bluuebunny/crossref_metadata_2025 huggingface dataset:
Discrepancies between Cystatin C–Based and Creatinine-Based eGFR
Authors: Farrington Danielle K. , Surapaneni Aditya , Matsushita Kunihiro , Seegmiller Jesse C. , Coresh Josef , Grams Morgan E.
Published: June 2023

Background

Recent guidance suggests clinicians increase use of cystatin C for the estimation of GFR. Discrepant levels of creatinine-versus cystatin C–based eGFR (eGFRcr versus eGFRcys) can occur and might signify inaccurate estimation of GFR using creatinine alone. This study sought to enhance the knowledge of the risk factors and clinical implications of having a large eGFR discrepancy.

Methods

Participants in the Atherosclerosis Risk in Communities Study, a prospective cohort study of US adults, were followed over 25 years. eGFR discrepancy was measured at five clinical visits and defined as eGFRcys either 30% lower or higher than eGFRcr, the current clinical standard of care. The associations between eGFR discrepancies and kidney-related laboratory parameters were assessed using linear and logistic regression and long-term adverse outcomes, including kidney failure, AKI, heart failure, and death, using Cox proportional hazards models.

Results

Among 13,197 individuals (mean age 57 [SD 6] years, 56% women, 25% Black race), 7% had eGFRcys 30% lower than eGFRcr at visit 2 (1990–1992), and this proportion increased over time to 23% by visit 6 (2016–2017). By contrast, the percent with eGFRcys 30% higher than eGFRcr was relatively stable (3%–1%). Independent risk factors for having eGFRcys 30% lower than eGFRcr included older age, female sex, non-Black race, higher eGFRcr, higher body mass index, weight loss, and current smoking. Those with eGFRcys 30% lower than eGFRcr had more anemia and higher uric acid, fibroblast growth factor 23, and phosphate levels as well as higher risk of subsequent mortality, kidney failure, AKI, and heart failure compared with those with similar eGFRcr and eGFRcys values.

Conclusions

Having eGFRcys lower than eGFRcr was associated with worse kidney-related laboratory derangements and a higher risk of adverse health outcomes.
Reflection of Gender Encounters in the Society Portrayed in Literature
Authors: Srilakshmi Jala
Published: June 2023

The gender perspective examines the impact of gender on people's opportunities, social roles, and interactions. The successful implementation of policy goals, programs and projects of international and national organizations is directly influenced by gender impacts and thereby back to the social development process. Gender is an integral part of all aspects of the economic, social, daily and private life of individuals and societies, and of the various roles that society attributes to men. and women. Representation of gender in literary works always show differences of the male and female characters in the novel, short stories, or films, by analysing the gender role or the representation of the literature work, it can be found that the authors of literature is following the patriarchal or feminism idea. The gender representation is shown in any genre of the literature. Virginia Woolf literature Woolf’s most famous statement about the relationship between gender and writing. Analysing gender discrimination in Anita Desai’s novel, Fasting, Feasting. Gender Bias by Sudha Murthy. The advancement of technology is one of the important factors contributing to closing the gender gap in the workplace. This approach looked for strategies and measures to compensate women for their social disadvantages. Since we all know that gender equality means equal rights and equal access to resources and opportunities for women and men, digitization has helped people improve their skills in their respective fields. Today, they can connect with anyone in the world through digital platforms and participate in online knowledge-sharing sessions.
Politics, Vaccine Distribution, and Public Reception during the Covid-19 Pandemic in Enugu State
Authors: Odeh E. E. , Odibo S. M. , Agbo H.C. , Ezirim G. E. , Ogbuka I. M.
Published: June 2023

The COVID-19 pandemic has posed unprecedented challenges to governments worldwide, with significant implications for public health, social and economic development, and global security. This study aims to examine the politics surrounding the distribution of COVID-19 vaccines and its impact on public reception in Enugu State, Nigeria. Using political ecology theory and a mixed-method approach that includes data collection through interviews, surveys, and document analysis, the study explored the factors that shape the distribution of vaccines and how government officials, community leaders, and public health agencies are involved in the distribution process. Additionally, the study will investigate how the political climate in Enugu State contributes to the public's perception and reception of the vaccine distribution efforts. The study seeks to identify the challenges encountered during the distribution of the COVID-19 vaccines in Enugu, including political influence, corruption, and bureaucratic red tape, among other factors. The study shows that inadequate vaccine distribution has led to elitist vaccine reception. The findings of this study will provide valuable insights to policymakers, public health officials and community leaders on the challenges and opportunities for effective vaccine distribution strategies in Enugu State, contributing to the pandemic response in Nigeria and beyond.
Modelling of Temperature Effects on Flexible and Rigid Pavements
Authors: Hariharan S. , Jeyapriya S. P.
Published: June 2023

Abstract: One of the most crucial elements impacting the rigid and flexible pavements performance is temperature. This significance necessitates specific care and interest in research to create design and analytical processes that take temperature issues into account. The variation in temperature is modelled using ANSYS v19.2 finite element method software. At any assigned depth in different layers of pavement, the stresses and deformation were obtained using solution of axisymmetric problem for an applied temperature of 45ºC. In flexible pavement the temperature stress variation was found to be 2.512 N/m² at top of bituminous concrete to 0 N/m² to the bottom of compacted subgrade layer, vertical deformation was found to be 0.013m at top of bituminous concrete to 0.0089m bottom of compacted subgrade layer. In the rigid pavement the temperature stress found to be 6.23 N/m² at top of concrete and-1.64 N/m² at bottom of subbase layer and horizontal deformation should be maximum and minimum of 0.0542m-0.0102m.
Review on Comparison between Steel, RCC and Composite Structure
Authors: Kasare Ms. Suchita S. , Shende Dr. Tushar G.
Published: June 2023

