bluuebunny/crossref_metadata_2025 huggingface dataset:
A Ética nas Políticas Públicas do Patrimônio Cultural Imaterial: Entrevista com Marc Jacobs
Authors: Carvalho Ana , Barata Filipe Themudo
Published: July 2024

Desde que foi adotada (2003), a Convenção para a  Salvaguarda do Patrimônio Cultural Imaterial da UNESCO continua a suscitar interrogações e a constituir um campo de negociação quanto à sua implementação nas políticas públicas do patrimônio cultural dos países que ratificaram o documento. As questões éticas estão atualmente no centro da discussão com a recente adoção de 12 princípios éticos que pretendem guiar as estratégias de salvaguarda do Patrimônio Cultural Imaterial. Nesta entrevista com Marc Jacobs, realizada durante a sua visita à Universidade de Évora, refletimos sobre o impacto da Convenção para a Salvaguarda do Patrimônio Cultural Imaterial nas políticas nacionais, os seus problemas e oportunidades. Marc Jacobs (1963) é Professor de Estudos Críticos de Patrimônio na Vrije Universiteit Brussel. É desde 2008 director da Faro (Flemish Interface Centre for Cultural Heritage), uma organização belga para o setor do patrimônio cultural (material e imaterial). É desde 2014 o coordenador da Universiteit Brussel. Participou na qualidade de representante da Bélgica na redação da Convenção para a Salvaguarda do Patrimônio Cultural Imaterial (2003) e em vários grupos de trabalho durante o primeiro Comité Intergovernamental da Convenção (2006-2008).
Regiões metropolitanas e patrimônio cultural: desenvolvimento socioeconômico, institucionalização e regionalização
Authors: Viegas Danielle Heberle , Graeff Lucas
Published: July 2024

Este artigo propõe analisar a convergência entre as politicas públicas relacionadas à metropolização e aos patrimônios culturais no Brasil, notoriamente durante da Ditadura Civil-Militar. No período em tela, o projeto desenvolvimentista associado ao autoritarismo encontrou nas regiões metropolitanas brasileiras o seu território de materialização por excelência, o que é reconhecível, igualmente, na inflexão das políticas públicas para o patrimônio cultural à época. Em ambos os casos, as diretrizes políticas vinculam desenvolvimento socioeconômico e regionalização a partir de um planejamento que compreendia a industrialização como a principa
A cidade-patrimônio de Oeiras-PI e as políticas públicas de preservação do patrimônio cultural no século XXI
Authors: Pereira Danilo Celso
Published: July 2024

A primeira capital do Piauí, Oeiras, teve sua fundação no século XVIII ligada aos fluxos comerciais estabelecidos entre os estados do Maranhão e da Bahia, fluxos esses vinculados ao ciclo da pecuária colonial no nordeste, atividade econômica historicamente preterida pelas políticas federais de preservação como de relevância cultural. Neste sentido, o objetivo deste texto é discutir o processo de patrimonialização de Oeiras, destacando o novo contexto das políticas de preservação do século XXI em que está inserido, onde o processo de ocupação do território passa a ser um elemento de valoração associado aos valores artísticos e históricos, estes já consagrados na atuação do Instituto do Patrimônio Histórico e Artístico Nacional.
Polissemias do Patrimônio: políticas públicas estaduais do registro das festas católicas (Bahia, Sergipe e Rio Grande do Norte)
Authors: Santos Magno Francisco de Jesus
Published: July 2024

No Brasil, as festas católicas apresentam um relevante papel de sociabilidade e, em muitos casos, são tidas como a principal forma de expressão das camadas populares. Por esse motivo, ao longo do tempo, as celebrações católicas se tornaram alvo de inúmeros olhares investigativos, inicialmente sob o enfoque do folclore e, posteriormente, do patrimônio cultural. Neste artigo, nos propomos a analisar comparativamente as políticas culturais de patrimônio engendradas pelo poder público estadual na Bahia, em Sergipe e no Rio Grande do Norte. Com isso, busca-se compreender os desafios na constituição de ações de registros das festas católicas e a polissemia discursiva acerca da salvaguarda do patrimônio cultural imaterial.
O Patrimônio Ferroviário nos Tombamentos do Estado de São Paulo
Authors: Moraes Ewerton Henrique , Oliveira Eduardo Romero
Published: July 2024

O patrimônio ferroviário é, atualmente, um tema em destaque dentro das discussões sobre a preservação do patrimônio cultural brasileiro. Contudo, o que é patrimônio ferroviário? Neste momento, não nos referimos propriamente ao conceito – internacionalmente debatido – mas sim aos bens protegidos. Em outras palavras, tratamos sobre as práticas de proteção. Para este estudo teremos como objeto o Conselho de Defesa do Patrimônio Histórico, Arqueológico, Artístico e Turístico (CONDEPHAAT). Desta forma, nossa proposta é problematizar a seleção dos bens que atualmente reconhecemos como patrimônio ferroviário. Parte da dissertação sobre o mesmo tema, este artigo está baseado em pesquisa exploratória. As fontes documentais ocuparam lugar de destaque, foram consultado 19 processos de tombamento, em sua maioria proteções efetivadas entre 1969 e 1984. Assim, identificamos que o Estado de São Paulo conta com 37 bens ferroviários. Nas conclusões destacamos a prevalência da estação de passageiros entre os bens protegidos desde as primeiras décadas de atuação. Apesar das recentes ampliações, passando a abranger os conjuntos ferroviários, a estação segue como objeto em destaque nos tombamentos.
Community and Commerce
Authors: Hester Yolanda , Barnett Teresa
Published: July 2024

