bluuebunny/crossref_metadata_2025 huggingface dataset:
Surgical treatment for papillary cyst carcinoma thyroglossus
Authors: Velasco Basantes Maria Augusta , Pazmiño Palacios Juan Bernardo
Published: April 2024

Introduction: The thyroglossal cyst contains remnants of thyroid tissue that may give rise to a malignant neoplasm such as papillary carcinoma, which has been described in less than 1% of cases. This tissue originates at the base of the tongue in the foramen cecum, extending towards the anterior part of the neck. Materials and methods: A retrospective and descriptive study was conducted, including all patients diagnosed with a thyroglossal cyst and treated at the Oncology Institute and Hospital Bernardo Del Valle S. INCAN from January 2010 to December 2019. The study involved the analysis of epidemiological data, diagnostic methods, and surgical treatments. Results: The mean age at the time of diagnosis was 49.3 years. The most commonly requested study was ultrasound, conducted on 5 patients. When performing the fine-needle aspiration biopsy (FNAB), the Bethesda I result was common in 4 patients. The Sistrunk procedure was performed on 5 patients, and in 3 of those cases, an intraoperative frozen section study was not requested. Additionally, papillary carcinoma was reported in 1 patient, and in the final pathology, 4 cases of papillary carcinoma were diagnosed. Three patients underwent reoperation, resulting in a diagnosis of micropapillary carcinoma in one case and papillary carcinoma in another. The incidence at our institution was 57.1%. Conclusion: The approach to surgical management is based on the pathology report of the Sistrunk surgery, taking into account the associated risk factors for each patient. Total thyroidectomy is considered when there is a risk of malignancy, and this approach contributes to effective treatment. Sharing the therapeutic experiences applied in these cases contributes to offering optimal treatment options.
How to Make Good Butter (1891)
Authors: Barron Margaret
Published: April 2024

A reprint of a pamphlet by Margaret Barron, described as, ‘Late Teacher of Butter-making to the Cheshire County Dairy Institute; and Winner of many Prizes, including the Championship at the London Dairy Show, 1889; also the First-Class Certificate of the Cheshire County Dairy Institute for proficiency in Cheese-making.’ The price of these pamphlets (in 1891) was 3d. each or 20 shillings per hundred. The printers were Thos. Forman & Sons, Sherwood Street, Nottingham. The pamphlet occupies twelve pages, 125 x 183 mm.
Edible Wild Animals as Source of Medication in Cameroon
Authors: Forka Leypey Mathew Fomine
Published: April 2024

Prior to the introduction of biomedicine in Cameroon during the colonial era, Cameroonians treated health problems on a traditional basis with both food and non-food items. Among the food items employed, the parts of the diverse wild animals that were eaten in the country played a preponderant role.  The paper delineates the various parts of edible wild animals that served as medicine among the following ethnic groups – Bakweri, Mbo, Bamum, Wawa, Doowaayo, Guidar and Kotoko. These have been selected to cover a north/south transect of Cameroon taking into consideration the country’s diverse ecology, culture, linguistics and ethnic composition.
The Impact of Currency Options and KTB Futures on the USD/KRW Exchange Rate
Authors:   Korea Association for International Commerce and Information, Kim Young Sung , Hahm Hyung Jun
Published: April 2024

