bluuebunny/crossref_metadata_2025 huggingface dataset:
Outcomes and complications of hemodialysis in patients with renal cancer following bilateral nephrectomy
Authors: Shen Bing , Luo Feng , Yuan Nan , Yin Jiaming , Chai Yalin , Sun Lijie , Zhang Lin , Luo Congjuan
Published: August 2024

Objectives

The management of patients undergoing bilateral nephrectomy for renal cancer presents significant challenges, particularly in addressing hypotension, anemia, and tumor recurrence during hemodialysis.

Case presentation

A patient diagnosed with renal clear cell carcinoma in 2009 was followed until his demise in June 2022, with detailed documentation of symptoms, signs, laboratory results, diagnosis, and treatment. In the presented case, post-nephrectomy, the patient experienced frequent hypotension and anemia during dialysis, improving with erythropoietin-stimulating agents and subsequently with rosuvastatin. Later, multiple metastases were detected, correlating with normalized blood pressure and hemoglobin.

Literature review

A literature search up to September 2023 was also conducted, gathering data on hypotension, anemia, and tumor recurrence post-nephrectomy. Literature analysis of six cases revealed a 100% tumor recurrence rate in elderly patients (>50 years).

Conclusion

Treatment of anemia in bilateral nephrectomy patients warrants consideration of medication-induced tumor recurrence, highlighting early kidney transplantation to avoid adverse reactions like hypotension.
A composite index to measure sustainability of supply chain management in construction companies
Authors: Cataldo Ieva , Banaitiene Nerija , Banaitis Audrius
Published: August 2024

Companies in the construction sector are increasingly aware of the importance and challenges of sustainability. In recent years, construction companies have introduced some sustainability initiatives and have embraced the concept of sustainability indicators. However, measuring a company’s performance on a wide range of sustainability indicators is challenging. Integration of supply chain sustainability indicators is required. This article presents a methodology for easily consolidating existing supply chain indicators into a single analysis that requires minimal resources. First, the list of 38 sustainability indicators of the supply chain was defined and divided into 7 sustainability groups. The experts were then asked to rank the sustainability groups and the supply chain sustainability indicators within each group according to their importance using the rank sum weighting method. The survey questionnaire was distributed to the respondents via paper or email to 24 academics and top/middle managers of construction companies. Global normalized weights were employed to determine the final indicator rankings. For normalization, target values were suggested for each indicator. Finally, a composite sustainability index for a construction company’s supply chain was developed. The developed composite sustainability index provides a global view of sustainable supply chain management in construction companies, allowing supply chain indicators to be related to their objectives. The developed composite index can be used by supply chain managers in construction companies to assess their organization’s contribution to supply chain sustainability.
Enhancing Life Science Learning in Middle School
Authors: Craney Chris L. , Lau Thomas , Rust James , de Groot Robert M. , Nelson William T. , Ghomeshi Adriana , Ogas Alicia
Published: August 2024

A student’s middle school science experience strongly impacts their future science, technology, engineering, and mathematics interest. The Japanese lesson study (JLS) model strengthens the student’s experience through a research-based, collaborative, multistep, teaching-centered process focused on transforming local instructional practices. The JLS model has seen very limited application to middle school life science classrooms. The six-year-long implementation of JLS to core standards in the seventh-grade life science curriculum at a Los Angeles area school serving a historically underrepresented population found large, gender-independent increases in student mastery of key science standards, increased teacher collaboration in the areas of lesson development and data analysis, and school-site reform yielding district and statewide recognition.
GeoGebra-supported Learning Kit for Teaching Area of Trapezoid Based on TPMK Framework
Authors: Triet Le Viet Minh , Thanh Ha Man
Published: August 2024

The use of technology in education has expanded fast in the twenty-first century. The capacity to use technology in teaching materials has become a crucial talent for mathematics teachers, and it is a key topic in the current study. This is why, as a new teacher, you must be able to create ICT-based learning materials. This study aims to create an interactive mathematical learning media tool kit for teaching the area of trapezoid based on the TPMK framework and the GeoGebra dynamic mathematics program. This study was research and development (R&D) conducted with the Plomp development model. The designing stage is divided into two steps. In the first step, we created a model for developing a GeoGebra-supported teaching kit based on the TPMK framework originated from Shulman's (1986) stated in our theoretical foundation. In the second step, a concrete example of a task circumstance was created to demonstrate the model. This result shows that using GeoGebra dynamic mathematics software with a TPMK framework can help teachers explain abstract mathematics concepts to make them easier for students to understand.
Barriers to Reverse Logistics and the Circular Economy in Supply Chain Arrangements: A Qualitative Study in Ecuador
Authors: Apolinario Quintana Rafael , Rodríguez Donoso Martha , Apolinario Quintana Carlos , Zambrano Farías Fernando José
Published: August 2024

The objective of this research is to analyse the main barriers to implementing models related to the circular economy and reverse logistics in the framework of corporate social responsibility in Ecuador. The study has used a qualitative approach, using a non-probabilistic sample of seven companies, interviewing experts in the fields of production and operations management, as well as reverse logistics and the circular economy. The results, provided by Atlas.ti software, identify that the most common obstacles to putting reverse logistics and circular economy models into practice are the lack of stakeholder commitment, information on business sustainability and private and government investment, and the negative impact on the cost-benefit ratio of Latin American companies based on their business culture.
Book Review of Jeremi Suri's "The Impossible Presidency. The Rise and Fall of America's Highest Office"
Authors: Duah Manna
Published: August 2024

