bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Business Investment Value in Real Estate Industry
Authors: Shuhao Xuanyuan
Published: July 2024

The global economy is in a downward trend due to the COVID-19 pandemic, the current war between regions, and worsening relations between countries. In 2023, China's leading real estate company, a pillar industry, will be unable to repay its debts. In the context of economic globalization, this paper will explore the impact of the real estate industry in the United States, analyze the investment value through several indicators, and analyze the data of four leading real estate enterprises in the United States, namely D.R.Horton, Lennar Corporation, LGI Homes and NVR. Through the calculation of EPS, P/E ratio, PEG ratio, revenue and EPS growth rate and GP/A ratio, these indicators are used to determine which company is the most valuable investment company among the leading enterprises in the US real estate industry. The research in this paper can not only identify the companies with the highest investment value, but also provide ideas for future research on other companies in other industries.
Quem conta um conto, aumenta um ponto?
Authors: Rocha Eliane Cristina de Freitas , Lei Cristiane Calheiros , Freitas Álisson Valentim de
Published: July 2024

Objetivo: Apresentar o programa Pontos de Memória do Instituto Brasileiro de Museus (IBRAM), resultante de uma política pública no campo da cultura e patrimônio. Metodologia: Por meio de revisão bibliográfica narrativa, é traçado um breve histórico do referido programa. Em sequência, são apresentados resultados de um levantamento documental e de um de survey sobre as características dos pontos de memória brasileiros relacionados a esta política. Resultados: O programa surgiu em 2009 e teve seu auge nos anos de 2011-2014, orientado pelo conceito antropológico da cultura. A baixa taxa de retorno do survey online e as dificuldades de inventariação das iniciativas indicam que vários destes pontos de memória possam estar inativos. Conclusões: Os pontos de memória realizam ações culturais que vão além de ações de preservação de memória e patrimônio, valorizando culturas locais diversificadas. As ações estatais de fomento dos pontos de memória parecem ser essenciais para sua sobrevivência.
Mediação da informação, mediação da leitura e os aspectos socioculturais da obra Brasil, o golpe: a ópera do fim do mundo
Authors: Rocha Acrisonélia Medeiros de Sousa , Santos Raquel do Rosário , Sousa Ana Claudia Medeiros de , Almeida Júnior Oswaldo Francisco de
Published: July 2024

Objetivo: Esta comunicação teve por objetivo analisar os aspectos socioculturais presentes no painel ‘Brasil, O Golpe: A Ópera do fim do mundo’, à luz do referencial teórico da mediação da informação e da mediação da leitura. Metodologia: Caracteriza- se como pesquisa descritiva e documental com uso da abordagem qualitativa. Resultados: Os resultados apontaram que o processo de interpretação do leitor sobre o referido painel será pautado em seu repertório cultural e informacional sobre os aspectos sociopolíticos do Brasil. Conclusões: Conclui-se que para interpretação das mensagens contidas no painel, dependendo do repertório do leitor, será preciso a atuação do agente mediador para ampliação desse repertório.
Factors Affecting 30-Day Outcomes in Patients Undergoing Nontraumatic Upper Extremity Amputation: A Retrospective Descriptive Longitudinal Study
Authors: Ahmed Warda , Fatimi Asad Saulat , Hamza Muhammad , Waqar Usama , Khan Daniyal Ali , Rauf Hareem , Jivani Nadia , Noordin Shahryar
Published: July 2024

Background:

Current literature concerning upper extremity amputations (UEAs) is very sparse. In this study, we conducted the first multicenter retrospective analysis aiming to identify risk factors associated with unfavorable outcomes in patients undergoing nontraumatic UEAs.

Methods:

A retrospective cohort study was conducted using the National Surgical Quality Improvement Program database. Adult patients who underwent nontraumatic UEAs between 2005 and 2021 were divided into two cohorts based on whether they experienced 30-day major morbidity (MM). Thereafter, multivariable binary logistic regression analysis was used to identify risk factors of MM.

Results:

From a total of 2984 cases, MM was observed in 8.7% of patients. Factors associated with MM included American Society of Anesthesiologists classes 3 (odds ratio [OR], 2.974 [1.862 to 4.748]) and 4 (OR, 4.736 [2.857 to 7.848]), being underweight (OR, 2.370 [1.251 to 4.491]), and suffering from insulin-dependent diabetes (OR, 1.390 [1.018 to 1.898]). In addition, an infectious surgical indication was associated with an increased risk of MM compared with having a benign (OR, 0.648 [0.488 to 0.682]) or malignant (OR, 0.205 [0.091 to 0.462]) indication. Moreover, patients undergoing shoulder amputations were at an increased risk of MM compared with those undergoing amputations of the forearm/wrist (OR, 0.243 [0.072 to 0.819]) and hands/fingers (OR, 0.286 [0.095 to 0.861]).

Conclusion:

The risk factors identified for MM after nontraumatic UEAs should guide surgeons toward appropriately identifying high-risk patients and adequately counseling them preoperatively.
Epidemiology and Management of Pediatric Fractures in Malawi
Authors: Cassidy Benjamin P. , Yeramosu Teja , Mbomuwa Foster J. , Chidothi Paul , Wu Hao-Hua , Martin Claude , Harrison William James , Chokotho Linda , Agarwal-Harding Kiran J.
Published: July 2024

Background:

Pediatric fractures are common in Malawi, and surgical care, when needed, remains inaccessible to many. Understanding which children in Malawi receive surgery or nonsurgical treatment would help set priorities for trauma system development.

