustrations and an identification key are presented.
Experiências das mulheres quanto às suas trajetórias até o diagnóstico de endometriose
Authors: Silva Carla Marins , Cunha Camilla Freitas da , Neves Karoline Rangel , Mascarenhas Victor Hugo Alves , Caroci-Becker Adriana
Published: July 2021

Resumo Objetivo descrever as experiências das mulheres sobre as suas trajetórias desde o início dos sintomas até o diagnóstico da endometriose. Método pesquisa descritiva, qualitativa, realizada com dez mulheres com diagnóstico de endometriose no município do Rio de Janeiro (RJ), Brasil. Coletaram-se entrevistas semiestruturadas áudio gravadas e posteriormente submetidas à Análise de Conteúdo por meio do software Atlas.ti 8. Resultados sem o diagnóstico de endometriose, as mulheres vivenciam sintomas fortes desde a menarca. Essa situação repercute negativamente em diferentes esferas da vida, inclusive pela desvalorização de suas queixas em seus círculos de convivência. Assim, entende-se a importância da rede de apoio perante essa situação. Diante desse contexto, as mulheres peregrinam por diversos profissionais até o diagnóstico definitivo. Considerações finais e implicações para a prática as trajetórias dessas mulheres são marcadas pela desvalorização de suas queixas por profissionais de saúde e pessoas próximas, pela naturalização da dor feminina e pela dificuldade em estabelecer um diagnóstico diferencial. No entanto, a capacidade individual de reconhecer a presença de uma patologia, o conhecimento sobre a endometriose e a experiência do profissional facilitaram o diagnóstico. No contexto da assistência de enfermagem, entender essa trajetória pode promover a escuta ativa, melhor valorização das queixas, avaliação clínica e o encaminhamento para o diagnóstico precoce.
NA CONTRAMÃO DO IMPÉRIO: O CLUBE DA LAVOURA E DO COMÉRCIO DE 1871
Authors: Miranda Bruno da Fonseca
Published: July 2021

Resumo O presente trabalho analisa o movimento de gestação e a atuação do Clube da Lavoura e do Comércio. Ao longo do ano de 1871, essa associação, que contava com parte dos mais importantes fazendeiros e comerciantes do Império do Brasil, lutou contra a promulgação da Lei do Ventre Livre, manifestando seu antagonismo com o lançamento de um Protesto e envio uma petição ao Parlamento brasileiro.
OS ESCRAVAGISTAS NAS “FESTAS DA MODERNIDADE”: O CENTRO DA LAVOURA E DO COMÉRCIO NAS EXPOSIÇÕES INTERNACIONAIS (1880-1888)
Authors: Muaze Mariana
Published: July 2021

Resumo O artigo analisa a participação brasileira nas exposições internacionais oitocentistas, verdadeiras vitrines do progresso do capitalismo industrial, depois que o Império passou a ser representado nestes eventos pelo Centro da Lavoura e do Comércio, entre os anos de 1880 e 1888. Por meio da análise dos principais diretores do Centro da Lavoura demonstra-se que frações da classe senhorial, ligadas à cafeicultura do Vale do Paraíba, utilizaram as exposições e o próprio aparelho do Estado para ampliarem seus negócios e conquistarem novos mercados. Tratou-se da última tentativa dos grandes proprietários e comerciantes da bacia do centro-sul para aumentar seus lucros durante a crise da segunda escravidão.
O vocabulário e as habilidades narrativas se correlacionam em pré-escolares com desenvolvimento típico de linguagem?
Authors: Souza Marcelle Stella de Lima , Cáceres-Assenço Ana Manhani
Published: July 2021