Book Review of Jeremi Suri's "The Impossible Presidency. The Rise and Fall of America's Highest Office"
Strategic Visions, Volume 18, no. 2
Authors: Fischer Michael
Published: August 2024

Strategic Visions, Spring 2019
Book Review - Making the Forever War: Marilyn B. Young on the Culture and Politics of American Militarism
Authors: Southgate Alexandra
Published: August 2024

Book Review authored by Alexandra Southgate, History PhD student at Temple University
Parameters of a nanopiezoengine for astrophysics research
Authors: SM Afonin
Published: August 2024

The static and dynamic parameters of a nanopiezoengine for astrophysics research are determined. The function of the nanopiezoengine is obtained. The parameters of the transverse nanopiezoengine are written.
Discourse on Reporting the Palestine-Israel Conflict “Inclusion Strategy in the News of the Shooting of Shireen Abu Akleh (Al Jazeera Journalist) on BBC Arabic Newspaper”
Authors: Nawawi Hasby Achmad , Kulsum Umi
Published: August 2024

This study aims to analyze the inclusion strategy in constructing the news about the shooting of Al Jazeera journalist Shireen Abu Akleh. The method used is descriptive analysis with the object of research, namely news texts                          "شيرين أبو عاقلة: إدانات واسعة ودعوات لإجراء تحقيق في مقتل مراسلة الجزيرة أثناء تغطيتها لغارة إسرائيلية regarding the shooting of Shireen Abu Akleh (Palestinian-American Journalist) on BBC Arabic on May 11, 2022. The data was collected through document review method using the close reading techniques. In analyzing the data, this research applies the theory of inclusion in critical discourse analysis developed by Theo van Leeuwen. The results of the analysis show that BBC Arabic attempted to provide comprehensive and balanced coverage of Shireen Abu Akleh by focusing on the victim. However, this study also highlights the possible interests in the presentation of the news presented in the construction of the news. By identifying such patterns through inclusion strategies, this research provides a reminder to readers of the importance of critically observing news, considering context, and understanding potential biases that may be included in the presentation of news by international media such as BBC Arabic.
Arabization of Sports Terms on the Emarat Al-Yaoum Website
Authors: Syah Abdul Jabbar Siddiq , Nugraha Mugy
Published: August 2024

Sports are more than just games; they have become a platform for building bilateral relationships. Many sports have gained international prominence and entered the Arab world, such as the Qatar World Cup and others, leading to the absorption of foreign sports terminology into the Arabic language. This study aims to identify the Arabization (ta'rib) rules used by the news website "Emarat Al-Yaum" in its sports section when adapting foreign words into Arabic. The research data was collected from sports news published in March 2023 on the Emarat Al-Yaum website. The study employs a descriptive qualitative research method, involving the analysis of news articles and the collection of Arabized sports terms. The findings reveal that the "Emarat Al-Yaum" news website extensively covers international sports news, resulting in the adoption of numerous sports-related loanwords. In terms of Arabization, the website largely adheres to the standardization rules set by the Arabic Language Academy (Majma' Lughah Arabiyah) in Cairo for converting Latin letters into Arabic. For example, the letter 'C' is replaced with (ك) in words like "acrobatic," and 'P' is replaced with (ب) in words such as "Polo" and "Protein."However, the study also notes some deviations from the Cairo Arabic Language Academy's guidelines, such as the treatment of the 'Ng' sound and the representation of 'Q' with (ق). The ta'rib rules employed by Emarat Al-Yaum include vowel changes, letter substitutions, additions, and omissions when adapting foreign words.
Correlation of RND efflux pump expression and AdeRS mutations in tigecycline-resistant Acinetobacter baumannii from Thai clinical isolates
Authors: Boonsilp Siriphan , Homkaew Anchalee , Wongsuk Thanwa , Thananon Konrawee , Oonanant Worrapoj
Published: August 2024

Tigecycline-resistant Acinetobacter baumannii (TRAB) is increasing in Thailand, complicating antibiotic treatment due to limited antibiotic options. The specific resistance mechanism behind tigecycline resistance is still unclear, necessitating further investigation. We investigated the presence of OXA-type carbapenemases, the antimicrobial susceptibility profile, the inhibitory effect of carbonyl cyanide m-chlorophenylhydrazone (CCCP) on tigecycline susceptibility, the expression levels of RND-type efflux pumps and amino acid substitutions within a two-component regulatory system on 30 Thai clinical isolates. Our investigation revealed that most of (73.3%) TRAB isolates expressed at least one member of the Ade efflux pumps. The adeB was most frequently expressed (63.3%), followed by adeR (50%), adeS (43.3%), adeJ (30%) and adeG (10%). Overexpression of the AdeABC was associated with increased tigecycline minimum inhibitory concentrations (MICs) and amino acid substitutions within the AdeRS. Notably, isolates harbouring simultaneous mutations in these genes exhibited an increase in the transcription level of the adeB. Our findings highlight the significant role of the AdeABC system in tigecycline resistance among Thai clinical TRAB isolates. This is supported by point mutations within the AdeRS and upregulated expression of the adeB. These results provide valuable insights for understanding resistance mechanisms and developing novel therapeutic strategies.
Antifungal potential, mechanism of action, and toxicity of 1,4-naphthoquinone derivatives
Authors: de Almeida Juan Diego Ribeiro , Fonseca Raissa Sayumy Kataki , de Sousa Naira Sulany Oliveira , Cortez Ana Cláudia Alves , Lima Emerson Silva , de Souza Oliveira Juliana Gomes , de Souza Érica Simplício , Frickmann Hagen , de Souza João Vicente Braga
Published: August 2024

Background

The rising prevalence of fungal infections and challenges such as adverse effects and resistance against existing antifungal agents have driven the exploration of new antifungal substances.

