bluuebunny/crossref_metadata_2025 huggingface dataset:
FEMORAL HEAD DECOMPRESSION AND GRAFT: TECHNIQUE WITH NEW INSTRUMENTS
Authors: MIYAHARA HELDER DE SOUZA , RUDELLI BRUNO ALVES , RANZONI LUCAS VERISSIMO , EJNISMAN LEANDRO , VICENTE JOSÉ RICARDO NEGREIROS , GURGEL HENRIQUE MELO DE CAMPOS
Published: August 2022

ABSTRACT Introduction: Osteonecrosis of the femoral head (ONFH) is a pathology that can be treated with many approaches by the hip surgeon. Advanced decompression is a technique that aims to prevent the collapse of the femoral head and the arthrosis process of the joint, a technique already widespread and used by hip surgeons. In this study, we performed the technique with a new retractable blade and a new bone substitute as graft for the femoral head. Objective: To evaluate the technique with new instruments (EasyCore Hip®) and a calcium phosphate bone substitute (Graftys® HBS). Methods: Patients with osteonecrosis of the femoral head without major degenerative changes, such as femoral head collapse, were selected. Femoral head decompression was performed using the EasyCore Hip® retractable blade along with the calcium phosphate bone substitute as graft (Graftys® HBS). Results: The instruments proved to be reliable and reproducible, and the bone substitute presented good mechanical resistance, maintaining its temperature during the surgery. The disposable retractable blade presents variation in size and angle, which is an advantage in the removal of necrotic bone. However, we must take some precautions in order to achieve a better result. Conclusion: using EasyCore Hip® instruments and a calcium phosphate bone substitute (Graftys® HBS) is safe; however, some precautions must be taken during the use of the technique. Level of Evidence IV, Case Series.
MORTALITY IN PATIENTS > 90 YEARS OLD WITH PROXIMAL FEMORAL FRACTURES SUBJECTED TO SURGERY
Authors: OLIVEIRA CARLOS EDUARDO NUNES DE , FEITOSA ANDRÉ COELHO CITÓ , FALÓTICO GUILHERME GUADAGNINI , FERREIRA GABRIEL FERRAZ , DURIGON THOMAS STRAVINSKAS , ARLIANI GUSTAVO GONÇALVES
Published: August 2022

ABSTRACT Introduction: Proximal femoral fractures have a high mortality rate among older adults, especially those aged > 80 years. Objective: To analyze predictive factors for hospital or late mortality of patients > 90 years old who showed proximal femoral fracture and subjected to surgery. Methods: The study included data from 230 patients aged > 90 years diagnosed with proximal femoral fracture and who underwent surgery between January and December 2017. The statistical evaluation was performed by multivariate analysis by a logistic regression. The associations were estimated by the odds ratio (OD) and confidence interval (95%). Statistical significance was determined with p < 0.05. Results: Late death occurred in 51.3% (118 patients) of the sample and hospital death in 3.5% (8 patients). Most patients were women (83.5%) and the most common fracture was transtrochanteric (57.0%). There was association between late death and the surgery duration (p < 0.05), and between hospital death and the presence of heart diseases (p < 0.05) or endocrinopathies (p < 0.05). Conclusion: Most patients aged > 90 years with proximal femoral fracture subjected to surgery died in less than one year. Late death was associated with the surgery duration and hospital death was associated with the presence of previous endocrinopathies or heart diseases, and the female gender was a protective factor from this outcome. Level of Evidence III, Retrospective Case-Control Study.
Arbitrator’s expectations and motives regarding the expert accountant’s performance in arbitration in the light of role theory
Authors: Secco Alessandra Ribas , Peleias Ivam Ricardo , Weffort Elionor Jreige , Grzybovski Denize
Published: August 2022

ABSTRACT The paper sought to grasp the arbitrator’s expectations regarding the expert accountant’s performance in the arbitration arena in the light of role theory and the reasons for meeting these expectations or not. The study of arbitrator’s expectations has been poorly explored in the field of forensic accounting. This article helps to fill this gap by presenting expectations and motives that affect the arbitrator’s perception of the expert accountant’s service. The study is relevant because it grasps expectations from the arbitrator’s viewpoint (role transferrer) regarding the expert accountant’s performance (function recipient). Expectations are characterized by abilities and skills that may not be met during role performance due to conflicting or ambiguous reasons, simultaneous occurrence of two or more roles, or lack of clarity about the latter. The research aims to provide means for expert accountants entering arbitration and seek improvement for those already working in this scenario, reducing the gap between the arbitrator’s expectations and expert evidence production. The descriptive research has been designed as a field study and a qualitative approach to data. The research participants were 15 Brazilian arbitrators. Data collection took place through interviews and they were submitted to the content analysis method and the categorical analysis technique. The results indicate that the arbitrator’s expectations are oratory, objectivity, clarity, and sticking to the technical issue, while the reasons are inter-transferrer, inter-role conflict, overload, expert’s partiality, and lack of clarity when the arbitrator transfers the role. The practical contribution lies in providing means for expert accountants entering arbitration and seeking improvement for those already working in this scenario, reducing the gap between the arbitrator’s expectations and expert evidence production.
Faces de Castilhos: imagem e cultura política no sul do Brasil (1903-1915)
Authors: Leal Elisabete
Published: August 2022

