bluuebunny/crossref_metadata_2025 huggingface dataset:
Desafíos correlacionados en la gestión financiera en las micro y pequeñas empresas
Authors: Santos Carlos Cesar , Souza Andressa Miranda
Published: July 2024

Este estudio analiza los desafíos de gestión financiera que enfrentan las micro y pequeñas empresas (Mypes) de Rondon do Pará, Brasil, utilizando un enfoque cuantitativo. Con una muestra de 82 empresas, de las cuales 44 son formales y 38 informales, se recolectaron datos a través de un cuestionario adaptado de investigaciones previas y se analizaron mediante la correlación de Pearson. Los resultados revelan que el 70.7% de las empresas operan en el sector comercio y el 90.7% son microempresas. A pesar de que las empresas formales tienen un mayor control y pronóstico de necesidades de efectivo debido a obligaciones legales, no necesariamente utilizan esta información de manera estratégica. En contraste, algunas herramientas de gestión financiera son mejor aprovechadas en empresas informales, especialmente por gerentes con niveles educativos más altos. Se encontró que las empresas formales enfrentan mayores dificultades para honrar sus compromisos financieros debido a la elevada carga fiscal, lo que explica la preferencia de algunos empresarios por operar en el mercado informal. Este estudio sugiere investigar las razones detrás de la preferencia de personas con mayores niveles educativos por el mercado informal y propone una comparación futura con la Curva de Laffer para identificar el impacto de la carga fiscal en las Mypes de Rondon do Pará.
Research progress in the relationship between intestinal flora and cerebral stroke
Authors: qing Sun Chang ,   Department of Neurosurgery, Baodi District, China.
Published: July 2024

Cerebral stroke, also known as "stroke" and "cerebrovascular accident", is an acute cerebrovascular disease, including ischemic and hemorrhagic stroke. Cerebral stroke is the first cause of death and adult disability among Chinese residents [1], characterized by high incidence, high mortality, high disability and high recurrence [2]. Recent studies have found that intestinal flora may affect the occurrence and development of cerebral stroke through various channels such as nervous, neuroendocrine, and immune systems [3]. The immune and inflammatory responses of cerebral stroke patients continue to participate in the whole process of brain tissue injury and repair. As the largest immune system, the digestive tract plays an important role in regulating the immune function of the body [4]. Understanding the changes and interactions of intestinal flora in cerebral stroke patients, and using intestinal flora as a new therapeutic target may be a new direction for cerebral stroke treatment.
Analysis of erg eleven expression in clinical isolates of dermatophytes in patients with resistant tinea infection
Authors: Datt Shyama ,   Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India.
Published: July 2024

Dermatophytes are keratinophilic groups of microorganisms which invade keratinized tissue. Our objectives of the study are as follows.
Ibrutinib induced cystoid Macular oedema
Authors: Eissa Mahmoud ,   Department of Ophthalmology, Salisbury District Hospital, Odstock Rd, Salisbury SP2 8BJ. United Kingdom.
Published: July 2024

Ibrutinib is a small-molecule drug approved for the treatment of mantle cell lymphoma, chronic lymphocytic leukemia, and Waldenstrom macroglobulinemia. Although it has been connected to ocular side effects, few clinical cases explain cystoid macular oedema associated with long-term Ibrutinib treatment. A case of Cystoid Macular Oedema (CMO) caused by ibrutinib in a patient with chronic lymphocytic leukemia is presented. In our case study, an 85-year-old man’s vision deteriorated over 6-7 months. His right eye’s presenting vision was 0.76 and his left eye was 0.2. There was bilateral macular oedema on inspection. His ibrutinib treatment lasted 12 months. The temporal correlation between ibrutinib treatment modifications and the ocular inflammation in our patient points to a causal relationship. Ibrutinib is thought to cause drug-induced cystoid macular oedema. The chronological association between ibrutinib treatment adjustments, or other Tyrosine Kinase inhibitors and our patient’s macular oedema suggests a causal relationship.
Clinical significance of serum miR-21, CA153 and CEA in breast cancer
Authors: l Beza ,   University of sulaimany, Iraq.
Published: July 2024

One of the essential regulators of carcinogenesis is MicroRNA-21 (miR-21). Yet little light has been shed on its effectiveness as a tumor marker compared to the conventional ones. Comparing the diagnostic value of established tumor markers in breast cancer (BC) such as carcinoembryonic antigen (CEA) and CA153 with circulating level of miR-21 is the aim of this study.
Effect of dietary diversity awareness campaign on feeding practices of mothers of children aged under 5 years in district Mirpur AJK A Quasiexperimental study
Authors: Shafi Hina ,   Demonstrator Community Medicine, Mohi-Ud-Din Islamic Medical College, Mirpur, Azad Kashmir, Pakistan.
Published: July 2024

Dietary diversity is described as the consumption of a variety of food types during a certain period. Increasing the variety of foods and food groups in the diet helps to ensure adequate intake of es-sential nutrients. Diet-related malnutrition affects one out of three individuals globally. Despite economic and social progress, childhood malnutrition remains a major public health and social issue in Pakistan. The current study objective was to see the effects of a dietary diversity awareness campaign on the feeding practices of mothers of children aged under 5 years.
Squamous cell carcinoma of the lower lip
Authors: Silva Gerardo Rivera ,   Academic Department, School of Medicine, University of Monterrey, Monterrey, NL, Mexico.
Published: July 2024