“‘Where Do We Go from Here?’: Histories of Long-term Black Business Ownership, Community, and Family in Los Angeles County” is an oral history project of African American business owners conducted by the UCLA Center for Oral History Research. This report describes the design and implementation of the project, the challenges of outreach, and the ways in which narrators participated and negotiated their own agendas and investments in the project. It also argues for the importance of business oral history as a means of documenting African American community and social history. As this project shows, business oral histories can record the daily particulars of small business’s operations and the challenges business owners face, offer insight into the legacy of African American multi-generational businesses, demonstrate the on-going impact of racism and segregation on Black-owned businesses, and give evidence of how Black business owners conceive their relationship and responsibilities to the African American community.
Characterization of wood fiber insulation for the development of wood fiber-insulated panels (WIPs) for use in building envelope
Authors: Snow Jacob , Herzog Benjamin , O’Brien Liam , Li Ling
Published: July 2024

Wood fiber insulation (WFI) was studied as an eco-friendly alternative for fossil-based building insulation, focusing on its use in new wood fiber-insulated panels (WIPs). Rigid WFI boards with densities of 110, 140, and 180 kg/m³, including a 140 kg/m³ variant without paraffin wax, were evaluated. Key properties investigated included porosity, water vapor transmission, liquid water adsorption, and thermal conductivity. The porosity ranged between 85 and 92%, primarily influenced by density. Water vapor permeability ranged from 65 to 90 ng·s-1m-1Pa-1, while liquid water absorption was between 2.5 and 20% by volume, influenced by both wax and density. The thermal conductivity coefficient ranged from 0.038 to 0.055 W/(m·K). Bond strength tests with WFI (140 kg/m³ with wax) laminated to various materials using structural adhesives showed tensile perpendicular-to-grain strengths of 10 to 16 kPa and shear strengths of 60 to 90 kPa, with failure only occurring within the WFI. It was concluded that WFI is a promising material for novel WIPs, offering competitive hygrothermal properties and compatibility with structural adhesives. However, its bio-based nature suggests variability and complexity, necessitating further rigorous testing in various climates and in more complex assemblies.
Gumbel - Pareto distribution and it’s applications in modeling COVID data
Authors: Joseph Jeena , Jose KK
Published: July 2024

A new distribution namely Gumbel- Pareto from Gumbel -X family1 is introduced. Some properties including moments and order statistics are studied. A reliability measure for stress - strength analysis is derived. The method of maximum likelihood is proposed for estimating the distribution parameters.The flexibility of the new model is illustrated using two examples including Covid data.
The Retrospective View on an Epoch as a Source for Dramatization of a Prosaic Narrative in Ukraine and Poland: Exemplified by Andrzej Kuśniewicz and Vasyl Zemliak
Authors: Yudkin-Ripun Ihor
Published: July 2024

The article is aimed at comparing two dilogies: On the Way to Korinthos (1964) and The Zones (1971) by the Polish writer A. Kuśniewicz (1904–1993) at one side and The Swan Flock (1971) and Green Mills (1976) by the Ukrainian writer V. Zemliak (1923–1977) on the other. Both works look like the recollections and chronicles and deal with the same epoch (the first half of the 20th century) and the neighboring Ukrainian localities (Galicia and Podillia). Besides the form of personal recollections, the narration in the 1st person exactly reflects the authors’ attitude towards the epoch that imparts substantiation for the comparative discussion of the works. One detects obvious revelation of dramatic properties associated with myth-making intentions inherent for the narratives. Although an account on personal biography given in the form of recollections contains no pretext for developing actions’ lines. It is the mystery that imparts dramatic properties to the works. The issue of these properties is arisen as the problem of textual motivation in view of the absence of plot with its macroscopic predicative ties. In particular, the problem of motivation is depicted as the consequence of textual heterogeneity as the result of parcellation inherent to memory. Respectively mnemonic reasons of textual disjunction are still to be further traced in the spontaneity of events that makes their motivation problematic where wonder replaces reasonable ties of things. The narrator’s memory restores events of the past through their ritualistic meaning as the parts of some thorough actions, and in this sense it is approaching the myth. This procures productive field for the problem of motivation to be solved with the means of aspectology. Such approach enables discovering the priority of preponderantly static aspect in opposite to the aspect of transition from one situation to another as in realistic prose. The prevalence of details presupposes the aspect of singularity where events are given as partial and irretrievable. It entails the prevalence of spontaneous motivation with contingent determination so that the partiality of details turns into the contingency of the world’s image. There arise semantic vagueness and ambivalence, places of indefiniteness (the term of R. Ingarden) those refer to the latent contents as in the dramatic performance. Partiality and contingency result in the necessity of referring the details towards the presupposed entirety as in synecdoche. Accordingly, the problem of fatalism as the primeval source of dramatics is arisen.
Ukrainian Studies in the Academic Heritage of Blaže Ristovski
Authors: Mykytenko Oksana
Published: July 2024