Methods:

We used multivariate logistic regression to evaluate associations between surgical treatment and age, sex, school enrollment, injury mechanism, fracture type, open fracture, referral status, hospital of presentation, delayed presentation (≥2 days), healthcare provider, and inpatient vs outpatient treatment.

Results:

From 2016 to 2020, 10,400 pediatric fractures were recorded in the Malawi Fracture Registry. Fractures were most commonly of the wrist (26%), forearm (17%), and elbow (14%). Surgical fixation was performed on 4.0% of patients, and 24 (13.0%) open fractures were treated nonsurgically, without débridement or fixation. Fractures of the proximal and diaphyseal humerus (odds ratio [OR], 3.72; 95% confidence interval [CI], 2.36 to 5.87), knee (OR, 3.16; 95% CI, 1.68 to 5.95), and ankle (OR, 2.63; 95% CI, 1.49 to 4.63) had highest odds of surgery. Odds of surgical treatment were lower for children referred from another facility (OR, 0.62; 95% CI, 0.49 to 0.77).

Conclusions:

Most Malawian children with fractures are treated nonsurgically, including many who may benefit from surgery. There is a need to increase surgical capacity, optimize referral patterns, and standardize fracture management in Malawi.
Produção agroalimentar avícola no território brasileiro
Authors: Rocha Dalmora Tiago Wilian , Scherma Ricardo Alberto
Published: July 2024

No atual período da globalização, a atuação de grandes agentes econômicos impacta na organização espacial de diferentes regiões e as torna especializadas em determinados setores. Um dos setores que acabam consolidando essas especializações regionais produtivas é o avícola, sendo o Brasil um dos grandes atores globais no mercado de proteína de aves.  Assim, o artigo procura analisar a espacialização do setor de carne de frango e a especialização regional produtiva avícola no território brasileiro. Tivemos como caminho metodológico: o levantamento bibliográfico; a análise e mensuração de dados estatísticos; o mapeamento temático e a pesquisa documental. Dessa forma, por meio dessa pesquisa e dos diferentes materiais cartográficos produzidos, torna-se possível compreendermos a organização territorial da produção avícola brasileira, identificando como essa produção ocorre extremamente concentrada em algumas porções do território.
Топография, анатомо-функциональные особенности слуховой трубы и ее роль в развитии патологии среднего и внутреннего уха
Authors: Шукурян М. А. , Петросян П. К. , Тадевосян Г. И. , Лусинян Н. А. , Арутюнян A. Г. , Саргсян Г. В. , Ханданян Г. Л. , Петросянц Г. И. , Асланян А. Р. , Шукурян А. К.
Published: July 2024

Ներկայումս հայտնի է, որ միջին ականջի պաթոլոգիայի առաջացման դրդող պատճառը լսողական փողի դիսֆունկցիան է՝ առաջացնելով թմբկախորշի աերացիայի և էքսուդատի արտահոսքի խանգարում և նպաստելով միջին ականջում մի շարք պաթոլոգիկ փոփոխությունների զարգացմանը։ Հիմնական` օդափոխիչ ֆունկցիայի շնորհիվ կառավարվում է միջին ականջի ճնշումը, իսկ պաշտպանական ֆունկցիայի շնորհիվ այն թմբկախոռոչը պաշտպանում է քիթըմպանից անցնող մանրէներից։ Լսողական փողի բացումը կատարվում է կլման ակտի ժամանակ՝ հիմնականում փափուկ քիմքը լարող մկանի շնորհիվ, արթուն ժամանակ՝ յուրաքանչյուր րոպեն մեկ, քնած ժամանակ՝ 5 րոպեն մեկ, իսկ ծամելու ընթացքում՝ 5 վայրկյանը մեկ։ Լսողական փողի դիսֆունկցիային նպաստում են ադենոիդները, ստորին խեցիների հետին ծայրի հիպերտրոֆիան, ինչպես նաև փողի անատոմիական կամ մեխանիկական նեղացումները։
It is well established that middle ear pathologies are often caused by dysfunction of the auditory tube. This dysfunction disrupts the aeration of the tympanic cavity and impedes the outflow of exudate, thereby contributing to the development of various pathological changes in the middle ear. The ventilation function is crucial for regulating middle ear pressure, while the protective function safeguards the tympanic cavity from bacteria originating in the nasopharynx. The opening of the auditory tube is primarily facilitated by the tensor veli palatini muscle during swallowing. This process occurs approximately every 1 minute when awake, every 5 minutes during sleep, and every 5 seconds while chewing. Factors such as adenoid vegetation, hypertrophy of the posterior end of the inferior concha, and anatomical or mechanical narrowing of the auditory tube contribute to its dysfunction.
Impression / Expression
Authors: Noriega Esquives Veronica
Published: July 2024

In this paper, I will ponder my connection with printmaking not only as a professor, artist, and researcher but also as a Spanish speaker who is interested in the fact that Spanish-speaking and English-speaking nations use different expressions to refer to this artistic discipline. In addition, I will reflect on how these expressions could interfere with the way I relate to my creative process. I will not go deeply into specific linguistic studies, just enough observations to make my point.
The UNCITRAL Transparency Standards in ISDS as a Result of Multi-lateral Negotiation
Authors: Knieper Judith
Published: July 2024