Methods

We specifically investigated naphthoquinones, known for their broad biological activities and promising antifungal capabilities. It specifically examined the effects of a particular naphthoquinone on the cellular components of Candida albicans ATCC 60193. The study also assessed cytotoxicity in MRC-5 cells, Artemia salina, and the seeds of tomatoes and arugula.

Results

Among four tested naphthoquinones, 2,3-DBNQ (2,3-dibromonaphthalene-1,4-dione) was identified as highly effective, showing potent antifungal activity at concentrations between 1.56 and 6.25 μg mL−1. However, its cytotoxicity in MRC-5 cells (IC50 = 15.44 µM), complete mortality in A. salina at 50 μg mL−1, and significant seed germination inhibition suggest limitations for its clinical use.

Conclusions

The findings indicate that primary antifungal mechanism of 2,3-DBNQ might involve disrupting fungal membrane permeability, which leads to increased nucleotide leakage. This insight underscores the need for further research to enhance the selectivity and safety of naphthoquinones for potential therapeutic applications.
Assessment of vulnerability to fluvial floods: Case of municipalities of the Gidra River Basin, Slovakia
Authors: Vojtek Matej , Moradi Soheyl
Published: August 2024

Cel pracy

Celem pracy jest ocena wrażliwości gmin położonych w dorzeczu Gidry na powodzie rzeczne. Obliczyliśmy wskaźnik podatności na powodzie rzeczne (FFVI) odnoszący się do roku 2021 dla dwunastu gmin znajdujących się w dorzeczu Gidry.

Materiał i metody

Do określenia odpowiedniego subindeksu podatności na powódź gospodarczą (EFVsI) i subindeksu wrażliwości na powódź społeczną (SFVsI) wykorzystano trzy wskaźniki wrażliwości ekonomicznej i siedem wskaźników wrażliwości społecznej. Znormalizowaliśmy pierwotne wartości wskaźników metodą maksymalny i potraktowaliśmy wszystkie wskaźniki jako równie ważne. W ostatnim kroku określiliśmy FFVI dla każdej gminy w skali [0, 1] poprzez agregację EFVsI i SFVsI, które miały równe wagi.

Wyniki i wnioski

Najwyższe wartości EFVsI odnotowano w gminach Častá (0,81), Cífer (0,66) i Budmerice (0,64), które znajdują się w środkowej (Cífer) i górnej (Častá i Budmerice) części dorzecza. Najwyższe wartości SFVsI zanotowano w gminach Píla (0,79) i Štefanová (0,76), które leżą w górnej części dorzecza. Na podstawie wartości ostatecznego FFVI można stwierdzić, że największą wrażliwość na powodzie rzeczne charakteryzują gminy Častá (0,75), Budmerice (0,67) i Cífer (0,67). Natomiast najniższe wartości notuje się w gminach Ružindol (0,37), Pavlice (0,38) i Jablonec (0,40).
‘The Naked Truth’ about degendering
Authors: O’Neill Brittney K.
Published: August 2024

In West Coast Swing (WCS) dancing, traditionally only men were permitted to lead and women to follow; however, since 2014 the degendering movement has sought to enable all dancers to participate in their preferred role and to remove gendered language from the discourse around leading and following. As part of a larger linguistic ethnography exploring (de)gendered language use in WCS contexts across Central Canada and the US Northeast and Midwest, this case study explores patterns of and factors contributing to the use and avoidance of gendered language in The Naked Truth, a podcast created by and for the WCS community. While the podcast hosts use the degendered terms ‘leader’ and ‘follower’, their differing but continued use of heteronormatively gendered pronouns in coreference with these neutral terms suggests that the speakers’ mental models remain gendered and that there is a continued need for representation of individuals dancing in nonheteronormative roles.
Survival Rate and Esthetic Outcomes of 2-Piece Zirconia Dental Implants: A 1-Year Single Clinical Trial of Partially Edentulous Patients
Authors: Mayer Yaniv , Ginesin Ofir , Rotenberg Daniel , Kabakov Liron , Gabay Eran , Horwitz Jacob , Gutmacher Zvi , Zigdon Giladi Hadar
Published: August 2024

Titanium dental implants, traditionally used for tooth replacement, face certain biological and esthetic limitations. Recently, zirconia has become a notable alternative, valued for its esthetics and biocompatibility. This study evaluated the efficacy of 2-piece zirconia dental implants, particularly their impact on inflammatory cytokines and their survival rate over 1 year. This study was a single-center, prospective trial and included adults aged 18 and above. From 2021 to 2022, 9 2-piece, tissue-level zirconia implants were placed in 8 patients. Following a 3-month osseointegration phase, crowns were cemented. Over a year, we assessed plaque and gingival indices, pocket depth, and tissue color and texture. Peri-apical radiographs measured bone levels, and IL-1β in peri-implant crevicular fluid was quantified using the enzyme-linked immunosorbent assay. Eight subjects (ages 31–63) participated. One implant failed after 6 months, resulting in a 1-year survival rate of 88.8%. Plaque and gingival indices rose, but peri-implant soft tissue remained stable in color and texture. At 12 months, average bone loss was minimal and insignificant compared with the baseline, and IL-1β levels were similar to those at contralateral teeth with no correlation between IL-1β, pocket depth, and bleeding on probing. Two-piece zirconia implants emerged as a viable tooth replacement option with an 88.8% 1-year survival rate. They maintained stable soft tissue and bone levels, indicating their potential as effective dental restoratives.
Philosophy of the categories «management», «management system» and «transformation of the management system» in the context of economic philosophy, post-non-classical science and noonomics. Part 2
Authors: Mitenkov Alexey
Published: August 2024

