bluuebunny/crossref_metadata_2025 huggingface dataset:
Partisipasi Politik Sedulur Sikep Blora dalam Pemilihan Umum Inklusif melalui Ajaran Kerukunan
Authors: Rossa Sherlly , Sari Anisa Putri Arum , Lianasari Aulia , Imammusadin Mastri , Ambarwati Ratnasiwi Triari
Published: May 2024

Pemilihan umum  merupakan salah satu sarana penyaluran partisipasi politik yang mengedepankan prinsip one man, one vote, one value. Komunitas Adat Sedulur Sikep di Desa Klopoduwur dan Desa Sambongrejo, Kabupaten Blora yang masih mengikuti preferensi dari sesepuh dalam menentukan pilihan politik membuat kedudukan hak pilih mereka menjadi rentan akibat gesekan nilai libertarian dan komunitarian. Selain itu, penyelenggara pemilu saat ini baru mampu memfasilitasi inklusivitas secara fisik bukan secara nilai. Dengan demikian, peneliti tertarik  melakukan riset kualitatif dengan menggunakan metode etnografi untuk mengetahui konektivitas nilai komunitarian Sedulur Sikep dengan nilai libertarian pemilu modern. Hal tersebut berkorelasi dengan tujuan riset ini untuk melihat koneksi antara nilai tradisional ajaran Kerukunan Sedulur Sikep Blora yang komunitarian dengan praktik pemilu modern yang libertarian, serta menganalisis persepsi penggunaan hak pilih Sedulur Sikep Blora melalui ajaran Kerukunan.
El papel del IMC, las moléculas del perfil lipídico sérico y sus índices derivados en los pólipos colorrectales
Authors: Huang Chunyu , Liang Weipeng , Sun Yuying
Published: May 2024

Objetivos

Investigar el papel del IMC, las moléculas del perfil lipídico en suero y los cocientes lipoproteicos en los pólipos colorrectales.

Métodos

En un análisis retrospectivo, se incluyó a 352 sujetos sometidos a una colonoscopia en nuestro centro, de los cuales 247 no mostraron ninguna alteración evidente (grupo control), mientras que 105 recibieron un diagnóstico de uno o múltiples pólipos (grupo de pacientes). Se compararon las moléculas del perfil lipídico sérico y los cocientes lipoproteicos de los dos grupos.

Resultados

El grupo de pacientes mostró niveles significativamente mayores de colesterol total (CT) y apolipoproteína B (ApoB) que el grupo de control (p<0,05). Entre los hombres, el grupo de pacientes mostró niveles de ApoB y una relación ApoB/ApoA1 superiores a los del grupo de control (p<0,05). Así mismo, los niveles de triglicéridos (TG) y la relación TG/C-HDL (colesterol de lipoproteínas de alta densidad) fueron significativamente más elevados en el grupo de pólipos múltiples que en el de un solo pólipo (p<0,05). Además, los niveles de C-HDL y la relación C-HDL/ApoA1 fueron más altos en el grupo con pólipos adenomatosos que en el de no adenomatosos (p<0,05). El análisis de regresión logística múltiple identificó al CT, TG, LDL-C y a los cocientes CT/C-HDL, TG/C-HDL y C-LDL/C-HDL como factores de riesgo para el desarrollo de pólipos colorrectales (p<0,05). Los análisis de la curva ROC revelaron una asociación entre el CT, la ApoB, y la relación ApoB/ApoA1 y los pólipos colorrectales. Por otro lado, no se observaron diferencias estadísticamente significativas en el IMC entre los dos grupos (p>0,05).

Conclusiones

La incidencia y evolución de los pólipos colorrectales están relacionados con las moléculas del perfil lipídico en suero y los cocientes lipoproteicos de las mismas. La dislipidemia podría incrementar el riesgo de desarrollar pólipos colorrectales, pudiendo derivar posteriormente en el desarrollo de cáncer colorrectal (CRC).
The Impact of the Affordable Care Act in Puerto Rico
Authors: Gamino Aaron M.
Published: May 2024

Was the Affordable Care Act (ACA) effective in the U.S. territories? This paper explores this question by examining the impact of the ACA’s dependent mandate and Medicaid expansion in Puerto Rico. The dependent mandate led to a 4.3 percentage point increase in health insurance coverage for Puerto Rican young adults due to increased employer-sponsored insurance coverage, and the Medicaid Expansion increased Medicaid coverage by 2.4 percentage points. The impact of both policies in Puerto Rico is smaller than in the mainland, highlighting the importance of considering how federal legislation affects territories with economic and health environments dissimilar to the mainland.
Dividing the Indian Race
Authors: Kuhn Jedediah
Published: May 2024