This article describes without taking any position the new transparency standards in investor-state dispute settlement of the United Nations Commission on International Trade Law (UNCITRAL), consisting of the UNCITRAL Rules on Transparency in Treaty-based Investor-State Arbitration (effective date: 1 April 2014), the United Nations Convention on Transparency in Treaty-based Investor-State Arbitration (New York, 2014 – the ‘Mauritius Convention on Transparency’) and the Transparency Registry, which is the repository for the publication of information and documents in treaty-based investor-state arbitration and is – thanks to donor funding of the European Union and of OFID (the OPEC Fund for International Development) – now fully operational. The text proposes the wide promotion of the UNCITRAL Transparency Standards since they are beneficial to the system of investment arbitration as such.
State Succession to Multilateral Investment Treaties and the ICSID Convention
Authors: Dumberry Patrick
Published: July 2024

This article examines the following question: is a new successor State automatically bound by the multilateral treaties on investment promotion and protection to which the predecessor State was a party at the date of succession? The article critically assesses the continuity principle that was adopted under the 1978 Vienna Convention on succession to treaties in the context of the dissolution of a State and secession. It also examines the question of succession to the ICSID Convention, an example of a special category of multilateral treaties which create international organisations. It will be shown that there is no succession to the membership of an international organisation and that, accordingly, the practice of new States has been to adhere to the Center via a formal application (rather than by way of succession).
Attributing Responsibility to International Organisations: Lessons from the EU–Singapore Investment Protection Agreement
Authors: Sim Christine
Published: July 2024

Singapore was one of the first states to negotiate a comprehensive free trade agreement with the European Union (EU) which contains an investment protection chapter. The EU–Singapore Free Trade Agreement (FTA) was described as a “pathfinder” for other states now negotiating with the EU, as well as a potential region-to-region FTA – the future EU-ASEAN FTA. When the Court of Justice of the EU (CJEU) decided that the European Commission (EC) did not have exclusive competence to negotiate investment protection and investor-state dispute settlement (ISDS) provisions on behalf of Member States (MS), the EU and Singapore had to re-negotiate a separate FTA and investment protection agreement (IPA) in April 2018. Looking forward, even if the 28 EU Member States ratify the EU-Singapore IPA, there remain fundamental issues arising from increasing future participation by international organisations (IOs) in investment disputes, namely: (i) parallel proceedings resulting from unsettled delineation of competences between international organisations and their Member States; (ii) the effectiveness of treaty mechanisms for determining the appropriate respondent; and (iii) attribution of responsibility between Member States and international organisations. This contribution reviews and analyzes these issues and draws some lessons, which are relevant for other IO and third states.
Screening the Commission’s Regulation Proposal Establishing a Framework for Screening FDI into the EU
Authors: Bismuth Régis
Published: July 2024

The European Commission’s Regulation proposal establishing a framework for screening FDI into the EU has been widely commented on from different perspectives. The purpose of this article is neither to carry out an exhaustive technical analysis of the proposal nor to assess its practical impact but rather to discuss a few points highlighting its limits, indecisiveness, contradictions as well as its ambiguities. This proposal, reflecting a change in the Commission’s stance on non-EU FDI flows, can be criticised on a number of grounds. While it has limited added value for Member States’ existing FDI screening mechanisms, it imposes on Member States an implied obligation to establish FDI screening mechanisms and could serve as the basis of a ‘soft’ blocking for the Commission. In addition, the framework envisaged by the proposal appears to rest on a questionable legal basis (Article 207 TFEU) and can be seen as a missed opportunity for not addressing the issue of competitive neutrality in FDI transactions.
(In)Genuinely Foreign Investment: A Survey of Nationality Requirements in Investment Disputes
Authors: Kosalko Matej
Published: July 2024

In recent decades transnational companies investing in emerging markets have done so through complex structures of shell holding companies. These companies usually have limited ties with the states of their incorporation. The determination of their nationality is of utmost importance for the applicability of investment treaty protection and the jurisdiction of an international tribunal. The aim of this article is to identify the rules and considerations that should be applied by a tribunal when determining nationality of an investor in an investor-state arbitration. In particular, this article considers whether a genuine or effective link between an investor and a state of its purported nationality is required in investor-state arbitration. The major argument against application of a genuine link requirement under international law rules on diplomatic protection in investment disputes appears to be a lex specialis relationship between general international law and a specific investment treaty: specific language in a treaty should prevail over general international law. However, many investment treaties lack clear language on nationality requirements of an investor. Moreover, treaty protection is sometimes claimed by investors who endeavour to abuse the system of treaty protection by hiding their nationality behind a corporate veil. In such circumstances, the principle of good faith could provide some assistance.
Report on the 3rd Annual EFILA Conference on Parallel States’ Obligations in Investor-State Arbitration
Authors: Särkänne Katariina
Published: July 2024

The 3rd Annual EFILA Conference on Parallel States’ Obligations in Investor-State Arbitration took place in London on 5 February 2018 addressing several topical issues in international investment law and investment arbitration. Expert panels discussed the participation of non-disputing parties in arbitral proceedings, regulatory issues in international investment law – the focus being especially on the questions of state liability and the ongoing cases relating to renewable energy – as well as human rights and environmental aspects in international investment law. The keynote speech delivered by Honorable Charles N. Brower discussed the Investment Court System (ICS), addressing the shortcomings of the proposition and the (im)probability of the ICS ever seeing daylight, and invoked discussion among the panel as well as the audience. Throughout the conference, the importance of discussion on the topical issues of investment arbitration, as well as the need for the experts in the field to participate in that discussion, was emphasized.
Álvarez y Marín Corporación and Others v. Panama, ICSID Case No. ARB/15/14, Award, 12 October 2018
Authors: Chan Kai-Chieh
Published: July 2024