The research is part of the dissertation work of Mitenkov A.V.
The author sets the task of identifying multidisciplinary connections between these concepts, paying special attention to their evolution and transformation under the influence of globalization, technological progress and changes in public consciousness.
The study is presented in two parts, which is explained by the scale and non-trivial nature of the topic itself, both from the point of view of theoretical approaches and from the point of view of the new economic model and management system of industrial enterprises implemented in management thought and practice in Russia.
In the first part of the study, the author examines various scientific approaches to these
categories. The second part is devoted to the study of the ontological meanings of the transformation of the management system in conditions of constant change.
The result of the study of the second part: an analysis of the approaches of post-classical science and noonomics allowed the author to synthesize and formulate the main components of the «integral-value (holistic) methodology for transforming the management system», the most important role in which is given to the tasks of «educating» a new model of behavior of the individual-human worker.
In conclusion, the author summarizes the analysis, identifying the key trends and challenges facing modern management and management systems. The article offers a comprehensive view of the transformation of management practices through the prism of philosophical categories, emphasizing the importance of an interdisciplinary approach in the study and application of management innovations. The novelty of the research lies in the formulation of the prerequisites, foundations and elements of the integral-value (holistic) methodology for transforming the organization's management system.
Philosophical analysis of management categories, management systems and their
transformation is a key tool for understanding and developing modern management practices, providing the necessary theoretical basis for understanding and transforming management systems in accordance with the requirements of the time, opening new horizons for research and innovation in the field of management.
In this article, the terms «management» and «management» are used by the author as
synonyms.
The Global Eurasian: Russia or China
Authors: Leskova Irina , Parfenov Denis , Adamskaya Lyubov'
Published: August 2024

The article examines the concept of «Global Eurasian» in its original theoretical
sense and how it is implemented in practice. During the research, it was revealed that it was started by an English globalist scientist during a period when, for 15 years, Russia had successfully refuted the validity of the idea itself, since it was led by the world hegemon the United States and its vassals.
Under the principles of market democracy, completely different values were presented, namely the emergence of countries of the center (core), semi-periphery and periphery, with the subsequent transformation of the latter into a resource, raw material and agricultural appendage of the countries of the «golden billion». A separate role in Greater Eurasia was supposed to be given to China as a global factory. Thus, the article defines the role of Russia and China in the fight against world hegemony and the formation of a multipolar world. It is noted that countries have chosen their own paths: Russia — ideological and military-political, and China — financial and economic. The steps taken by Russia to establish global multipolarity and promote its own interests in the international political arena are revealed, such as the speech of Russian President V.V. Putin at the Munich Conference; resolution of the conflict that arose between Georgia, Abkhazia and South Ossetia; speech by V.V. Putin at a meeting of the Valdai Discussion Club in 2014; the beginning of the SVO in Ukraine in 2022, given the impossibility of ensuring Russia’s security in any other way. The steps taken by China along this same path and the successes achieved are also revealed. Namely, the achievement of rapid and sustainable economic growth, an increase in international trade volumes, the entry of 4 financial centers into the top 10 of the world, the strengthening of the yuan as an international currency, and the implementation of the «One Belt — One Road» project. Thus, it is concluded that the meaning of the concept of «Global Eurasian» is changing from globalist exploitation to the regionalization of the world with voluntary, sovereign and mutually beneficial cooperation between countries.
Prescrição de antidepressivos na atenção primária: um estudo descritivo acerca da confiança dos profissionais médicos
Authors: Moreno Hercules Fernandes , Almeida Amanda Cristina Galvão Oliveira de
Published: August 2024

Resumo: Os antidepressivos são a terceira classe medicamentosa mais prescrita, sendo que a maioria das prescrições não é realizada por especialistas. O objetivo do estudo é avaliar a autopercepção de confiança na prescrição de antidepressivos por médicos da atenção primária à saúde (APS). Foi realizado estudo de corte transversal de médicos atuantes na APS da cidade de Salvador, Bahia, Brasil. Foram excluídos psiquiatras ou residentes de psiquiatria. A autoavaliação da confiança, assim como a coleta de características dos participantes foi realizada por meio de questionário online. Variáveis categóricas foram descritas em termos de frequência absoluta e relativa. Variáveis contínuas foram descritas como média ou mediana, conforme distribuição de normalidade. No contexto total de 447 médicos, a amostra foi composta por 55 participantes. A média de idade foi de 37,2 (±12,8) anos. A maioria dos médicos (75%) reconheceu-se confiante na prescrição de antidepressivos. A autopercepção de confiança manteve-se predominante em cenários de pacientes idosos (69,2%) e portadores de comorbidades gerais (65,4%). A minoria mostrou confiança para prescrever antidepressivos a crianças/adolescentes (19,2%) e gestantes (26,9%). Para 80,4% dos participantes, os inibidores seletivos da recaptação de serotonina foram a classe farmacológica de maior confiança. O encaminhamento para o Centro de Atenção Psicossocial foi a estratégia mais referida em casos de insegurança na prescrição (32%). Até onde se sabe, esse é o primeiro estudo a abordar tal questão. Por essa razão, ele pode contribuir para a construção de ações de educação em saúde mais assertivas voltadas a médicos da APS.
Um breve panorama sobre a Agenda 2030, as doenças crônicas não transmissíveis e os desafios de não deixar ninguém para trás
Authors: Pires Laurenice de Jesus Alves , Ribeiro José Mendes , Cruz Marly Marques da
Published: August 2024