The submitted paper is one more opportunity to pay attention to Ukrainian Studies in the great academic heritage of Blaže Ristovski (1931–2018) who was well known and highly appreciated in Ukraine as the prominent Macedonian scientist, public and cultural figure. Scientific activity of Blaže Ristovski was connected with M. Rylskyi Institute of Art Studies, Folkloristics and Ethnology (IASFE) of the National Academy of Sciences of Ukraine for many years. He was one of the initiators of the scientific cooperation between the Macedonian Academy of Sciences and Arts and National Academy of Sciences of Ukraine as well as the editor-in-chief of the Ukrainian-Macedonian Collections (vol. 1–6). B. Ristovski has been engaged in various issues dealing with Macedonian and Ukrainian parallels of formation and development of the historical and national consciousness as the Head of the Committee on the Macedonian-Ukrainian cooperation formed at the beginning of 2000s in the frame of the Agreement about friendship and cooperation between Ukraine and Republic of Macedonia, as well as the Agreement about cooperation between two our Academies. The years of scientific and organizational activity of B. Ristovski are connected with M. Rylskyi Institute of Art Studies, Folkloristics and Ethnology of the National Academy of Sciences of Ukraine. He was well-aware of the collections dedicated to Macedonian studies stored at V. Vernadskyi National Library of the Academy of Sciences of Ukraine. Blaže Ristovski was a coordinator and author of a special issue of the Folk Art and Ethnology journal (no. 3, 2009), dedicated to Macedonian folkloristics and ethnology. The scholar has devoted his entire life to studying problems of Macedonian historical consciousness in historical and contemporary contexts, thus repeatedly emphasized parallels and analogies in the development and formation of the historical consciousness of the Ukrainian and Macedonian people. We consider the main works of Blaže Ristovski on this topic in the submitted article.
Early Childhood Screening Practices and Barriers: A National Survey of Primary Care Pediatricians
Authors: Coker Tumaini R. , Gottschlich Elizabeth A. , Burr William H. , Lipkin Paul H.
Published: July 2024

BACKGROUND AND OBJECTIVES

The American Academy of Pediatrics recommends screening during the first 3 years of life for developmental risk/delay, maternal depression, and social determinants of health (SDOH) using standardized tools. Adoption of these guidelines has been gradual, and barriers to screening are as varied as pediatric practices are themselves.

METHODS

We analyzed 2019 American Academy of Pediatrics Periodic Survey data. The survey included pediatricians’ screening practices for developmental delay, maternal depression, and SDOH, and barriers to screening. We used Cochran’s Q and McNemar’s tests to compare barriers across topics, and χ2 tests and multivariable logistic regression to examine the relationship between barriers and screening practices.

RESULTS

The survey response rate was 46.9% (n = 688). Most pediatricians reported screening/surveilling for developmental delay (98.1%), maternal depression (83.2%), and SDOH (76.7%), but fewer used standardized instruments to do so (59.0%, 44.9%, 12.6%, respectively). Those not screening/only surveilling for maternal depression were more likely to report that screening is not an appropriate role for the pediatrician and difficulty prioritizing time. For SDOH, those not screening/only surveilling were more likely to report instruments not available in the electronic health record, lack of knowledge regarding referral options, and lack of treatment options for positive screens.

CONCLUSIONS

Rates of standardized screening, and barriers pediatricians encounter, have important implications for improving quality of early childhood preventive care. Opportunities include expanding the primary care team and integrating screening tools into the electronic health record. Programs to support social needs and maternal mental health could be strengthened to ensure robust referral options are available.
If I Forget You, Jerusalem! Studies on the Old Testament
Authors: Lemche Niels Peter
Published: July 2024

This selection of articles – never published in English before – reflects the author’s position that the basic realization of minimalism has always been evident: that the Old Testament is not – exclusively – a book about history but is dominated by interests in theology both as literature and as an expression of the community in which biblical writings originated. It is a companion volume to his 2022 book Back to Reason: Minimalism in Biblical Studies and both gives an impression of the progress of biblical studies over the last generation or two but also presents a series of new ideas about subjects such as cultural memory, the redaction of Psalms, the importance of prophetic literature also for Christian theology and much more.
Hypothetical active voicing in AVATAR therapy
Authors: Deamer Felicity , Richardson Emma , Ward Thomas , Garety Philippa , Craig Tom K. J. , Rus-Calafell Mar , Edwards Clementine
Published: July 2024

This paper explores AVATAR therapy, an innovative therapeutic intervention for people experiencing auditory verbal hallucinations (AVH), where participants interact with their ‘voice’ in the form of a co-designed visual representation of their voice. Previous research has found AVATAR therapy to be successful in its aim to initiate change in the participant's relationship to and experience of their voice, but no study has explored the interactional practices employed as they unfold in this complex multiparty interaction between therapist, participant and avatar voiced by the therapist. We build on previous research and explore what it is about this interactional technique that might be contributing to the efficacy of this therapy. Using conversation analysis, we examine the therapist's use of ‘hypothetical active voicing’ (HAV), where the therapist formulates a proposed turn at talk in their interaction with the participant for the participant to reformulate in their next turn with the avatar. We show how, unlike in traditional dyadic therapeutic settings, participants are immediately able to enact the therapist-suggested dialogue. We find that as the therapist increases their assertiveness, control and precision in the delivery of HAV, so does the participant increase their assertiveness towards the avatar, thus contributing to the aims of the therapy
Negotiating parental agency in daily encounters with educators
Authors: Filliettaz Laurent , Zogmal Marianne , Garcia Stéphanie , Bimonte Ayla , Billett Stephen , Flückiger Beverley
Published: July 2024