RESUMO Objetivo Caracterizar o desempenho de pré-escolares com desenvolvimento típico de linguagem em tarefas de vocabulário expressivo e de narrativa oral e verificar possíveis correlações. Método Participaram dessa pesquisa 39 crianças com idade entre 4 a 6 anos, de ambos os gêneros, sem queixas sobre o desenvolvimento de linguagem. As mães responderam um questionário de classificação socioeconômica, enquanto para avaliação do vocabulário foi utilizada a prova de Vocabulário Expressivo do ABFW e para eliciar a narrativa oral da criança foi utilizado o livro “Frog, where are you?”. Os dados coletados foram submetidos à análise estatística descritiva e inferencial. Resultados Com relação ao vocabulário expressivo, a maioria dos pré-escolares (92,3%) apresentou designação verbal usual (DVU) total adequada para a faixa etária e os campos semânticos com maior DVU foram “animais”, “formas e cores”, “brinquedos e instrumentos musicais”, “meios de transporte” e os com menor foram “profissões” e “locais”. O tipo de narrativa predominante foi causal, seguido pela intencional. Não houve correlação entre DVU e o uso de palavras nas narrativas, mas houve correlação positiva entre o total de palavras e o número de palavras diferentes utilizadas na narrativa. Conclusão Não houve correlação entre o vocabulário expressivo (DVU) e o uso de palavras na narrativa, mas os pré-escolares que usaram mais palavras em suas narrativas também apresentaram maior variedade lexical nesta amostra.
Efeito inibitório da via eferente auditiva no transtorno de processamento auditivo central
Authors: Bezerra Daiane Schultz , Angrisani Rosanna Giaffredo , Pereira Liliane Desgualdo , Azevedo Marisa Frasson de , Dias Karin Ziliotto
Published: July 2021

RESUMO Objetivo verificar e comparar a ocorrência e magnitude do efeito inibitório da via auditiva eferente em crianças e adolescentes com processamento auditivo normal e alterado, identificando um valor de corte para uso na prática clínica. Métodos estudo prospectivo, com amostra composta por 30 crianças de 7 a 14 anos, sendo 15 com avaliação de processamento auditivo normal (grupo controle) e 15 com processamento auditivo alterado (grupo estudo). Ambos os grupos foram submetidos à anamnese e avaliados por meio dos testes de emissões otoacústicas evocadas por estímulos transientes na ausência e presença de ruído contralateral, avaliação audiológica básica e de processamento auditivo. Resultados houve menor ocorrência do efeito inibitório da via eferente no grupo estudo (p-valor=0,038). Os valores médios obtidos no grupo controle foram 0,71 na orelha direita e 0,87 na orelha esquerda e no grupo estudo, 0,55 na orelha direita e 0,41 na orelha esquerda. Os grupos controle e estudo diferiram de modo significativo na orelha esquerda. Conclusão houve redução do efeito inibitório da via eferente em crianças e adolescentes com transtorno de processamento auditivo, sugerindo alteração funcional do sistema eferente olivococlear medial. O valor que separou as crianças com e sem alteração do sistema eferente foi de 0,55 dB na prática clínica, com 70% de sensibilidade e 66,7% de especificidade.
Aprendizagem baseada em projetos para o ensino-aprendizagem de Saúde Coletiva na Medicina: relato de experiência
Authors: Barros Matheus Cesar Vieira , Morais Matheus Ladir Pereira Vieira de , Lima Lucas Mundim de , Ribeiro Anna Luiza Guimarães , Custódio Isabela Borges , Hattori Wallisen Tadashi , Raimondi Gustavo Antonio , Paulino Danilo Borges
Published: July 2021

No sétimo semestre do curso de Medicina de uma universidade federal brasileira, construímos um componente curricular de Saúde Coletiva para problematizar as questões de gênero e sexualidade na interface com as políticas públicas e o cuidado em saúde das pessoas. Elegemos a Aprendizagem Baseada em Projetos (ABPj) como método de ensino-aprendizagem deste componente curricular. Relatamos essa experiência em diálogo com a literatura, refletindo sobre suas potencialidades e desafios. Identificamos a ABPj como capaz de desenvolver habilidades de resolução de problemas e de comunicação, pensamento crítico, gestão de conflitos e profissionalismo. A ABPj também foi capaz de integrar o ensino-aprendizagem das políticas públicas na Saúde Coletiva com a assistência individual desenvolvida em outros componentes curriculares do curso médico. Assim, recomendamos fortemente o uso da ABPj como estratégia para se alcançar o perfil esperado para o profissional de saúde do século XXI.
O olhar do profissional da Atenção Primária sobre o cuidado à mulher climatérica
Authors: Luz Milene Mori Ferreira , Frutuoso Maria Fernanda Petroli
Published: July 2021