In this study, the impact of currency options(volatility) and KTB futures prices on the USD/KRW exchange rate was divided into before and after COVID-19 and a comparative analysis was conducted using cross-sectional regression analysis and VECM. The analysis results are as follows. First, looking at the results of the regression analysis, the currency option market showed that only the one-year volatility of the currency option affected the USD/KRW exchange rate in all periods. However, both 3-year and 10-year KTB futures had no significant impact before COVID-19, but appeared to have a statistically significant impact on the exchange rate starting after COVID-19. Second, cointegration exists in all time series before and after COVID-19, and in particular, it can be seen that the cointegration correlation is stronger after COVID-19 than before. Third, the results of the VECM analysis showed that the influence of KTB futures had no significance before COVID-19, but became significant after COVID-19. Fourth, the results of the shock response analysis showed that the impact of shocks in the options market and KTB futures market on the USD/KRW exchange rate was greater after COVID-19 than before and had a long lasting effect. Fifth, the results of the variance decomposition of forecast errors for the USD/KRW exchange rate also showed that the influence on KTB futures increased more after COVID-19 than before. Understanding foreign exchange is very important not only for exports and imports, but also for international trade and global economic activities. In the future, we hope that more in-depth research on the foreign exchange market and international trade will continue.
Analysis of Export Quality Competitiveness and Factors Affecting Market Share Changes in the Korean New Renewable Energy industry by Items in the EU, US, and China Markets
Authors:   Korea Association for International Commerce and Information, Kim Chang-Beom
Published: April 2024

This study applied product and market segment analysis (PMSA) and intra-industry trade (IIT) indices to capture the quality and price competitiveness and high- and low-quality IIT of new renewable energy (NRE) items in Korea’s trade with major economic powers (i.e., European Union [EU], United States, and China) for the period 2012-2022. Additionally, this study used the constant market share (CMS) technique to divide the causes of fluctuations in Korea's market share in large economies’ import markets into demand side, supply side, and adaptation side. The empirical results can be summarized in the following three points. First, PMSA of quality and price competitiveness confirmed Korea’s weakness in securing price and quality competitiveness in trade with the EU and the United States and Korea’s inability to secure price competitiveness in trade with China. Additionally, analysis of high- and low quality IIT showed that in trade with the EU, low-quality vertical IIT and horizontal IIT were mixed, whereas in trade with the United States and China, the majority of items showed low-quality vertical IIT and high-quality vertical IIT patterns, respectively. More importantly, the CMS results by item in the NRE industry based on the 2017/2022 period showed that in the EU and US import markets, supply factors caused most of the market share changes for the majority of items, and in the Chinese import market, the main causes were a mixture of supply and demand factors. In conclusion, policy and institutional support for research and development of independent and convergence technologies are needed to strengthen the NRE industry’s quality competitiveness, and market expansion of the NRE industry can be accomplished by expanding direct investment in the United States and the EU, as well as through government financial support.
“También somos familias”: experiencias y demandas LGBT por el acceso a la gestación por sustitución en Argentina
Authors: Ayala Estefania Victoria
Published: April 2024

Resumen La gestación por sustitución (GS) se ha instalado como una vía de acceso a la homoparentalidad masculina y pese a que en Argentina no está reglamentada, se lleva adelante en un escenario “paralegal”. Desde hace tiempo, organizaciones LGBT proponen su regulación bajo el argumento de que la GS representa la única opción que tiene una pareja de varones homosexuales de tener un/a hijo/a con lazo genético, aunque sólo con uno de ellos, y reconocer consecutivamente ambos vínculos filiatorios. A través del trabajo etnográfico realizado en el marco de un proyecto de investigación de posgrado, nuestro objetivo es recuperar las experiencias de parejas gays que buscan la legitimidad de los procesos de GS y el acceso igualitario en el sistema de salud. En ello, apuntamos a una reflexión que articula la construcción de políticas públicas en salud y los reclamos de sectores del movimiento LGBT, poniendo el foco en los sentidos de la experiencia colectiva, en los modos en que estos actores organizan sus demandas familiaristas y en las concepciones y prácticas que articulan esos reclamos con la producción de políticas públicas.
Entre elecciones y decisiones. La genética en familias homoparentales por gestación por sustitución en Argentina
Authors: Ayala Estefania Victoria , Roca Alejandra Rosario
Published: April 2024