A 72-year-old male farmer came to our clinic with a tumor in his lower lip. The patient had a history of arterial hypertension, with a chronic and intense exposure to sunlight, and smoking (30 pack-year) for 45 years. He informed us that the tumor in his lower lip had appeared as a small ulcer for two years which gradually increased in size. Physical examination showed a fungating and bleeding lower lip tumor (Figure.1). Histopathologic analysis revealed grade 1 or well differentiated squamous cell carcinoma (SCC) characterized by atypical mitosis, keratin pearls with islet invasion pattern and mononuclear infiltration. The clinical diagnosis was SSC of the lower lip.
Prioritising the Mental Health of Psychiatric Trainees across Europe
Authors: Cavaleri Daniele , Longo Giulio , King Jacob D. , Kozina Lea , Ryland Howard , Santos Martins Filipa , Sprengers Jan J. , Stirland Lucy , Seker Asilay
Published: July 2024

This first special issue of the International Journal of Psychiatric Trainees (previously named European Journal of Psychiatric Trainees) features four articles based on posters presented at the 31st Forum of the European Federation of Psychiatric Trainees in Zurich. Focusing on mental health challenges faced by psychiatric trainees across Europe – including key themes such as burnout, depression, and the impact of patient suicide – this special issue highlights the need for systematic support programs, improved awareness and utilisation of mental health resources, and structural changes in medical education. By considering these matters, the Journal supports discussion and action towards improving the mental health of psychiatric trainees worldwide.
THE SCIENTIFIC LEGACY OF PROFESSOR
V.V. ZAKHAROV: HISTORY, CULTURE, TRANSLATION
Authors: Edlichko Anzhela I.
Published: July 2024

The article briefly describes the milestones of the life and scientific
work of Vladimir Vladimirovich Zakharov (09/13/1953–12/05/2023) — head of the
Department of German Language and Culture at the Faculty of Foreign Languages
and Regional Studies (Lomonosov Moscow State University), Academician of the
Academy of Military Sciences of the Russian Federation, Professor, Doctor of Historical Sciences. Various aspects of his activities are considered: as a military interpreter and translator, a historian and an archivist, an organizer, and a teacher.
Some key works of the scientist in various fields of military historical science are
briefly analyzed: Soviet-German military, political, cultural etc. relations in the 20th
century, economic aspects of the Second World War, the history of Russian and
German intelligence agencies, issues of restitution of cultural and artistic values,
etc. An important place in the article is given to the coverage of V.V. Zakharov’s
works devoted to the activities of the Office of the Soviet Military Administration
in Germany (SWAG) and the military intelligence. The article highlights V.V. Zakharov’s significant contribution to the introduction into scientific circulation of a large
number of previously unknown archival documents on various aspects of military
historical science. The author also draws attention to V.V. Zakharov’s pedagogical
and organizational activities in higher educational and scientific institutions in Russia, as well as his educational and methodological works.
Group Care: First 1000 Days
Authors: Billings Deborah , Vlasblom Eline , Hindori-Mohangoo Ashna , Abanga Jedidia
Published: July 2024

Group care (GC) during pregnancy and early parenthood improves outcomes, including satisfaction with care, both for healthcare providers (group facilitators) and clients (group participants). Global evidence for the impact of GC is growing. Implementation, however, is generally small-scale and not scaled-up. The GC for the First 1000 Days project (GC_1000) aimed to bridge this gap by implementing antenatal and postnatal GC in health systems in seven countries around the world and systematising lessons learned. Tools are available to integrate GC into health care systems.
The Power of Relationships in Group Care
Authors: Horn Anna , Lazar Jalana
Published: July 2024

In this interview, group care researchers Jalana Lazar and Anna Horn discuss the lived experiences of group care, from the perspectives of those providing and receiving group care. Informed by their fieldwork, they unpick the web of relationships amongst women, midwives and other health care professionals. Together, they consider a key group care feature – relationship building – exploring the model’s potential to bridge interdisciplinary relationships and apply relational maternity care.
Essential Skills for Facilitating Group Care
Authors: Wiseman Octavia , Lazar Jalana , Abanga Jedidia , Rickell Margie
Published: July 2024

Facilitating group care successfully necessitates learning a range of essential skills including managing group dynamics, active listening, facilitating participant-led discussions and interactive activities. Developing these skills requires training, practice, confidence and a good dose of humility. Unlearning the role of midwife as expert is necessary to flatten hierarchy and draw out the expertise of the women/birthing people in order to enhance participants’ learning. This can feel challenging and anti-intuitive for midwives trained and practising in didactic systems. In this article we explore how developing the inter-personal skills required for group care facilitation can enhance the role of the midwife.
The Group Antenatal and Postnatal Model: A Description
Authors: Schindler Rising Sharon , van Groesen Katja
Published: July 2024

Centering-based group care brings together a cohort of eight to 12 pregnant people with similar gestation early in pregnancy for care during eight to ten sessions throughout pregnancy and early postpartum. The group sessions may continue until the second year postpartum for care for both the birthing parent and the baby. Successfully putting the group care model into practice is based on group facilitation rather than didactic, class-like presentations. Basic antenatal clinical care is provided individually during the group sessions, making it reimbursable within the setting’s payor system.
Group Care: Pregnancy, Postnatal and Beyond
Authors: Creaser Amy , McCourt Christine , Kininmonth Alice , McGowan Linda
Published: July 2024

Centering-based group antenatal care (gANC) has been shown to be of value during pregnancy. But what about the postnatal period and beyond? In this article we discuss approaches to applying group care beyond pregnancy and immediate post birth to families with children in their early years.
Centering You!
Authors: Hughes Iola
Published: July 2024