RESUMO O texto apresenta a trajetória da construção visual de Júlio de Castilhos (Presidente da Província do Rio Grande do Sul, década de 1890) por parte do poder público e imprensa. Visa-se discutir a construção da imagem visual do líder republicano como um projeto político que perpassa os acervos dos arquivos e museus públicos e o emprego dessas imagens na imprensa partidária e comercial das cidades de Porto Alegre e Pelotas, os dois principais centros republicanos do estado.
Training of nursing in chemical, biological, radiological and nuclear defense for aeromedical evacuation in the pandemic
Authors: Borges Letícia Lima , Haberland Débora Fernanda , Guimarães Clarissa Coelho Vieira , Felipe Luiz Alberto de Freitas , Aguiar Beatriz Gerbassi Costa
Published: August 2022

ABSTRACT Objective: To describe the training of the military nursing team in chemical, biological, radiological, and nuclear defense to perform Aeromedical Evacuation in the coronavirus pandemic. This is an experience report about the training of the military nursing team in the Brazilian repatriation mission in China. Four members made up the aerospace nursing team. The period was from February to March 2020. Data analysis was carried out based on the survey of courses that each member of the nursing team had participated before the Operation. Results: Training proved to be essential to meet the specificities of the mission. Conclusions: It is extremely important to operationalize protocols to improve the aeromedical service and transport mechanism, increasing the level of proficiency in the execution of missions. The training of the team allows the construction of necessary knowledge and skills during an aeromedical evacuation, guaranteeing the performance excellence required in this type of mission.
Impacto da pandemia de SARS-CoV-2 na incontinência urinária e qualidade de vida de mulheres nulíparas
Authors: Brilhante Magdalena Muryelle Silva , Marinho Maria de Fátima Duarte , Magalhães Adriana Gomes , Correia Grasiéla Nascimento
Published: August 2022

RESUMO Objetivo: Avaliar o impacto do isolamento social devido a SARS-CoV-2 na prevalência e gravidade da incontinência urinária e como isso se correlaciona com a qualidade de vida das mulheres nulíparas avaliadas. Métodos: Estudo observacional, longitudinal, realizado de agosto/2019 a setembro/2020, na Faculdade de Ciências da Saúde do Trairi/RN, com 37 nulíparas de 18 a 35 anos, que responderam a avaliação socioantropométrica, ao Incontinence Severity Index Questionaire e ao King’s Health Questionnaire, antes e durante o isolamento devido a SARS-CoV-2. Análise estatística: Teste de Wilcoxon, e Coeficiente de Correlação de Spearman. Nível de significância p≤0,05. Resultados: Durante o isolamento social houve melhora na urgeincontinência (p=0,01) e na frequência da incontinência urinária (p=0,03). A gravidade da incontinência urinária teve correlação com: percepção geral de saúde (p=0,02; r=0,65); limitações físicas (p=0,03; r=0,60); sociais (p=0,001; r=0,82). Conclusão: O isolamento social da SARS-CoV-2 melhorou a urgeincontinência e frequência da incontinência urinária. Quanto mais grave a incontinência urinária pior a percepção geral de saúde, limitações físicas e sociais durante o isolamento.
Motivation of children at risk for delay in development: the impact of an intervention with mothers
Authors: Torquaro Isolda Maria Barros , Collect Neusa , Souza Maria Helena do Nascimento , Vaz Elenice Maria Cecchetti , Vieira Daniele de Souza , Reichert Altamira Pereira da Silva
Published: August 2022

ABSTRACT Objective: To analyze the impact of an educational intervention with mothers on the motivation of children at risk for development delay, in the light of Paulo Freire’s Theory. Method: A qualitative, exploratory and descriptive study carried out in March 2018 with mothers of children under two years old enrolled in Reference Centers in Early Childhood Education. Semi-structured interviews were carried out after an educational intervention and the data obtained by the thematic technique were analyzed. Results: There was an increase in maternal knowledge and changes in attitudes about child motivation after intervention, enabling them to share information with other mothers and maternal empowerment to identify changes, motivation and autonomy to seek new ways to promote child development. Conclusion: The educational intervention proved to be effective, as mothers began to encourage their children at home and share information with other mothers.
Estimulação de crianças com risco para atraso no desenvolvimento: impacto de uma intervenção com mães
Authors: Torquaro Isolda Maria Barros , Collect Neusa , Souza Maria Helena do Nascimento , Vaz Elenice Maria Cecchetti , Vieira Daniele de Souza , Reichert Altamira Pereira da Silva
Published: August 2022

RESUMO Objetivo: Analisar o impacto de uma intervenção educativa com mães sobre a estimulação de crianças com risco para atraso no desenvolvimento, à luz da Teoria de Paulo Freire. Método: Estudo de abordagem qualitativa, exploratório e descritivo, realizado em março de 2018 com mães de crianças menores de dois anos matriculadas em Centros de Referência em Educação Infantil. Realizaram-se entrevistas semiestruturadas após intervenção educativa e analisaram-se os dados obtidos pela técnica temática. Resultados: Evidenciou-se o aumento do conhecimento das mães e mudanças de atitudes quanto à estimulação infantil após a intervenção, possibilitando socialização das informações com outras mães e empoderamento materno, que ajudam na identificação de alterações, motivação e autonomia para buscar novas formas de promover o desenvolvimento infantil. Conclusão: A intervenção educativa se mostrou efetiva, pois as mães passaram a estimular seus filhos no domicílio e a compartilhar as informações com outras mães.
Desigualdades no consumo de álcool e uso de celular durante a direção de veículos motorizados
Authors: Soratto Jacks , Meller Fernanda de Oliveira , Miranda Vanessa Iribarrem Avena , Tomasi Cristiane Damiani , Temporão Jose Gomes , Schäfer Antônio Augusto
Published: August 2022