Resumen En Argentina desde 2013 existe la Ley Nacional 26.862 de acceso integral a los procedimientos y técnicas de reproducción médicamente asistida (TRA). Esta no incluye los procedimientos de gestación por sustitución (GS) y la ausencia de regulación específica mueve las prácticas a un escenario de paralegalidad. En este contexto, las paternidades planificadas por parejas de varones a través de GS se llevan adelante mediante acciones que vehiculizan demandas de derechos de acceso y políticas activas del Estado. Para estas parejas el argumento es que la GS representa la única opción para tener un/a hijo/a con vínculo genético con al menos uno de los dos padres y poder reconocer ambos vínculos filiatorios. El presente trabajo es el resultado de un trabajo de campo en proceso con padres de Buenos Aires que están llevando adelante esta práctica en Argentina. A partir de entrevistas en profundidad intentamos reconstruir las experiencias personales y analizar los sentidos que construyen las narrativas respecto de sus parentalidades, las conexiones biológicas en la creación o definición de los lazos familiares y analizamos la importancia de la genética en la construcción y mantenimiento de vínculos filiatorios.
Quem são as minorias sexuais e de gênero que convivem frequentemente com filhos(as) e sua associação a cuidados em saúde
Authors: Oliveira Claudia Rafaella Santos , Sousa Carolina Campos Vieira de , Torres Juliana Lustosa
Published: April 2024

Resumo Objetivou-se analisar as características sociodemográficas das minorias sexuais e de gênero que convivem frequentemente com filhos(as) e verificar se existe associação entre convívio frequente com filhos(as) e os cuidados em saúde. Trata-se de um estudo transversal com dados do inquérito de saúde LGBT+, realizado no Brasil em 2020 (agosto-novembro) de forma on-line e anônima, totalizado 958 participantes. O convívio frequente com filhos(as) foi avaliado pela moradia com filhos(as) ou encontros presenciais quinzenais com filhos(as) que moram em outro domicílio. Os cuidados em saúde incluíram ter um profissional ou serviço de referência, sentir-se à vontade para contar seus problemas e receber tratamento médico ou hospitalar de pior qualidade. A regressão de Poisson com variância robusta foi usada na análise estatística. A prevalência de convívio com filhos(as) foi de 5,3%. Após o ajuste por idade, verificou-se uma prevalência estatisticamente maior em mulheres cisgênero (13,4%) e entre pretos/pardos e outras raças/cores não brancas (7,9%). Observou-se que o convívio frequente com filhos(as) foi positivamente associado apenas a receber tratamento médico ou hospitalar de pior qualidade (RP=6,00; IC95% 1,22-29,67). Esses achados destacam que ainda há estigma/preconceito nos serviços de saúde.
Intersectionality and challenges in support for chest-feeding transgender men
Authors: Galvão Danielle Laet Silva , Araújo Wallacy Jhon Silva , Brandão Neto Waldemar , Barros Mariana Boulitreau Siqueira Campos de , Monteiro Estela Maria Meirelles
Published: April 2024

Abstract This article tried, from an intersectional standpoint, to grasp the challenges experienced by health professionals and service users of human milk banks in provision of care for transgender men chestfeeding. This exploratory, descriptive qualitative study drew on interviews of six human milk bank staff, who had previously assisted trans men in relation to chestfeeding and two bisexual trans men, who chestfed. The data was treated by thematic analysis, supported by Atlas.ti software, version 9.0. Lacunas in the educational, institutional and management spheres, associated with personal and social issues, reproduce a pre-conceived normative model and disregard the special demands of providing chestfeeding care for the trans population. Cisheteronormativity and “professional supremacy” operate in personal, social and institutional respects to segregate transgender men in lactation support services. Intersectional analysis of these challenges affords an overall view of segregative factors and enables public policies to be introduced to promote social justice.
Homens transexuais e gestação: uma revisão integrativa da literatura
Authors: Silva Gislaine Correia , Puccia Maria Inês Rosselli , Barros Monalisa Nascimento dos Santos
Published: April 2024