Resumo: Este ensaio traz uma reflexão teórica sobre os desafios para alcançar as metas dos Objetivos do Desenvolvimento Sustentável da Agenda 2030, considerando seu lema de “não deixar ninguém para trás”. Para exemplificar esses desafios, apresenta-se como pano de fundo as doenças crônicas não transmissíveis (DCNT), um dos principais temas da agenda da saúde global antes da pandemia de COVID-19, discutindo as dimensões políticas e econômicas que determinam sua presença e avanço global. Após um breve panorama sobre as DCNT, busca-se responder a três perguntas: em “Sem deixar ninguém para trás?”, elencamos alguns temas para refletir sobre como e quem tem ficado historicamente para trás, aprofundando um pouco mais os exemplos ao adentrar em “Quem tem ficado para trás no mundo?” e “Quem tem ficado para trás no Brasil?”. A partir de dados da literatura mais relevante e recente sobre o tema, apresentamos os desafios e alguns caminhos para não deixar ninguém para trás em um mundo em que o modo de produção tem historicamente vulnerabilizado alguns grupos sociais, com destaque para a população negra e a população indígena. Trazemos nas considerações finais a inspiração do ideograma Sankofa para lembrar que as respostas para o desenvolvimento sustentável que buscamos podem estar em algum lugar de nosso passado mais originário e tradicional, e que é preciso apostar na construção de novos caminhos a partir de outras epistemologias e cosmovisões presentes do outro lado da linha abissal.
Análise de série temporal: tendência da mortalidade materna tardia no Brasil, 2010-2019
Authors: Borgonove Kelly Cristina Almeida , Lansky Sônia , Soares Vânia Muniz Nequer , Matozinhos Fernanda Penido , Martins Eunice Francisca , Silva Roberto Allan Ribeiro , Souza Kleyde Ventura de
Published: August 2024

Resumo: Com o propósito de analisar a tendência temporal da razão de mortalidade materna tardia (RMMT) no Brasil e suas regiões geográficas no período de 2010 a 2019, conduziu-se um estudo ecológico de série temporal. Foram utilizados dados relacionados à mortalidade materna tardia, provenientes de sistemas de informação do Ministério da Saúde. A análise estatística empregou modelos autorregressivos de Prais-Winsten. Foram notificados 1.470 óbitos maternos tardios no Brasil, resultando em uma RMMT de 5 óbitos a cada 100 mil nascidos vivos. Os registros de mortalidade materna tardia revelaram disparidades regionais com o menor índice na Região Norte (3,5/100 mil nascidos vivos) e o maior na Região Sul (8,3/100 mil nascidos vivos). Houve tendência crescente da RMMT no país, com aumento geral no período e variação percentual média anual de 9,79% (IC95%: 4,32; 15,54). A Região Centro-oeste liderou esse aumento, com variação percentual média anual de 26,06% (IC95%: 16,36; 36,56), seguida pelas regiões Norte e Nordeste, com 23,5% (IC95%: 13,93; 33,88). Cerca de 83% das mortes maternas tardias declaradas foram investigadas, sendo que 65,6% foram corrigidas pelos Comitês de Mortalidade Materna. Esses achados ressaltam a relevância da mortalidade materna tardia como um indicador de importância para a saúde materna muitas vezes invisibilizado. O aumento da RMMT verificado pode ser resultado da melhoria da qualidade do registro desses óbitos nos últimos anos no Brasil, sobretudo do trabalho de investigação dos óbitos. A fragilidade das notificações com as disparidades regionais aponta a necessidade de uma abordagem abrangente que promova equidade e prevenção de mortalidade materna tardia evitáveis.
Understanding small farmers’ technology adoption and its relation to fruit fly attack: a case study from Gunuang Omeh, Lima Puluh Kota, Indonesia
Authors: Mufidah Lyli , Devy Nirmala Friyanti , Wuryantini Susi , Hanif Zainuri , Sugiyatno Agus , Endarto Otto , Hardiyanto  , Budiyati Emi , Supriadi Khojin , Affandi
Published: August 2024

ABSTRACT: This research examined the technological adoption of integrated management for healthy citrus orchards by farmers in Gunuang Omeh, a sub-district in Lima Puluh Kota Regency, West Sumatra, Indonesia. The adoption rate, characteristics of farmers at each level, influencing factors, and their association with fruit fly attacks, were measured. The data was obtained through a survey conducted purposively from June to December 2021 involving 351 farmers. The results of the analysis showed that the individual adoption rate was high, but for the handling of fruit flies in group was low, with the emphasis on the need for consolidation. The characteristics different at each level of adoption were: the distance from the farmer’s home to the orchard and the difficulty of access to credit. Several factors influence the adoption of this technology individually were from characteristics of the farmers (number of family members and experience); citrus orchard (distance to input, output, extension, plant age); also the difficulty to access information and credit. These results suggested that intervene policies that can be done: (1) facilitate access to credit for citrus farmers, especially for the needs of large plantations. (2) provide easy access to information related to fruit fly handling simultaneously or community-based cooperation, (3) provide ease of transportation access.
Transplant management in Brazil: a temporal analysis of financial investments and procedures
Authors: Souza Mercy da Costa , Ferreira Júnior Marcos Antonio , Pompeo Carolina Mariano , Mota Felipe Machado , Cury Elenir Rose Jardim
Published: August 2024