It’s uncomfortable and sometimes painful to know where midwives and student midwives sit between the societal assumption (It must be the most wonderful job in the world!) and the villainous status assigned when things don’t go well or when expectations aren’t met.1 How do we care for ourselves and each other in this complexed and potentially damaging landscape?
Implementing Group Antenatal Care: The Global Experience
Authors: Suhowatsky Stephanie , Onguti Brenda , AE Apetorgbor Veronica , Kapito Esnath
Published: July 2024

There are over 100 million pregnancies in low and middle income countries (LMICs) each year, and each pregnant person has a right to high-quality antenatal care (ANC).1 Coverage of four or more ANC contacts is only 68%, far short of the global target of 90% by 2030.2 Underutilisation of ANC limits opportunities to improve outcomes. Group care is considered a promising strategy to change this. It is estimated that over 500,000 stillbirths and more than five million small and vulnerable newborn births in LMICs could be prevented each year by high coverage of eight preventive interventions during ANC.3
INFLUENCIA DE LA ORIENTACIÓN AL CLIENTE EN LA SATISFACCIÓN DEL CLIENTE: CASO FARMACIAS AZUAY-MORONA SANTIAGO
Authors: Ávila Galarza Christian Daniel , Guachizaca Zaquinaula Luis Aurelio , Villavicencio Rodas María Fernanda , Cobo León Daniel Alejandro
Published: July 2024

La presente investigación busca demostrar que la venta orientada al cliente es una forma de hacer negocios rentables para la empresa, y que la orientación únicamente hacia la venta no logra satisfacer al cliente ya que los vendedores no generan relaciones sustentables y duraderas, influyendo así, en la satisfacción del mismo. Se realizó un muestreo no probabilístico por conveniencia aplicando un cuestionario online a 100 propietarios y representantes de farmacias de la provincia del Azuay y Morona Santiago. Los resultados confirman que existe un relación positiva y significante entre la orientación al cliente y la satisfacción generada, adicional se probó que existe una relación negativa entre la orientación a las ventas y la satisfacción del cliente. Es así que se concluye que cuando un vendedor se orienta solo en ejecutar una venta y no se preocupa de los beneficios para el cliente, el mismo no se siente satisfecho. Este trabajo brinda información a gestores de marketing y gerentes de venta, sobre conceptos basados en que la venta sin compromiso con el cliente no funciona en un entorno tan competitivo como lo es el sector farmacéutico en el Ecuador. Es así que, la compañía y su grupo de ventas deberá gestionar planes individuales o colectivos en pro del análisis, diseño e implementación de estrategias enfocadas a la orientación del cliente para lograr satisfacción, entendiendo siempre la utilidad y la diferenciación con respecto a sus competidores que esta brindará.
NEUROMARKETING COMO HERRAMIENTA PARA EL POSICIONAMIENTO DE LA MARCA “YAKI DIKO” EN MANTA
Authors: Carreño Parrales Cristopher Josué , Arias Arias Ana Elena
Published: July 2024

El neuromarketing es una estrategia aplicada por diversas empresas de diferentes industrias y al implementarla en la empresa “Yaki Diko” busca lograr el objetivo principal determinar de qué manera el neuromarketing influye en el posicionamiento de la marca, para ello se desarrollaron encuestas de forma conveniente a 40 clientes que consumen en la heladería, donde nos permiten conceptualizar que piensan del neuromarketing y su influencia para lograr el posicionamiento de marca. La investigación se basó con un enfoque cuantitativo de tipo descriptivo, correlacional de diseño no experimental, se desarrollaron encuestas con 18 ítems utilizando el programa estadístico IMB SPSS-27 donde se comprueba con el coeficiente Alfa de Cronbach un nivel de confianza del 0,883 demostrando que el neuromarketing constituye una herramienta confiable permitiendo conocer los procesos cerebrales y psicoemocionales, creando experiencias más personalizadas impulsando el posicionamiento de la marca “Yaki Diko”, y mejorar las estrategias de marketing.
MODELOS CLÁSICOS EN EL DESARROLLO DE LA PLANIFICACIÓN ESTRATÉGICA
Authors: Parrales Poveda María Leonor , Arteaga Velepucha Gregory Stalin , Villón Yagual Alfredo Antonio , Fienco Parrales José Vicente
Published: July 2024

Analizar las aplicaciones prácticas de varios modelos clásicos en la planificación estratégica en empresas públicas ecuatorianas, es de interés difundirlo, considerando su beneficio en cuanto a la mejora continua. Para ello, se aplicó una metodología basada en métodos y técnicas del nivel teórico como el análisis-síntesis, inducción-deducción, lo concreto-abstracto y la modelación conceptual, que permitieron llegar a conclusiones valederas sobre la utilidad de estos. Los modelos clásicos identificados en el plan estratégico de varias instituciones públicas, van desde el Modelo de SWOT (FODA), las Cinco Fuerzas de Porter, PESTEL, Matriz BCG y el Mapa Estratégico. Se concluye que, el uso de estas varía y depende de la dirección estratégica, ofreciendo un enfoque analítico y ordenado que examina a fondo a las organizaciones tanto en su contexto interno como externo, descubre oportunidades y desafíos, comprende el panorama competitivo y traza planes de expansión para optimizar la asignación de recursos y manejar efectivamente los cambios organizacionales. La integración de estos modelos en la planificación estratégica permite a estas organizaciones, tomar decisiones fundamentadas, prever posibles escenarios y adaptarse con agilidad a un entorno empresarial en constante cambio, lo que se muestra de manera sucinta en una guía que facilita la selección y aplicación efectiva en diferentes contextos de negocios.
COMPETENCIAS EMPRENDEDORAS DIGITALES EN LA ENSEÑANZA APRENDIZAJE DE DOCENTES Y ESTUDIANTES UNIVERSITARIOS
Authors: Peralta Zambrano Javier Rafael , Zambrano Ramírez María Emilia , Zambrano Farías José Iván
Published: July 2024