Resumo A promoção da saúde sexual e reprodutiva no contexto da transmasculinidade representa uma nova temática para a organização dos serviços de saúde. A presente revisão integrativa tem por objetivo compreender as evidências atuais sobre a gestação em homens transexuais no contexto da atenção à saúde sexual e reprodutiva. A partir da busca nas bases de dados BVS, PubMed, Science Direct, Scopus, Capes, SciELO e PEPSIC, foi selecionada uma amostra de 11 artigos publicados entre 2010 e 2020, submetidos à análise de conteúdo e agrupados em quatro categorias de análise: serviços de saúde cis heteronormativos; serviços de saúde - experiências positivas; implicações da gestação nos corpos transexuais; repercussões da terapia de afirmação de gênero e gravidez. Verificou-se predomínio da lógica cis heteronormativa na atenção à saúde, que implica experiências negativas durante o pré-natal e o parto entre os homens transexuais. Estes apresentam necessidades singulares em saúde durante o ciclo gravídico puerperal, devendo ser incluído o cuidado à saúde mental. Sugere-se adoção de estratégias de qualificação profissional com vistas aos cuidados perinatais inclusivos e respeitosos para esse grupo populacional, além de novos estudos sobre o tema.
Transsexual men and pregnancy: an integrative literature review
Authors: Silva Gislaine Correia , Puccia Maria Inês Rosselli , Barros Monalisa Nascimento dos Santos
Published: April 2024

Abstract Promoting sexual and reproductive health in the context of transmasculinity constitutes a new issue for health service organisation. This integrative review sought to understand the current evidence on pregnancy in transsexual men in the context of sexual and reproductive health care. From a search of the BVS, PubMed, Science Direct, Scopus, Capes, SciELO and PEPSIC databases, from 2010 to 2020, a sample of 11 articles was selected, treated by content analysis and grouped into four analytical categories: health services - positive experiences; cis heteronormative health services; implications of pregnancy for transsexual bodies; and repercussions of gender-affirming therapy and pregnancy. A cis heteronormative logic was found to predominate in health care, leading to negative experiences during antenatal care and childbirth among transsexual men. Their unique health needs during the pregnancy-puerperium cycle should include mental health care. It is suggested that strategies be adopted to build capacity in health professionals with a view to respectful, inclusive perinatal care for this population group, as well as further studies on the subject.
Casais de mulheres lésbicas e bissexuais que vivenciam a dupla maternidade: (des)encontros na produção do cuidado em saúde
Authors: Santos Manoel Antônio dos , Minari Amanda Brandane , Oliveira-Cardoso Érika Arantes de
Published: April 2024

Resumo O vínculo com os serviços de saúde é uma dimensão crucial para viabilizar o projeto materno de casais de mulheres lésbicas e bissexuais. Este estudo teve como objetivo analisar os significados culturalmente construídos sobre o vínculo com os serviços e profissionais de saúde por mulheres lésbicas e bissexuais que vivenciaram a dupla maternidade. Investigação qualitativa fundamentada na antropologia interpretativa. O corpus de pesquisa foi construído com base em entrevista em profundidade com 10 mulheres de 30 a 39 anos. Os resultados mostram que o acesso à parentalidade implicou um itinerário permeado por satisfações e sofrimentos devido a tentativas frustradas e perdas gestacionais. Também foram relatados percalços vivenciados na produção do cuidado em saúde devido a preconceitos, falta de empatia e despreparo de profissionais para lidarem com acompanhamento de pré-natal aos casais de mulheres lésbicas/bissexuais. As manifestações de discriminação foram mais contundentes em relação às mães não gestantes. Os resultados oferecem subsídios para implementação de políticas de humanização e planejamento de programas e serviços de saúde baseados em cuidados culturalmente sensíveis à diversidade para casais de mulheres lésbicas/bissexuais que vivenciam a transição para a maternidade.
Lesbian and bisexual couples experiencing dual motherhood: (dis)encounters in the provision of healthcare
Authors: Santos Manoel Antônio dos , Minari Amanda Brandane , Oliveira-Cardoso Érika Arantes de
Published: April 2024