Abstract: In India, plain concrete is a very common material in construction, especially in medium and low-rise buildings. Steel is also widely used in high-rise buildings, and composite construction is not as popular, but it is possible that composite construction will be more beneficial in medium and high-rise buildings. Reinforced concrete is a widely used construction material. Steel beams are embedded in concrete to obtain an efficient composite material, reinforced concrete. Composite construction is known for two load-bearing structural parts that are securely connected and bent into a single unit. Composite structure is considered one of the most economical and short-lived structures compared to RCC and steel structures. A composite structure mainly consists of a column with an I-section enclosed or embedded in concrete or concrete and steel filled steel tube. Part I as beam and deck plate consisting of cold deck steel plates and mortar. The beams are connected to the deck slab with shear joints that have strength and fire resistance.
Creation of a Mudra batik business in the Wirausaha Merdeka Program of Universitas Muhammadiyah Surakarta
Authors: Mustofa Muhamad , Setyawan Anton Agus
Published: June 2023

The implementation of the Wirausaha Merdeka program was motivated by the rising unemployment rate in Indonesia, which prompted the government to make a breakthrough by encouraging student interest and enthusiasm in entrepreneurship, instilling a mindset and fundamental competencies in the field of entrepreneurship, encouraging more entrepreneurial experience among students, boosting student employability and assisting in the development of university graduates' capacity and quality. The method used is a combination of learning by doing, training, and mental empowerment of student business. The activities were carried out in an engaging, participatory manner, with Field Supervisors (DPL) and one Mentor from UMKM partners accompanying each group of five students. In conclusion, the Wirausaha Merdeka program can effectively increase motivation, increase competence and foster entrepreneurial interest. There were significant improvements both before and after the Wirausaha Merdeka program was implemented.
MSMEs go digital: Marketing assistance for batik tulis products through e-commerce
Authors: Widyo Nugroho Aris , Natasya Ika Aurelia , Prasetyo Satria Iman
Published: June 2023

The use of conventional marketing methods has a negative impact on the marketing of MSME Batik Tulis Mugissae products in Ngentakrejo Village. This is the background for Universitas Muhammadiyah Yogyakarta to carry out a community service program with the aim of assisting the marketing of digital based Batik Tulis MSME products. The mentoring implementation method is carried out in four stages, including: the stages of preparation, implementation, monitoring and evaluation and follow up plans. The results of the implementation provide assistance and education in strengthening understanding of digital based marketing. The preparatory stage is carried out through FGDs to produce a mature concept. The implementation phase is carried out by providing assistance in the form of product photos as MSME product branding, strengthening understanding of the use, marketing and promotion of Batik Tulis products through E-Commerce.
Community-Based Tourism: Strengthening understanding and assistance in establishing tourism awareness group
Authors: Nugroho Aris Widyo , Prasetyo Satria Iman , Candra Ilham Agustian , Saputra Rivaldi Alan , Putra Afif Surya
Published: June 2023

This article contains a description of the results of the coomunity service program carried out by Universitas Muhammadiyah Yogyakarta in assisting the establishment of the pokdarwis institution in Sendangarum Village. The vital role of the pokdarwis institution in managing tourism potential and cultivating a tourism-aware attitude in the community is the background for carrying out the service program. The implementation method has five stages, but only three implementation stages are core, such as providing outreach, strethening community understanding of pokdarwis and assisting the formation of pokdarwis. The result show that the provision of pokdarwis materials to the people of Sendangarum is intended to strengthen understanding of tourism village institutions up to the flow of forming pokdarwis. Furthermore, the community is given assistance in forming pokdarwis institutions. The process of assisting the formation of pokdarwis chairman, forming management and assisting the preparation of AD/ART documents up to the work program. Furthermore, the second stage is carried out by accompanying and facilitating the community to make proposals to the Village Government through village forums.
Case Report on Headache Treated with Korean Medicine in a Patient with Epilepsy
Authors: Kim Chae-eun , An Da-young , Noh Woohyeon , Han Suzy , Sun Seung-ho , Baek Tae-hyun , Kim Mikyung
Published: June 2023

Objective: This study reports a clinical case of headache accompanied by epilepsy that showed improvement with Korean medicine treatments.Methods: A 67-year-old woman with headache was treated with Korean medicine therapies, including Cheongshimondam-tang, acupuncture, electroacupuncture, and cupping, for 14 days. The response before and after treatment was evaluated using the Numerical Rating Scale, Headache Impact Test-6 (HIT-6), and Quality of Life in Epilepsy-10 (QOLIE-10).Results: After the treatments, the headache was relieved from NRS 8 to NRS 1, and anxiety decreased from NRS 7 to NRS 2. The HIT-6 changed from 66 to 48, and the QOLIE-10 dropped from 44 to 30.Conclusion: This study suggests that combined Korean medicine treatments might be a therapeutic option for relieving headache with epilepsy.
Case of Restless Leg Syndrome Patient with Chronic Kidney Failure Treated with Jakyakgamcho-tang
Authors: Jung So-Min , Lee Seong-Wook , Lee Han-Gyul , Cho Ki-Ho , Moon Sang-Kwan , Jung Woo-Sang , Kwon Seungwon
Published: June 2023