Las competencias emprendedoras digitales, marcada por la rápida evolución tecnológica, se ha convertido en un factor clave para el éxito tanto en el ámbito académico como profesional. El presente estudio explora la relación de las habilidades emprendedoras digitales en estudiantes y profesores de la Escuela Superior Politécnica Agropecuaria de Manabí Manuel Félix López (ESPAM MFL). Se empleó un enfoque cuantitativo, con un alcance correlacional y transversal. La investigación se realizó a través de un cuestionario digital aplicado a una muestra estratificada de 435 individuos, considerando a 384 estudiantes y 51 profesores. Entre los resultados obtenidos se observó una confiabilidad del instrumento de 0,91, identificándolo en el rango de excelente. Además, estos datos, revelan que las medias de las competencias emprendedoras digitales de los estudiantes y profesores no presentan diferencias significativas. Este hallazgo sugiere que, en el contexto de la ESPAM MFL, tanto los estudiantes como los profesores poseen un nivel similar de competencias emprendedoras digitales. En conclusión, los estudiantes como los docentes, de la ESPAM MFL consideran que poseen la capacidad para generar ideas de negocio innovadoras y adecuadas a las demandas del entorno actual. Ciertas dimensiones se encuentran especialmente fortalecidas, como la identificación de oportunidades, la iniciativa y colaboración, así como la gestión y seguridad.
PENGARUH KOMUNIKASI, BUDAYA ORGANISASI, DAN KOMITMEN ORGANISASI TERHADAP DISIPLIN KERJA
Authors: Safitri Thania Aulia , Kuncoro Aris Wahyu , Kristanto Dwi , Ipmawan Hasan , Pakpahan Maruji , Jusmansyah Muhamad , Said Said
Published: July 2024

Tujuan utama penelitian ini adalah untuk mengkaji pengaruh Komunikasi, Budaya Organisasi, dan Komitmen Organisasi terhadap Disiplin Kerja dalam konteks SMK Media Informatika. Seluruh partisipan dalam penelitian ini terdiri dari 45 guru dari Sekolah Vokasi Media Informatika. Data diperoleh dengan pemberian kuesioner yang menggunakan skala Likert. Data yang diterima kemudian dianalisis menggunakan program Microsoft Excel 2021 dan software SPSS versi 22. Metodologi sampel yang digunakan dalam penelitian ini adalah sampel Non-Probabilitas, khususnya menggunakan Sampling Jenuh. Metodologi studi yang digunakan memerlukan pemanfaatan regresi linier berganda. Hasil penelitian ini menunjukkan bahwa variabel Komunikasi (3,036) menunjukkan dampak positif dan signifikan secara statistik terhadap Disiplin Kerja. Namun, variabel Budaya Organisasi (0,240) tidak menunjukkan pengaruh yang signifikan terhadap Disiplin Kerja. Di sisi lain, variabel Komitmen Organisasi (2,125) menunjukkan pengaruh yang signifikan terhadap Disiplin Kerja.
The impact of Mukbang video consumption on viewers' physical health: A critical analysis
Authors: Nunes Bárbara Lopes Costa , Carvalho Maria Gleicyane Machado , Alves Alícia Vitória Gomes , Martins José Guilherme Oliveira , de Sousa João Emanuel Costa , Lura Iago Silva Oliveira
Published: July 2024

Mukbang, originating from South Korea, merges "Meokneun" (to eat) and "Bangsong" (broadcasts) to showcase large-scale food consumption online (Cho, E.H. et al; 2020). Popularized globally since 2015, it engages 38% of South Koreans seeking social connection and escapism (Kobaco. et al; 2019). Despite its sensory appeal and cultural reflection, Mukbang's influence on unhealthy eating behaviors and mental health warrants careful consideration (Anjani et al., 2020; Siqueira, 2020).
Urban violence and splenic trauma in a patient undergoing splenectomy
Authors: Borges João Gabhriel Beserra , Páscoa Ana Luiza Gonçalves , de Souza Arthur Lobão Ferreira , Rocha Lucas Magalhães , Alencar Lucas Miguel Martins de Souza , da Silva Ícaro Gava Muniz , da Silva César Augusto
Published: July 2024

Retrospective study at HU/UNIVASF, Petrolina/PE, analyzing 52 splenectomy cases from Oct 2021 to Jan 2024. Trauma and hematological disorders primary reasons for splenectomy, including urban violence like firearm and stab wounds. Quantitative approach used to assess demographic profiles and trauma types influencing surgery decisions. Data sourced from electronic medical records, adhering to ethical guidelines (Resolution No. 466/12, National Health Council). Study approved under CAAE: 73874223.8.0000.0282, providing insights into epidemiological trends and surgical outcomes
Eating practices and physical mastery of the quality of life of adults: A Brazuca, Natal study in the context of the Covid-19 pandemic
Authors: Cortez Renata Pereira , Xavier Ana Márcia Soares Fernandes , Pequeno Nila Patrícia Freire , Batista Fernanda Keila Valente , Marchioni Dirce Maria Lobo , Lima Severina Carla Vieira Cunha , Ramalho Alanderson Alves , Evangelista Karine Cavalcanti Mauricio de Sena , Lyra Clélia de Oliveira
Published: July 2024