Despite being the first Native American to author a novel, The Life and Adventures of Joaquín Murieta (1854), John Rollin Ridge and his writings have long troubled scholars. Ridge’s focus on Mexican Americans, racist portrayal of California Indians, and embrace of US belonging refuse easy analysis within the single identity category-focused frameworks of Native studies and Chicanx studies, and his presence in gold rush California as a Cherokee settler complicates scholarly approaches to the racial history of California. This essay uses a historicized engagement with racial formation theory to reevaluate Ridge’s work, including his novel, newspaper article in The True Daily Delta, and Hesperian magazine articles. Diverging from prior scholarship that reads Ridge’s work through the lens of present-day racial categories, this study approaches racial categories as shifting, connected to structures of power, and imbricated with gender to understand how Ridge thought of himself in relation to both California Indians and Mexican Americans and how he tried to intervene into the American racial discourse. Ridge desired recognition and inclusion from the US settler state, and he used hegemonic notions of masculinity to make his case. This prompted him to distance himself from those unable to conform to standards of appropriate manhood. I contend that Ridge’s desire for recognition led him to suggest that his own Cherokee people were more closely related to Mexican Americans than to California Indians. The complexity of Ridge’s stance and racial positioning in California demonstrate the possibilities of a reading practice informed by a relational approach to racial formation.
Educación dual: una metodología utilizada en la Escuela de Secretariado Profesional para la formación de competencias para la vida laboral durante el año 2023
Authors: Ureña Hernández Mariam
Published: May 2024

The Dual Professional Training Project of the Professional Secretarial School (ESP) of the National University since 2000 and is implemented in the diploma program of the two careers Commercial Education and Office Administration, which provide work spaces for students to acquire certified professional experience and, at the same time, develop labor and social competencies, through the combination of theory and practice. Continuous supervision of the participants is carried out, as well as interviews and focus groups to learn about the experiences of this modality in the year 2023, which were the acquisition of knowledge in the area of technology with the use of platforms, programs and databases; the execution of techniques through the development of document types and file management; and participation in areas complementary to their training, such as training and handling of confidential information, in addition to the skills put into practice, for example, teamwork, assertive communication and creativity. The teaching staff of the ESP has pedagogical training and experience in the technical area, necessary to complement the work developed by the tutors within the companies, which have the disposition and resources to participate in this modality.
Modelling of vehicle motion
Authors: Listopadskis Narimantas
Published: May 2024

The problem is to calculate the path trajectory for a vehicle following a wire in the floor. Motion of the vehicle is determined by system of differential equations. Fourth-order Runge-Kutta adaptive method was used for solving of the obtained systems of the differential equations.
The impact of an educational pamphlet on completion of advance directives in a ICU setting
Authors: Mitchell RN Abigail , Amant Zachary St , Scully Allison
Published: May 2024

With a total of 12.3 million emergency department visits each year resulting in a hospital admission (CDC, 2015), and up to 70% of older adults with a perceived inability to make end of life decisions, it is evident that there is a need for an improved system to ensure completion of advance directives in both inpatient and outpatient settings." This quality improvement project aimed to investigate the effectiveness of an educational tool to improve rates of advance directive completion. Methods: A retrospective study was conducted with baseline data collected for a total of 5 weeks and post intervention data collected for a total of 4 weeks. Baseline data was collected on a total of 50 patients and post intervention data was collected on a total of 25 patients. Data analysis: Quantitative data was assessed to determine baseline rates of completion of advance directives and rates post-intervention. Results: Results showed that pre-intervention, 50% of patients admitted to the intensive care unit had advance directives completed and 54% had completed advance directives on discharge from the unit. Post intervention, 80% of patients left the unit with advance directives completed. This demonstrated a significant increase in completion. Conclusion: This study infers that pamphlets with information on advance directives as a tool to increase education, therefore increases knowledge and completion of advance directives in the intensive care unit.
Diversity, abundance and habitat association of avifauna in Menagesha Amba Mariam and Gara Medhanialem forest, in Oromia Region, Ethiopia
Authors: Desalegn Tamenut , Aynalem Shimelis , Tassie Nega
Published: May 2024

The study was conducted from August 2018 to March 2019 by considering the wet and dry seasons. The aim of this study is to investigate diversity, abundance and habitat association of bird species in Menagesha Amba Mariam and Gara Medhanialem forest. Stratified random sampling technique was employed. Point transect techniques was applied in forest and woodland habitats and line transects technique was used in the farmland habitat. Shannon diversity index and chi-square test were employed for data analysis. A total of 112 bird species that belong to 16 orders and 45 families were recorded. Three are endemic to Ethiopia and Twelve species endemic to both Ethiopia and Eritrea. The highest species diversity (H'=3.60) was recorded from the forest habitat and the lowest (H'=2.95) in the farm land. The association of bird species with habitat was statistically significantly different in wet season (χ2= 1702.9, df=180, p<0.001) and in dry season (χ2=1497.5, df=172, p<0.001). Availability of food and nesting sites were the major factors determining the diversity of birds. Government officials and local community participation is needed for conservation of Menagesha Forest resources.
Construction of environmental knowledge by applying project-based learning with students from the El Corazón educational institution
Authors: Adolfo Gustavo
Published: May 2024

Currently it is possible to affirm that the work of a professor is not easy, a reason that should lead us to value our work, but being a professor is not just a job, it is a vocation, a profession and an art, a vocation that has no meaning in it. that one must be aware that the work of a teacher contributes to the training of two students on a physical, mental, intellectual, social and cultural level; A profession that has its own knowledge of a specific area of knowledge, strategies, teaching methods and art, once one must be very creative to teach, motivate different people who have different expectations, with different styles and rhythms of learning, Therefore, we must "think not as an artistic gesture" opening spaces for the cultural, linguistic, cognitive, social, artistic dimension in the development and training of students, reinforcing their knowledge, emancipating their motivations and supporting their dreams. For all the reasons mentioned above, this research aims to build environmental knowledge through the application of project-based learning (PBL) with students of the El Corazón Educational Institute, in which it was verified that this type of learning provides strategies for the identification and solution of problems , creates competencies of knowledge of discipline, development of critical thinking, autonomous learning, integration between student-teacher and, above all, the ability to integrate acquired knowledge into everyday life.
Laparoscopic resolution of textilomes (gossypibomas)
Authors: Weber Sánchez Luis Alejandro , Alvarez Pablo Weber
Published: May 2024