RESUMO Objetivo: Avaliar as desigualdades sociais de brasileiros (as) no consumo de bebida alcoólica e uso de celular durante a direção de veículos motorizados. Métodos: estudo transversal realizado com pessoas que dirigiam (n=23.474) em 2019. Os desfechos adotados foram o uso de celular e consumo de bebida alcoólica durante a direção, associado as variáveis sexo, faixa etária, cor da pele, escolaridade e macrorregião de moradia e analisadas através dos índices slope index of inequality a partir de regressão logística. Resultados: as desigualdades relacionadas ao uso de álcool e direção as desigualdades foram identificadas em adultos de cor da pele parda (7,8) vinculados a Região Norte (6,8). Quanto ao uso de celular na direção foram maiores para faixa etária mais jovem (19,4) e indivíduos com maior escolaridade (27,1). Conclusão: uso de celular e consumo de álcool na direção de veículos motorizados possui desigualdades sociais referente a faixa etária e escolaridade, e a cor de pele e macrorregião respectivamente.
Analysis of access to the psychosocial care network for users of alcohol and other drugs in rural areas
Authors: Santos Elitiele Ortiz dos , Pinho Leandro Barbosa de , Silva Aline Basso da , Eslabão Adriane Domingues
Published: August 2022

ABSTRACT Objectives: To analyze the access to the Psychosocial Care Network for rural residents with problems related to alcohol abuse and other drugs. Methods: Qualitative research, based on the Empowerment Evaluation framework. Data collection took place from March to December 2017 and was carried out through triangulation of qualitative methods with 42 Psychosocial Care Network workers in a municipality in Rio Grande do Sul, Brazil. Data analysis was performed by thematic analysis. Results: The challenges of access are identified due to cultural issues and the lack of resources to structure the network in its connection with rural territories. Support strategies for access include articulation with other services through matrix support. Conclusions: The access to the network is precarious for prevention and continuity of care. It is suggested a greater articulation of the network with the rural teams and an investment in the structure of the network.
Análise do acesso à rede de atenção psicossocial para usuários de álcool e outras drogas da zona rural
Authors: Santos Elitiele Ortiz dos , Pinho Leandro Barbosa de , Silva Aline Basso da , Eslabão Adriane Domingues
Published: August 2022

RESUMO Objetivo: Analisar o acesso à Rede de Atenção Psicossocial para os moradores da zona rural com problemas relacionados ao uso abusivo de álcool e outras drogas. Método: Pesquisa qualitativa, baseada no referencial da Avaliação de Empoderamento. A coleta de dados ocorreu de março a dezembro de 2017, e foi realizada através da triangulação de métodos qualitativos com 42 trabalhadores da rede de um município do Rio Grande do Sul, Brasil. A análise dos dados foi realizada pela análise temática. Resultados: Identificam-se os desafios do acesso, devido a questões culturais e à falta de recursos para estruturação da rede na sua conexão com os territórios rurais. As estratégias de apoio para o acesso incluem a articulação com outros serviços por meio do matriciamento. Conclusão: O acesso à rede é precário para a prevenção e a continuidade de cuidados. Sugere-se uma maior articulação da rede com as equipes rurais e um investimento na estrutura da rede.
Protocol for the implementation of pharmaceutical care in geriatrics: strategy for safety in health care
Authors: Oliveira Alan Maicon de , Varallo Fabiana Rossi , Rodrigues João Paulo Vilela , Pereira Leonardo Régis Leira
Published: August 2022

ABSTRACT Objective: To describe the experience of the implementation of pharmaceutical care in a geriatric hospital unit and to propose an instructional protocol for the practice. Methods: Experience report that became the practice manual of pharmaceutical care in geriatrics (MaP-CFarmaGeri) of a Brazilian hospital and was structured in three topics (1. Situational diagnosis; 2. Adequacy of the procedure and service provision; 3. Practice exercise). Results: The situational diagnosis comprised the collection of data on the structure of the ward and the epidemiological profile. The pharmaceutical services provided included pharmacotherapeutic follow-up, medication reconciliation and pharmacotherapy review. The certification of the content of this procedure was attested by specialists from a multiprofessional team and the technique served more than 60 patients in practice, with good acceptance by the participants. Final considerations: The MaP-CFarmaGeri proved to be a satisfactory strategy in the implementation of pharmaceutical care in geriatrics and can support this insertion in similar locations.
Protocolo da implantação do cuidado farmacêutico na geriatria: estratégia para segurança na assistência à saúde
Authors: Oliveira Alan Maicon de , Varallo Fabiana Rossi , Rodrigues João Paulo Vilela , Pereira Leonardo Régis Leira
Published: August 2022