A study in Natal, Brazil is looking at how people's eating habits since the Covid-19 pandemic are affecting their physical health. Adults between 20 and 59 were surveyed about their diet and overall well-being, with a specific focus on physical quality of life. Researchers will compare people who reported following unhealthy eating habits to those who didn't to see if there's a connection between diet choices and physical health after the pandemic. This will help them understand how what people eat is impacting their physical well-being in Natal
Ultra-processed foods are harmful to brazilians: Driven by industrial modalities and changes in the pattern of the family diet, these products are increasingly consumed
Authors: Passos Luiz Marcelo
Published: July 2024

In this article, the objective is to promote reflection on the relationship between eating habits and processed foods. Based on reading scientific articles and other publications on the subject, we sought to carry out qualitative research in order to list factors considered harmful to health. Therefore, the aim is to bring to light pertinent information about the harmful influence of food on collective health, to understand the process of identifying components present in ultra-processed foods, thus highlighting the harm of excessive intake. The growth in the participation of these foods in the Brazilian diet was accompanied by the expansion of large transnational companies that produce them without due concern for collective health. Between the 2002–2003 POF and the 2017–18 POF, some groups were reported to be growing significantly. Cold and processed foods, along with cakes, pies, breads and sweets in general, practically doubled the amount of calories consumed per person compared to the poorest 20%.
Teaching, service and community: Preceptorship as an integrating link
Authors: Guimarães Bruno Santos , Lucio Neto Mário , Andrade Silmara Nunes , Silva Matheus Elias Fernandes , Ramos Guilherme da Gama , Pereira Ana Cristina La Guardia Custódio , de Oliveira Flávia
Published: July 2024

The National Curriculum Guidelines established the competencies and skills for the training of the general dental surgeon. Curricular internships should be developed articulated with increasing complexity throughout the dental surgeon's training process and with faculty supervision. The preceptors are health professionals with a teaching-care supervision function who must integrate teaching, service and community in the context of the Unified Health System. The objective of this study was to report the experience of preceptorship in the dentistry course. This is a descriptive experience report, carried outfrom September 2023 to April 2024, in a family health unit, by the dental surgeon preceptorwhen accompanying the students of the dentistry course. The preceptor must be able to provide the student with an overview of dentistry that offers resolvability for most cases. During the preceptorship, students had the opportunity to follow and carry out numerous activities, namely: anamnesis, follow-up and guidance to all life cycles (children, adults, pregnant women and the elderly); treatment of Day House boarding schools (alcohol and drug users undergoing treatment); urgent and emergency care, treatment of complications (dentoalveolar fracture, alveolitis, pulpectonia, pulpotomy, abscesses, etc.); minor surgeries (tooth extraction, residual root extraction); orominor surgery, referral to endodontics; making veneers; prophylaxis, restorations and cleaning of dental materials. All consultations were based on the comprehensiveness of care, seeking to assist and identify the weaknesses of student learning. The preceptorship, through the teaching-care supervision, was able to provide the students with the integration between teaching, service and the community served by the Unified Health System (SUS), enabling the student to articulate the technical knowledge to the practice of the services with the reality of the communities served by the SUS.
Association between anoxia time and markers of acute kidney injury after coronary artery bypass grafting with cardiopulmonary bypass
Authors: Matteucci Marcel Portela Silva , Sodré ⁠Andressa Monteiro , Alves Erik Victor da Silva , Silva Filho Glauber Miranda , Camapum Luiz Fernando Carvalho , Campos Paulo Gabriel Silva Castro , Ribeiro Paulo Victor de Aguiar , de Souza Pedro Washington Nascimento , Chicar Lydia Kedine Leite , Nina Vinicius José da Silva
Published: July 2024

The use of cardiopulmonary bypass has an impact on the presentation of acute kidney injury after coronary artery bypass grafting, with clinical alteration of renal biomarkers. However, renal alterations after cardiac surgeries are still not completely understood, and there are multiple study factors, such as anoxia time. The objective of this study was to analyze the relationship between the duration of anoxia and the markers of acute kidney injury in the postoperative period of myocardial revascularizationwith cardiopulmonary bypass. This is a cohort, analytical, longitudinal, descriptive and retrospective study, consisting of 104 patients operated on in São Luís do Maranhão. Acute kidney injury was characterized according to the criteria of Kidney Disease: Improving Global Outcomes. Patients with previous chronic kidney injury and without acute postoperative kidney injury were excluded. The Graph Prisma software, version 8.0, was used, with the Shapiro Wilk normality test and Spearman's correlation. A total of 23 patients were included in the analysis. The anoxia, creatinine, and urea data in the Shapiro-Wilk test did not show normal distribution (p = 0.0015, 0.0014, and 0.1423, respectively). The correlation coefficients between anoxia time, creatinine andurea levels were 0.0521 (p = 0.813) and 0.111 (p = 0.958), respectively. Although the literature highlights the impact of cardiopulmonary bypass time on renal performance, although it is proportional to the duration of anoxia, the results of this study suggest a weak correlation between anoxia time and renal biomarkers of kidney injury after surgery. These findings reinforce the complexity of the pathophysiology of acute kidney injury after coronary artery bypass grafting, indicating the need for a multifaceted approach to understanding this complication. In addition, the importance of continuous investigation is highlighted for a better understanding of the factors involved and to improve future diagnoses, contributing to the technical and scientific advancement in the perioperative management of cardiac surgery
Characterization of garbage in the central part of Ajuruteua Beach –PA
Authors: Coutinho Antonia Marta de Souza , Silva Neto Bianca , Santos Claudeth de Jesus , Silva Ana Caroline Araújo , Carmo Karen Jakelyne Costa , Rodrigues Mara Camile Sousa , Silva Iracely Rodrigues
Published: July 2024