Background and objectives: Inadvertent retention of surgical material is a mistake with potentially serious repercussions for the patient and a cause of legal conflicts. It requires high suspicion; the variety of presentations and long period of latency can easily mislead the diagnosis. The purpose of this paper is to report two cases of textiloma (surgical towels) found incidentally resolved by laparoscopy. Methods: We report two cases in which incidentally textilomas were found and removed by laparoscopy. Conclusion: The laparoscopic approach enables safe removal of a foreign body in the peritoneal cavity.
Percutaneous endoscopic lumbar endoscopic discectomy in L5-S1 calcified disc herniation
Authors: Guerra Renato , Dávila Pedro , Pintado Cristian
Published: May 2024

Introduction: Calcified lumbar intervertebral disc herniation is a special type of herniated disc, the cause of which is still poorly understood. Chronic inflammation is proposed as a possible cause of calcification. Calcification can occur in the herniated nucleus pulposus when the course of the lumbar herniated disc has been> 6 months. A hard disk increases the stenosis of the nerve root canal and therefore causes compressive symptoms giving dysesthesia in the lower extremities. Most patients will need open surgery as well as subsequent decompression and instrumentation. Percutaneous Endoscopic Lumbar Discectomy, using minimally invasive techniques, is a safe alternative treatment for calcified herniated discs. Case Presentation: We present the case of a 34-year-old male patient, Police on active duty, with severe low back pain according to the Pain Scale (VAS) of 8 and Oswestry Index of Disability also disabled (56%), in addition to radiculopathy of the long lower left limb evolution, without apparent cause and exacerbated 6 months ago. Magnetic resonance imaging shows a left foraminal paracentral paracentral protrusion hernia with morphological changes like calcification and with L5-S1 caudal migration, in addition to a severe narrowing of the canal. Conclusions: Percutaneous Endoscopic Lumbar Discectomy is a safe procedure that allows, with minimal invasion techniques, to decompress the medullary canal despite having significant narrowing. It also does not destroy healthy tissue unnecessarily or sacrifice stability. Lastly, a lower incidence of complications is reported.
Double mesh in special cases of laparoscopic inguinal hernia repair: case series study
Authors: Weber-Sánchez Alejandro , Weber- Alvarez Pablo , Martínez Denzil Garteiz , Sánchez Leon Adrián
Published: May 2024

Recurrence of laparoscopic inguinal hernia repair decreases if the technique is systematized and the recommendations are followed. However, there are special cases in which the usual technique may require modifications to avoid it. The use of two polypropylene meshes has been suggested since the early years of laparoscopic hernia repair with good results. However, for almost two decades, there have been no reports in this regard. The objective of this work, is to describe our technique using double mesh, and report a series of complex cases in which this technique was used to reinforce the inguinal wall with good results comparing it with the techniques described in other series.
3D characterization of the microstructure of LPBF fabricated Inconel 718 alloy
Authors: Kanga Jinwu , Huangb YuanHang , Yub Hailiang
Published: May 2024

Laser powder bed fusion method is popularly applied in the additive manufacturing of metal parts. The void defect and microstructure are the main factors which determine their mechanical properties. However, the characterization of microstructure and cavities is two dimensional, which is hard to show the spatial profile. In this paper, in order to explore the microstructure and defects in three dimensions, the combined continuously slicing and microstructure observation was used to investigate the microstructure of an Inconel 718 sample. The sample was sliced 468 layers with thickness of 1 µm by xenon ion beam, a 142.8 µm* 107 µm* 46.8 µm microstructure cube was reconstructed. From the 3D model, the melt pool, cavity, pore and grains and their orientations were analyzed. The results provide spatial features of its microstructure. The equi-axed grains are among the coarse column grains, and some are the original grains of insufficiently melt or totally unmelt powder particles. The results tell the difference of the two kinds of voids, i.e., cavity and pore.
Why do we so rarely recognise and treat the primary progressive form of multiple sclerosis?
Authors: Brola Waldemar
Published: May 2024

The primary progressive form of multiple sclerosis is characterised by a systematic increase in disability from the onset of the disease, usually without overlapping relapses. It is estimated that it accounts for 10–15% of all cases of multiple sclerosis, occurs with similar frequency in both sexes, and its symptoms appear at an older age, usually after 40. The initial manifestation usually consists of pyramidal symptoms and myelopathy. The most typical symptoms include progressive gait and sphincter function impairment. Symptoms of cerebellar syndrome, truncal syndromes, as well as visual and cognitive disturbances are less common. The clinical course with characteristic symptomatology resulting from the location of the changes primarily in the spinal cord, followed by the occurrence of initial symptoms, means that this form of multiple sclerosis requires careful differential diagnosis. It should be differentiated primarily from diseases causing lower limb paresis (myelopathy associated with vitamin B12 deficiency, amyotrophic lateral sclerosis, spinal cerebellar ataxia, neuromyelitis optica spectrum disorder, Wernicke’s encephalopathy, Lyme disease, and spinal cord tumours). The diagnosis of primary progressive multiple sclerosis should be guided by the current 2017 McDonald diagnostic criteria. Understanding these criteria and being aware of the differences from the most common relapsing-remitting form of multiple sclerosis can be helpful in speeding up the diagnosis and implementing effective treatment. Even though new treatment options have emerged in recent years, primary progressive multiple sclerosis is still little known and too rarely recognised.
Archeologia partytury. O przywracaniu autorskiej wersji Legendy Bałtyku Feliksa Nowowiejskiego
Authors:   Uniwersytet im. Adama Mickiewicza w Poznaniu, Gmys Marcin
Published: May 2024