RESUMO Objetivo: Descrever a experiência da implantação do cuidado farmacêutico em uma unidade hospitalar de geriatria e propor um protocolo instrutivo da prática. Métodos: Relato de experiência que se converteu no manual da prática do cuidado farmacêutico na geriatria (MaP-CFarmaGeri) de um hospital brasileiro e foi estruturado em três tópicos (1. Diagnóstico situacional; 2. Adequação do procedimento e oferta do serviço; 3. Exercício da prática). Resultados: O diagnóstico situacional compreendeu o levantamento dos dados sobre a estrutura da enfermaria e o perfil epidemiológico. Os serviços farmacêuticos ofertados incluíram o acompanhamento farmacoterapêutico, com a conciliação de medicamentos e a revisão da farmacoterapia. A certificação do conteúdo desse procedimento foi atestada por especialistas de uma equipe multiprofissional e a técnica atendeu mais de 60 pacientes na prática, com boa aceitação dos participantes. Considerações finais: O MaP-CFarmaGeri mostrou ser uma estratégia satisfatória na implantação do cuidado farmacêutico na geriatria e pode amparar essa inserção em locais semelhantes.
Condições socioeconômicas e de saúde associados à funcionalidade familiar de idosos
Authors: Silva Marceli Schwenck Alves , Silva Maria Carolina Pereira e , Sogame Luciana Carrupt Machado
Published: August 2022

RESUMO Objetivo: Verificar a associação das condições socioeconômicas, hábitos de vida e condições de saúde com funcionalidade familiar de idosos assistidos por uma Unidade de Saúde da Família (USF) de Manhuaçu/Minas Gerais. Método: Trata-se de estudo observacional analítico e transversal realizado com 166 idosos de uma USF com dados do perfil socioeconômico, hábitos de vida e condições de saúde. A funcionalidade familiar foi avaliada com o Apgar Familiar e as famílias classificadas em boa funcionalidade ou moderada/alta disfunção. Realizou-se o teste do Chi-quadrado. Resultados: Verificou-se boa funcionalidade em 89,7% das famílias. Ter entre 60-69 anos, ser casado, possuir 3-4 filhos, não ser pensionista e ser independente se associaram à boa funcionalidade familiar (p<0,05). Conclusão: As famílias possuem boa funcionalidade e condições socioeconômicas e de saúde, as quais se associaram a funcionalidade familiar, o que reforça a importância de estudar as famílias a fim de promover um envelhecimento de maior qualidade para a população.
Monitoramento audiológico de lactentes em diferentes programas de triagem auditiva neonatal: uma revisão sistemática
Authors: Temp Déborah Aurélio , Ferreira Laís , Biaggio Eliara Pinto Vieira
Published: August 2022

RESUMO Objetivos Buscar na literatura informações quanto aos aspectos que guiam o monitoramento audiológico infantil, descrevendo os procedimentos utilizados, a idade em que são realizados, qual a população monitorada e os países que mais estudam sobre o assunto. Além de discutir a importância dessa etapa e a eficácia desses aspectos. Estratégia de pesquisa A revisão foi conduzida com base nas recomendações PRISMA e registrada na plataforma PROSPERO. Os estudos foram pesquisados nas bases de dados eletrônicas Medline (Pubmed), Web of Science e SciELO, com os descritores hearing, neonatal screening e follow up. Critérios de seleção Foram incluídos estudos que descrevessem o monitoramento audiológico. Não foram empregados filtros do ano de publicação, tampouco para os idiomas dos mesmos. Resultados Foram encontrados 432 artigos e 21 foram incluídos nesse estudo, sendo que a maioria foi produzida em países desenvolvidos. O Potencial Evocado Auditivo de Tronco Encefálico e a Avaliação Comportamental foram os procedimentos mais utilizados. Quanto a idade e população, a maioria realiza o monitoramento até os três anos e em crianças com Indicadores para a Deficiência Auditiva. Conclusão Os estudos demonstraram que não há padrão entre os protocolos para a realização do monitoramento audiológico, porém foi possível identificar que as pesquisas apresentam uma maior concordância quanto a idade em que tal monitoramento acontece e qual a população que deve ser monitorada. Entretanto, embora haja discordâncias, os métodos de avaliação utilizados pelos estudos são eficazes para a detecção de perdas auditiva de caráter leve, progressivo e/ou tardio, além dos casos de falso negativo.
Saúde mental e interseccionalidade entre estudantes em uma universidade pública brasileira
Authors: Vieira Vera Maria Sérgio de Abreu , Torrenté Mônica de Oliveira Nunes de
Published: August 2022

O sofrimento/transtorno mental tem potencial para afetar qualquer pessoa, visto que viver em coletividade produz iniquidades que podem atuar sobre o bem-estar. Sendo que a universidade integra a rotina de pessoas nessa condição, torna-se necessário analisar fenômenos que podem determinar sua organização, como a saúde e as desigualdades sociais. Nesse contexto, este estudo realiza uma análise entre saúde mental e a intersecção de eixos de opressão. Trata-se de estudo quantitativo e qualitativo com técnicas de entrevista e análise documental. Do total de 217 estudantes, foram excluídos 43 por documentação incompleta ou inacessível. Para as entrevistas, consideraram-se estudantes que declaram viver sob desigualdades. De 12 convidados, sete participaram das entrevistas. Os resultados apontam a interseccionalidade como ferramenta adequada para qualificar a análise da realidade de estudantes que vivenciam sofrimento/transtorno mental. Destacaram-se questões de gênero, orientação afetivo-sexual, pobreza, cor e estigmas sobre saúde mental.
A dimensão técnico-pedagógica do apoio matricial no Núcleo de Ampliado de Saúde da Família e Atenção Básica (Nasf-AB)
Authors: Santos Thayna Larissa Aguilar dos , Penido Cláudia Maria Filgueiras , Ferreira Neto João Leite
Published: August 2022