Restless leg syndrome is a nervous system disorder that causes an overpowering urge to move one’s legs. Symptoms of restless leg syndrome usually worsen when one tries to fall asleep and can prevent sufficient sleep. Restless leg syndrome is common in patients with chronic kidney failure and can be caused or worsened by chronic kidney failure and hemodialysis. Various medications can treat restless leg syndrome, though the long-term use of medications can cause augmentation and adverse effects. In addition, the use of dopamine agonists is limited in patients with chronic kidney failure. This is because the dose of administration should be controlled for patients with chronic kidney failure, and the treatment effect has not been clearly proven. This study reports the case of a 56-year-old male diagnosed with chronic kidney failure complaining of uncomfortable leg sensations. The patient underwent Korean medicine treatment using Jakyakgamcho-tang. The IRLS, NRS, and AIS scores were evaluation tools during treatment. This study suggested significantly improved symptoms through the individual interventions of Jakyakgamcho-tang in a restless leg syndrome patient with chronic kidney failure.
Case of Adductor Spasmodic Dysphonia Patient Complaining of Voice Tremor and Hoarseness Treated with Combined Korean Medical Therapies
Authors: Lee Seong-Wook , Jung So-Min , Lee Han-Gyul , Cho Ki-Ho , Moon Sang-Kwan , Jung Woo-Sang , Kwon Seungwon
Published: June 2023

Background: Adductor spasmodic dysphonia (ASD) is caused by the involuntary contraction of laryngeal muscles due to dystonia localized to the larynx. In the case of ASD, conventional treatment is mainly performed with a botulinum toxin injection. However, the botulinum toxin injection has a short-lasting effect and requires repeated injections. Alternatives are needed due to concerns over adverse effects, such as general weakness and airway aspiration caused by the botulinum toxin injection.Case report: A 46-year-old female patient with ASD complained of voice tremor and hoarseness. The combined Korean medical treatments-Ukgan-san-gami, Jakyakgamcho-tang, acupuncture, and transcutaneous electrical nerve stimulation (TENS)-were administered on the first day the patient was hospitalized. The Voice Handicap Index (VHI) was evaluated during the treatment. The VHI taken on the second day totaled 92 points. On the ninth day, 81 points were recorded. Total score gradually improved, and on the 16th day, 62 points were recorded. Combined Korean medical treatment lasted 19 days.Conclusion: The present case report suggests that a combined Korean medical treatment approach with Ukgan-san-gami, Jakyakgamcho-tang, acupuncture, and TENS might be effective for symptoms such as voice tremors and hoarseness. Combined Korean medical treatment can be a therapeutic option for patients with ASD.
Case of a Hemorrhagic Cystitis Patient Taking Antiplatelets Treated with Jeoryeong-tang-hap-Samul-tang
Authors: Lee Dabin , Kim Geun Young , Jeon Seon Uk , Lee Han-Gyul , Cho Ki-Ho , Moon Sang-Kwan , Jung Woo-Sang , Kwon Seungwon
Published: June 2023

Hemorrhagic cystitis refers to massive inflammation and the diffuse vesical bleeding of the bladder. In patients with hematuria complaining of dysuria and pain, it is necessary to differentiate various causes, including cystitis, nephritis, and prostatitis. After the diagnosis of hemorrhagic cystitis, antibiotics usually treat and prevent further urinary tract infections. In the present case, a 78-year-old female patient with hemorrhagic cystitis presenting with hematuria underwent Korean medical treatment with Jeoryeong-tang-hap-Samul-tang for 29 days. The effect of the treatment was assessed with the hematuria grading scale (HGS) per week, urinalysis per two weeks, and the NRS (numeric rating scale) of dysuria per day. After treatment, both HGS and NRS scores decreased, and protein, blood, and red blood cells (RBCs) in urinalysis improved. This case report suggests that Jeoryeong-tang-hap-Samul-tang might be an effective option for hemorrhagic cystitis patients who continuously take antiplatelets.
Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection
Authors: Heo Hye-min , Lee Kyeong-hw , Heo Kyeong-hwa , Hwang Ye-chae , Cho Seung-yeon , Park Jung-mi , Ko Chang-nam , Park Seong-uk
Published: June 2023

This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient’s subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.
Case Report of Thrombocytopenia Improved by Traditional Korean Medicine
Authors: Kim Ye-seul , Park Ji-yoon , Hong Jung-hwa , Seok Eun-joo , Rhee Young-ju , Ahn Lib , Choi Dong-jun
Published: June 2023

Objective: This study reports on the improvement of a patient with thrombocytopenia using Korean medicine.Methods: A 29-year-old woman was treated with acupuncture, moxibustion, and Korean herbal medicine. Platelet counts were checked periodically to identify improvements in thrombocytopenia.Results: The platelet count showed a marked improvement during treatment, with no side effects for the patient.Conclusion: This study suggests that Korean medicine could be used for the management of thrombocytopenia.
Case Report: Korean Medicine Treatment for Diabetic Peripheral Neuropathy Concurrent with Chemotherapy-Induced Peripheral Neuropathy
Authors: Park Ji-yoon , Kim Ye-seul , Hong Jung-hwa , Rhee Young-ju , Seok Eun-joo , Ahn Lib
Published: June 2023

Objectives: This study reports the effectiveness of acupuncture and moxibustion for Diabetic Peripheral Neuropathy concurrent with Chemotherapy-Induced Peripheral Neuropathy.Case presentation: A 58-year-old male was admitted for hand numbness and foot pain after his sixth chemotherapy. He was treated with acupuncture and moxibustion for 18 days. Symptoms were evaluated with a numeric rating scale (NRS). After 18 days of treatment, his foot pain improved from NRS 4 to NRS 2. His hand numbness disappeared.Conclusion: This study suggests that acupuncture and moxibustion can be used for managing diabetic peripheral neuropathy concurrent with chemotherapy-induced peripheral neuropathy.
Case of an Iron Overload Patient Who Discontinued Iron Chelation Therapy and Was Treated with Saenggangunbi-tang
Authors: Lee Juyoung , Hwang Cho Hyun , Lee Eunkyung , Jang Eungyeong , Lee Jang-Hoon , Kim Youngchul
Published: June 2023