The article presents a complex history of the opera The Legend of the Baltic to a libretto of Waleria Szalay-Groele which enjoyed great popularity already during Feliks Nowowiejski’s lifetime. The author argues that subsequent versions of the opera, made by the composer since its successful world premiere in Poznań in 1924, were, at least partially, a result of unfavorable criticism, not devoid of nationalistic traits, expressed or inspired by a respected ethnomusicologist Łucjan Kamieński, his adversary from the time of Berlin studies under Max Bruch. On the other hand, the new edition of the final scene, allegedly prepared in 1941, ignoring a precise combination of leitmotifs of the two main characters – Doman and Bogna, which became a pillar of the new version of the score popular during the communist period, was, in fact, a mystification made by the sons of Nowowiejski who decided to bring their father’s work closer to the ideals of socialist realism. A final, author’s version of The Legend of the Baltic was then prepared personally by Nowowiejski for the inauguration of the 1939/1940 season at Grand Theatre in Poznań; however, due to the outbreak of war, the score was not performed during his lifetime. It was only in 2017 that the score was reconstructed by Marcin Gmys and published as part of the series “Works of Felix Nowowiejski” by the Polish Music Publishing House. This edition of the opera, when compared with its inauthentic post-war version, restores not only the original, final scene but also, among other elements, the original arrangement of three acts of 1938 with Act II being a compact ballet scene taking place at the bottom of the Baltic Sea. It is worth emphasizing that after World War II, for many years, the music for Act II in a shortened, purely instrumental version gained great popularity as an alleged overture to Act I of the opera.
Transmodernizm a wizja śmierci w muzyce Marcina Błażewicza
Authors:   Uniwersytet im. Adama Mickiewicza w Poznaniu, Wielgat Magdalena
Published: May 2024

Marcin Błażewicz (1953–2021) entered the group of Warsaw composers of the 20th and 21st centuries as a composer and philosopher. His works, full of existential considerations, focused on human religiosity and combined various philosophies and religions. The trend that was formed by his compositions is called transmodernism. Works written by Błażewicz were often based on the subject of death, viewed not only as a phenomenon of the end of life. The article aims to present the composer’s work, analyse the ways of presenting death, explains the concept of transmodernism, and broaden the knowledge of contemporary music.
Autonomiczność, sprawczość i innowacyjność nauczyciela we współczesnej leksykografii pedagogicznej i jurysprudencji. Analiza lingwistycznopedagogiczna
Authors: Sarbiewska Anna , Stępkowski Dariusz ,   Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie
Published: May 2024

The article examines the concepts of teacher autonomy, agency and innovation from a linguisticpedagogical perspective. The research material was selected with the use of the method of searching the existing documents. The documents included selected encyclopaedic articles and legal texts concerning the teacher and his pedagogical activity. The authors used the theoretical framework of cognitive semantics in the form of conceptual integration theory when analysing the material. Autonomy as a pedagogical phenomenon has a broad and well-established lexical basis in both encyclopaedic and legal texts. The second concept, agency, has a very narrow dictionary and theoretical basis. The use of the last of the category, innovation, is limited to only some authors and their texts. Besides, the issue of innovativeness appears in legal texts sporadically and, as a rule, in relation to the school and not to the teacher. On the basis of the results obtained, it was proposed to treat the title terminological triad as an amalgam, in which the enumerated terms form a unity on the one hand, while on the other hand each of them expresses one aspect of the whole, which shows the multifaceted nature of the teacher’s pedagogical activity.
Wybrane obszary funkcjonowania kobiet w pandemii COVID-19 w Polsce (na tle krajów Unii Europejskiej)
Authors:   Uniwersytet Warmińsko-Mazurski w Olsztynie, Zaworska-Nikoniuk Dorota
Published: May 2024

The aim of the research is to analyze research reports, articles and diaries showing how women function during the COVID-19 pandemic. The subject of my analyzes was quantitative and qualitative data showing differences in the functioning of women and men during the pandemic, along with their real and potential consequences from the perspective of gender equality. Although I was mainly interested in the situation of women in the text, the adopted perspective of gender equality required me to often (for comparative purposes) compile data regarding men. The article attempts to answer the question: What changes in particular areas of women’s social functioning have been caused by the COVID-19 pandemic? I decided to use nonreactive research using the method of analyzing existing data. My research shows that the Covid pandemic has caused unfavorable changes from the perspective of gender equality, not only in Poland, but also in other countries belonging to the European Union. Women suffered health consequences, felt exhausted by their duties and returned to stereotypical social roles. Despite the attempts to eliminate gender inequality in European Union countries (including Poland), the COVID-19 pandemic has significantly reversed progress in these activities.
Characteristics of the Mothers on Stunting Toddlers 12-36 Months West Bandung Regency, Indonesia
Authors: Elba Fardila , Che Hassan Hafizah , Umar Nur Syazana
Published: May 2024