In this paper, we reflect on the relationships between parents and professionals in early childhood education, as they unfold on a daily basis when parents drop off children in the morning and pick them up in the afternoon. The paper seeks to understand how parents exert agency in such contexts, and how professionals respond to such agency by facilitating or negotiating active contributions from parents during these short encounters. We adopt a situated and interactional perspective on agency in professional practice informed by a multimodal approach to discourse and interaction, presenting an empirical research design consisting of tangible face-to-face encounters between parents and professionals through audiovisual recordings in the context of Switzerland. The paper explores a collection of four case studies extracted from a dataset comprising over a thousand video-recorded encounters between parents and professionals, and identifies various expressions of parental agency as they occur in interactions during the drop-offs and pick-ups. It also describes and elaborates how professionals respond to such expressions and contribute to a joint accomplishment of parental agency at work. The findings show that parents and educators play an active role in how these encounters unfold, in the sorts of actions, frames and participation frameworks collaboratively accomplished during drop-offs and pick-ups and in establishing rapport in interaction. The findings are discussed from the perspective of professional practice in the field of early childhood education, especially ‘transitional encounters’ related to educational practices in early childhood education.
Exploring Fertility Dynamics and Factors Shaping Russia’s Demographic Prospects
Authors: Arkhangelskiy Vladimir N. , Sivoplyasova Svetlana Yu. , Moiseeva Evgeniya M.
Published: July 2024

The research examines fertility patterns in Russia by using current calendar birth rates and their implications for actual generations. Birth rates for these generations are derived from the 2020 Census data and are further refined through calculations employing one-year age-specific rates. This methodology allows us to estimate parameters for age-specific fertility models in real generations, offering a different approach compared to traditional population census methods. Given the variance in fertility rates by birth order, the analysis favors a segmented approach, separately considering trends for first, second, third, and subsequent births. Factors influencing fertility are examined both statistically, with a focus on the impact of population age–sex structure transformations on overall fertility rates, and through insights from Vyborochnoe nabliudenie reproduktivnykh planov naseleniia [Sample Observation of Population Reproductive Plans] performed by Rosstat [Federal State Statistics Service] in 2022. Value orientations are the primary determinant in reproductive behavior, which means that a key goal of demographic policy is to influence these orientations. However, it is also possible to influence fertility rates through social and demographic policies creating favorable conditions for families to fulfill their desire for children.
“Who if Not a Mother?”: Development of Parental Leave Design in Russia
Authors: Bagirova Anna P. , Blednova Natalia D. , Neshataev Aleksandr V.
Published: July 2024

There is an established system of parental leave in Russia. According to the legislation, parental leave can be used not only by the mother, but also by the father or other relative of the child. Nevertheless, men rarely use this right; according to statistics, only 2% of Russian fathers go on parental leave instead of their spouse. The paper seeks to identify the underlying causes of this situation. To study the problem, we conducted a series of in-depth semi-formal interviews with mothers and fathers whose families were eligible for parental leave at the time of the study (n = 30). We have identified the perception of this stage of family life by both parents (as a “leave-work” or “leave-vacation”), the reasons for fathers’ refusal to actively engage in the situation, including the likelihood of mothers’ unwillingness to let fathers be involved. The reasons are classified into objective and subjective. Gender stereotypes are revealed from two positions: female and male. The results of the study indicate the need to transform the current system of parental leave in Russia and purposefully work with public opinion in this area.
The Fertility in Child Marriage Families: In-Depth Investigation in Indonesia
Authors: Al'Ghani Muhammad Zulfi , Budijanto Budijanto , Sumarmi Sumarmi , Susilo Singgih
Published: July 2024

Fertility is a primary determinant of population growth rate. Theoretically, child marriage families have a higher chance of fertility. Accordingly, this study aims to comprehend the interpretation of fertility among the family from child marriage. The interpretation of fertility was observed in depth using phenomenology (causal motives) through data collection and analysis. The research participants were married women who had children or were 16 years old or younger and did not yet have a child. The analysis results indicate that child marriage families interpret fertility as a burden, marriage reinforcement, and investment. The families from child marriage are motivated to have fewer children and space them out in terms of age. It is important to note that no child-free doctrine was discovered, as it goes against Islamic principles. Additionally, having children is believed to improve marital relations within the child marriage community on Bawean Island. Children are often viewed as an economic investment and a guarantee for future parental care. Child marriage on Bawean Island did not have a discernible impact on the population growth rate.
Impact of Abusive Supervision on Innovative Work Behavior in Turkey: Who Is More Affected?
Authors: Tatlı Hasan Sadık , Öngel Gökten , Süslü Murat
Published: July 2024

Researchers have focused on the dark side of managers in recent years, wherein studies discuss the effects of abusive supervision styles on employees and organizations. This research aims to elucidate the influence of abusive supervision on innovative work behaviors of new and former employees. The study focuses on two different employee characteristics. The first group includes the employees with a two-year or less tenure. The second group includes employees with a five-year or more tenure. A simple random sampling technique is used to determine the sample. The research sample includes 345 employees in a manufacturing firm in Istanbul, Turkey. According to regression analysis results, abusive supervision negatively affects innovative work behavior. In addition, abusive supervision affects the innovative work behaviors of new employees more than those of former employees. The findings are consistent with the social exchange theory, conservation of resources theory, and power approach. The research findings are important in demonstrating how destructive abusive supervision affects new employees. In conclusion, suggestions are presented for companies, managers, and researchers.
Between Сrypto Art and Copyright: NFT Tokens as Tools for Confirming the Authenticity of Art Objects
Authors: Kartasheva Anna A. , Trubina Marya A.
Published: July 2024