ABSTRACT Objective: To analyze public management actions regarding organ, cell, and tissue transplant procedures and their financial investments in Brazil. Method: Mixed (time and place) ecological study, carried out based on data from the Hospital Information System of the Brazilian Public Health System (SUS) Information Technology Department and the National Transplant System, from 2001 to 2023. Temporal trend analyses, descriptive and inferential statistics were performed. Results: Organ, cell, and tissue transplants are concentrated in the Southeast region of the country, with increased costs there. The Northeast and South regions of Brazil have the longest waiting list, with an increasing trend (R2 = 0.96), associated with a decreasing trend in the number of transplants (R2 = 0.97). Conclusion: The difference in the total number of transplants and procedures performed among the Brazilian regions represents the need for organization and investments with strategies aimed at training professionals and raising awareness among the population.
AVALIAÇÃO DE APLICATIVO MÓVEL PARA PREVENÇÃO DO USO DE ÁLCOOL E OUTRAS DROGAS POR ADOLESCENTES
Authors: Chaves Laura Cristhiane Mendonça Rezende , Frazão Iracema da Silva , Perrelli Jaqueline Galdino Albuquerque , Vasconcelos Selene Cordeiro , Silva Felicialle Pereira da , Silva Andréa Cristina Oliveira , Mosteiro-Diaz Maria Pilar
Published: August 2024

RESUMO Objetivo: avaliar um aplicativo móvel desenvolvido para prevenir o uso de álcool e/ou outras drogas por estudantes adolescentes. Método: estudo metodológico, de abordagem quantitativa, realizado no período de julho de 2018 a julho de 2021, baseado nas etapas do Design Instrucional Contextualizado para construção de tecnologia: análise, desenho, desenvolvimento, implementação e avaliação. A avaliação de conteúdo foi realizada por 22 especialistas. O aspecto gráfico e a usabilidade do aplicativo foram testados por 13 adolescentes representantes do público-alvo. Resultados: o aplicativo móvel “EPP: Educação Para Prevenção” abordou as substâncias psicoativas: álcool, maconha, cigarro, ecstasy, crack, cocaína, inalantes (cola e lança-perfume) e anfetaminas, tratando de temas como conceitos, efeitos fisiológicos e comportamentais, uso durante a adolescência, estratégias de prevenção e redução de danos. A média do Índice de Validação de Conteúdo foi de 0,87. Verificou-se elevado nível de concordância entre os adolescentes quanto ao aspecto gráfico e à usabilidade (96,6%) do aplicativo. Conclusão: os resultados demonstram que os especialistas e os adolescentes consideraram o aplicativo válido, e os enfermeiros poderão utilizá-lo como um instrumento facilitador nas ações de educação em saúde na escola, visando à prevenção do uso de álcool e/ou outras drogas entre adolescentes. Recomenda-se a realização de um estudo de intervenção para avaliar o efeito da tecnologia desenvolvida.
China and the reshaping of the Argentinian and Brazilian development models during the 21st century
Authors: Páez Sergio M. , Bona Leandro M.
Published: August 2024

Abstract During the 21st Century, China has played a growing role in international trade and geopolitics, with important consequences for the Global South. In Argentina and Brazil, international insertion as a development model has been questioned. Although this situation has allowed for economic growth, it has also recreated old relationships of dependency. This study contributes to the discussion of the possibilities of implementing development policies in Argentina and Brazil in a scenario in which the international (re) emergence of China reinforces the structural power of the historical ruling classes. To do so, dependency categories, as well as notions of the accumulation regime and Poulantzas’ power bloc, are used in an international political economy framework, which empirically focuses on elaborate data on trade and investment.
Acúmulo de produtos finais de glicação avançada na pele prediz desfechos renais em diabetes tipo 2: resultados do Estudo Brasileiro sobre Diabetes
Authors: Barreto Joaquim , Martins Marilia , Borges Cynthia M. , Vitte Sofia Helena , Nadruz Junior Wilson , Oliveira Rodrigo Bueno de , Sposito Andrei C.
Published: August 2024

Resumo O acúmulo de produtos finais de glicação avançada (AGEs, do inglês advanced glycation end-products) provoca comprometimento morfofuncional dos rins. Os níveis de AGEs podem ser estimados de forma não invasiva por autofluorescência da pele (sAF). Exploramos se a sAF elevada prediz desfechos renais em indivíduos com diabetes tipo 2 (DT2). O estudo foi realizado como uma análise predefinida do Estudo Brasileiro sobre Diabetes, uma coorte prospectiva de centro único de adultos com DT2. Foram considerados os dados de 155 indivíduos acompanhados por até 1.716 dias. A incidência de eventos renais adversos maiores (MAKE, por sua sigla em inglês) foi de 9,6%. Indivíduos com sAF acima da mediana apresentaram maior incidência de MAKEs (4,6% vs. 21%; p = 0,002), com HR de 3,39 [IC 95%: 1,06–10,85; p = 0,040] após ajuste por idade e sexo. A alteração média da TFGe ajustada foi de 1,08 unidades (EP: 1,15; IC95%: –1,20, 3,37) no grupo de baixa sAF e de –5,19 unidades [EP: 1,93; IC95%: –9,10, –1,29] no grupo de elevada sAF (diferença entre sujeitos: F: 5,62; p = 0,019). O grupo sAF elevada apresentou maior prevalência de declínio rápido em comparação ao grupo sAF baixa (36,7% vs. 15,8%; p = 0,028). Em conclusão, a sAF elevada foi relacionada ao aumento da incidência de MAKEs e ao declínio mais rápido da TFGe entre indivíduos com DT2. Tal fato deve ser considerado pelos profissionais de saúde ao identificar indivíduos mais propensos a complicações renais relacionadas ao diabetes.
Multiple sclerosis and occupations: what I want to be able to do, but cannot always do
Authors: Cardoso Jeice Sobrinho , Souza Airle Miranda de , Corrêa Victor Augusto Cavaleiro
Published: August 2024