Abstract The bond with healthcare services is a crucial dimension in facilitating the maternal journey of lesbian and bisexual women couples. This study aimed to analyze the culturally constructed meanings regarding the bond with healthcare services and professionals by lesbian and bisexual women who experienced dual motherhood. It is a qualitative investigation grounded in interpretative anthropology. The research corpus was built based on in-depth interviews with 10 lesbian and bisexual women, aged 30 to 39 years. The results indicate that access to parenthood, until its realization, involved a journey permeated by satisfactions and sufferings triggered by failed attempts and gestational losses. Challenges experienced in healthcare provision were also reported due to prejudices, lack of empathy, and unpreparedness of professionals in dealing with prenatal care for lesbian and bisexual women couples. Manifestations of discrimination were more pronounced concerning non-gestational mothers. The findings offer insights into implementing policies that prioritize humanization and planning programs and healthcare services based on culturally sensitive care for lesbian and bisexual women couples as they transition into dual motherhood.
“You only have one mother!”: institutional violence in experiences of double motherhood in healthcare
Authors: Ril Stephany Yolanda , Oliveira Junior João Batista de , Mello Mônica Machado Cunha e , Portes Virgínia de Menezes , Moretti-Pires Rodrigo Otávio
Published: April 2024

Abstract The objective was to understand experiences of double motherhood during antenatal, childbirth and postpartum healthcare, using a qualitative method involving individual online interviews and asynchronous, online focus groups of cisgender women, mostly in same-sex relationships. The results revealed how these women’s experiences of parenting were marginalised, highlighting institutional violence in Brazilian healthcare services, which are presented here in two thematic dimensions: 1) Cisheteronormativity and its impact on experiences of double motherhood; and 2) Institutional violence in healthcare services: from curiosity to LGBTQIA+phobia. It was concluded that cisheteronormativity hinders healthcare for these experiences, especially by rendering the non-gestational mother invisible. This underscores the urgent need to train healthcare personnel, rethink and challenge cisgender and heterosexual norms and promote inclusive policies to ensure equitable care and combat institutional violence.
Obstetric violence and LGBTQIA+phobia: interlaced oppressions and violations
Authors: Cardoso Priscila Fernanda Gonçalves , Shimizu Mariana Arissa
Published: April 2024

Abstract The cisheteropatriarchal capitalist system has developed by class, racial and sexual oppression and exploitation in establishing unequal, hierarchical power relations. One of these kinds of oppression involves the use of violence against bodies considered wayward and transgressive within this structure. Of the different types of violence, this study focused on obstetric violence, understood as patriarchal gender violence designed to remove the rights, autonomy and agency of trans women and men during the processes of pregnancy, childbirth, postpartum and abortion. This article reflects on obstetric violence and its impacts on homo-parenthood for lesbian women and trans men, on the understanding that the LGBTQIA+ population is one of the most vulnerable and removed from health services, mainly because of the institutional violence suffered by these bodies. Accordingly, the intention is to understand, through social and historical analysis, how these sexist, heteropatriarchal violations, interlacing and reflecting in health care for these people, generate even more forms of oppression against this population.
“SUS is for everyone, for everyone who claims it”: managing health litigation in a time of crisis
Authors: Freire Lucas de Magalhaes
Published: April 2024

Abstract The judicialization of health is a controversial topic. Some authors see it as the source of a series of problems in health policies that span from the disruption of waiting queues to shortages in drugs purchased by public administrations. For others, the recourse to legal action is a path taken to correct asymmetries in access to public services. Based on ethnographic research conducted between 2016 and 2017 in the Health Claims Resolution Chamber (CRLS), I compare these opposing stances and show how the requests for judicial and/or administrative intervention are to some extent incorporated into the ‘normal flow’ of the Unified Health System (SUS) in the context of a healthcare crisis in Rio de Janeiro. My central argument is that in a period of widespread precarity, the right to health is itself managed through the administration of litigation.
Disaster management in mining: an analysis of mediation as a technology of social control
Authors: Zucarelli Marcos Cristiano
Published: April 2024