O apoio matricial, organizador do trabalho do Núcleo de Ampliado de Saúde da Família e Atenção Básica (Nasf-AB), possui uma dimensão assistencial e outra técnico-pedagógica. Este estudo objetivou analisar a dimensão técnico-pedagógica no Nasf-AB. Trata-se de uma pesquisa-intervenção participativa, em que foram realizadas observações participantes e grupos de reflexão. Pela análise temática, constatou-se que os profissionais não reconhecem prontamente a dimensão técnico-pedagógica, mas ela está presente nas práticas. Dificuldades para operar a dimensão técnico-pedagógica são relacionadas à priorização da assistência individual pelo Nasf-AB; à gestão da demanda; à participação dos ACS nas reuniões; à gestão e à gerência do processo de trabalho; às concepções sobre ensinar e aprender no matriciamento. A construção do conhecimento fora dos espaços instituídos das reuniões matriciais pode alargar possibilidades pedagógicas para ampliação da clínica.
Addition of a blend of exogenous enzymes to broiler chickens diets: impacts on performance and production costs
Authors: Marchiori Maiara Sulzbach , Strapazzon João Vitor , Giacomelli Charles Marcon , Galli Gabriela Miotto , Petrolli Tiago Goulart , Boiago Marcel Manente , Silva Aleksandro Schafer da
Published: August 2022

ABSTRACT Broiler diets are based on corn, soybean and wheat production; however, some protein ingredients have many antinutritional factors and low digestibility. The objective of this study was to add a blend of exogenous enzymes to the feed with low nutritional value for broilers to reduce production costs and improve digestibility while maintaining good zootechnical performance. The experimental design was completely randomized, including three treatments with five replications (n=15) each: a) positive control (PC), diet calculated for males with average performance; b) negative control + exogenous enzymes (NC+EE), minimum nutrient diet according to the requirements of the production phase, and the enzymatic blend was added; and c) negative control (NC), minimum levels of nutrients for each phase. At 21 days, the PC group showed greater weight gain and lower feed conversion than the NC (P<0.05). At 42 days, PC had lower feed intake than NC (P=0.040), while lower feed conversion was observed in groups PC and NC+EE than NC (P=0.001). The production efficiency index was higher in the PC treatment, but the NC+EE treatment was higher than the NC (P=0.001). Considering production costs and body weight, we found that NC+EE birds had greater profitability. Therefore, we conclude that the blend of exogenous enzymes added to a diet with minimal nutritional levels has practical application in the broiler production system.
O pensamento conceitual de fração: o modo de organização do ensino davydoviano
Authors: Freitas Daiane de , Damazio Ademir
Published: August 2022

Resumo Este artigo se apresenta no contexto de organização do ensino numa perspectiva materialista histórica e dialética. Mais especificamente, sua referência é o ensino desenvolvimental, proposto por Davýdov e seus colaboradores. A delimitação se expressa na seguinte questão de pesquisa: quais as manifestações do movimento do pensamento conceitual de fração nas tarefas particulares do livro didático e de orientação ao professor, quando a referência é o modo davydoviano de organização do ensino? Nesta pesquisa bibliográfica, os dados de análise tomam como amostra cinco tarefas particulares extraídas do livro didático do 5º ano, baseadas na proposição de Davýdov, acompanhadas pelo livro de orientação ao professor. As três primeiras tarefas explicitam o movimento de redução do concreto ao abstrato; as demais revelam o movimento do pensamento de ascensão do abstrato ao concreto. O estudo revela que os processos de redução e ascensão direcionam o pensamento para a apropriação das relações essenciais que constituem o conceito de fração. A essência se manifesta no problema de medição, gerador da necessidade de subdivisão da unidade de medida, que constituirá a unidade intermediária. Os dois movimentos se caracterizam por processos mediados que levam o pensamento à abstração e à generalização das conexões internas constituintes da lei e da causa do conceito.
Evaluation of concrete self-healing by encapsulated sodium metasilicate in perlite and expanded clay
Authors: Pacheco Fernanda , Boscaini Cláudio Henrique , Gauto Thaize Nascimento , Müller Vinicius , Ehrenbring Hinoel Zamis , Modolo Regina Célia Espinosa , Tutikian Bernardo Fonseca
Published: August 2022

abstract: Investigating the behavior of self-healing cementitious composites is necessary to know alternatives that can be applied in structures increasing their life service. Therefore, this study evaluated concrete self-he aling from the use of expanded perlite (EP) and expanded clay (EC) capsules impregnated with a sodium metasilicate solution. These materials were used to substitute natural aggregates in concrete in proportions of 0 wt·%, 15 wt·% and 30 wt·% which were cured in humid or submerged environments. Cracking was induced with a flexural test and a closing with cicatrization product. was evaluated and measured visually with a software. Capillary absorption tests indicated a reduction in the porosity of samples which incorporated self-healing materials, considering it as an important property related to durability. Samples with EP achieved 100% self-healing with 15% substitution. Crack filling was achieved in cracks up to 0.43 mm wide. Samples with EC achieved 50% crack recovery under humid curing and 90% under submerged curing. It was concluded that incorporating the sodium silicate allowed improvements to fissure sealing and it is an alternative to produce self-healing concrete in Brazil. EP was more effective than EC as encapsulating material. Despite that, the EP did not impact the compressive strength due to its small size and better packing of the mixture, Also, EP presented higher healing percentage when comparing with samples containing EC.
COMPETENCIAS DIGITALES DEL PROFESORADO EN CARRERAS UNIVERSITARIAS ONLINE
Authors: Alcívar María Viviana Zambrano , Barreiro María Piedad Rivadeneira
Published: August 2022