Abstract Introduction Multiple Sclerosis is an autoimmune disease that affects the Central Nervous System. People with Multiple Sclerosis may experience difficulties in their occupations due to the interference of the clinical condition in their physical, emotional, social, and cognitive health. Objective Considering the complexity of the illness process in these people's daily lives, the objective of this study is to understand how the occupations and realization of values of people with Multiple Sclerosis present themselves. As a theoretical foundation, Viktor Frankl's Occupational Science and Logotherapy stand out. Method This is a qualitative, exploratory, descriptive research with a case study design, carried out in August 2022. For data collection and analysis, semi-structured interviews and Content Analysis were used, respectively. Results Modifications, adaptation, transition, and occupational ambivalence based on the diagnosis stand out. The participant maintained a care routine that became the main occupations of her daily life and attribution of what it means to be independent. Furthermore, even in the face of the inevitable difficulties of life, the encounter of meanings can be referred to through the realization of attitudinal values based on the perspective of Logotherapy. Conclusion It was possible to understand that occupations, in this case, express the realization of values, being intentional and meaningful for those who carry them out, enabling the encounter of meanings, the doing composed of forms, generating meaning and purpose to their existence.
Demanda e ocupação de leitos do Sistema Único de Saúde para os principais tipos de câncer no Brasil, de 2018 a 2021: estudo transversal
Authors: Lima Mariana Araujo Neves , Villela Daniel Antunes Maciel
Published: August 2024

RESUMO Objetivo Analisar a demanda e a ocupação de leitos do Sistema Único de Saúde para os principais tipos de câncer no Brasil, de 2018 a 2021. Métodos Estudo transversal, descritivo, com dados do Sistema de Informação Hospitalar. Por meio do modelo de teoria de filas, foram calculados: taxa média de entrada para internação, taxa média de internação, probabilidade de sobrecarga e número médio de pessoas em fila. Resultados As regiões Sudeste e Sul apresentaram as maiores taxas médias de internação, enquanto a região Norte obteve as menores taxas. A região Sudeste obteve alta probabilidade de sobrecarga de leitos cirúrgicos, principalmente São Paulo (99,0%), Minas Gerais (97,0%) e Rio de Janeiro (97,0%). São Paulo mostrou sobrecarga acima de 95,0% em todos os tipos de leitos analisados. Conclusão Constatou-se alta probabilidade de ocupação de leitos oncológicos no SUS, em especial os cirúrgicos e clínicos, e disparidades regionais na sobrecarga dos leitos.
Fatores associados ao atraso para o início do tratamento para câncer de mama em um centro oncológico de referência em Juiz de Fora, de 2010 a 2019: estudo de coorte
Authors: Silva Fernanda de Paula Ciribelli da , Souza Mirian Carvalho , Bertoni Neilane
Published: August 2024

RESUMO Objetivos Analisar fatores associados ao atraso para o início do tratamento do câncer de mama em um centro de referência em oncologia em Juiz de Fora, MG, entre 2010 e 2019. Métodos Trata-se de coorte com dados do Registro Hospitalar de Câncer. A probabilidade de não iniciar o tratamento em até 60 dias, conforme legislação brasileira, foi estimada pelo método de Kaplan-Meier, e sua associação com os fatores estudados pelo modelo de Cox, com apresentação das hazard ratios (HR) e respectivos intervalos de confiança de 95% (IC95%). Resultados Entre as 911 participantes, a probabilidade de iniciar o tratamento com atraso foi de 18,8% (IC95% 16,4;21,5). Aquelas que realizaram o tratamento em um serviço de saúde diferente do que estabeleceu o diagnóstico de câncer apresentaram risco significativamente maior (HR: 3,49; IC95% 3,00;4,07). Conclusão Realizar diagnóstico e tratamento na mesma instituição pode contribuir para a redução do tempo de espera para o início do tratamento.
Descrição da cobertura e da hesitação vacinal obtida por inquérito epidemiológico de crianças nascidas em 2017-2018, em Belo Horizonte e Sete Lagoas, Minas Gerais
Authors: Simões Taynãna César , Campos Neto Orozimbo Henriques , França Ana Paula , Moraes José Cássio de , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: August 2024