Objectives: This study identified the effect of Korean medicine treatment on a patient with iron overload who discontinued iron chelation therapy.Methods: A 64-year-old woman with iron overload was treated with Saenggangunbi-tang from November 14, 2022, to March 15, 2023, to reduce fatigue and improve laboratory findings. We observed changes in the symptoms and improvement of laboratory findings during the four-month treatment.Results: The approximately four-month treatment with Saenggangunbi-tang showed considerable improvement in laboratory findings and fatigue. In addition, no adverse effects, such as liver injury, were observed during Korean medicine treatment.Conclusion: This study suggests the availability of Saenggangunbi-tang as a therapeutic option for managing patients with iron overload.
Case Report of Type-1 Diabetes Mellitus with Uncontrolled Blood Sugar Improved by Complex Korean Medicine Treatment
Authors: Kim Soo-duk , Seo Min-jo , Sim Hyun-a , Jung Woo-jin , Jo Hye-ri , Kong Geon-sik , Choi Yo-sup
Published: June 2023

Objective: This study reported the effectiveness of Korean medicine for a patient with Type-1 diabetes mellitus after pancreatectomy with a compression fracture of the thoracic spine.Methods: A patient diagnosed with Type-1 diabetes mellitus after a pancreatectomy was treated with acupuncture, pharmacopuncture, Gami-hwanggigyejiomul-tang (modified Huangqi Guizhi Wuwu decotion), Jindang-won, etc. The conventional treatment was maintained using an insulin pump and insulin injection.Results: Blood glucose (FBS/PP2hrs), ESR and CRP decreased after one month of treatment.Conclusion: Gami-hwanggigyejiomul-tang and Jindang-won may be effective treatments for Type-1 diabetes mellitus. Further studies are needed to confirm the findings of this case.
Case Study of a Patient in a Thyrotoxic Phase of Painless Thyroiditis Treated with Guibiondam-tang-gamibang
Authors: Kim Seo-hyun , Kim Chae-eun , Kim Jun-seok , Jang Woo-seok
Published: June 2023

Objective: This study investigated the effects of Guibiondam-tang-gamibang on patients in the thyrotoxic phase of painless thyroiditis.Methods: A patient in the thyrotoxic phase of painless thyroiditis was treated with Guibiondam-tang-gamibang combined with Western medicine (i.e., beta blockers). The effect of treatment was evaluated according to the pulse rate, NRS, the frequency of subjective symptoms, and sleep time. In addition, the thyroid function was evaluated with TSH, Free T4, and T3 using blood tests.Results: After treatment, the pulse rate decreased, and the NRS and frequency of subjective symptoms disappeared after improvement. Sleep time increased. In the thyroid function test, a significant normalization of each value was observed.Conclusion: This study suggests that Guibiondam-tang-gamibang can be effectively treated in patients with painless thyroiditis in the thyrotoxic phase. However, further studies should be conducted.
Case Report: Complex Treatment Using Korean Medicine, Including Jaeumkunbi-tang, Acupuncture, and Limb Activation Exercises for a Patient Suffering Unilateral Neglect due to Intraventricular Hemorrhage Accompanied by Intraventricular Hemorrhage
Authors: Shin Joo-eun , Kang Jie-yoon , Kim Yoon-sik , Seol In-chan , Yoo Ho-ryong
Published: June 2023

Objective: This study reports the effectiveness of the Korean medicine treatment of patients with intracerebral and intraventricular hemorrhages suffering unilateral neglect symptoms.Case presentation: The patient was treated using Korean medicine, including acupuncture, herbal medicine, moxibustion, and a limb activation exercise. We measured Unilateral Neglect Symptom progress with a numeric rating scale, Albert’s test, Line bisection test, Clock drawing test, and Catherine Bergego Scale. After eight days of combined Korean medicine and rehabilitation exercise, the Unilateral Neglect Symptom intensity reduced from NRS 8 to 6. In addition, Albert’s test score decreased from 2.5% to 0%. The Line bisection test score decreased from 19 mm to 12 mm, and the Clock drawing test score improved from 8 to 10. Last, the Catherine Bergego Scale decreased from 12 to 9. No adverse events were observed during treatment.Conclusion: This study suggested that a complex treatment including Jaeumkunbi-tang, acupuncture, moxibustion, and limb activation exercise can be effective for an intracerebral hemorrhage with intraventricular hemorrhage patient suffering from Unilateral Neglect Symptoms. Consequently, more research is needed in the future.
Case Study of a Cerebral Infarction Patient with Recurring Aspiration Pneumonia Treated with Korean Medicine, Including Shigyungbanha-tang-gami Combined with Antibiotics
Authors: Yang Ji-soo , Cho Eun-chai , Lew Jae-hwan
Published: June 2023

Objective: This study addressed the case of a cerebral infarction patient with recurring aspiration pneumonia.Methods: A patient diagnosed with cerebral infarction with recurring aspiration pneumonia was treated with Korean medicine therapies, including herbal medication (Shigyungbanha-tang-gami), acupuncture, electro-acupuncture, and moxibustion combined with antibiotics for 31 days. To evaluate the therapeutic effect, we checked chest X-rays, lab evaluations, the number of night suctions, and body temperature.Results: After treatment, chest X-rays and inflammation markers improved. In addition, the number of night suctions decreased, and the body temperature was normalized. Aspiration pneumonia recurred. However, the intensity of the symptoms gradually weakened, and the recovery speed increased.Conclusion: These results suggest that Korean medicine therapies, including Shigyungbanha-tang-gami combined with antibiotics, have a beneficial effect on recurring aspiration pneumonia, an additional disease related to cerebral infarction.
ESCRITÓRIOS DE GESTÃO DE PROJETOS REGIONAIS NA POLÍCIA MILITAR DE SANTA CATARINA
Authors: Santana Julival , Fialho Francisco Antonio Pereira
Published: June 2023