In Álvarez y Marín Corporación and others v. Panama, the majority declined to take jurisdiction over a dispute arising from an investment made in indigenous regions of Panama due to the investors’ serious breach of Panamanian law. Although the tribunal found no explicit requirement of legality in the relevant treaties, it held that such a requirement is inherent to the very notion of investment and can be implied by general principles of good faith and nemo auditur propriam turpitudinem allegans. After examining the timing of the breach as well as the seriousness of it, the majority concluded that it was proportionate to deprive the investors of treaty protection. The Álvarez y Marín award sheds light on many important yet highly contentious legal issues concerning legality requirements. This includes the qualification of the admission clause, the implied legality requirement, the material scope of such requirement and whether legality goes into jurisdiction or merits. It is submitted that the Álvarez y Marín tribunal has adopted many innovative approaches toward these issues and, consequently, the case is expected to have a significant impact on the practice of investment arbitration going forward.
The Path to a Multilateral Investment Court – Keynote to the 4th EFILA Annual Conference 2019
Authors: Brown Colin
Published: July 2024

Colin Brown, representing the European Commission, presented the EU’s view on the reform of the investment dispute settlement system. At the core of the EU’s proposal is the creation of a permanent Multilateral Investment Court (MIC) with full-time judges. According to the EU, only a permanent standing two-tier mechanism with full-time judges can effectively address the concerns regarding the currently existing investor-State dispute settlement (ISDS) system in respect of which reform is – according to the EU – desirable.
The World after the Termination of Intra-EU BITs
Authors: Lavranos Nikos
Published: July 2024

This article examines the potential consequences of the termination
agreement recently signed by 23 EU Member States, which will soon terminate the
existing intra-EU BITs of the signatory Member States. The author concludes
that the retroactive application of the termination agreement to disputes that
have been initiated before this termination agreement enters into force is a
serious violation of the Rule of Law. He also finds that the Facilitator
procedure offered by the termination agreement is not a suitable tool to settle
any ongoing intra-EU BIT disputes. In light of the significant shortcomings in
the judicial legal systems of many EU Member States, the author calls for the
adoption of an EU Investment Protection Regulation as well as the creation of a
European Investment Court. Finally, despite the fact that the termination
agreement is not intended to apply to intra-EU ECT disputes, the author expects
that the fallout of the Achmea judgment will lead to
substantial ‘reforms’ of the ECT in due course. All these developments will
inevitably lead to a lower standard of investment and investor protection
within the EU.
Latest Twist in the Komstroy Saga The Definition of “Investment” under the ECT as Interpreted by the Paris Court of Appeal in Its Second Annulment Decision
Authors: Varenne Hugo , Cano Núria Casas
Published: July 2024

This case note provides an analysis of the Paris Court of Appeal’s (the Court of Appeal) second annulment (the Second Annulment), dated 10 January 2023, of an arbitration award rendered in favour of Energoalliance ltd (Energoalliance) under the Energy Charter Treaty (ect) in 2013. The case note focuses on the interpretation of the term “Investment”. The Second Annulment follows a first Court of Appeal annulment that was set aside by the French Supreme Court (Supreme Court) due to its incorrect interpretation of the term “Investment”. The Second Annulment, which applied a preliminary ruling of the Court of Justice of the European Union (cjeu), is instructive with regard to the factual circumstances which courts in EU Member States (Member States) will consider in determining whether a debt can qualify as an “Investment”. More specifically, the Second Annulment addresses the qualities which define an asset as “commercial” and, therefore, preclude it from being an “Investment”. Some ambiguity, however, remains in the Second Annulment with regard to the term “commercial” due, in the opinion of the authors, to the inconsistency between certain findings in the Supreme Court’s annulment of the first Court of Appeal annulment, and the cjeu’s preliminary ruling.
The Tribunal Visualized Approach: Improving Proceedings by Visualized Case Introduction
Authors: Bodenheimer Rouven F
Published: July 2024

Efficiency in international arbitration has long been contentious, as promised benefits often fail to materialize, leading to user dissatisfaction. Despite ongoing debates and procedural innovations, underlying inefficiencies persist. Although existing tools aim to streamline proceedings, they often overlook root causes of inefficiency, including the tendency of parties and counsel to focus on enforceability and prioritize the right to present their case at its fullest, fearing that efficiency compromises quality. This mindset, coupled with uncertainty about arbitrators’ preparedness, leads to bloated submissions and prolonged proceedings. In this article the author, drawing on extensive experience, proposes the Tribunal Visualized Approach (Trivis), which uses detailed visual presentations by arbitrators to improve trust among parties and expedite the settlement of disputes. The Trivis method counters inefficiency by enhancing clarity and transparency through visual aids, fostering the cooperation and confidence in arbitration that is crucial for improving efficiency in international dispute resolution.
METHODS FOR DETERMINING THE RADIATION BALANCE OF SOIL AND VEGETATION COVER OF AGRICULTURAL LANDS
Authors: Mustafayev Zh. ,   JSC «Institute of Geography and Water Security»,
Published: July 2024