La proliferación de la tecnología en la educación ha fomentado el desarrollo de las competencias digitales de los profesores universitarios, situación que resulta necesaria por las exigencias actuales del entorno social. El presente trabajo investigativo tuvo como objetivo evaluar el nivel de competencias digitales que tienen los profesores en carreras universitarias online de la Facultad de Filosofía, Letras y Ciencias de la Educación de la Universidad Técnica de Manabí (UTM). Para alcanzar el propósito de la investigación se adoptó un enfoque cuantitativo y se asumió una muestra de estudio de 60 docentes y 327 estudiantes, y se aplicó un cuestionario de preguntas estructuradas a los docentes para obtener resultados que fueron contrastados con la opinión de los estudiantes. Los resultados revelan que los docentes tienen un nivel adecuado de competencias digitales pues se destacan en todas las dimensiones evaluadas. Se concluye que, aunque la evaluación obtuvo un alto porcentaje, la misma es superior a los encontrados en otros entornos, se necesita de la aplicación de otros instrumentos para obtener mayor proximidad a la realidad, es necesario resaltar que cada universidad tiene sus propias características.
Reflections on Educational Reforms: A Journey of Profound Awakening -
Authors: Tobgye Sonam , Dorji Sangay
Published: August 2022

A review of the literature reveals that education is undergoing radical change affecting both the organization of educational institutions and the content and delivery of the curriculum. Considerable interest is being shown in the reengineering and reinventing of education by leading thinkers and scholars worldwide. Leaders and managers in educational institutions are increasingly faced with the challenge of having to operate in a rapidly changing world and within new and uncertain frameworks. Terminologies such as "educational system", "educational reform" and "educational change" have distinct meanings and implications. Educational reform implies that the reform initiative is an attempt to correct a deficiency in the existing educational system without changing the essential elements of the system. Educational change is a socio-political transformative process of change resulting in an educational system significantly different from the one before the change initiative. In educational reform, most aspects of the educational system remain the same and are understood to be inherently a political process. For discussion purposes, these terminologies have been used interchangeably in this article
Intensity modulated radiation therapy for elderly patients with esophageal cancer: our experience
Authors: Li Dan , Liu Xiaoxiao , Wang Yuchen , Jin Yingying , Li Fang , Ma Hongbing
Published: August 2022

The aim of this study was to discuss the treatment mode of radical radiotherapy for elderly patients with esophageal cancer. The clinical data of 136 elderly patients (≥60 years old) with esophageal cancer (EC) who received radical intensity-modulated radiotherapy in the Second Affiliated Hospital of Xi'an Jiaotong University from January 2015 to December 2019 were retrospectively analyzed. Cox risk model was used for multivariate prognostic analysis, and Kaplan Meier method was used to calculate progression free survival (PFS) and overall survival (OS). Cox regression analysis showed that ECOG score, basic diseases, T stage, radiation dose, radiation injury and chemotherapy were the prognostic factors of elderly patients. The median OS of the radiotherapy group, concurrent chemoradiotherapy group and sequential chemoradiotherapy group were 17, 41 and 10 months (p=0.009), respectively. The 3-year OS and PFS of concurrent intravenous chemotherapy and oral chemotherapy were 50%, 42.9% and 34.1%, 28.6% (p=0.641, p=0.702), respectively. The median OS of IFI and ENI were 23 and 24 months (p=0.219) and the local recurrence rate were 59.8% and 43.2% (p=0.069), respectively, but the incidence and mortality of radiation pneumonia and esophagitis in ENI were higher. The 3-year OS and PFS the low-dose group (≤60Gy) and high-dose group (>60Gy) were 19.1%, 40.4% and 14.9%, 29.2% (p=0.012, p=0.049), respectively. In conclusion, for elderly patients with inoperable EC, radical chemoradiotherapy should be considered a preferable selection. Among them, oral drugs and high-dose involved field irradiation exhibited better curative effects and safety.
Osvaldo Romberg’s Installation, Scale of Melnikov House from Moscow, to Izmir
Authors: AKA Sevgi
Published: August 2022

This exhibition review within the disciplines of contemporary art, installation art and architecture, focuses on artist Osvaldo Romberg’s installation Scale of Melnikov House from Moscow, to Izmir (Moskova’dan İzmir’e Melnikov’un Evi, Ölçek 1) exhibited in the PORTİZMİR’07 Mirage and Desire Contemporary Art Festival, Izmir 2007. In Scale of Melnikov House from Moscow, to Izmir, Romberg lays a footprint of Russian architect Konstantin Melnikov's Home-studio. The artist also integrates a text from the Aleph by Jorge Luis Borges. This research draws parallels between Romberg’s installation, intersecting cylindrical structure of Melnikov’s home-studio and the ideals of Soviet Union. The notions of non-hierarchy, equal distance to the center and equal distribution of the building’s weight are visible in Melnikov’s architecture who removed columns as central carriers. These notions can also be seen in the book Aleph, for the Aleph is a sphere. Whoever looks at Aleph sees simultaneity and infinity. Accordingly, this study inquires how Romberg revisited historical contexts and used these two references to convey his concerns on simultaneity and infinity. He invites the viewer to develop a new perception towards world history, time and space and interrelatedness of histories and places. To conclude, this review aims to reinterpret Romberg’s work in light of these two references.
Tratamiento del glaucoma en el embarazo y lactancia: revisión de la literatura
Authors: Lopez-Torres Vanessa , Salamanca-Libreros Omar Fernando
Published: August 2022