The symbiosis of blockchain technology with human creativity has given rise to what we now call crypto art, marking a new frontier in digital artistic expression. This development has profoundly altered our understanding of digital artifacts and ownership in this domain. Once easily accessible to all, digital art poses a unique challenge in the realm of collecting: how does one collect something that can be effortlessly replicated and shared? This paper explores the role of non-fungible tokens (NFTs) as authentication mechanisms and proof of authorship for digital artworks. Initially designed for decentralized financial transactions, blockchain technology has become instrumental in validating authorship and enabling the monetization of digital artworks through NFTs. Although digital artists now benefit from the validation of their work as legitimate investment assets through NFT technology, challenges persist due to the absence of copyright verification during token creation. For example, many artists have discovered their creations being used by third parties to mint tokens without their consent. The study demonstrates the transformative impact of NFTs on the digital art landscape while addressing the ongoing challenges and the imperative for enhanced copyright protection mechanisms.
Gambaran Tingkat Kecemasan Pasien Bedah Anak pada Persiapan Perioperatif di RSD dr. Soebandi Jember
Authors: Supangat Supangat , Sakinah Elly Nurus , Nugraha Muhammad Yuda , Baswedan Achmad Haykal , Haritsah Prisma Atha
Published: July 2024

Pasien yang akan menjalani tindakan pembedahan umumnya akan mengalami cemas, khususnya pasien anak. Kecemasan yang dirasakan dapat berhubungan dengan prosedur pembedahan maupun anestesi yang akan dilakukan. Kecemasan yang terjadi akan berdampak pada proses penyembuhan luka pascaoperasi. Beberapa penelitian menemukan bahwa jenis kelamin, tingkat pendidikan, dan pengalaman operasi dapat memengaruhi tingkat kecemasan pasien. Penelitian ini bertujuan menganalisis gambaran tingkat kecemasan pasien yang akan mengalami prosedur pembedahan dan dikaitkan dengan usia pasien. Desain penelitian ini merupakan penelitian cross-sectional pada bulan September–Oktober 2022 di RSD dr. Soebandi Jember pada pasien anak berusia 1–18 tahun yang akan menjalani operasi. Instrumen pada penelitian ini menggunakan kuesioner Modified Yale Preoperative Anxiety Scale sebagai alat ukur tingkat kecemasan pasien. Selanjutnya, tingkat kecemasan dianalisis berdasarkan data demografi pasien. Pada penelitian ini didapatkan data responden sebanyak 48 pasien. Hasil penelitian terdapat 48% pasien mengalami kecemasan. Tingkat kecemasan pasien ini berhubungan dengan usia (p=0,000). Sebagian besar pasien yang mengalami kecemasan usia kurang dari 10 tahun. Simpulan, tingkat kecemasan berhubungan dengan usia terutama usia <10 tahun.
Lama Penggunaan Ventilator, ICU-LOS dan Mortalitas Pasien Ventilated Hospital Acquired Pneumonia dan Ventilated Community Acquired Pneumonia di GICU RSUP Dr. Hasan Sadikin Periode Januari–Desember 2021
Authors: Simanjuntak Sugianto Parulian , Pradian Erwin , Sitanggang Ruli Herman
Published: July 2024

Ventilated hospital-acquired pneumonia (V-HAP) dan ventilated community-acquired pneumonia (V-CAP) merupakan subtipe klinis penyakit hospital-acquired pneumonia dan community-acquired pneumonia yang ditatalaksana dengan ventilasi mekanik di ICU. Penelitian yang mengeksplorasi karakteristik umum dan luaran kedua kategori pasien tersebut masih sangat terbatas. Penelitian observasional retrospektif ini menganalisis rekam medis pasien V-HAP dan V-CAP berusia 18 tahun ke atas yang dirawat di GICU Rumah Sakit Umum Pusat Dr. Hasan Sadikin, Bandung antara Januari–Desember 2021. Terdapat 23 pasien V-HAP dan 21 pasien V-CAP. Ditemukan bahwa pasien V-HAP lebih lama menggunakan ventilator (rerata: 16,33±9,88 hari) dibanding dengan V-CAP (rerata: 8,25±4,92 hari). Pasien V-HAP juga lebih lama dirawat di ICU (rerata ICU-LOS: 19,33±13,42 hari) dibanding dengan V-CAP (rerata ICU LOS: 9±4,74 hari). Mortalitas yang tinggi pada kelompok V-HAP (87%) dan V-CAP (81%) dipengaruhi oleh komorbiditas dan kondisi dasar pasien. Pada biakan sputum juga ditemukan lebih banyak kuman gram negatif yang didominasi multi drug resistant organism (MDRO), yaitu sebanyak 93% pada V-HAP dan 78% pada V-CAP. Pasien V-HAP di ICU memiliki durasi penggunaan ventilator dan perawatan ICU yang lebih lama serta tingkat mortalitas yang tinggi dibanding dengan pasien V-CAP dan dengan prevalensi kuman gram negatif resisten obat yang lebih dominan.
Hubungan Platelet Lymphocyte Ratio (PLR) dengan Status Mortalitas H-28 pada Pasien Sepsis Associated Acute Kidney Injury
Authors: Tarigan Franz Josef , Maskoen Tinni T. , Budipratama Dhany
Published: July 2024