In this article, an analysis of calculation methods for determining the radiation balance and photosynthetically active radiation of soil and vegetation cover of agricultural land is conducted. The lack of continuous actinometric observations of solar radiation and radiation balance at meteorological stations in the Eurasian region leads to the widespread use of empirical and semi-empirical models based on climatic and geographical indicators. Mathematical models based on climatic indicators, which vary in spatial and temporal aspects and are formed on the basis of the principle of natural analogies, provide reliable and accurate data. However, calculation methods that use geographical indicators do not have physical and mathematical meaning, resulting in significant errors in the data. The aim of the research is to analyze indirect methods to identify their physical and mathematical justification. The need for the development of quantitative methods for assessing the effective use of photosynthetically active radiation to improve forecasting and management of agricultural land is emphasized.
DISTRIBUTION OF THE SILICON, IRON AND OXIDIZABILITY IN THE WATER BODIES OF THE PAVLODAR ЕRTIS REGION
Authors: Romanova S. ,   «Institute of Zoology», Кrupa Е. , Sеrikova А. ,   «Institute of Zoology»,   Kazakhstan Agency of Applied Ecology,   «Institute of Zoology»
Published: July 2024

The materials of our own research on the distribution of silicon, iron and the value of permanganate oxidability in the Irtysh River basin in the summer of 2023 presented. It has been established that the content of these components and their ratios are not the same in the water of rivers and lakes. The values of permanganate oxidizability (PO) for the water of the Irtysh River in most cases did not exceed the average values for natural waters of arid zones (5…10 mgO/dm3), as well as the maximum permissible concentrations for fishery waters. The water of floodplain lakes and storage lakes is more enriched with easily oxidizing organic substances (8.62…31.51 mgO/dm3). The maximum concentrations of silicon did not always correspond to the minimum values of total mineralization. The distribution of dissolved total iron is uneven and varies between 0.072...1.740 mg/dm3, with a maximum concentration in oz. Kurkol and the Balkyldak storage lake. From the upper to the lower sections of the Ertis, there was a slight increase in the concentration of iron and silicon, as a result, of the influence of an anthropogenic factor. The assessment of the quality of the water bodies of the Pavlodar Irtysh region was carried out on the basis of a Unified water quality classification system. The relationship of the average strength between silicon, iron and the value of PO is revealed. The data on the distribution of these components can be used for a more complete assessment of the water quality of the Yertis basin.
MULTIYEAR DYNAMICS OF TRANSBOUNDARY INFLOW OF BIOGENIC COMPOUNDS ALONG THE ILE RIVER AND ITS TRANSFORMATION ALONG THE RIVER COURSE
Authors: Amirgaliyev N. ,   Institute of Geography and Water Security, Mussakulkyzy A. , Madibekov A. , Ismukhanova L. , Sultanbekova B. ,   Institute of Geography and Water Security,   Institute of Geography and Water Security,   Institute of Geography and Water Security,   Institute of Geography and Water Security
Published: July 2024

The paper presents the results of studies devoted to the assessment of the long-term dynamics of the volume of transboundary inflow of biogenic compounds to the territory of Kazakhstan along the Ile River. Based on long-term data from the State Monitoring of RSE «Kazhydromet,» the peculiarities of the transformation of the flow of biogenic compounds (nitrogen and phosphorus) along the river course, considering the influence of natural and anthropogenic factors, are analyzed. Information about the importance of studying biogenic substances in the formation of surface water quality, as well as river runoff’s role in the biological productivity and sanitary regime of final water bodies, is provided. The role of the transboundary flow of the Ile River as the main factor in forming the biogenic substances regime on the territory of Kazakhstan is highlighted. A quantitative assessment of the volume of average annual inflow of these compounds for the period from 2003 to 2020 is given, along with the main factors determining the transformation of nutrient runoff along the river course.
OS AVANÇOS E DESAFIOS DA TELEMEDICINA NO BRASIL
Authors: Martins Fabiana Rose , Mendonça Rogério Oliveira , Oliveira Sabrina Karoline Emanuelle de Lisboa
Published: July 2024

Em meio ao avanço tecnológico crescente, a medicina apresentou uma evolução significativa nos últimos anos, resultando em uma melhor qualidade de vida para a população. A telemedicina emergiu como uma solução, especialmente evidenciada durante a pandemia da COVID-19, facilitando o acesso aos cuidados de saúde, principalmente em regiões remotas. Anteriormente controlada pelo Conselho Federal de Medicina, a telemedicina foi impulsionada pela progressiva acessibilidade à internet, possibilitando consultas à distância e introduzindo uma abordagem inovadora na prestação de serviços de saúde. A promulgação da Lei da Telemedicina em 2022 estabeleceu critérios para consultas médicas à distância, proporcionando uma alternativa segura e eficaz na transmissão de dados e informações. Em suma, essa modalidade de atendimento de saúde a distância proporciona uma variedade de benefícios, como acesso ao diagnóstico, tratamento e intervenções precoces, preenchendo lacunas em áreas com acesso limitado à saúde, além de aprimorar a comunicação entre os profissionais de saúde. No entanto, a desigualdade no acesso às tecnologias digitais no Brasil, juntamente com os desafios éticos, legais e culturais, persiste, evidenciando a necessidade de reparações políticas e normas claras para garantir a prática médica nessa modalidade, principalmente de forma segura e confiável.
REVOLUÇÃO ROBÓTICA NA MEDICINA: O PAPEL DA CIRURGIA ROBÓTICA NA INOVAÇÃO MÉDICA E NO CONTEXTO BRASILEIRO
Authors: Gomes Ilanna Bárbara de Almeida , Andrade Letícia Kimberly Barbosa de , Maciel Lorena Benetti de Paiva , Zacarias Maria Luiza Sá , Quintão Melissa Araújo Ulhôa
Published: July 2024