Objective: To determine the characteristics of respondents with stunted toddlers aged 12-36 months in the Batujajar and Cihampelas districts of West Bandung District.Methods: A case-control study with a pretest-posttest design was conducted from May to August 2022 in West Bandung Regency, Indonesia. The study included 124 mothers with stunted toddlers, who were divided into two groups - control and treatment - with 62 toddlers each, using simple random sampling.Result: The majority of children under the age of five in this study were female. In the case group, the majority of mothers were in the 20-29 age range (40.3%), while in the control group, the majority were in the 30-39 age range (38.7%). Most mothers in both the control and case groups had a high school education (41.8%). The majority of participating mothers were housewives (85.5%). Childcare was primarily provided by mothers, and most of the resource persons were also mothers.Conclusion: Based on the characteristics observed in this study, the majority of children under the age of five were female in both the case and treatment groups. Most mothers in both groups had a high school education, and the majority of participating mothers were housewives. Childcare was primarily handled by mothers, and most of the resource persons were also mothers.
Maternal mortality: protocol of a study integrated to the Birth in Brazil II survey
Authors: Gama Silvana Granado Nogueira da , Bittencourt Sonia Azevedo , Theme Filha Mariza Miranda , Takemoto Maira Libertad Soligo , Lansky Sônia , Frias Paulo Germano de , Ayres Barbara Vasques da Silva , Domingues Rosa Maria Soares Madeira , Dias Marcos Augusto Bastos , Esteves-Pereira Ana Paula , Nakamura-Pereira Marcos , Leal Maria do Carmo
Published: May 2024

Abstract: The Maternal Mortality Study conducts a hospital investigation of maternal deaths that occurred in 2020/2021 in the maternity hospitals sampled by the Birth in Brazil II survey, with the following objectives: estimate the maternal mortality underreporting; calculate a correction factor and the corrected (MMR); validate the causes of maternal mortality reported in the death certificate (DC); and analyze the factors associated with maternal mortality. The Birth in Brazil II includes approximately 24,250 puerperal women distributed in 465 public, private, and mixed hospitals with ≥ 100 live births/year in the five macroregions of Brazil. The Maternal Mortality Study data will be completed using the same Birth in Brazil II questionnaire, from the consultation of hospital records. Trained obstetricians will fill out a new DC (redone DC) from independent analysis of this questionnaire, comparing it to official data. The database of the investigated deaths will be related to the deaths listed in the Mortality Information System of the Brazilian Ministry of Health, allowing the estimation of underreporting and calculation of the corrected MMR. To calculate the reliability of the causes of death, the kappa test and prevalence-adjusted kappa with 95% confidence interval will be used. A case-control study to estimate the risk factors for maternal mortality will be developed with the investigated deaths (cases) and the controls obtained in the Birth in Brazil II survey, using conditional multiple logistic regression models. We expect this research to contribute to the correction of the underreporting of maternal mortality and to a better understanding of the determinants of the persistence of a high MMR in Brazil.
Technology transfer for COVID-19 vaccine in the Institute of Technology in Immunobiologicals (Bio-Manguinhos), Oswaldo Cruz Foundation
Authors: Rosenberg Vivianne Zalmon , Antunes Adelaide Maria de Souza
Published: May 2024

Abstract: Innovation is an essential element for development and growth, but it consists of a long process of knowledge accumulation, so technology transfer is used to accelerate this process. This study mapped the particularities of the technology transfer process for the COVID-19 vaccine between AstraZeneca and the Institute of Technology in Immunobiologicals (Bio-Manguinhos), Oswaldo Cruz Foundation, and identified enablers, obstacles, and gaps. Our analysis investigated the process from selection of the most suitable partner to incorporation of the new technology based on a comprehensive literature review on this topic, combined with a case study. The results showed that, although many actions still have to be performed to maximize technology capacity gains, the lessons learned from the technology transfer process will be used in future and ongoing agreements.
Mapping projects for expanding rapid HIV testing in key populations, Brazil, 2004-2021
Authors: Toledo Lidiane da Silveira Gouvea , Almeida Ana Isabella Sousa , Bastos Francisco Inácio
Published: May 2024

Abstract: The HIV/AIDS epidemic remains a persistent and real issue, especially in key populations such as men who have sex with men (MSM), travestis and transgender persons. Projects for expanding rapid HIV testing are strategic initiatives aimed at the earliest possible identification of individuals’ serological status and thus early treatment, screening of sex partners, and upscaling of preventive actions to interrupt the transmission chain. This study thus maps, describes, and systematizes the projects for expanding rapid HIV testing implemented from 2004 to 2021 in Brazil, highlighting the on-going contribution of civil society organizations and discussing the interoperability and cooperation resulting from public governance processes. We selected 67 documents for analysis, including 30 scientific publications retrieved from electronic databases and 37 documents produced by government institutions and nongovernmental organizations (NGOs). Find Out (Fique Sabendo), I Want to Get Tested (Quero Fazer), The Time is Now (A Hora É Agora), Live Better Knowing (Viva Melhor Sabendo), and Live Better Knowing Young (Viva Melhor Sabendo Jovem) were the projects mapped. Results show that the projects have used strategies adapted to the key population, such as mobile testing units, peer education, and innovative community engagement approaches. Such actions were enabled by effective cooperation and interoperability between participating stakeholders, especially NGOs.
Mortalidade materna: protocolo de um estudo integrado à pesquisa Nascer no Brasil II
Authors: Gama Silvana Granado Nogueira da , Bittencourt Sonia Azevedo , Theme Filha Mariza Miranda , Takemoto Maira Libertad Soligo , Lansky Sônia , Frias Paulo Germano de , Ayres Barbara Vasques da Silva , Domingues Rosa Maria Soares Madeira , Dias Marcos Augusto Bastos , Esteves-Pereira Ana Paula , Nakamura-Pereira Marcos , Leal Maria do Carmo
Published: May 2024