The study carried out on Ajuruteua beach, in the northeast of Pará, reveals a concern about environmental pollution, highlighting the significant presence of various types of waste on the shore, such as plastic bags and bottles, glass, among other materials. This area, known for its natural beauty and tourist and fishing activities, faces serious challenges due to the inappropriate presence of waste. The research sought to quantify and classify these materials in a specific area of the beach, using transects along 170 meters after low tide. The main objective is to raise awareness about the negative impacts of this pollution on the coastal environment, emphasizing the urgent need for awareness and preservation measures to protect this essential ecosystem
Inclusion of people with intellectual disabilities in regular education classes
Authors: Macagnan Celia de Fatima , de Morais Carlos Tadeu Queiroz
Published: July 2024

The general objective of this article is to investigate the relationship between the pedagogical work of teachers and the inclusion of children with intellectual disabilities in regular education, focusing on the alignment of inclusive actions with the guidelines of the Political-Pedagogical Project (PPP). The study used the systematic literature review as an approach, following a critical content analysis according to the Bardin (2016) protocol. The qualitative approach allowed an in-depth exploration of the nuances present in the literature. The main results obtained were that the alignment between the PPP guidelines and the implementation of inclusive practices is crucial to create an educational environment serving all students. In this context, teacher training is a fundamental aspect for inclusive education, encompassing resources, interdisciplinary cooperation and awareness of diversity. It was also found that the PPP guidelines can guide the transformation of inclusive education, providing strategic guidance and promoting welcoming environments, highlighting that inclusive education is a dynamic process that requires constant adaptation and collaboration among all those involved. In view of this, it can be concluded that PPP guidelines, teacher training and inclusive practices are interdependent in order to achieve truly inclusive and equitable education. The adoption of PPP-aligned approaches, investment in teacher training, and continuous assessment can promote significant changes in the education system, making it more accessible and enriching for all students, regardless of their abilities.
Prevention of zoonoses with the use of vaccines: Challenges for single health
Authors: Monteiro Walter Aparecido Pimentel , dos Santos Letícia Serena Costa , Ferreira João Gabriel Rabelo , de Mendonça Maria Luiza Maciel , Zadra Vívian Ferreira
Published: July 2024

Diseases that are transmitted from animals to humans through contact or ingestion of contaminated water and food are defined as zoonosis, according to the World Health Organization (WHO). In this sense, 60% of the agents that are pathogenic to humans are zoonotic, such data can be explained by the increase of animals in the social environment and in the products of animal origin produced by man, such as microorganisms associated with wildlife entering intensive agricultural systems based on livestock, increase in the frequency and speed of travel, changes in the infecting agents themselves or intrinsic characteristics of the hosts, (SCHLUNDT, 2004).Vaccination is the most effective and low-cost method for the control of infectious diseases in public health and veterinary health. Immunization technology follows a rapid advance through the use of modern molecular techniques and the greater understanding of immunological mechanisms and ways to optimize immune responses to achieve maximum protection. As an example, veterinary immunization has enabled the eradication of rinderpest, as declared in 2011, jointly by the World Organization for Animal Health (OIE) and the Food and Agriculture Organization of the United Nations (FAO) (WHO, 2024).
Avaliação do risco de queda em idosos com Alzheimer
Authors: Silva Karine Ruth Caldas e , Santana Cristiano Costa , Do Nascimento Janayne Ferreira
Published: July 2024

O presente artigo tem como objetivo avaliar o risco de queda em idosos com alzheimer atraves dos testes times up and go ( tug), alcance funcional anterior (taf), e escala de equilíbrio de berg (eeb). Introdução: no processo de envelhecimento ocorrem alterações morfológicas, funcionais, bioquímicas e psicológicas. A patologia de alzheimer acomete cerca de 27 milhões de pessoas, sendo elas acima dos 65 anos de idade. É um transtorno neurodegenerativo que compromete progressivamente a realização de suas atividades diárias. Os idosos acometidos por essa patologia têm um comprometimento cognitivo que duplicam suas chances de quedas, em comparação com os idosos que possuem cognição conservada. A abordagem metodológica aplica para o desenvolvimento deste trabalho consistiu em realizar uma revisão bibliográfica da literatura integrativa em bases de dados reconhecidas pela comunidade científica, tais como, electronic library online (scielo), latin american and caribbeanhealth sciences literature (lilacs) e google acadêmico. A busca foi restrita a publicações no período de 2019 a 2024, na língua portuguesa. A avaliação por sua vez, é de suma importância para avaliar quais são os fatores de riscos que levam os idosos a caírem. Os testes funcionais são essenciais nesse momento de avaliação dos pacientes.
Análise microbiológica das saladas consumidas cruas no refeitorio de uma instituição de ensino
Authors: Cunha Wéltima Teixeira
Published: July 2024