Com o objetivo de discutir a perspectiva de profissionais de saúde sobre o cuidado às mulheres no climatério na Atenção Primária (AP), foi realizada pesquisa-intervenção por meio de oficinas com uma equipe da Estratégia Saúde da Família (ESF) e do Núcleo Ampliado de Saúde da Família (Nasf) de uma cidade paulista. Os trabalhadores reconheceram a ausência de ações ofertadas às mulheres climatéricas e a invisibilidade das demandas, ao relacionarem as queixas à Saúde Mental e relatarem estratégias de encaminhamento e medicalização do cuidado. Nos encontros, as equipes iniciaram as reflexões sobre as práticas e sugeriram a inclusão dessas mulheres em ações que já ocorrem nos serviços/territórios. Os depoimentos apontam para a inexistência de ações efetivas para as mulheres climatéricas, distanciando-se do cuidado integral na saúde da mulher e da construção coletiva de estratégias de cuidado nos contextos singulares de vida, território e gênero.
A compreensão dos docentes sobre a formação em Saúde Coletiva nos cursos de Fonoaudiologia de universidades públicas do Nordeste brasileiro
Authors: Telles Maurício Wiering Pinto , Noro Luiz Roberto Augusto
Published: July 2021

No Brasil, os cursos de graduação em Fonoaudiologia, com a implantação das Diretrizes Curriculares Nacionais (DCN), ampliaram a oferta de componentes curriculares de Saúde Coletiva, buscando fortalecer a inserção dos estudantes no Sistema Único de Saúde (SUS). Diante disso, este artigo objetiva compreender a formação em Saúde Coletiva dos cursos de Fonoaudiologia em universidades públicas do Nordeste brasileiro, na perspectiva docente. Para a produção de dados foram realizadas entrevistas com sete informantes-chave, e para a análise foram utilizados os referenciais teóricos sobre Saúde Coletiva e atos de currículo. Nos resultados, identificou-se uma compreensão dos docentes sobre a formação em Saúde Coletiva como espaço privilegiado para a formação no contexto do SUS, ainda que tenha sido observada uma heterogeneidade na concepção de Saúde Coletiva. Isso aponta para a necessidade de fomentar estudos que subsidiem a ampliação da inserção dos estudantes no SUS.
Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica: dispositivo disciplinar na gestão
Authors: Carvalho Mailson Fontes de , Andrade Cristina Setenta
Published: July 2021

O Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica idealizou melhorias nos processos de gestão da Atenção Básica por meio de estratégias que envolvem avaliação de desempenho, ampliação do financiamento e melhorias no processo de trabalho de equipes. Este artigo analisa os discursos de gestores municipais acerca do programa como dispositivo para (re) pensar a gestão da Atenção Básica a partir do referencial de Michel Foucault. Ao situar o programa como dispositivo, foram identificados componentes presentes na trajetória de construção da macropolítica e em seu desenvolvimento em linhas de base nos municípios, potenciais ao exercício de poder disciplinar na gestão da Saúde Pública contemporânea. Nesse contexto, os gestores utilizam estratégias do programa para avançar no controle de condutas e práticas de trabalho na Atenção Básica por meio de mecanismos como a normalização e a vigilância.
Rodent helminths in fragmented Atlantic Forest areas in the western region of the state of Paraná
Authors: Benatti Danise , Andrietti Luis Felipe , Cândido Júnior José Flávio , Vogliotti Alexandre , Moraes Marcela Figueirêdo Duarte , Tebaldi José Hairton , Hoppe Estevam Guilherme Lux
Published: July 2021