Resumo: O Estudo da Mortalidade Materna conduz uma investigação hospitalar dos óbitos maternos ocorridos em 2020/2021 nas maternidades amostradas na pesquisa Nascer no Brasil II, com os seguintes objetivos: estimar o sub-registro da mortalidade materna e calcular um fator de correção e a razão de mortalidade materna (RMM) corrigida; validar as causas de mortalidade materna informadas na declaração de óbito (DO); e analisar os fatores associados à mortalidade materna. O Nascer no Brasil II inclui aproximadamente 24.255 puérperas distribuídas em 465 hospitais públicos, privados e mistos com ≥ 100 partos de nascidos vivos/ano nas cinco macrorregiões do país. Os dados do Estudo da Mortalidade Materna serão preenchidos utilizando o mesmo questionário do Nascer no Brasil II, a partir da consulta aos prontuários hospitalares. Obstetras treinados preencherão uma nova DO (DO refeita) a partir de análise independente desse questionário, comparando aos dados oficiais. A base de dados dos óbitos investigados será relacionada com os óbitos constantes no Sistema de Informações sobre Mortalidade do Ministério da Saúde, permitindo a estimativa do sub-registro e cálculo da RMM corrigida. Para o cálculo da confiabilidade das causas de morte, serão utilizados os testes kappa e kappa ajustado à prevalência com intervalo de 95% de confiança. Um estudo de caso-controle para estimar os fatores de risco para mortalidade materna será desenvolvido com os óbitos investigados (casos) e os controles obtidos na pesquisa Nascer no Brasil II, utilizando-se modelos de regressão logística múltipla condicional. Espera-se contribuir para a correção do sub-registro da mortalidade materna e para a melhor compreensão dos fatores determinantes da persistência de RMM elevada no Brasil.
Diretrizes da Sociedade Brasileira de Angiologia e de Cirurgia Vascular sobre o pé diabético 2023
Authors: Duarte Junior Eliud Garcia , Lopes Cicero Fidelis , Gaio Danilo Roberto Fadel , Mariúba Jamil Victor de Oliveira , Cerqueira Lorena de Oliveira , Manhanelli Filho Marcos Antonio Bonacorso , Navarro Tulio Pinho , Castro Aldemar Araújo , Araujo Walter Jr. Boim de , Pedrosa Hermelinda , Galli Filho Júnio , Luccia Nelson de , Paula Clayton de , Reis Neto Fernando , Bohatch Júnior Milton Sérgio , Oliveira Tércio Ferreira de , Silva Amanda Fernandes Vidal da , Oliveira Júlio Cesar Peclat de , Joviliano Edwaldo Édner
Published: May 2024

Resumo O pé diabético corresponde a uma interação entre fatores anatômicos, vasculares e neurológicos que representam um desafio na prática clínica. O objetivo deste trabalho foi compilar as principais evidências científicas com base em uma revisão das principais diretrizes, além de artigos publicados nas plataformas Embase, Lilacs e PubMed. O sistema da Sociedade Européia de Cardiologia foi utilizado para desenvolver classes de recomendação e níveis de evidência. Os temas foram divididos em seis capítulos (Capítulo 1-Prevenção de úlceras nos pés de pessoas com diabetes; Capítulo 2-Alívio da pressão de úlceras nos pés de pessoas com diabetes; Capítulo 3-Classificações das úlceras do pé diabético; Capítulo 4-Pé diabético e a doença arterial periférica; Capítulo 5-Infecção e o pé diabético; Capítulo 6-Neuroartropatia de Charcot). A versão atual das Diretrizes sobre pé diabético apresenta importantes recomendações para prevenção, diagnóstico, tratamento e seguimento dos pacientes com pé diabético, oferecendo um guia objetivo para prática médica.
Between councils and conferences: deliberative arenas on human rights in Minas Gerais
Authors: Silva Eduardo Moreira da , Ribeiro Antonio Carlos Andrade , Garcêz Regiane Lucas de Oliveira
Published: May 2024

ABSTRACT Introduction: The academic literature on deliberative systems suggests exploring the connections between deliberative forums and other components of the political system and society. This article investigates the participation of governmental actors and civil society in councils and conferences addressing public policies on human rights in the state of Minas Gerais, Brazil. The objectives are twofold: to propose a theoretical framework for examining deliberative subsystems and to identify the connectors in a multilevel network consisting of human rights councils and conferences. Materials and methods: We adopted a methodology centered on subsystem theory, prioritizing the dynamics of deliberation arenas and the synergy between councils at local and state levels. We reinterpreted the concept of subsystem to develop an empirical model that incorporates its thematic dimension. To examine the interconnections between councils and conferences, we employed an analytical approach known as two mode network analysis, also referred to as affiliation network analysis, situated in the domain of Social Network Analysis. Results: Our findings suggest a high level of integration within the subsystem. In contrast to prior studies, we found that civil society actors, alongside governmental agents, significantly contribute to interconnecting various arenas within the subsystem. This finding underlines the functional specialization of liaison agents within the context of the deliberation system. Discussion: Our findings offer a twofold contribution to the existing literature. Firstly, we present an innovative theoretical model for analyzing deliberative systems. Secondly, we recommend the use of multilevel network analysis as a robust tool for identifying connections between multiple arenas.
Atuação fonoaudiológica em pacientes traqueostomizados no contexto da COVID-19
Authors: Dias Valdani , Santos Tamires Daros dos , Ozório Lisiane Alves , Birrer Jucelaine Arend , Bastilha Gabriele Rodrigues
Published: May 2024