Objetivo: O artigo tem por objetivo apresentar um modelo para a estruturação de Escritórios de Gestão de Projetos nas Regiões Policiais Militares de Santa Catarina. Para fundamentá-lo descreve-se a importância da gestão de projetos e de seus escritórios, bem como suas atividades e funções. A modelagem considera a estrutura organizacional, a legislação, a integração sistêmica e os recursos disponíveis na Polícia Militar catarinense.
Método/abordagem: A pesquisa é exploratória, qualitativa e aplicada e tem por procedimentos as pesquisas bibliográfica, documental e o estudo de caso.
Principais Resultados: Constata-se com o estudo que a implementação dos Escritórios de Gestão de Projetos Regionais tende a ampliar o desempenho e a capacidade organizacional aplicados a Defesa Social e a Segurança Pública.
Contribuições teóricas/práticas/sociais: O trabalho apresenta contribuições teóricas, práticas e sociais ao demonstrar que a desconcentração da gestão de projetos, mediante implementação dos Escritórios de Gestão de Projetos Regionais, é uma ferramenta que contribui para a melhoria do desempenho organizacional, gerencial e administrativo, ampliando a capacidade responsiva das Organizações Policiais Militares em âmbito estadual.
Originalidade/relevância: A pesquisa é original e inovadora na área de gestão de projetos ao conceber a criação de escritórios desconcentrados, possuindo relevância teórico-científica ao propor uma modelagem flexível e, de fato, aplicável as Organizações Policiais Militares.
Palavras-chave: Administração Pública. Gestão de Projetos. Polícia Militar.
Padrões espaciais da mortalidade fetal e carência social no estado de Pernambuco, Brasil
Authors: Canuto Indianara Maria de Barros , Bonfim Cristine Vieira do , Macêdo Vilma Costa de
Published: June 2023

A mortalidade fetal é um indicador da assistência obstétrica e de condições de vida capaz de refletir o estado de saúde da mulher e a qualidade e a acessibilidade dos cuidados no pré-natal e na assistência intraparto. Com o objetivo de analisar os padrões espaciais da mortalidade fetal, a evitabilidade dos óbitos e a carência social no estado de Pernambuco, foi realizado um estudo ecológico considerando municípios, regiões de saúde e mesorregiões como unidades de análise. Incluíram-se os óbitos fetais registrados no Sistema de Informação sobre Mortalidade no período de 2010 a 2017. Classificou-se a evitabilidade dos óbitos pela Lista Brasileira de Causas de Mortes Evitáveis por Intervenções do Sistema Único de Saúde. Aplicou-se a estatística descritiva e o teste qui-quadrado para comparação de proporções das causas de morte. Na elaboração do índice de carência social, utilizou-se a técnica de análise fatorial por componentes principais com o teste de esfericidade de Bartlett para identificar a matriz de correlação. Com o índice calculado, os municípios foram agrupados em estratos de carência social pela técnica de k-means. Foram aplicadas a análise bayesiana e a estatística espacial de Moran para identificação de áreas prioritárias de mortalidade fetal e do índice de carência social. Registraram-se 12.337 óbitos fetais, sendo 8.927 (72,3%) por causas evitáveis. As variáveis idade da mãe, número de filhos mortos, tipo de gravidez, tipo de parto e peso ao nascer estiveram relacionadas à evitabilidade do óbito. Na construção do índice de carência social, o teste de esfericidade de Bartlett (χ² de 144,463; p < 0,01) e o coeficiente KMO (0,8) mostraram que as correlações entre os itens eram adequadas para a análise fatorial, assim como as correlações entre os indicadores. O índice de carência social indicou dois fatores que, juntos, explicaram 77,63% da variância total. A taxa de mortalidade fetal evitável apresentou aumento entre estratos de carência social, com taxas de 7,99 por mil nascimentos (baixa carência), 8,06 por mil (média carência), 8,83 por mil (alta carência) e 10,7 por mil (muito alta carência). O índice global de Moran verificou autocorrelação espacial significativa para a taxa de mortalidade fetal bayesiana (I = 0,10; p = 0,05), para a taxa de mortalidade fetal evitável bayesiana (I = 0,13; p = 0,03) e para o índice de carência social (I = 0,53; p = 0,01). Alguns municípios das mesorregiões do São Francisco e do Sertão Pernambucano tiveram simultaneamente elevada mortalidade fetal e mortalidade fetal evitável, além de índice de carência social muito alto. A análise espacial identificou áreas com maior risco para a mortalidade fetal. O índice de carência social relacionou alguns determinantes das mortes fetais em áreas com piores condições de vida. Detectaram-se áreas prioritárias para a intervenção de políticas públicas de redução da mortalidade fetal e seus determinantes.
Perfil de casos e óbitos confirmados de síndrome respiratória aguda grave por covid-19 no interior da Bahia
Authors: Dias Ana Cleide da Silva , Santos Iraneide Nascimento dos , Ruela Guilherme de Andrade , Santos Maria Letícia Passos , Morgado Caroline de Moraes Pereira , Pernambuco Marília Lopes
Published: June 2023