Abstract Rodents are small mammals that can be parasitized by various helminths. This study aimed to identify and describe the ecological indicators of infection in rodents captured in fragments of the Atlantic Forest in the western region of Paraná State, Brazil. Sixty-eight specimens of five rodent species were collected, necropsied, and inspected in search of helminths. The parasites were stored in 70% ethanol, morphologically identified, and counted for calculation of infection indicators. Fourteen species of helminths and one species of Crustacea were recorded: ten in Akodon montensis, four in Mus musculus, two in Thaptomys nigrita, two in Oligoryzomys nigripes, and one in Euryoryzomys russatus. The registered species of parasites were: Rodentolepis akodontis, Angiostrongylus sp., Protospirura numidica criceticola, Trichuris navonae, Syphacia alata, Syphacia criceti, Syphacia evaginata, Trichofreitasia lenti, Stilestrongylus aculeata, Stilestrongylus eta, Stilestrongylus gracielae, Stilestrongylus franciscanus, Stilestrongylus moreli, Stilestrongylus sp., and Pentastomida gen. sp. A positive correlation between the intensity of infection of T. navonae and T. lenti was observed with the body condition index of the host A. montensis. For all species, this study represents a new register of locality, and for eight of them a new host.
Cross-sectional survey for Toxoplasma gondii infection in humans in Fernando de Noronha island, Brazil
Authors: Carvalho Maria da Conceição , Ribeiro-Andrade Müller , Melo Renata Pimentel Bandeira de , Guedes Dandara Matias , Pinheiro Junior José Wilton , Cavalcanti Erika Fernanda Torres Samico Fernandes , Magalhães Fernando Jorge Rodrigues , Mota Rinaldo Aparecido
Published: July 2021

Abstract Toxoplasmosis, caused by the protozoan Toxoplasma gondii, is zoonotic disease and is one of the most important foodborne parasitic diseases globally. The prevalence in humans is highly variable, being influenced by cultural habits, socioeconomic, and environmental conditions. The objective of this study was to estimate the prevalence of T. gondii infection in humans on the archipelago of Fernando de Noronha, Pernambuco State, Brazil, and to identify the risk factors associated with this infection. The seroprevalence of immunoglobulin G anti-T. gondii antibodies was 50.4% (172/341, 95% CI: 45.2%–55.7%). Factors associated with the infection were consumption of well water or rainwater (odds ratio [OR]: 2.43, p=0.020) and consumption of game meat (OR: 1.80, p=0.026). This is the first study to provide epidemiological information of T. gondii infection among the residents of the Island of Fernando de Noronha, revealing a considerable antibody seroprevalence in this population. This study provides information for the adoption of prevention and control measures in island environments.
Repasando a Joseba Lakarra: Observaciones sobre algunas etimologías en euskera a partir de un acercamiento más cognitivo
Authors: Frank Roslyn M
Published: July 2021

Abstract: Over the past decade the Basque philologist Joseba Lakarra has published a series of articles in which he puts forward his reconstruction of an entity he calls Pre-Proto-Basque, whose exact referential time frame is still quite unclear. In these articles a large number of new etymologies are introduced along with a particular kind of methodology and theoretical basis for investigating them. While the material published by Lakarra is readily available on the web, there has been little critical discussion of its merits. The present study is an attempt to remedy this situation and at the same time to bring into focus the value of applying a more principled approach to the Basque data, one that derives it methodological and theoretical orientation from the field of cognitive linguistics, and more concretely from the emerging subfield of cultural linguistics, also known as ethnolinguistics. In a broad sense, the term cultural linguistics refers to linguistic research that explores the relationship between language and culture, bringing the sociocultural embedding and entrenchment of language into view and consequently charting the interactions of speakers of the language with their ever changing environment, the latter understood in the amplest sense of the term. Thus, cultural linguistics has a diachronic dimension as it attempts to understand language as a subsystem of culture and to examine how various language features reflect and embody culture over time. ‘Culture’ here is meant in the anthropological sense; that is, as a system of collective beliefs, worldviews, customs, traditions, social practices, as well as the values and norms shared by the members of the cultural group. Until very recently, there has been a dearth of research on the Basque language and culture that embraces the methodological and theoretical premises of the field of cognitive linguistics and the related sub-discipline of cultural linguistics. Outstanding exceptions have been the investigations carried out by Iraide Ibarretxe Antuñano (1). In short, very little research has been done on Euskera which takes into consideration the fact that the relationship between language and culture has significant implications for diachronic studies of the language: that language is a not only a system firmly grounded in culture, it is a macro-level system that through the individual choices of its agents at the micro-level, changes across time, dynamically. It functions therefore as a complex adaptive system (CAS) (2). This article is the first in a series.
Le foncier comme révélateur de l’inégalité croissante de la distribution des facteurs de production au Vietnam
Authors: Fanchette Sylvie
Published: July 2021