RESUMO Objetivo Descrever as contribuições da atuação fonoaudiológica em pacientes traqueostomizados no contexto da COVID-19. Métodos Estudo retrospectivo de natureza descritiva e análise quantitativa, com coleta em prontuários de variáveis clínicas e gerais dos pacientes e dos atendimentos fonoaudiológicos. Para análise estatística, foi adotado o coeficiente de correlação de Pearson ou Spearman e nível de significância de 5% (p< 0,05). Resultados Foram incluídos 28 prontuários de pacientes (57,1% gênero masculino) com média de idade de 52 anos e 1 mês, que permaneceram internados por, aproximadamente, 53,7 dias e evoluíram para traqueostomia após 22,1 dias de intubação orotraqueal. Foram registrados dez atendimentos fonoaudiológicos por paciente, que iniciaram, em média, 38,4 dias de internação e foram solicitados em 39,3% para progressão da traqueostomia e da dieta por via oral. O cuff da traqueostomia foi mantido desinsuflado no terceiro, sugerida a decanulação em sete dias após o início e liberada dieta por via oral com cinco atendimentos. Quando analisado o tempo de início dos atendimentos fonoaudiológicos, verificou-se correlação positiva com o tempo de internação hospitalar (p<0,0001), mas não com o processo de decanulação e com o tempo de traqueostomia. Já o número de atendimentos fonoaudiológicos teve correlação positiva com o tempo de uso da traqueostomia e até a liberação da dieta por via oral. Conclusão A atuação fonoaudiológica contribuiu para reabilitação da deglutição e retorno seguro à alimentação por via oral de pacientes internados por COVID-19 e submetidos à traqueostomia.
Mulher do fim do mundo: violência feminicida contra a saúde da mulher negra
Authors: Costa Mariana Freitas da , Augusto Cristiane Brandão , Marques Maria Celeste Simões
Published: May 2024

RESUMO Este artigo se dedica a dialogar sobre a violência feminicida e algumas de suas manifestações contra as mulheres negras. Tem-se como objetivo evidenciar de que forma as vivências cotidianas e as relações sociais e de poder afetam esse grupo populacional e banalizam a violência que as acomete, legitimando altas taxas de mortalidade por diferentes causas evitáveis, sem que estas sejam consideradas um problema de saúde pública. O texto demonstra, a partir de um levantamento bibliográfico, a evitabilidade de mortes em casos de neoplasias malignas, HIV/aids e suicídio resultantes da mitigação ao acesso à saúde, associada a subjugações no sistema patriarcal racista. Negligência e descaso, motivados por racismo e misoginia estruturais, conformam o ‘fazer morrer’ de mulheres negras revelado por uma necropolítica de diagnósticos tardios, falhas em campanhas de conscientização e prevenção, falta de acolhimento e de políticas adequadas a essa população. Relacionando tais violações ao direito à saúde com músicas de Elza Soares, pretende-se trazer a arte como instrumento de denúncia e como recuperação de vozes silenciadas.
Implementação da Política Nacional de Saúde Integral LGBT no município de Resende, Rio de Janeiro
Authors: Costa Larissa Fagundes da , Hennington Élida Azevedo
Published: May 2024

RESUMO O artigo apresenta resultados da pesquisa qualitativa realizada em Resende, cidade localizada no interior do estado do Rio de Janeiro, sobre a implementação da Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais e Travestis e Transexuais (PNSI-LGBT). A fim de contribuir para a compreensão do processo de desenvolvimento de políticas públicas voltadas à população LGBTQIA+, com ênfase na área de saúde mental, foram realizados levantamento documental e entrevistas com a equipe gestora do programa de saúde mental do município. Os resultados evidenciaram que a PNSI-LGBT não se encontra implementada na rede de atenção à saúde e que a maioria dos gestores entrevistados pouco conhecia da política. Em relação as ações concretas voltadas à população LGBTQIA+, elas hoje estão limitadas à implantação de um serviço ambulatorial voltado para a hormonioterapia e transgenitalização das pessoas transgêneras na cidade. A pesquisa possibilitou suscitar a discussão sobre a PNSI-LGBT e a incipiência de sua implementação no município, evidenciando os desafios a serem enfrentados pela gestão pública.
Nina Rodrigues e os Índios do Brasil
Authors: Monteiro Filipe Pinto , Henrique Márcio Couto
Published: May 2024