Introdução: A cirurgia robótica, popular no Brasil desde o início do século XXI, destaca-se no INCA pelo SUS em cirurgias oncológicas. Apesar dos benefícios de melhor recuperação e precisão, sua disponibilidade é restrita devido ao alto investimento. O objetivo é ampliar o acesso a essa tecnologia avançada, proporcionando tratamentos mais eficazes e menos invasivos para mais pacientes. Desenvolvimento: A Cirurgia Minimamente Invasiva (CMI) revolucionou os procedimentos cirúrgicos, oferecendo cortes menores e menor trauma aos pacientes. Inicialmente, a videolaparoscopia trouxe avanços, mas também limitações, como visão bidimensional e instrumentos rígidos. Entretanto, a cirurgia robótica superou essas limitações, permitindo visão tridimensional ampliada e instrumentos flexíveis. Isso resulta em procedimentos mais precisos, com menos dor e sangramento pós-operatório, e tempos de internação reduzidos. Apesar dos benefícios, a cirurgia robótica enfrenta desafios como alto custo, certificação e especialização de profissionais, e questões éticas, como acesso desigual à tecnologia. A diretriz da Associação Médica Brasileira garante segurança e eficiência, exigindo treinamento supervisionado e avaliação contínua dos profissionais, garantindo a segurança dos pacientes. Resultados: O avanço da cirurgia robótica na medicina é notável, especialmente na cirurgia minimamente invasiva. O sistema líder de mercado, Da Vinci, oferece visão 3D, precisão e ergonomia, sendo usado em áreas como urologia e ginecologia. Outros sistemas como SPORT e Senhance também são destacados, cada um com suas vantagens específicas. A formação adequada dos cirurgiões é crucial para garantir a segurança e eficácia desses procedimentos, que estão transformando a prática cirúrgica e melhorando os resultados para os pacientes. Conclusão: O avanço da cirurgia robótica traz benefícios significativos, mas enfrenta desafios como capacitação e custos elevados, dificultando sua implementação, especialmente em áreas de baixa renda e cidades do interior no Brasil.
SÍNDROME DE SHEEHAN: REVISÃO DE LITERATURA
Authors: Oliveira Raíssa Martins de , Salgado Mellina Giacomin Rocha , Pascoal Caroline Kissílla Pereira , Albuquerque Karen Cristina Viegas Rodrigues
Published: July 2024

O hipopituitarismo secundário à necrose hipofisária é o que caracteriza a síndrome de Sheehan, uma condição resultante da hipotensão grave causada por hemorragia pós-parto (Soares et al., 2008). Sua apresentação pode ter sido crônica ou aguda, tendo um caráter insidioso com sinais inespecíficos que, muitas vezes, resultam em um diagnóstico tardio. A história obstétrica compatível com hemorragia pós-parto é necessária para sua investigação, pois a necrose da glândula ocorre principalmente na hipófise anterior evoluindo com amenorréia e agalactia, confirmando a falta de hormônios hipofisários de grau variável. De acordo com a deficiência hormonal, a manifestação do quadro clínico pode envolver mudanças nos níveis de cortisol sérico, função tireoidiana que pode levar a hipotireoidismo, insuficiência adrenal, hipogonadismo, falha na lactação e deficiência dos hormônios do crescimento. No entanto, o acometimento do lobo posterior, não obstante pode causar pode causar diabetes insípido (Leal et al., 2023). O diagnóstico da síndrome é frequentemente tardio e evolui de maneira lenta, sendo que alguns sinais de insuficiência hipofisária são pouco valorizados logo após o parto. Este, no entanto é feito através de aspectos clínicos, laboratoriais e radiológicos, como pode ser feito por tomografia computadorizada ou ressonância magnética. Este último revela a compressão e afilamento da glândula hipofisária, que apresenta realce homogêneo pelo meio de contraste endovenoso (Volpato et al., 2006). O tratamento consiste em reposição hormonal, que é crucial para diminuir a morbimortalidade dos pacientes e melhorar sua qualidade de vida. A síndrome de Sheehan, ainda é frequente em países e regiões mais específicas onde os cuidados obstétricos são mais precários. Sua frequência tem diminuído ao redor do globo devido à melhoria nos cuidados obstétricos (Freitas et al., 2022).
TUMOR CUTÂNEO DE CÉLULAS GRANULARES: RELATO DE CASO
Authors: Teixeira Brenda Carvalho , Gonçalves Djalma Igor de Oliveira , Lessa Lucília Cecília Alvarenga , Torres Yalle Dulce de Almeida
Published: July 2024