Abstract Recent disasters involving mining companies in Brazil have drawn attention not only because of the scale of the social and environmental damage caused, but also due to the management practices implemented by the state. In November 2015 the world’s largest iron ore tailings spill occurred when the Samarco dam, located in the municipality of Mariana, Minas Gerais, failed catastrophically. A trail of destruction and death extended downstream for 700km until the mud reached the Atlantic ocean. Accompanying the reconciliation meetings and hearings at the Mariana Justice Forum with local communities, corporations and State officials, I identify some of the traps set by the negotiation space that, rather than offering an ideal condition of autonomy and symmetrical capacity for choice, operates as a mechanism for containing criticism and indirectly manipulating behaviour. Pursuing this line of analysis, the article discusses the political rationality and forms of control contained in extrajudicial conflict resolution strategies.
Time until tuberculosis recurrence and associated factors in Brazil: a populationbased retrospective cohort study using a linked database
Authors: Pelissari Daniele Maria , Lima Lucas Vinícius de , Pavinati Gabriel , Magnabosco Gabriela Tavares , Silva Júnior José Nildo de Barros , Bartholomay Patricia , Johansen Fernanda Dockhorn Costa
Published: April 2024

ABSTRACT Objective: To calculate the rate of tuberculosis recurrence, estimate its average time until recurrence, and identify factors associated with recurrence in Brazil. Methods: Retrospective cohort study with a linked database from the Notifiable Diseases Information System. The study included individuals diagnosed with tuberculosis in 2015, focusing on those who experienced their first recurrence within 6.5 years. We estimated the relative risk (RR) and its 95% confidence interval (95%CI), as well as the population attributable fraction (PAF) or the population preventable fraction (PPF) of associated factors. Results: Within a 6.5-year period, 3,253 individuals (6.5%) experienced tuberculosis recurrence, with a median time of 2.2 years. Positively associated factors included: male sex (RR: 1.4; 95%CI 1.3–1.5; PAF: 22.9%), age 30 to 59 years (RR: 3.0; 95%CI 1.6–5.7; PAF: 36.0%), black race (RR: 1.3; 95%CI 1.2–1.5; PAF: 3.5%), mixed race (RR: 1.3; 95%CI 1.2–1.4; PAF: 10.6%), deprivation of liberty (RR: 1.9; 95%CI 1.7–2.1; PAF: 9.1%), pulmonary/mixed clinical form (RR: 1.7; 95%CI 1.4–1.9; PAF: 37.1%), acquired immunodeficiency syndrome diagnosis (RR: 1.8; 95%CI 1.5–1.9; PAF: 4.3%), and alcohol use (RR: 1.2; 95%CI 1.1–1.3; PAF: 2.9%). Negatively associated factors were: 12 or more years of schooling (RR: 0.5; 95%CI 0.4–0.6; PPF: 3.3%) and supervised treatment (RR: 0.9; 95%CI 0.8–0.9; PPF: 4.4%). Conclusion: This study revealed high tuberculosis recurrence rates in Brazil, influenced by sociodemographic, compartmental, and social factors, both positively and negatively impacting disease recurrence.
Evolution of the availability of Information and Communication Technologies in primary health care in Brazil, 2012 to 2018
Authors: Bender Janaína Duarte , Facchini Luiz Augusto , Lapão Luís Miguel Velez , Tomasi Elaine , Thumé Elaine
Published: April 2024