Inflamasi merupakan proses yang berperan penting dalam perkembangan Sepsis-associated acute kidney injury (S-AKI). Rasio platelet-limfosit (PLR) merupakan penanda inflamasi baru yang mulai sering digunakan untuk memperkirakan mortalitas. Pada fase inflamasi terjadi peningkatan produksi platelet akibat cedera endotel disertai dengan peningkatan rekrutmen limfosit ke ginjal sehingga dapat tergambar pada nilai PLR. Penelitian ini dilakukan untuk melihat hubungan PLR dengan mortalitas pada pasien S-AKI di ICU RSUP Dr. Hasan Sadikin. Metode yang digunakan pada penelitian ini adalah case-control secara retrospektif dengan menggunakan rekam medis 136 pasien S-AKI di ICU RSUP Dr. Hasan Sadikin pada tahun 2021–2022 yang sesuai dengan kriteria inklusi dan eksklusi dan dibagi menjadi kelompok bertahan hidup 68 orang dan kelompok mortal 68 orang. Penelitian dilakukan mulai dari Maret 2022 sampai Februari 2023. Pengambilan sampel dilakukan secara vkonsekutif, kemudian dilakukan analisis statistik chi-square untuk melihat hubungan nilai PLR dengan status mortalitas h-28. Didapatkan rasio odd pada PLR sebesar 165 dan nilai cut-off PLR penelitian ini adalah 120. Terdapat hubungan antara nilai PLR dan mortalitas h-28 pada pasien S-AKI. Pasien dengan nilai PLR≥120 memiliki risiko mortalitas h-28 lebih tinggi. Peningkatan nilai rasio platelet dan limfosit pada pasien cedera ginjal akut akibat sepsis yang mortal terjadi karena peningkatan penggunaan leukosit ke ginjal dan peningkatan produksi platelet akibat inflamasi yang berat.
Internacionalização de empresas brasileiras: ascensão e queda de uma política estatal
Authors: VALDEZ ROBSON COELHO CARDOCH
Published: July 2024

RESUMO O objetivo deste trabalho é analisar a ascensão da política de apoio às exportações e ao investimento externo brasileiro durante os governos Lula e Dilma (2003-2016), bem como seu esvaziamento como política estatal nos governos Temer (2016-2018) e Bolsonaro (2019-2022). Na primeira parte, apresentamos as abordagens teóricas e metodológicas utilizadas para entender a internacionalização de empresas no âmbito da política externa brasileira entre 2003 e 2016. Na segunda, demonstramos os principais instrumentos de apoio estatal à internacionalização de empresas nacionais nesse período. Na terceira, selecionamos elementos da política externa brasileira para África e América Latina como interface para a inserção de empresas nacionais nesses mercados. Por fim, analisamos como elementos de conjuntura econômica e política que ajudam a entender o esvaziamento do apoio estatal à internacionalização de empresas nacionais nos governos Temer e Bolsonaro, como a substituição da Taxa de Juros de Longo Prazo (TJLP) pela Taxa de Longo Prazo (TLP) nos novos contratos do BNDES.
Os mecanismos de transmissão da política fiscal
Authors: PIRES MANOEL CARLOS , PAULA LUIZ FERNANDO DE
Published: July 2024

RESUMO O efeito da política fiscal sobre os ciclos econômicos tem sido fonte de maior controvérsia apesar da crescente literatura empírica e experiência internacional. Este artigo propõe um escopo analítico que permita analisar os canais de transmissão de política fiscal, atualizando as descobertas mais recentes após pandemia. Dessa forma, pretende-se contribuir para um entendimento mais detalhado de alguns dos principais mecanismos pelos quais a política fiscal afeta a economia.
A natureza da independência do banco central: antecedentes históricos e ascensão na era da financeirização
Authors: RODRIGUEZ RODRIGO SIQUEIRA
Published: July 2024

RESUMO Este artigo resgata o debate sobre a independência do banco central a partir de sua origem histórica e relação com a financeirização. Diante da dominância financeira, os Estados passam a ter menos ingerência sobre as políticas dos bancos centrais, na medida em que os bancos centrais adquirem maiores capacidades de ação com o fortalecimento da política monetária. A independência do banco central é uma expressão da financeirização na medida em que torna a autoridade monetária mais susceptível às pressões dos mercados financeiros, e simultaneamente limita a participação do Estado e da sociedade na condução da política monetária.
Critical rationalism and institutional change in Hayek
Authors: ANGELI EDUARDO
Published: July 2024

ABSTRACT The institutional analysis promoted by F. A. Hayek seeks to understand how human action and coordination among individuals occur in an environment where the knowledge held by each person is incomplete and not fully transmittable. In such an environment, the institutional framework plays an important role in conditioning, at least partially, the behavior of members within a spontaneously emerging social order. In light of this, the objective of this article is to present Hayek’s evolutionary institutional approach by organizing the discussion proposed by the Austrian economist on the subject. To do so, it will discuss Hayek’s distinction between critical rationalism and constructivist rationalism. It will also address Hayek’s explanation of institutional change and delve into his evolutionary approach to the social sciences, as opposed to the natural sciences.
Commodity dependence, structural reforms, and commodity trap: South America 1970-2017
Authors: ISABELLA FERNANDO
Published: July 2024

ABSTRACT Commodity dependence is a long-lasting feature of South American economies, with far reaching effects in economic and social performance. This paper focuses in the interaction between commodity prices and real exchange rate and in its effects on productive capabilities. New-Developmentalist approach has labeled that situation as a “Dutch-Disease”. I propose a Balance of Payment Constraint Growth model especially designed to address some specificities of commodity dependence that allow to theoretically analyze this issue. Empirical tests are conducted for the period 1970-2017. It is found that price surges are damaging for productive capabilities only in the context of the dismantling of state intervention.
Space-time analysis of work-related musculoskeletal disorders in Brazil: an ecological study
Authors: Lima Alanna Gleice Carvalho Fontes , Ribeiro Caíque Jordan Nunes , Lima Shirley Verônica Melo Almeida , Barbosa Yanna Menezes , Oliveira Iris Machado de , Araújo Karina Conceição Gomes Machado de
Published: July 2024