A síndrome respiratória aguda grave (SRAG) pode ser causada pelo SARS-CoV-2, doença infectocontagiosa que afeta os pulmões, reconhecida como ameaça global e com morbimortalidade significativa. O objetivo deste estudo foi analisar o perfil epidemiológico de casos e óbitos confirmados por síndrome respiratória aguda grave por covid-19 em Juazeiro, município da Bahia, entre os meses de janeiro e dezembro de 2020. Trata-se de um estudo transversal que utilizou dados secundários dos casos notificados no Sistema de Informação da Vigilância Epidemiológica da Gripe (Sivep-Gripe) por residência. Os dados foram coletados em junho de 2021 e analisados por meio de estatística descritiva e inferencial. Os resultados apontaram 16.760 casos suspeitos de covid-19, 6.180 casos confirmados através de testes laboratoriais, e, entre os casos confirmados, 142 faleceram. A maioria dos óbitos por covid-19 foi de homens, idosos e pardos, com sintomatologia de coriza, dispneia, tosse, febre e outros sintomas. As comorbidades analisadas estavam mais presentes em mulheres, contudo, essa característica frequentemente é observada em homens. Condições como doenças cardíacas crônicas, diabetes, doenças renais em estágio avançado e obesidade predominaram em pessoas pardas que faleceram por conta da covid-19. Compreender as características dos casos de covid-19 pode fornecer subsídios para profissionais da saúde e gestores desenvolverem estratégias principalmente voltadas à prevenção de complicações e óbitos relacionados à doença.
Diagnóstico situacional das práticas integrativas e complementares em saúde na Bahia: um estudo transversal
Authors: Neri Suzana Costa Carvalho , Machado Maria das Graças Queiroz , Almeida Maria Luísa de Castro , Souza Liana Figueirêdo Almeida de , Purificação Emanuelle Rocha da , Lima Vanessa Sousa
Published: June 2023

Práticas Integrativas e Complementares em Saúde (PICS) são racionalidades médicas e recurso terapêuticos de cuidado que buscam a promoção, a prevenção, a recuperação e o tratamento da saúde compreendendo o indivíduo em toda a sua integralidade. Essas práticas foram institucionalizadas no Brasil em 2006, através da Política Nacional de Práticas Integrativas e Complementares (PNPIC), e na Bahia em 2019, com a Política Estadual de Práticas Integrativas e Complementares em Saúde (PEPIC). O objetivo deste estudo foi descrever a situação das PICS no estado, bem como o processo de implantação/implementação da PEPIC. Trata-se de um estudo descritivo de corte transversal, com dados primários obtidos por meio da aplicação de formulário eletrônico. As variáveis de interesse foram: oferta das PICS; registro nos sistemas de informação; dados sobre a gestão municipal; e formação e capacitação profissional. Dos 417 municípios do estado, 109 (26,1%) responderam à pesquisa e, destes, apenas 38 (34,9%) relataram ofertar PICS. Os municípios que ofertam PICS apresentaram dúvidas sobre: financiamento (38); avaliação e monitoramento (20); planejamento e implantação (19); e implementação (18). Os demais relataram não ofertar PICS e apresentaram como motivos para isso: não dispor de profissionais com formação adequada (38); e falta de recurso financeiro (21). Os dados obtidos demonstraram baixa inserção das PICS nos serviços de saúde, reforçando que as ações de monitoramento são importantes ferramentas para compreender a realidade e nortear as ações da gestão em saúde. Sugere-se que, considerando as limitações apresentadas neste estudo, sejam realizadas novas atividades de monitoramento para avaliação e apoio efetivo às PICS na Bahia.
Estratégia saúde da família como espaço de insatisfação e satisfação profissional
Authors: Soratto Jacks , Vitali Marieli Mezari , Tomasi Cristiane Damiani , Meller Fernanda de Oliveira , João Natan Gonçalves de Lima
Published: June 2023

Os fatores que interferem na satisfação e insatisfação dos profissionais que atuam na Estratégia Saúde da Família são diversos e de inúmeras características. O objetivo do estudo foi identificar os fatores de satisfação e insatisfação de profissionais da Estratégia de Saúde da Família do município de Forquilhinha/SC. Trata-se de um estudo de métodos mistos, descritivo e exploratório, realizado com 15 profissionais da saúde de três Unidades de Saúde por meio de entrevista semiestruturada. Os dados foram analisados segundo a análise de conteúdo temática com o auxílio do software Atlas.ti. Os resultados geraram 72 categorias, vinculados a cinco subcategorias, associados a duas categorias. Os grupos fatores de insatisfação e satisfação encontrados envolvem a atuação na rotina diária, estrutura e serviços das unidades e do sistema de saúde, os direitos trabalhistas, a organização dos elementos de atuação, e as relações interpessoais com os colegas, usuários e gestores. A satisfação é indicada, principalmente, pela relação com os colegas e pela divisão de tarefas entre os profissionais. Em contrapartida, a falta de reconhecimento e desvalorização, além da sobrecarga trabalho, são os principais motivos de insatisfação. Os aspectos geradores de satisfação e insatisfação dos profissionais são múltiplos e até mesmo ambíguos e podem colaborar para prejuízo ou melhoria da prestação do cuidado a saúde.
Vulnerabilidade social e ocorrência de doenças diarreicas agudas em uma Região de Saúde de Pernambuco
Authors: Silva Gabryella Alves da , Silva Clara Schumann da , França Rafael Ferreira de , Silva Aline Beatriz dos Santos
Published: June 2023