RESUMO Objetivo Descrever as coberturas e hesitação das vacinas do calendário básico infantil em Belo Horizonte e Sete Lagoas, Minas Gerais. Métodos Inquéritos epidemiológicos de base populacional realizados de 2020 a 2022, para estimar coberturas vacinais por tipo de imunobiológico e esquema completo (doses válidas e aplicadas) segundo estratos socioeconômicos, e os motivos de hesitação vacinal. Resultados A cobertura global com doses válidas e a hesitação vacinal de pelo menos uma vacina foram, respectivamente, de 50,2% (IC95% 44,1;56,2) e 1,6% (IC95% 0,9;2,7), em Belo Horizonte (n = 1.866), e de 64,9% (IC95% 56,9;72,1) e 1,0% (IC95% 0,3;2,8), em Sete Lagoas (n = 451), com diferenças entre os estratos. O receio de reações graves foi o principal motivo de hesitação vacinal. Conclusão Identificou-se coberturas abaixo do preconizado para a maioria das vacinas. A desinformação deve ser combatida, evitando-se a hesitação vacinal. Há necessidade premente de recuperar as coberturas, considerando acesso ao SUS e disparidades socioeconômicas.
Racial inequalities in child vaccination and barriers to vaccination in Brazil among live births in 2017 and 2018: an analysis of a retrospective cohort of the first two years of life
Authors: Boing Antonio Fernando , Boing Alexandra Crispim , França Ana Paula , Moraes José Cássio de , Silva Adriana Ilha da , Ramos Jr. Alberto Novaes , França Ana Paula , Oliveira Andrea de Nazaré Marvão , Boing Antonio Fernando , Domingues Carla Magda Allan Santos , Oliveira Consuelo Silva de , Maciel Ethel Leonor Noia , Guibu Ione Aquemi , Mirabal Isabelle Ribeiro Barbosa , Barbosa Jaqueline Caracas , Lima Jaqueline Costa , Moraes José Cássio de , Luhm Karin Regina , Caetano Karlla Antonieta Amorim , Lima Luisa Helena de Oliveira , Antunes Maria Bernadete de Cerqueira , Teixeira Maria da Gloria , Teixeira Maria Denise de Castro , Borges Maria Fernanda de Sousa Oliveira , Queiroz Rejane Christine de Sousa , Gurgel Ricardo Queiroz , Barata Rita Barradas , Azevedo Roberta Nogueira Calandrini de , Oliveira Sandra Maria do Valle Leone de , Teles Sheila Araújo , Gama Silvana Granado Nogueira da , Mengue Sotero Serrate , Simões Taynãna César , Nascimento Valdir , Araújo Wildo Navegantes de
Published: August 2024

ABSTRACT Objective To describe timely vaccination completion and obstacles in the first 24 months of life in Brazil, examining associations with maternal race/skin color. Methods Study participants were 37,801 children born in 2017 and 2018 included in the National Immunization Coverage Survey. We calculated prevalence and 95% confidence intervals for timely vaccine completeness and obstacles at 5, 12 and 24 months of life, according to maternal race/skin color. Associations were analyzed using logistic regression. Results 7.2% (95%CI 6.3;8.2) of mothers faced difficulties in taking their children to be vaccinated, and 23.4% (95%CI 21.7;25.1) were not vaccinated when taken. These proportions were 75% (95%CI 1.25;2.45) and 97% (95%CI 1.57;2.48) higher, respectively, among Black mothers. At least one vaccination was delayed among 49.9% (95%CI 47.8;51.9) and 61.1% (95%CI 59.2;63.0) of children by 5 and 12 months, respectively. These rates were higher among Black/mixed race mothers. Conclusion There are racial inequalities in both the obstacles faced and in vaccination rates in Brazil.
Isolated in biogeographic islands: discovery of a disjunct population of a fern in Northeastern Atlantic Forest
Authors: Souza e Silva Dennys Victor , Azevedo Mendonça Niksoney , Barros Maria Fabíola , Elias Almeida Thaís , Pessôa Santiago Augusto César
Published: August 2024

Brejos Nordestinos (northeastern highland wet forests) is a unique ecosystem within the Northeastern Atlantic Forest. This area encompasses a mosaic of humid forests above 600 meters in the semi-arid region, forming an ecotone area. These environmental conditions create an optimal ecosystem for the diversification of plants, including ferns. Pico do Jabre in Paraíba state, with an elevation of 1,208 meters above sea level, is an example of Brejo Nordestino. This study reports the occurrence of Pleopeltis pleopeltidis in the Northeastern Atlantic Forest, particularly at Pico do Jabre, a new record of P. pleopeltifolia for Paraíba state, and the local fern flora. Additional records of P. pleopeltidis were found in the municipalities of Triunfo, and Floresta, in Pernambuco state, which are also classified as Brejos Nordestinos with elevations exceeding 1,000 meters above sea level. These findings extend the species' known extent of occurrence by approximately 40%. The conservation status of P. pleopeltidis is suggested as Vulnerable (VU) across its entire range and Endangered (EN) in Northeast Brazil. The distance between populations in the Northeastern Atlantic Forest and the nearest populations in Bahia state ranges from 763-931 km, indicating a potential disjunction. Although the species occurs in three relatively close Brejos Nordestinos, the fragmented nature of the Northeastern Atlantic Forest results in isolated populations on these biogeographical islands, surrounded by a Caatinga (seasonally dry tropical forest) matrix.
Timber-timber composite (TTC) joints made of short-supply chain beech: Push-out tests of inclined screw connectors
Authors: Sciomenta Martina , Gualtieri Pasqualino , Spera Luca , Contu Francesco , Fragiacomo Massimo
Published: August 2024

This paper presents the results of experimental investigations on six-layered, homogeneous glulam beams made of Italian short supply chain beech (Fagus sylvatica L.). At first, the beams were produced and mechanically characterized for bending, then, they were employed to realize timber-timber composite joints and tested under quasi-static monotonic loading. The test configurations were adopted to reproduce connections used in timber-to-timber composite structures for applications in new constructions. Outcomes in terms of connection stiffness, strength, static ductility and failure modes are presented and discussed. Moreover, the experimental stiffness were used to carry out analytical verification at the serviceability and ultimate limit states to extend the validity of the proposed screw and specimen’s configurations.