Abstract: This study aimed to analyze the incidence of work-related musculoskeletal disorders (WMSD) in Brazil from 2007 to 2019, examining the spatial, temporal, and spatiotemporal patterns of their occurrence. An ecological time series study was conducted using spatial analysis techniques. WMSD morbidity data from 2007 to 2019 were collected from the Brazilian Information System for Notificable Diseases of the Brazilian Health Informatics Department. Incidence rates were standardized and smoothed using the local empirical Bayes’ theorem. Time trends were analyzed by segmented linear regression. Spatial analysis was performed using Moran’s univariate global (I) and local (LISA) indexes. The spatiotemporal scan statistic was used to identify high-risk spatiotemporal clusters for WMSD. A total of 93,387 cases of WMSD were recorded in Brazil. Temporal trends showed an increase in all regions except the Northeast, which remained stable. The incidence of WMSD showed a spatial dependence, with spatial and space-time clusters identified, especially in the Southeast region, overlapping the largest economic-industrial center of the country. The spatiotemporal clustering observed in one region suggests the highest level of industrial and economic development. Our findings highlight the need to implement intersectoral surveillance policies, inspect working conditions, and invest in the prevention and promotion of workers’ health.
A segregação residencial socioeconômica está associada aos problemas do sono? Insights do ELSA-Brasil
Authors: Shigaki Leonardo , Cardoso Letícia de Oliveira , Silva-Costa Aline , Barreto Sandhi Maria , Giatti Luana , Fonseca Maria de Jesus Mendes da , Griep Rosane Harter
Published: July 2024

Resumo: O sono é influenciado por diversos fatores e é essencial para a saúde. O papel do contexto socioeconômico da vizinhança na saúde do sono foi estudado nos últimos anos, mas os resultados são inconsistentes. O objetivo deste estudo foi investigar a associação entre a segregação residencial socioeconômica e os problemas do sono. Utilizou-se dados da 2ª avaliação (2012-2014) de 9.918 servidores públicos participantes do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). A segregação residencial socioeconômica foi avaliada por meio da estatística Getis-Ord Local Gi*, e a duração e privação do sono, as queixas de insônia e a sonolência diurna foram obtidas por meio de entrevistas. Para as estimativas da odds ratio (OR), foram utilizados modelos de regressão logística binomial e multinomial. Em relação ao sono, 49% tinham curta duração e 3% longa duração, 23% relataram queixas de insônia, 45% relataram privação do sono, 42% relataram sonolência diurna e 48% relataram ≥ 2 problemas do sono. No modelo ajustado por variáveis demográficas e socioeconômicas, houve associação entre alta segregação residencial socioeconômica e duração curta do sono (OR = 1,22; IC95%: 1,07; 1,40), privação do sono (OR = 1,20; IC95%: 1,05; 1,37), sonolência diurna (OR = 1,17; IC95%: 1,03; 1,34) e ≥ 2 problemas associados do sono (OR = 1,24; IC95%: 1,08; 1,41). Indivíduos que vivem em vizinhanças com alta segregação residencial socioeconômica apresentam maior chance de terem curta duração, privação do sono, sonolência diurna e ≥ 2 problemas associados ao sono. Essas informações reforçam que políticas públicas para reduzir as desigualdades socioeconômicas podem contribuir para melhorar a saúde do sono da população.
Rede nacional de testes moleculares para detecção de Chlamydia trachomatis e Neisseria gonorrhoeae: experiência de implantação-piloto no Brasil
Authors: Gaspar Pâmela Cristina , Miranda Angélica Espinosa , Bigolin Alisson , Morais Amanda Alencar Cabral , Aragón Mayra Gonçalves , Morais José Athayde Vasconcelos , Boullosa Alonso Neto José , Lannoy Leonor Henriette de , Sanchez Mauro Niskier , Barreira Cravo Neto Draurio , Bermúdez Ximena Pamela Claudia Díaz , Benzaken Adele Schwartz
Published: July 2024

Resumo: O objetivo deste estudo foi conhecer a opinião dos profissionais participantes da implantação-piloto de testes moleculares para detecção de Chlamydia trachomatis e Neisseria gonorrhoeae no Sistema Único de Saúde (SUS). Determinou-se a taxa de detecção de C. trachomatis e/ou N. gonorrhoeae e os fatores associados à infecção. A estratégia contou com laboratórios pertencentes à rede de carga viral de HIV e hepatites virais. A testagem teve como público-alvo pessoas mais vulnerabilizadas às infecções sexualmente transmissíveis, com coleta de amostras de urina e/ou swabs vaginal, endocervical e/ou uretral masculino. Questionários foram enviados aos gestores estaduais e profissionais de laboratório sobre a implantação-piloto. De maneira geral, as avaliações foram positivas. Entre as fraquezas, citou-se dificuldades na mudança do processo de trabalho, carência de recursos humanos, pouca sensibilidade de profissionais da assistência e ausência de tubo primário de urina, único insumo não fornecido. Como fortaleza, destaca-se aquisição centralizada de testes, compartilhamento de equipamentos e armazenamento de amostras à temperatura ambiente. Das 16.177 pessoas testadas, 1.004 (6,21%) foram positivas para C. trachomatis, 1.036 (6,4%) para N. gonorrhoeae e 239 (1,48%) para C. trachomatis/N. gonorrhoeae. A detecção de infecção ocorreu mais em pessoas jovens (≤ 24 vs. > 24 anos) (aOR = 2,65; IC95%: 2,38-2,96), do sexo masculino (aOR = 1,95; IC95%: 1,72-2,21), pardas/pretas (aOR = 1,06; IC95%: 1,05-1,11), na Região Sudeste (aOR = 1,08; IC95%: 1,02-1,13) e em amostras de secreção uretral (aOR = 1,46; IC95%: 1,41-1,52). Os resultados deste estudo demonstraram a importância da disponibilização da testagem em âmbito nacional, os quais subsidiaram a implantação da rede definitiva para detecção de C. trachomatis/N. gonorrhoeae no SUS.
Análise do efeito da alocação de mamógrafo sobre indicadores de saúde da mulher
Authors: Silva Alana Ramos da , Nicolella Alexandre Chibebe , Pazello Elaine Toldo
Published: July 2024