Introdução:Tumor de Abrikssoff ou tumor de células granulares são neoplasias raras e usualmente benignas com caracter de desenvolvimento lento e gradual, mais comumente encontradas em mulheres, da quarta a sexta década de vida na cavidade oral, pele e trato gastrointestinal. Objetivo: Relatar um caso de tumor cutâneo de células granulares a fim de discutir a reexcisão cirúrgica após biopsia inicial de margens acometidas. Relato de Caso: Mulher, 43 anos apresenta nódulo palpável em região inguinal esquerda com 2 anos de evolução, foi realizada exérese da lesão com avaliação anatomopatológica, onde foi evidenciado proliferação de células granulares em derme e tecido adiposo subcutâneo com margens laterais e profundas comprometidas sugerindo tumor de células granulares. Realizado estudo imuno-histoquímico constatando perfil imuno histológico de tumor de células granulares, nesse cenário, foi solicitada reavaliação anatomopatológica com classificação com critérios de Famburg-Smith, no qual retornou como tumor de células granulares benigno, desta forma, foi realizado reexcisão para ampliação da margem, linfadenectomia inguinal a esquerda com anatomopatológico de ausência de neoplasia invasiva. Paciente foi orientada quanto a ausência de neoplasia residual e foi solicitado retorno para reavaliação em 4 meses. Conclusão: Inicialmente a primeira biopsia constatou a presença de margens laterais e profundas acometidas pela neoplasia, desta forma a partir dos critérios de Famburg-Smith pode-se excluir a possibilidade de malignidade. Nesse cenário, se fez necessária a reabordagem com reexcisão de extensão das margens previamente acometidas, além de retirada da drenagem linfática com ressecção ausente de neoplasia residual ou linfonodos comprometidos.
TUMOR DE CÉLULAS GIGANTES DE BAINHA TENDÍNEA: UM RELATO DE CASO
Authors: Leal Rodrigo Tavares , Mendes Mylena Dornelas de Oliveira , Figueiredo Ana Luiza Loureiro , Melo Danilo Travassos
Published: July 2024

Introdução: Este estudo apresenta um relato de caso de Tumor de Células Gigantes de Bainha Tendínea (TCGBT) em um paciente masculino de 38 anos. Objetivo: Descrever a apresentação clínica, o diagnóstico e o manejo terapêutico de um caso de TCGBT na mão direita. Método: O caso foi investigado por meio de entrevista clínica, exame físico e ultrassonografia. Além disso, foi realizada uma revisão de literatura para contextualização e embasamento do caso. Relato do caso: O paciente apresentou queixa de desconforto e aumento progressivo de volume na região volar do quarto dedo da mão direita ao longo de dois anos. O exame físico revelou uma massa nodular bem delimitada, e a ultrassonografia confirmou a presença do TCGBT. Discussão: Destacamos a importância do diagnóstico precoce e da abordagem multidisciplinar no manejo dos TCGBTs, ressaltando a eficácia da excisão cirúrgica completa como principal modalidade terapêutica. Conclusão: O estudo contribui para a compreensão da apresentação clínica, diagnóstico, tratamento e prognóstico do TCGBT, enfatizando a importância da atuação integrada da equipe médica para o sucesso terapêutico e a qualidade de vida do paciente.
INOVAÇÕES PEDAGÓGICAS PARA A EDUCAÇÃO INCLUSIVA: PRÁTICAS TRANSFORMADORAS EM DESTAQUE
Authors: Dias Conceição Aparecida Francisco Belo , Silva Fernanda Aparecida da , Lima Ediana Bernardo Teles , Oliveira Luciana Almeida Costa de , Silva Stefany Cordeiro Brinda da , Silva Lilian Rangel da , Baiense Thalita Pacheco , Santos Lesiane Cordeiro da Silva , Caetano Jaline Benevides Pacheco , Oliveira Josimá Lima , Oliveira Lusiane Lima
Published: July 2024

Este artigo investiga inovações pedagógicas essenciais para promover uma educação inclusiva eficaz. Foca-se na adaptação curricular e no uso de tecnologias assistivas, destacando como essas estratégias reduzem barreiras de aprendizagem e facilitam a inclusão de alunos com necessidades especiais. A formação continuada dos professores é enfatizada, com programas de capacitação específicos demonstrando impacto positivo na qualidade do ensino e na habilidade dos educadores para lidar com a diversidade em sala de aula. A colaboração entre professores, especialistas e familiares é apresentada como um elemento chave para o desenvolvimento de estratégias educacionais eficazes e a criação de um ambiente escolar que valoriza a diversidade. A integração de tecnologias digitais na educação inclusiva é destacada pela sua capacidade de melhorar o acesso à informação e proporcionar um aprendizado mais dinâmico e interativo. A metodologia adotada foi bibliográfica, analisando trabalhos acadêmicos, artigos científicos e relatórios dos últimos 10 anos, com dados coletados de bases de dados reconhecidas. A análise de conteúdo permitiu identificar temas e padrões recorrentes nas práticas pedagógicas inclusivas. O desenvolvimento do estudo abordou três áreas principais: tecnologias assistivas, formação de professores e metodologias ativas. As tecnologias assistivas, como softwares de leitura de tela e dispositivos móveis adaptados, são fundamentais para aumentar a autonomia dos alunos. A formação continuada dos professores em tecnologias assistivas e metodologias ativas é essencial para a implementação eficaz dessas práticas. As metodologias ativas promovem a participação dos alunos, adaptando-se às suas necessidades e ritmos de aprendizagem. Conclui-se que a combinação dessas inovações pedagógicas cria um ambiente de aprendizagem dinâmico e inclusivo, essencial para a construção de uma escola mais justa e inclusiva. O estudo reforça a necessidade de apoio institucional e políticas públicas para garantir a implementação eficaz dessas práticas educativas.
КОЛЫБЕЛЬНЫЕ ПЕСНИ – ИСТОЧНИК ГАРМОНИЧНОГО РАЗВИТИЯ
Authors: Шабданбаева Ж.К.
Published: July 2024

Бешик ырлары дүйнө элдеринин дээрлик бардыгынын элдик оозеки чыгармачылыгында кездешет. Бешик ырлары аткарылыш мүнөзү жагынан ымыркай наристеге арналат. Негизинен баланын энеси тарабынан аткарылат. Бешик ырларынын мазмуну, тематикасы наристенин ата-энесинин турмушунан да кабар берет. Бешик ырлары обонго салынып, жагымдуу үн менен коштолот. Макалада кыргыз балдар фольклорунун жанрдык составынын бир бөлүгү болгон бешик ырларына, анын баланы тарбиялоодогу ордуна токтолдук. Ошону менен катар бешик ырларынын баланын өнүгүшүнө тийгизген таасири каралды. Ал ырлардын наристенин гармониялуу өнүгүшүнө тийгизген таасирин медицинанын көз карашында, мисалдар, окумуштуулардын, изилдөөчүлөрдүн ой-пикирлери аркылуу талдап берүүгө аракет кылдык.