Depuis 1986, le gouvernement vietnamien a entrepris de nombreuses réformes pour relancer son économie en pleine crise. Il cherche à créer un marché foncier accessible aux investisseurs privés étrangers et nationaux pour mettre en œuvre ses projets urbains et industriels. Après plusieurs décennies d’équité foncière théorique, les inégalités d’accès au foncier agricole et productif sont source de conflits et de contestations de la part des villageois envers les autorités locales, les promoteurs immobiliers et les investisseurs. Ce texte se propose d’analyser en quoi les politiques néo-libérales de mise en concurrence des espaces et les dynamiques locales d’accaparement des terres, des différents acteurs paysans, investisseurs et collectivités dans le Vietnam contemporain sont sources d’inégalités sociales, notamment celle de la distribution du facteur de production capital qu’est la terre constructible. Celles-ci se déclinent en trois dimensions : les inégalités foncières non agricoles, les bénéfices de la plus-value foncière et la participation aux décisions d’aménagement de leur territoire.

Dans une première partie, nous présenterons les différents types de conflits à l’œuvre dans la périphérie de la capitale Hanoï et à Bac Ninh, au nord du pays, deux provinces où les projets industriels et immobiliers sont très nombreux. Puis nous aborderons les différentes étapes de la montée des inégalités foncières dans les campagnes depuis la décollectivisation de l’économie. Enfin, nous présenterons en quoi les intérêts et les représentations divergents pour le foncier des acteurs sont sources de conflits à travers quelques tentatives menées par les habitants de plusieurs villages pour accéder au foncier non agricole.
Immigration et santé: de l’étude des différences à celle des inégalités
Authors: Pannetier Julie , Desgrées du Loû Annabel
Published: July 2021

Les disparités de santé entre populations immigrées et non-immigrées ont mis du temps à émerger comme objet de recherche légitime. Elles ont d’abord été explorées en lien avec les pratiques culturelles et les conditions sanitaires (présence d’épidémies, d’agents pathogènes) dans les pays d’émigration. Ce chapitre présente, à partir d’une étude sur le saturnisme infantile en France et les grands résultats de l’enquête PARCOURS, en quoi les inégalités de santé entre populations immigrées et natives sont liées aux inégalités sociales et notamment aux conditions de logement. L’accès aux soins pour les personnes immigrées et la prise en charge qui leur est offerte va, selon les cas, minimiser ou aggraver ces inégalités sociales et de santé.
ANALYSIS AND TREATMENT OF WASTE WATER FROM FISH PROCESSING ENTERPRISES
Authors: STEPANOV Sergey V. , PONOMARENKO Olga S. , AVDEENKOV Pavel P. , BELYAKOV Andrey V. , STEPANOV Aleksandr S. , RUZANOVA Julia V.
Published: July 2021

A distinctive feature of waste water of fi sh processing enterprises is the high content of organic substances: COD - 620-3500 mg/L, BOD-220-2860 mg/L. The ratio of BOD:COD=0.68-0.83 in the waste water of fi sh processing enterprises shows a high potential for the use of biological treatment methods. Further study requires the removal of biogenic elements, because, for example, for a fi sh cannery, the ratio of BOD:N:P=100:3.79:1.08 and 100:4.77:0.57. This article presents the experience of design, construction, start-up and adjustment of sewage treatment facilities of a fi sh processing enterprise. For wastewater treatment, the following scheme was developed and manufactured by the ECOLOS company: a receiving well with a basket, a drum grate, a horizontal grease trap, an homogenizer, a reagent pressure fl otation unit, a membrane bioreactor, and ultraviolet disinfection. The quality of waste water at the outlet of the treatment facilities meets the requirements of the Normative- permissible discharge provided by LLC «Russkaya Treska».
HISTORICAL, CULTURAL, NATURAL AND RECREATIONAL POTENTIAL OF THE CITY FOREST PARK OF SLUZOVAYA MICRODISTRICT OF TOLYATTI
Authors: BOKAREVA Kseniia A. , SOLODILOV Mikhail V.
Published: July 2021

The purpose of the article is a comprehensive study of the urban forest park located within the boundaries of the Sluzovaya microdistrict, Komsomolsky district of Togliatt i, with a subsequent project proposal for its improvement. The historical analysis of the general plans and natural characteristics of the forest park is designed to rethink a particularly valuable territory for its preservation and development in the future. The task is to evaluate and compare the implemented objects of the adjacent historical development, in order to use the identifi ed language of forms in the new improvement proposal.
INDICATES OF SUSTAINABLE DEVELOPMENT IN ARCHITECTURAL STRUCTURE ANALYSES
Authors: GROMILINA Elvira A.
Published: July 2021