As doenças diarreicas agudas (DDA) são consideradas um grave problema de saúde pública mundial. No Brasil, elas afetam de forma desproporcional a população, majoritariamente as que se encontram expostas a condicionantes de determinação social que expressam sua vulnerabilidade. O objetivo deste estudo foi analisar a ocorrência de casos de DDA nos municípios da XII Região de Saúde do estado de Pernambuco e sua correlação com os indicadores de vulnerabilidade social de seus municípios. Trata-se de um estudo de natureza epidemiológica e de caráter analítico ecológico realizado na XII Região de Saúde do estado de Pernambuco, no período de 2016 a 2020. Os dados foram coletados no Sistema de Informação da Vigilância Epidemiológica de Doenças Diarreicas Agudas e no Atlas da Vulnerabilidade Social do Instituto de Pesquisa Econômica Aplicada. Foram utilizados o coeficiente de correlação de Pearson e a regressão linear simples. Verificou-se correlação negativa estatisticamente significante entre a ocorrência de casos de DDA e os índices de vulnerabilidade social de renda e trabalho (p = 0,029). Concluiu-se que a alta vulnerabilidade social de renda e trabalho da população comprova sua relação com as DDA, sendo necessária a criação de políticas públicas mais eficientes para sua prevenção e controle.
Associação entre ansiedade e depressão em brasileiros durante o isolamento social da pandemia de covid-19
Authors: Torralba Rocío , Rodríguez-Sánchez Isabel , Sepúlveda-Loyola Walter , Cuevas-Cid Rodrigo , Nascimento Júnior José Roberto , Oliveira Daniel Vicentini de
Published: June 2023

O objetivo deste estudo é analisar a associação entre ansiedade e depressão durante o isolamento social da pandemia de covid-19 no Brasil. Dados de 1.053 adultos brasileiros entre 18 e 59 anos foram coletados por meio de questionário online, entre abril e maio de 2020, para este estudo transversal. Foi utilizada a Escala Hospitalar de Ansiedade e Depressão, e foram analisados fatores sociodemográficos e econômicos. Houve 37% e 20% de risco moderado e alto de ansiedade, respectivamente. Foi observada uma relação direta entre ansiedade e ser do sexo feminino (OR: 1,55; IC95%: 1,02-2,34), ser mais jovem (OR: 4,78; IC95%: 2,71-8,42, para pessoas entre 18-28 anos) e ter rendimentos mais baixos (OR: 1,51; IC95%: 1,69-1,96). Os resultados foram na mesma direção para a depressão, e, adicionalmente, foi demonstrada associação entre isolamento social (parcial ou total) e depressão (OR: 1,42; IC95%: 1,01-2,01). Este estudo encontrou uma associação entre mulheres, populações mais jovens e indivíduos de menor renda e o risco de sofrer ansiedade e depressão durante o confinamento decretado devido à pandemia de covid-19. Além disso, o isolamento social foi associado ao risco de depressão.
INSATISFAÇÃO COM A IMAGEM CORPORAL E FATORES ASSOCIADOS EM ADOLESCENTES NO PERÍODO DA PANDEMIA DA COVID-19
Authors: Nogueira Ariane Rodrigues , Meneses Hérica Francine Pinto , Macedo Mônica Thaís Soares , Freitas Ronilson Ferreira , Reis Vivianne Margareth Chaves Pereira , Rocha Josiane Santos Brant , Fonseca Alenice Aliane
Published: June 2023

The aim of the present study was to investigate the prevalence of body image dissatisfaction and associated factors in adolescents during the Covid-19 pandemic. This is an analytical, cross-sectional study with a quantitative approach, carried out with 287 adolescents aged between 11 and 17 years. Body image perception was assessed using the Silhouette Scale, validated for Brazilian adolescents of both sexes. Sociodemographic and behavioral factors were also evaluated. The association of body image dissatisfaction with independent variables was verified through bivariate analysis followed by Poisson regression. A prevalence of 65.0% of students dissatisfied with their body image was observed, and there was a significant association of students dissatisfied with their body image with a negative perception of health status (PR=1.13; p=0.000), overweight/ obesity (PR=1.11; p=0.001) and inadequate consumption of soft drinks (PR=1.09; p=0.040). Therefore, this study indicates a high prevalence of dissatisfaction with body image among adolescents and an association of this outcome with a negative perception of health status, overweight/obesity and inadequate consumption of soft drinks.
Estratégias de ensino de resumo acadêmico na graduação
Authors: Costa Filho Roberto Barbosa , Rodrigues Márcia Candeia
Published: June 2023

Este trabalho tem por objetivo analisar estratégias de ensino para a produção escrita do gênero resumo acadêmico na graduação. Para isso, parte de uma experiência de ensino em um curso de extensão ofertado à comunidade acadêmica, principalmente, dos cursos de Letras da Universidade Federal de Campina Grande (UFCG), campus Campina Grande. Teoricamente, considera discussões sobre escrita acadêmica (LEA; STREET, 1998, 2014; CARLINO, 2008, 2013, 2017; FIAD, 2011; FISCHER; DIONÍSIO, 2011; RODRIGUES, 2020), sobre estratégias (BORUCHOVITCH, 1999; OXFORD, 2003) e sobre o gênero resumo acadêmico (MOTTA-ROTH, HENDGES, 2010; COSTA FILHO; RODRIGUES, 2020a, 2020b). Metodologicamente, classifica-se como qualitativo (CHIZZOTTI, 2003), explicativo (GIL, 2008) e documental (CELLARD, 2008). Foi possível identificar que o material indica um trabalho voltado para os elementos estabelecidos pela NBR 6028, considerando o diálogo desses elementos com os movimentos retóricos para a produção do texto do resumo acadêmico. Quanto às estratégias utilizadas, foi constatado que boa parte das atividades propostas para o curso aponta para uma adequação ao estudo e à produção do texto do gênero resumo acadêmico.
Leitura de textos multimodais do tipo memes: uma proposta de recurso pedagógico no ensino de Língua Portuguesa
Authors: Carvalho Dayane Pereira Barroso de , Silva Maria da Guia Taveiro
Published: June 2023