O Programa Nacional de Alimentação Escolar – PNAE estabelece critérios para a gestão da alimentação escolar, do Conselho de Alimentação Escolar, das cantinas e cozinhas nas escolas e o trabalho dos (as) nutricionistas e da educadora na escola (CONCEIÇÃO, 2015; BRASIL, 2009a).
Nesse sentido, o PNAE implantado em 1955, é uma política pública e tem como objetivo transferir recursos financeiros para garantir a alimentação escolar dos estudantes de toda a educação básica educação infantil, ensino médio e educação de jovens e adultos matriculados em escolas públicas e filantrópicas, para atender as necessidades nutricionais desses estudantes durante sua permanência em sala de aula contribuindo para o crescimento, o desenvolvimento, aprendizagem e o rendimento escolar dos estudantes, e foca na formação de hábitos alimentares saudáveis (BRASIL, 2009b; CECANE PARANÁ, 2010).
O consumo de hortaliças é fundamental e deve parte de qualquer do cardápio de qualquer família. Ocorre em razão do seu valor nutricional advindo das vitaminas, minerais, fibras, aporte calórico baixo e pelas fibras nelas contidas (NASCIMENTO et al., 2005). Destaca-se que a população em geral tem mudado os hábitos alimentares no que se refere ao consumo de hortaliças “in natura” (OLIVEIRA et al., 2006).
Salienta-se no entanto, que as hortaliças consumidas cruas são responsáveis pela transmissão de doenças entéricas. A contaminação se dá na horta, pelo uso de água de irrigação ou adubos inadequados, no transporte ou por manipulação nos pontos de venda; e as sucessivas manipulações aumentam as chances de contaminação (TAKAYANAGUI, 2001).
Essa contaminação se deve a presença de grupo de coliformes e um deles é de bactérias do grupo coliformes totais. O outro grupo coliformes fecais (coliformes a 45º C ou termotolerantes) nos alimentos indica as condições higiênico-sanitárias do produto e melhor indicação da eventual presença de enteropatógenos (FRANCO; LANDGRAF, 2008).
A preocupação com a qualidade e segurança dos alimentos é uma questão mundial de saúde pública, devido a possibilidade de ingestão de algum tipo de alimento contaminado por microrganismos patogênicos (CUNHA, 2006). As hortaliças que são consumidas cruas são fontes prováveis desses microrganismos e deve atentar para os países em que o saneamento é precário (ALMEIDA FILHO, 2008).
Apresenta como objetivo principal analisar as saladas consumidas cruas pelos estudantes, preparadas no refeitório do campus Vitória da Conquista, do ponto de vista microbiológico.
Gestão da qualidade de vida no trabalho em escolas públicas: Indagações em escolas municipais
Authors: Lopes Alessandro Souza , Schirrmeister Renata
Published: July 2024

Tendo em vista que Gestão da Qualidade de Vida no Trabalho (GQVT) pode ser definida como o “Conjunto de ações de uma organização no sentido de implantar melhorias e inovações gerenciais, tecnológicas e estruturais no ambiente de trabalho, e envolve as seguintes áreas do conhecimento: saúde, ecologia, ergonomia, psicologia, sociologia, economia, administração e engenharia.” (Limongi-França, 1996), poder-se-ia supor que em um ambiente escolar essa prática seria mais do que natural, uma vez que se trata de um ambiente em que o produto principal é a melhoria e o desenvolvimento de seus estudantes.
Perfil epidemiológico dos pacientes internados na pediatria com pneumonia complicada
Authors: De Figueiredo Otho melo , De Magalhães Eugênio Fernandes , Tasso Silvia Mara
Published: July 2024

As infecções respiratórias agudas (IRA) são doenças que acometem qualquer segmento do trato respiratório no período de até 7 dias de duração. São responsáveis  por  25% de todas as doenças e mortes entre crianças nos países em desenvolvimento.  Em média, crianças de áreas urbanas têm de 4 a 6 IRA por ano. Aproximadamente, 2-3% das Infecções respiratórias agudas(IRA) progridem para uma infecção do parênquima pulmonar, das quais 10-20% evoluem para óbito. A pneumonia adquirida na comunidade (PAC) é a principal IRA do parênquima pulmonar. A PAC é caracterizada como a presença de sinais e sintomas de pneumonia em criança previamente saudável, devido a infecção contraída fora do hospital. A pneumonia complicada é aquela que cursa com consolidação extensa, abscesso, derrame pleural, pneumatocele e atelectasia.
A infecção pneumocócica é uma causa prevalente em todo mundo, sendo responsável por significativas taxas de morbimortalidade, o que é evidenciado por 800 mil óbitos em 2017, resultando em 15% de todas as mortes de crianças menores de 5 anos em países em desenvolvimento. No contexto Brasil, essa doença é a principal causa de morte evitáveis na infância. De acordo com dados do Sistema Único de Saúde em 2017 a pneumonia foi a segunda causa de hospitalização em 2017, sendo responsável por 14% de todas as hospitalizações.
Deste modo o presente estudo objetiva realizar um mapeamento epidemiológico delineando o número de crianças  internadas por pneumonia complicada,  com o objetivo de destacar as características epidemiológicas, individuais, físicas, socioeconômicas e sanitárias diante de cada indivíduo, intervindo de forma mais eficaz evitando desfechos negativos dessa doença que ainda é uma grave problema de saúde pública nos países em desenvolvimento.
The modus operandi of the corporate psychopath: Analysis of the literature review
Authors: De Santana Paulo Roberto Peixôto Lima , De Farias Luana das Graças Queiróz
Published: July 2024