This article aims to investigate and compare indicators of sustainable urban development. The modern systems of indicators of sustainable development are considered. Based on the analysis of the approaches, the main indicators of the eff ective and sustainable development of cities have been identifi ed. The author describes two main ratings of Russian regions. According to the results of the study, indicators of sustainable development of the architectural and planning structure of the city are proposed.
The relationship between tolerance for uncertainty and creativity among high school students with a critical style of thinking
Authors: Belousova Alla K. , Samarskaya Alena V. , Kryazhkova Ekaterina V.
Published: July 2021

The paper presents the results of a study of tolerance relation to uncertainty and creativity among senior schoolchildren with a critical style of thinking. The authors use valid diagnostic methods: A. Belousovas thinking style questionnaire, S. Badners uncertainty tolerance questionnaire, and P. Torrances test. The sample consists of 90 senior schoolchildren, both boys and girls. As a result of the study, the groups of schoolchildren with a dominant critical and practical style of thinking have been identified. The authors show that there are significant differences in the development of relationships between uncertainty and creativity tolerance scales, between uncertainty tolerance and critical thinking style, creativity and critical thinking style. The differences have been obtained in the development of tolerance for uncertainty, creativity in relation to the practical style of thinking.
Culture of teenager’s spiritual safety: definition and characterization of criteria features
Authors: Krotov Evgeny V.
Published: July 2021

The paper is devoted to the issues of a teenager education as a subject of spiritual culture. The purpose of this research is to study the phenomenon of the culture of teenagers spiritual safety to identify the criteria and their features. What is described in this paper is more theoretical in nature and precedes the practical part, therefore the following methods are used: analysis, comparison, contrast, study of methodological experience, generalization. To achieve this goal, we have identified the following tasks: 1) to consider the phenomenon of culture in the view of domestic pedagogy; 2) analyze the concepts related to the subject of research: spirituality, security, personal security, spiritual security; 3) on the basis of studying the characteristics of a spiritual personality, identify the criteria for the culture of teenagers spiritual security and outline the main characteristics of these criteria. Much attention is paid to traditional culture. Teenagers spiritual safety is defined as a system of conditions ensuring the preservation of important cultural parameters within the existing traditional standards. The criteria of the culture of teenagers spiritual safety have been determined. They are moral, cognitive, axiological, informational ones. Each of the criteria has indicators that reflect the formation level of teenagers certain characteristics. Socio-civic and individual-personal levels reflect the personality traits, the perfection of which we see in the culture of spiritual security. In general, mastering the culture of teenagers spiritual security is designed to contribute to the development of a creative personality. The theoretical grounds for identifying the phenomenon of the culture of teenagers spiritual safety are described in detail, the choice of criteria features is justified, and their characteristics are presented. The results contribute to theoretical pedagogy and are aimed at further development of methodological recommendations, creation of a process model and practical application.
The retrospective analysis of the theories of giftedness
Authors: Ezhov Danil A. , Sukhankina Natallia V.
Published: July 2021

The research interest to such phenomenon as giftedness has already been taken place in the discussions in some areas: anthropological about human nature, pedagogical about the interaction between bringing up, education and training of a gifted child, social about the circumstances of revealing of special abilities of children, psycological about nature, classification and sources of giftedness. On the base of theoretical-empirical methods of scientific research (theoretical analysis of philosophical, pedagogical, psychological, methodical, historical literature; content-analysis of normative-methodical documents, methods of comparison and classification) the following results of retrospective analysis of theories of giftedness. The stages in the development of the idea of giftedness and its fundamental distinctive definitions are highlighted, the methodical principles of theories of giftedness are defined, the necessity of working out the methodological basis of the process of continuous development of gifted children. The retrospective analysis of evolutional development of the theories of giftedness points out that their conceptual differences are based on different scientific theoretical and methodological researches, are determined by the dynamics of socio-political, economical and socio-cultural processes. On the other hand, the diversity of concepts is the consequence of versatility and difficulty of giftedness nature, impossibility to work out the general references and strategies of development for all its demonstrations. The giftedness is defined as gradually developing competence, performing as the basis of effective activity of the talented personality. The study, analysis and generalization of the main elements of the giftedness theories given in the works of Russian and foreign scientists, form the scientific platform for search and working out the scientific and practical methods of giftedness development aimed to find out and develop of potential and hidden opportunities of schoolchildren, aimed to individual accompaniment of their educational paths, aimed to formation of social motivation.
The Political Economy and Inequality’s Impact on Mental Health
Authors: Sami Waleed Y. , Jeter Christopher
Published: July 2021