Resumo: A detecção precoce de câncer de mama permite formas de tratamentos mais eficazes. Entretanto, o acesso generalizado à principal ferramenta de rastreamento, a mamografia, ainda é um desafio para o sistema público de saúde brasileiro. Este estudo tem o objetivo de analisar o efeito da alocação de mamógrafos sobre indicadores de saúde da mulher. Em 2013, dentre os 4.557 municípios que não tinham o equipamento, 260 receberam até 2019. A principal hipótese é que o efeito de receber o mamógrafo seja heterogêneo entre as localidades e que receber o equipamento dependa de variáveis observáveis (pareamento por escore de propensão) e não observáveis (modelo de efeitos fixos). Os resultados indicam que os municípios brasileiros que tiveram mamógrafo em uso a partir de 2014 obtiveram aumentos na realização de exames, porém sem efeitos de curto prazo para diagnósticos e óbitos por neoplasia maligna da mama. Além de equipamentos, uma estrutura mais complexa que envolve outros fatores como acesso a consultas, profissionais qualificados, tempo de espera etc. são importantes para melhorar os indicadores de saúde femininos no recorte de municípios analisados.
Effect of hydrofluoric acid concentration and aging on the bond strength ceramics to a resin cement
Authors: Clerot Bruno Delgado , Correr-Sobrinho Lourenço , Bandini Milena , Pinheiro Beserra-Neto Evaldo , Tsuzuki Fernanda Midori , Pacheco Rafael Rocha , Costa Ana Rosa
Published: July 2024

Abstract This study evaluated the influence of hydrofluoric acid (HF) concentration and thermal cycling on the microshear bond strength (µSBS) of a resin luting agent to IPS e.max® CAD and Rosetta® SM. Ceramic specimens (12.0 x 14.0 x 1.5mm) were randomized into 8 groups (n=10) according to HF concentration, commercial brand, and aging. Immediately after polishing, and etching, all specimens were silanized and a layer of adhesive was applied. A PVS mold of 3 mm thickness and 10mm diameter with (four) 1.0mm holes was fabricated, placed on each specimen, and then filled with a resin luting agent. Half of the specimens were subjected to the µSBS test using an Instron at a speed of 1.0 mm/min, following a 24-hour storage in deionized water at 37ºC. The remaining specimens were subjected to thermal cycling (5ºC-55ºC, 30 seconds per bath) and µSBS. The data were evaluated utilizing a three-way ANOVA and Tukey's post-hoc test (α=0.05). Significant differences were found for HF concentration and aging (p<0.0001). No significant difference in µSBS was found for commercial brands (p=0.085). The interaction between brand and HF concentration (p=0.358), brand and aging (p=0.135), and HF concentration and aging (p=0.138) were not statistically significant. The triple interaction among these factors was not statistically significant (p=0.610). In conclusion, the bond strength is affected by the HF concentration. No statistical difference was observed between the two ceramics. Thermal cycling significantly reduced µSBS.
Relined fiberglass posts: influence of resin opacity on the bond strength to intraradicular dentin
Authors: Maluly-Proni Ana Teresa , Queiroz Mariana Elias , Gomes Matheus Henrique , Suzuki Thaís Yumi Umeda , Reis Bruna de Oliveira , Santos Paulo Henrique dos
Published: July 2024

Abstract This study aimed to evaluate the bond strength between relined fiberglass posts with different composite resin opacities in different thirds of the intraradicular dentin. Thirty single-rooted premolars were endodontically treated and divided into three groups (n=10): fiberglass posts relined with translucent composite resin, fiberglass posts relined with opaque composite resin, and fiberglass posts without relining. After cementation of the posts, the specimens were cut perpendicular to the long axis of the tooth in slices of approximately 1.3 mm of each third to be analyzed (cervical, middle, and apical) and then subjected to the push-out test. The bond strength (MPa) data were subjected to Shapiro-Wilk normality tests and two-way repeated measures analysis of variance, considering the experimental groups and different regions as study factors. Tukey’s post-hoc test (p<.05) was applied for comparisons between the groups. In the cervical third, higher values of bond strength were found for the group relined with translucent resin, with a statistically significant difference for the other groups. In the other regions, both opaque and translucent resins showed similar results, but both showed higher values of bond strength compared to fiberglass posts without relining. The bond strength of fiberglass posts to different thirds of intraradicular dentin is influenced by composite resin relining as well as the opacity of the resin. The use of translucent composite resin is a more effective alternative for fiberglass posts relining.