Textos multimodais estão cada vez mais presentes nas práticas de leituras de adolescentes e jovens. Isso porque a cultura digital alcança, progressivamente, esse público leitor. Levando em consideração que uma prática de leitura está para além do ato de decodificar o código linguístico, porque requer a habilidade de construir significado a partir do que foi lido, objetiva-se, neste estudo, demonstrar que a utilização de textos multimodais do tipo memes podem servir como ferramenta produtiva para o ensino nas aulas de Língua Portuguesa, particularmente, para o Ensino Médio. A relevância deste trabalho efetua-se pela abrangente produção de memes em ambientes virtuais de interação, nos quais os jovens, de modo geral, circulam cotidianamente. O corpus é constituído de textos extraídos de uma página no Twitter, intitulada Memes inuteis para salvar sua vida inutil (sic), que atinge um público de, pelo menos, 1,3 milhão de pessoas. O estudo se sustenta nos pressupostos teóricos a respeito de gêneros textuais e textos multimodais, com base em Marcuschi (2008), Abrahão (2018), Lima et al. (2021) Pavanelli-Zubler, Ayres e Souza (2017), Pereira e Pereira (2020), Gomes, Semechechem e Cardoso (2020), Deusará, Arantes e Muylaert (2021), entre outros. A metodologia de análise é de caráter qualitativo, está apoiada em um quadro de referência funcionalista e se configura enquanto pesquisa exploratória. Os principais resultados demonstraram que os textos multimodais memes configuram uma ferramenta produtiva a ser utilizada como recurso pedagógico para as aulas de Língua Portuguesa, permitindo trabalhar diversos aspectos dos usos linguísticos, entre os quais se destacam: construção/produção de sentido e efeito de humor, referenciação, concordância verbo-nominal e variação linguística.
Os procedimentos de deriva de sentidos: a reescrituração e a articulação (re)construindo sentidos nos textos redacionais do ENEM de 2013
Authors: Guimarães José Roberto Silva
Published: June 2023

Este trabalho objetiva analisar como se constituem os procedimentos de reescrituração e articulação na construção dos sentidos de textos de Redação do ENEM/2013, verificando como esses procedimentos próprios da textualidade mobilizam os sentidos postos nos textos redacionais, e como a construção do texto redacional proposto pelo referido exame se caracteriza enunciativamente como uma unidade de sentido que integra enunciados de forma transversal. O corpus deste estudo é constituído de duas redações nota mil do ENEM/2013, extraídas do site Uol Educação, que versam sobre a temática Efeitos da implantação do Lei Seca no Brasil. Tomando a Redação como um acontecimento de linguagem, atravessado por um conjunto de dizível, de outros já ditos, filiamo-nos à teoria Semântica do Acontecimento, de Eduardo Guimarães (2002; 2005; 2018), em que as relações de sentido são determinadas sócio-historicamente, ou seja, essas relações se constituem pela transversalidade que integram os sentidos, que insistem em redizer o que já foi dito. Sob este viés, analisamos também que cada texto redacional projeta sempre uma nova temporalidade, pois a temporalidade se dá no acontecimento do dizer, conforme Guimarães (2005), é o acontecimento que temporaliza, constituindo sempre uma nova temporalidade engendrada a um memorável que se instala pelo próprio acontecimento que se abre ao futuro como uma latência de futuridade. E é nesse sentido que as ações (efeitos da lei) projetam a futuridade, ou seja, um novo acontecimento.
Ordinal regression analysis of traffic collision accidents in Jordan 2021: factors and severity assessment
Authors: Darwish Walaa , Darwish Haneen
Published: June 2023

One of the significant challenges that the world is confronting is road traffic accidents. The aim of this study is to determine the key factors contributing to traffic collision accidents and to utilize an ordinal regression model to identify the factors that contribute to accident severity. This will be achieved by fitting a suitable equation based on a dataset obtained from the Traffic Institute's database for the year 2021. The findings from the ordinal logistic regression analyses indicate that weather conditions, road surface, speed limit and illumination levels are significant factors that contribute to the severity of crashes with p-values of 0.003, 0.085, 0.025 and .002 respectively. Hour of the day, day of the week, week and governorate are insignificant in collision accidents in Jordan in 2021. In this comprehensive study on traffic collision accidents in Jordan during 2021, our analysis has revealed some significant findings. Our data indicates that the peak period for traffic collision accidents was between 18:00 to 18:59, and Thursday was found to have the highest number of incidents. In terms of the month, July recorded the highest number of accidents. It was also noted that Amman had the largest share of accidents. These findings highlight the need for increased awareness and stricter enforcement of traffic regulations during peak periods and in high-risk areas.
Lean 4.0 in port management: an alternative to support the development of the circular economy in the sector
Authors: Bonamigo Andrei , Arcanjo Pamela , Goncalves Maria , Pereira Newton , Cunha da Silveira Dierci
Published: June 2023

Ports and terminals are directly related to world economic development due to international trade. In this sense, port management has expanded actions in terms of sustainability and mainly linked to circular economy (CE). The port environment is not alien to society's developments and for that it needs to improve its efficiency and operability, reducing the waste of time, processes and waste generated within it. In this context, this research links the Lean 4.0 concept with the circular economy as an alternative for the development of the port sector. The study is based on highlighting the challenges and advantages of implementing CE in ports through Lean 4.0. To achieve the objective of this research, a literature review was carried out based on the Sytematic Research Flow - SSF method proposed by Ferenhof and Fernandes (2016), followed by a content analysis based on Bardin (2011). Based on the findings, it was possible to list the key elements linked to Lean 4.0 correlated with the circular economy to stimulate the sustainability of the port sector. It was identified that Lean 4.0 presents itself as a simplifier for the implementation of the circular economy culture, since it enables the alignment of people to identify waste, stimulates innovation and the development of a culture aimed at continuous improvement in the sector.