Колыбельные песни встречаются в устном народном творчестве почти у всех народов мира. По характеру исполнения колыбельные песни посвящаются младенцам. В основном они исполняются матерью ребёнка. Смысл, тематика колыбельных песен отражает быт его родителей. Они мелодично сопровождаются приятным голосом. В этой статье мы остановились на колыбельных песнях, которые являются составной частью кыргызского детского фольклора, а также на роли воспитания ребёнка. Таким образом, мы рассматривали влияние колыбельных песен на развитие ребёнка. С точки зрения медицины, через мнение ученых, исследователей старались раскрыть влияние песен на гармоничное развитие младенцев.

Lullabies are found in oral folk art of almost all peoples of the world. By the nature of their performance, lullabies are dedicated to babies. It is mainly performed by the mother of the child. The meaning and theme of lullabies reflects the life of his parents. They are melodiously accompanied by a pleasant voice. In this article, we focused on lullabies, which are an integral part of Kyrgyz children's folklore, as well as the role of raising a child. Thus, the influence of lullabies on the development of a child was examined. From a medical point of view, we tried to reveal through the opinions of scientists and researchers the influence of songs on the harmonious development of the baby.
Expansions of the theatre at the times of quantum: Temptation by radicalism
Authors: Kornienko Nelly
Published: July 2024

Relevance. This article explores the emerging field of �quantum theatre� and critically examines attempts to apply quantum concepts to theatrical theory and practice. Purpose. This article aims to evaluate the current state of quantum theatre research and propose new theoretical frameworks. Methodology. The author conducts a critical analysis of existing literature on quantum theatre, including works by Carol Fisher, Naomi Iizuka, Anne Bogart, and others. The methodology involves examining these works through the lens of quantum physics principles, while cautioning against simplistic analogies. Results. The analysis reveals that many current approaches to quantum theatre rely on superficial analogies to quantum phenomena without sufficient rigor. The author argues there is not yet a true �quantum theatre�, but rather early explorations of quantum-inspired ideas. The author proposes new theoretical frameworks drawing on Rupert Sheldrake�s morphogenetic fields and V.V. Nalimov�s �fields of consciousness� to understand theatrical phenomena. Conclusions. This article concludes that more rigorous interdisciplinary approaches drawing on quantum physics, biology, and consciousness studies offer promising directions for future research. The author suggests that theatre and artistic culture in general as open non-linear systems operating based on self-organization, self-regulation and self-development, with high degrees of freedom, can provide a unique understanding of quantum phenomena at the macro level, potentially contributing to the fundamental principles of cognitive theory. Keywords: morphogenetic fields; quantum biology; non-linear theatre; space-time in performance; post-non-classical art science
Analyzing factors behind the successful adoption of the Samsat Digital National (SIGNAL) application for motor vehicle tax payment
Authors: Prabowo Ilham Condro , Ramadhia Muhammad Alifian
Published: July 2024

Officially launched by the Indonesian National Police in early 2023, the Samsat Digital Nasional (SIGNAL) application is a digital platform for motor vehicle tax payments, allowing taxpayers to pay via smartphones. This research aims to identify critical factors influencing the successful adoption of the SIGNAL application, such as perceived ease of use, perceived usefulness, enjoyment, and intention to use on actual use of the application, particularly in South Tangerang, Banten, Indonesia, using the Extended Technology Acceptance Model (TAM). Primary data for this study were collected through a questionnaire distributed to 98 respondents. It was found that 91 respondents met the criteria for taxpayers who had made tax payments using the SIGNAL application. The Data analysis method uses Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore the relationships between the variables. The results indicate that perceived ease of use and enjoyment positively influence users' intention to use, while perceived usefulness does not significantly affect intention to use. However, the intention to use positively significantly affects actual usage. These findings underscore the factors driving e-government service adoption and highlight the importance of user experience in application design. The study contributes to understanding digital service adoption in the public sector, suggesting that future strategies of Indonesian National Police should prioritize ease of use and enjoyment to enhance application usage.
Inquiry-Based Learning (IBL) as a Driver of Curriculum: A Staged Approach
Authors: Aparicio-Ting Fabiola E , Slater Donna M , Kurz Ebba U
Published: July 2024

Inquiry-based learning provides students with an opportunity to take ownership of their learning while developing important higher order skills necessary for designing innovative solutions to complex modern health problems. In our undergraduate health sciences program, critical thinking, creativity, research skills and innovative thinking are core program learning outcomes, and thus inquiry-based learning is an important pillar of our curriculum. We have taken a staged approach, integrating inquiry-based learning (IBL) into each year of a four-year undergraduate degree program that scaffolds structure and independence to suit undergraduate student needs from the first to third years and culminating in an independent, student-driven honours thesis in the fourth year. In this paper, we share practical IBL strategies that pair with student needs throughout the four-year continuum and highlight strategies to address challenges at each stage of learning.