Introducción: la presión intraocular (PIO) en el embarazo disminuye levemente hacia la semana 18 de gestación. Sin embargo, en mujeres embarazadas con glaucoma o con hipertensión ocular la PIO puede ser variable y no necesariamente se reducirá, por lo que algunas pacientes requieren un tratamiento que conlleva potenciales riesgos para la embarazada y el feto.
Objetivo: describir los cambios fisiopatológicos oculares relevantes, las opciones de manejo y los posibles efectos adversos del tratamiento durante el embarazo y la lactancia en pacientes con glaucoma asociado.
Materiales y métodos: se realizó una revisión de la literatura desde el año 2001 al 2021, considerando los términos MeSH correspondientes para glaucoma, embarazo, lactancia y presión intraocular. Se extrajo y sintetizó la información de forma estructurada.
Resultados: cada vez es más frecuente la identificación de pacientes en embarazo con glaucoma. Esta condición se puede tratar con medicamentos tópicos, la mayoría de los cuales, sin embargo, son categoría C. El tratamiento con trabeculoplastia selectiva con láser parece ser una opción segura, pero la evidencia es limitada. La cirugía para glaucoma es una posibilidad en caso de pobre control de la PIO y deterioro de la función visual, mientras que el uso de antimetabolitos está completamente contraindicado en este grupo de pacientes. Durante la lactancia es necesario ajustar los medicamentos tópicos, considerando las condiciones del neonato.
Conclusión: el abordaje del glaucoma en la paciente embarazada requiere un preciso balance entre el control de la PIO para prevenir el daño visual en la mujer o el lactante y la prevención de efectos adversos en el feto o el recién nacido.
Elecciones presidenciales y desarrollo municipal: el caso colombiano (1986-2014)
Authors: Sandoval-Garrido Luis Eduardo , Marín-Jaramillo Margarita
Published: August 2022

¿Se puede explicar la probabilidad de votación de un candidato a partir de las condiciones municipales de violencia y desarrollo? Este artículo estudia el impacto del desarrollo económico y la violencia a nivel municipal sobre los patrones de votación en las elecciones presidenciales en Colombia para el período 1986-2014. Se utiliza una metodología de Análisis de Componentes Principales (ACP) y se genera así un índice de votación municipal, el cual se utiliza como insumo principal, junto con variables de desarrollo y violencia municipal en un modelo beta bayesiano. Al final, se concluye que, con mayor nivel de educación y acceso a medios de comunicación de los electores, se aumenta la probabilidad de votar por candidatos de derecha y se disminuye la probabilidad de votar por candidatos liberales.
Crisis económica e [in]estabilidad política: la política latinoamericana frente a la Gran Depresión de 1930
Authors: Curvale Carolina , Pérez Arrobo Gustavo
Published: August 2022

Este artículo analiza la ocurrencia de múltiples golpes de estado en los países de América Latina alrededor del año 1930. Entre 1924 y 1935 hubo diecisiete golpes, los cuales comenzaron con Chile y Honduras, y fueron seguidos por otros países que experimentaron los primeros golpes militares en su historia. Debido a que la expansión económica de América Latina en esa época dependía principalmente de las exportaciones y, por lo tanto, era vulnerable a las crisis externas, la crisis económica mundial de la década de 1930 es sospechosa de haber tenido un impacto negativo en el desempeño económico de la región. Lo anterior pudo haber provocado que los malos resultados económicos hayan socavado la resistencia de las instituciones políticas. Pero también hubo procesos paralelos de incorporación política de trabajadores y campesinos en la región. Para probar estas hipótesis, se utilizaron modelos de regresión logísticos. Se encontró que variables económicas con rezagos y las variables de incorporación política explicarían la inestabilidad política que se suscitó en ese periodo de tiempo, mientras que las de movilización social lo harían en menor medida.
Development of Law Enforcement on Cases concerning Legal Regime of Marital Property in Contracts Involving Spouses
Authors: Nizamieva O. N.
Published: August 2022

The paper analyzes the development of law enforcement regarding the ability of certain contractual structures to change the legal regime of the marital property. Prior to the introduction of a mandatory notarial form of an agreement on the marital property division (Federal Law No. 391-FZ of December 29, 2015 «On Amendments to Certain Legislative Acts of the Russian Federation») and clarification in paragraph 1 of Article 256 of the Civil Code of the Russian Federation of the type of contract establishing the legal regime of the community property (Federal Law No. 217-FZ of July 19, 2018 «On Amendments to Article 256 of Part One and Part Three of the Civil Code of the Russian Federation»), law enforcement proceeded from the possibility of changing the community property regime (or part thereof) both following a marriage contract and any other agreement (contract) that does not contradict the current legislation. After legislative changes, the Federal Service for State Registration, Cadastre and Cartography, the Ministry of Justice of the Russian Federation and the Supreme Court of the Russian Federation took different positions. In the activities of the Supreme Court of the Russian Federation, there has been a tendency not to qualify the terms of purchase and sale agreements, participation in shared construction and other transactions involving the emergence of shared ownership of spouses as a contract containing elements of an agreement on the community property division or a prenuptial agreement. The discrepancies between the Ministry of Justice of the Russian Federation and the Presidium of the Supreme Court of the Russian Federation on the form of the transaction concluded in fulfillment of the obligation of the recipient of the state certificate for maternal (family) capital to purchase a real estate object in the shared ownership of the second spouse and children are revealed. It is concluded that the dilemma between the freedom of choice of legal forms for the spouses to achieve the desired legal result with minimizing organizational, time and material costs, on the one hand, and ensuring that each of the spouses understands the coming legal consequences (which should be facilitated by notarization of the transaction) on the other hand, should be allowed at the legislative level.
Transformation of the ambulance service during the COVID-19 pandemic: correlation and thematic analysis
Authors: Kulikova Inna  B. , Moskvina Svetlana  S.
Published: August 2022