The scarcity of research on corporate psychopaths in Brazil aroused the interest of the present study. The main objective was to analyze and explain the modus operandi adopted by psychopaths in companies, based on the specialized literature. For this, the research, of an exploratory nature, used the bibliographic review as a methodology, consulting books, scientific articles and websites. The results revealed that most authors agree on the characteristics of the corporate psychopath, such as the search for power and control, the manipulation of colleagues, and the exploitation of dysfunctional organizational cultures. However, there are disagreements about the definition, nomenclature, origin and classification of psychopathy. The study concludes that corporate psychopathy is a real problem and that more research is needed to understand and combat it. Identifying and addressing this profile is crucial to protect victims and organizations from the negative impacts of corporate psychopathy.
MORTALIDADE POR NEOPLASIA MALIGNA DO CÓLON
Authors: Cantanhede Érico Brito , Dias Laura Rosa Carvalho , Silva Laiany Caroline dos Santos , Paiva Neto Alexandre Apolônio
Published: July 2024

A neoplasia de cólon, na maioria dos casos, é assintomática ou apresenta sintomas não específicos para o diagnóstico, que variam de acordo com o local de acometimento das ulcerações. Dessa forma, os sinais dessa doença geralmente estão associados a quadros de anemia e perda de peso pela desordem sistêmica ocasionada por essa patologia. No câncer de cólon proximal pelo líquido intestinal não são relatadas sintomatologias dolorosas nem mesmo alteração nos hábitos intestinais. Ademais, nessa região as úlceras podem ocasionar uma crônica perda sanguínea em sangramentos ocultos, os quais só são notados quando o quadro sistêmico do paciente está afetado pela anemia, o qual sente tanto palpitações quanto cansaço exacerbado sem causa externa específica, sendo sintomas difíceis de serem relacionados ao quadro neoplásico (VIEIRA et al, 2013).
MORTALIDADE POR NEOPLASIA MALIGNA DO FÍGADO E VIAS BILIARES INTRA-HEPÁTICAS
Authors: Catunda Aline Maria Santos Farias , Marques Ana Luísa Penha Castro , Menezes Layza Hellen Fernandes , Marques Consuelo Penha Castro
Published: July 2024

A neoplasia de fígado é caracterizada pela multiplicação desordenada de células do tecido hepático a partir de alterações cromossômicas e influências externas também. Nesse tipo específico de tumor, o álcool é um fator preponderante no aparecimento de células cancerígenas. O tipo mais comum é o carcinoma hepatocelular, que normalmente acomete o órgão primariamente e em seguida está o colangiocarcinoma, que afeta as células epiteliais de revestimento do canal biliar. A patogênese desse câncer consiste em reduzir a função hepática e gerar metástases dentro e fora do fígado. Outras manifestações incomuns, mas que podem existir são o angiossarcoma primário hepático, o hemangioendotelioma epitelióide hepático, o hemangiopericitoma, ou o linfoma hepático primário (Ferreira, 2023).
Palliative care in dentistry: Literature review
Authors: Palma Adriana Benquerer Oliveira , Mendes Ana Maria Nogueira , Diogo Ana Tereza Silva e , Braga Laura Rodrigues , Palma Lavínia Maria Benquerer Oliveira , Freitas Mariana Cardoso , Rocha Raíssa Pinto
Published: July 2024

Palliative care seeks to provide quality of life through an interdisciplinary team capable of providing effective and comprehensive assistance to the patient in their final moments, and their family. In this sense, this work aims to address palliative care in dentistry. Several conditions act as a supporting or main factor in the development of oral problems in palliative patients. Among the main causes are nutritional deficiency, difficulty in oral hygiene, pharmacological and collateral therapies and dehydration, with xerostomia being the most frequent problem, followed by oral candidiasis, dysphagia, mucositis, orofacial pain, changes in taste and ulcers. However, the initiation of dental intervention is difficult, as many patients believe that oral manifestations are typical and inherent to diseases or because they lose the ability to communicate about their discomforts. Thus, the importance of including the dentist in the care of the palliative patient is verified to alleviate pain and the occurrence of complications, as well as to guarantee care for this individual.
Innovation in the public sector to confront COVID-19: A reality experienced at the municipal level
Authors: Cardoso Carine dos Santos , Watanabe Melissa , Camilo Silvio Parodi Oliveira , Ferraz Fabiane
Published: July 2024

Among the various concepts of innovation, some authors conceptualize them as various forms of change, from the exploration of new ideas, the construction of new models of care practices that meet the local reality, to the creation of new technologies such as medicines, high-density devices, among others, but the organization must be significant and with measurable results of effectiveness. Thus, in the year 2020, Brazil began to experience the catastrophe brought about by the covid-19 pandemic, and had to resignify many modes operating in the work processes in various areas, in the health sector, strategies to guarantee assistance to the sick population, with a view to reducing the number of deaths in Brazil. In this scenario of uncertainties, rapid actions were created in all spheres of government. Thus, the article sought to describe actions carried out in municipal public management to face Covid-19, having as a reference the municipality of Sombrio, Santa Catarina, contextualizing it with innovation in the public sector from the practice experienced in the period from 2020 to 2022. The methodological process is based on the discursive formulation on Innovation and Public Management, organized into sections, the role of Public Management in the Covid-19 pandemic, challenges in Public Health, Innovation and the use of technology in coping with Covid-19 in various scenarios, explanation of the actions carried out in the municipality, and the final considerations, pointing out the relevance of innovative strategies in the public sector.