Burgeoning inequality in the United States over the last several generations has been linked to the changing political economy and the advent of neoliberalism. Inequality exerts a profound influence on mental health, disproportionally so for marginalized individuals and communities. This conceptual article will provide an overview of the concepts of political economy and neoliberalism and link these concepts to the work of mental health professionals. Connections between income inequality, social determinants of health, and the political economy will be made. Additionally, implications for social justice oriented professional counselors will be included.
Transposition of the great trochanter: A look at the problem
Authors: Pozdnikin Ivan Y. , Bortulev Pavel I. , Barsukov Dmitry B. , Baskov Vladimir E.
Published: July 2021

BACKGROUND: Multiplanar deformity of the proximal femur with a high position of the greater trochanter is one of the most common residual deformities of the hip joint. The VeauLamy transposition of the greater trochanter does not fully treat the mutual trauma of the components of the hip joint, as it only brings down the greater trochanter to provide tension for the gluteal muscles.
AIM: This study aimed to share the experience of performing transposition of the greater trochanter according to our proposed technique.
MATERIALS AND METHODS: The study included 15 patients (15 hip joints) aged 916 years with a high position of the greater trochanter of the femur, who underwent surgical treatment in the period from 2018 to 2019. In addition to the actual transposition of the greater trochanter, the intervention provided a modeling resection of the base (bed) of the greater trochanter and the formation of an offset of the femoral neck.
RESULTS: Patients were followed up for period of up to 30 months. All patients showed positive changes after surgical treatment with improvement of radiological and clinical parameters.
CONCLUSIONS: The proposed intervention allows restoration of the function of the gluteal muscles, improves the range of motion in the hip joint, and prevents and treats extra-articular impingement syndrome.
Use of blood-supplied fibula grafts with a functioning growth zone for the reconstruction of limb bone defects in pediatric patients: A literature review
Authors: Lukyanov Sergey A. , Proshchenko Yaroslav N. , Zorin Vyacheslav I.
Published: July 2021

BACKGROUND: Restoration of significant anatomical and functional bone defects is one of the most urgent problems of reconstructive surgery in children. Various options for plastic surgery of bone defects are considered. However, some publications present both positive and negative aspects of using vascularized bone autotransplants.
AIM: This study aimed to conduct a systematic analysis of foreign literature data on the use of blood-supplied fibular grafts with a functioning growth zone.
MATERIAL AND METHODS: A systematic literature search was performed in the PubMed information data base and Google Scholar from 1988 to February 7, 2021. Based on the criteria for the selection of literature sources, 21 literary sources were identified. In the analysis, special attention was paid to the age of patients at the time of reconstructive surgery, type of vascularized bone graft used with vessels that are part of the feeding leg, follow-up period, complications in the area of the surgical intervention, as well as the functional result and functioning of the graft growth zone.
RESULTS: In this study, 21 articles comprised the sample, of which 14 were descriptions of clinical observation and seven were descriptions of clinical series. These publications include information on the follow-up of 54 patients with an average age of 6.86 years (minmax, 115 years). The average duration of postoperative follow-up was 56 months (minmax, 622 years). Indications for surgical interventions were extensive bone defects formed as a result of the tumor process (n = 44), trauma (n = 4), infectious process (n = 1), and birth defects (n = 5).
CONCLUSIONS: In pediatric orthopedics, bone-vascularized fibular grafts with a functioning growth zone are used for the reconstruction of extensive bone defects in complex clinical situations if standard bone auto-/alloplasties are impossible. According to the literature, this technique allows us to achieve satisfactory functional results in most cases. Despite the positive functional results, postoperative complications are quite common in patients.