BACKGROUND: Ensuring the availability and quality of an ambulance service, including specialized ambulance, medical care, and specialized medical care in emergency and emergency form for fatal diseases, accidents, injuries, poisoning, and other conditions that require urgent medical intervention is an integral part of the national security system and one of the most important areas of health development in the Russian Federation. During the COVID-19 pandemic, such tasks appeared in the organization of emergency and emergency medical care for patients as a prompt distribution to inpatient departments, considering the severity of the patients condition, their covid status, and the availability of free places in medical organizations in a specific region, compliance with the waiting time prescribed for emergency medical care, and cutting off the non-core calls.
AIM: To determine the optimal organizational structure of the ambulance service in the subject of the Russian Federation.
MATERIALS AND METHODS: Collection and statistical processing of information regarding the work of ambulance services in a specific region were carried out. Correlation-thematic analysis using the Pearsons coefficient was performed.
RESULTS: During the under covid period from 2016 to 2019, the overall mortality rate showed a clear downward trend. However, during the pandemic, even without taking into account the excess mortality, there was an increase, while, in 2020, when compared with 2019, the increase was 12%. Moreover, despite the increase in excess mortality in 2021 relative to that in 2020 by almost four times, the total mortality (excluding COVID) remained almost at the same level. In addition, it should be noted that, in regions where the ambulance service was represented by a single legal entity during the epidemic, excess mortality was lower in comparison with that in the regions where ambulance service was represented by departments within the Central District hospitals.
CONCLUSION: The period of the coronavirus epidemic has largely transformed the healthcare system. The presence of a Unified Dispatching Service or a unified ambulance service in a region has a positive effect on the quality indicators of its healthcare system. In addition, the formation of new units in the structure of the ambulance service, such as a department for remote counseling, allows not only to ensure more accessibility to patients but also to effectively use the financial resources of an institution.
The 17 August 1991 Honeydew earthquake, North Coast California: A case for revising the Modified Mercalli scale in sparsely populated areas
Authors: Dengler L. , McPherson R.
Published: August 2022

We present an isoseismal map of the 17 August 1991 (Ms = 6.2) Honeydew earthquake and proposed modifications of the 1931 Modified Mercalli scale of Wood and Neumann to accurately estimate peak intensities for this earthquake and others in similar rural settings. Modifications introduced de-emphasize reliance on damage to masonry construction in assigning intensities and attempt to bring physical phenomena such as rockfall, landsliding, tree and limb fall, and water changes in line with the damage indicators.
Destructive upper-crustal earthquakes of Central America since 1900
Authors: White Randall A. , Harlow David H.
Published: August 2022

We have compiled a catalog of 51 destructive upper-crustal earthquakes in Central America since 1900. An event is included if it caused casualties or heavy damage of Modified Mercalli (MM) intensity ≧ VII. All events larger than magnitude Ms 5.7 are found to be destructive. We believe the catalog is complete for events of Ms ≧ 6 along the volcanic front. The catalog includes estimates of epicentral coordinates, depth, magnitude, and casualties for all events and presents MM intensity VII contours for most events. Data in this catalog place severe constraints on the spatial, temporal, and magnitude distribution of destructive upper-crustal earthquakes in Central America. The catalog contains 30 events of Ms ≧ 6. Depths of well-constrained mainshock hypocenters range from 5 to 15 km. The most striking feature of the catalog is the spatial alignment along the volcanic front of 23 of the 30 events; volcanic-front earthquake-source mechanisms for such events show east-west tension and are compatible with a model of the volcanic front as a zone of right-lateral strike-slip faulting. Volcanic-front earthquake magnitudes do not exceed Ms 6.5, except in southeastern Guatemala where they reach Ms 6.9; maximum earthquake magnitudes are apparently related to the distance between adjacent Holocene volcanic centers. Destructive events occur at offsets in the volcanic chain as isolated mainshock-aftershock sequences. However, within linear segments, destructive earthquakes have a strong tendency to cluster and are often preceded by significant foreshock activity. Although the volcanic front is the locus of both destructive earthquakes and volcanism, we find no temporal correlation between the two. Of the seven events of Ms ≧ 6 that did not originate near the volcanic front, six originated near the transcurrent Caribbean-North American plate boundary, including the Ms 7.5 Guatemala earthquake of 1976. Along the volcanic front, destructive upper-crustal earthquakes have occurred at a rate of about one event every 212 years during this century, much more frequently than along either the Caribbean-North American plate boundary or the subduction zone. In Central America since 1900, about 17,000 people have died from volcanic-front earthquakes, but only about 2000 people are known to have died from subduction-zone earthquakes. Although subduction zone earthquakes can have larger magnitudes and produce more widespread damage, destructive volcanic-front earthquakes pose the greater hazard because they are more frequent and originate much closer to the bulk of Central America's population, which is concentrated along the volcanic front.