Resumo Os índios, em especial aqueles provindos do que então era entendido como “mestiçagem” ou “miscigenação” com brancos e negros, tornaram-se um fator-chave no plano teórico do médico e antropólogo Raimundo Nina Rodrigues. Habitualmente, sua herança intelectual é vinculada à população “áfrico-bahiana”, posto seus estudos detalhados sobre etnologia urbana. Este artigo busca explorar, dentre suas propostas, o papel do “brasílio-guarany” e seu fator nocivo para o desenvolvimento do país, na ótica cientificista. Nina Rodrigues abriu diálogo com dois autores de destaque no século XIX sobre os ameríndios do Norte do país (em especial Pará e Amazonas), José Veríssimo e Couto de Magalhães. Sustentamos que o resultado deste confronto de ideias é um exemplo contundente de como o médico maranhense realizou certo deslocamento de sua posição em face do racismo científico, do qual ele se afasta (mas não abandona), incorporando elementos do evolucionismo-social e criando uma leitura única das relações sociais e biológicas entre as chamadas três raças formadoras da nação.
Mental health in Brazil in times of neoliberalism and pandemic: retrogression and resistance
Authors: Oliveira Cláudia Freitas de
Published: May 2024

Abstract This study analyzes aspects of mental health in Brazil as an active political field involving a range of social segments and actors from opposing fields in a context of advancing neoliberalism and pandemic. The analysis begins in 2016, when fiscal austerity entered the national agenda, and proceeds through the pandemic until the present day, when both phenomena continue to prevail, even if the intensity of the pandemic is now reduced. In the ambit of mental health, the national policy based on the principles of the psychiatric reform has suffered severe setbacks. Nonetheless, despite state-sponsored efforts to discourage social control and public participation, important sectors of society are engaged in active resistance.
Em benefício dos filhos de amanhã: participação feminina na eugenia brasileira, 1918-1936
Authors: Vieira Thayná Soares de Almeida
Published: May 2024

Resumo O texto analisa a participação feminina na eugenia brasileira e os discursos médicos acerca dos papéis e funções sociais dos sexos na primeira metade do século XX. A partir da análise da produção de duas mulheres, Ítala Silva de Oliveira e Eunice Penna Kehl, o objetivo principal é argumentar que determinadas mulheres se engajaram efetivamente no movimento eugênico, trabalhando em prol da aproximação feminina com a eugenia. Tal análise permite explorar uma dimensão pedagógica e de popularização da eugenia por meio da tentativa de formação de uma consciência higiênica e eugênica nas mulheres.
AN INTER-IMPINGEMENT SPRAY MODEL CONSIDERING BINARY DROPLET COLLISION BASED ON OPENFOAM
Authors: Bu Jingqi , Li Longfei , Zhang Fan , Zhong Shenghui , Liu Zhuoxin , Liao Xifeng , Fan Linhao , Jiao Kui , Du Qing
Published: May 2024

Collision and breakup are the two main processes of the inter-impingement spray within internal combustion engines. Previous models did not comprehensively account for five collision regimes that delineate collision dynamics under high-pressure conditions, leading to deviations in the prediction of Sauter mean diameter (SMD) and frequency of bouncing regime. Hence, this article integrates an
improved composite collision model for high-pressure conditions, incorporating all collision regimes,
as well as the generation of satellite droplets. Due to the significant dependence of collision regimes on
the geometric relationships between collision pairs, this article advocates the combined utilization of
the composite collision model with the absolutely deterministic trajectory (ADT) model. Furthermore,
the calculation method of the breakup length Bl that separates the primary and secondary breakup is
modified for high-speed inter-impingement sprays. Extensive validation of binary droplet collisions
and inter-impingement sprays are conducted. The comparative analysis reveals that the conventional
Bl overestimates the penetration, the simplified collision model overestimates the SMD, while the present
model agrees well with experimental results. Results show that a slight increase in global SMD and a significant reduction in velocity after the impingement point. Downstream of the impingement point, SMD at the ends exceeds that in the middle when the impinging distance Sz > Bl, contrasting with the situation when Sz < Bl and closer to the impingement point. Moreover, the occurrence of the coalescence regime is more frequent during secondary breakup than in primary breakup before the impingement point.
Epistemic Communities in American Public Law
Authors: Sunstein Cass Robert
Published: May 2024

 
What do judges know, or think they know? What do judges not know, and not know that they do not know? When and why do judges sort themselves into competing “tribes”? The answer is that like everyone else, judges are part of epistemic communities. Consider some illustrations. In the last two decades, there has been an extraordinary outpouring of careful historical work on two of the most fundamental questions in constitutional law: (1) whether Congress may delegate open-ended discretionary power to the executive branch (or others) and (2) whether Congress may restrict the president’s power to remove high-level officials in the executive branch. The best reading of the new evidence is that there was no robust nondelegation doctrine during the founding period, if there was a nondelegation doctrine at all. Though the issue is closer, the best reading of the new evidence is that during the founding period, the Constitution was understood to authorize Congress to restrict the president’s power of removal, even over principal officers (with important qualifications). What is remarkable is that in both contexts, no originalist on the Court has been convinced by the relevant evidence, or even seriously grappled with it. There are three plausible explanations for the apparent impotence of historical evidence in this context (and others). The first points to optimal search, and hence to simple lack of awareness of the relevant evidence. The second is Bayesian and spotlights rational updating. The third points to motivated reasoning. All three accounts offer lessons for lawyers and others seeking to marshal historical or other evidence to disrupt engrained judicial beliefs. 
 
ON THE QUESTION OF PREDICTING PREMATURE DETACHMENT NORMALLY POSITIONED PLACENTA
Authors: Vinogradova Olga , Rakhmatullov Fagim , Ostanin Maksim
Published: May 2024

Studying the issues of predicting abruption of a normally located placenta is extremely
relevant in modern obstetrics.