ABSTRACT Objective: To verify the evolution of the availability of information and communication technology equipment and inputs in primary health care services that participated in the external evaluation of the Access and Quality Improvement Program in Primary Care and its distribution according to context characteristics social and geographic. Methods: Cross-sectional study, analyzed the distribution of information and communication technology equipment in basic health units in Brazil, during the three cycles (2012 to 2018) of the Program for Improving Access and Quality in Primary Care. The variables were examined at the municipal level and stratified by geopolitical region. Univariate analysis was performed, using the chi-square test and testing the distributions of exposures among themselves and between the outcome and exposures. Results: The availability of information and communication technology equipment increased from 9.4% (2012) to 17.5% (2018), with emphasis on the Southeast and South regions, in municipalities with a population size of up to 10,000 inhabitants², with greater family health coverage and high/very high HDI-M. Over the period from 2012 to 2018, basic units joined the program and increased availability of information and communication technologies, such as Internet access, which ranged from 45.2% (n=6,249) to 74.0% (n=21,423), with emphasis on the Northeast region, which increased from 19.1% (n=970) to 58.8% (n=7,087). Conclusion: Investment in technologies and constant evaluation of primary care in the country is necessary, contributing to its strengthening.
Evolução da disponibilidade de Tecnologias de Informação e Comunicação na Atenção Primária à Saúde do Brasil, 2012 a 2018
Authors: Bender Janaína Duarte , Facchini Luiz Augusto , Lapão Luís Miguel Velez , Tomasi Elaine , Thumé Elaine
Published: April 2024

RESUMO Objetivo: Verificar a evolução da disponibilidade de equipamentos e insumos de tecnologia de informação e comunicação nos serviços de Atenção Primária à Saúde que participaram da avaliação externa do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica e sua distribuição de acordo com características do contexto social e geográfico. Métodos: Estudo transversal, que analisou a distribuição de equipamentos de tecnologia de informação e comunicação nas unidades básicas de saúde do Brasil, durante os três ciclos (2012 a 2018) do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica. As variáveis foram examinadas no nível dos municípios e estratificadas por região geopolítica. Realizou-se análise univariada, com o uso do teste χ2 e teste das distribuições das exposições entre si e entre o desfecho e as exposições. Resultados: A disponibilidade do conjunto de equipamentos de tecnologias de informação e comunicação evoluiu de 9,4% (2012) para 17,5% (2018), com destaque às Regiões Sudeste e Sul, em municípios com porte populacional de até 10 mil hab.², com maior cobertura de saúde da família e índice de desenvolvimento humano municipal — IDH-M alto/muito alto. Ao longo do período de 2012 a 2018, houve adesão de unidades básicas ao programa e aumento na disponibilidade de tecnologias de informação e comunicação, como o acesso à internet, que foi de 45,2% (n=6.249) a 74,0% (n=21.423), com destaque para a Região Nordeste com aumento de 19,1% (n=970) a 58,8% (n=7.087). Conclusão: São necessários o investimento em tecnologias e a constante avaliação da atenção primária no país, contribuindo para seu fortalecimento.
O redemoinho sagrado. A imaginação poético-pentecostal de Carlos Nejar em Riopampa: o moinho das tribulações
Authors: Brizotti Alan
Published: April 2024

RESUMO O discurso religioso é múltiplo, desafiador e convidativo, especialmente quando poesia e imaginação teológica se encontram, expandindo suas fronteiras. Carlos Nejar, poeta e membro da Academia Brasileira de Letras, em seu romance Riopampa: o moinho das tribulações, fornece-nos ampla variedade de imagens, símbolos e experiências que podem ser atribuídas, dentre outras características, ao seu envolvimento com o Sagrado a partir da pentecostalidade, uma vez que Nejar é pastor pentecostal. No presente artigo, vamos refletir sobre o redemoinho Sagrado, dentre outras metáforas utilizadas por Nejar, para tentar responder à pergunta: por que a imaginação nejariana no romance Riopampa: o moinho das tribulações, dentro do espectro do discurso religioso, pode ser considerada pentecostal? Para esse fim, utilizaremos o aporte teórico da Análise do Discurso, sob os auspícios de Bakhtin e seu dialogismo, além de uma concisa pesquisa documental tendo o referido romance nejariano como base.
LA RELEVANCIA HISTÓRICA EN PERSPECTIVA DE GÉNERO SEGÚN EL ALUMNADO DE EDUCACIÓN SECUNDARIA Y BACHILLERATO DE MURCIA (ESPAÑA)
Authors: Muñoz-Muñoz Pablo , Molina-Puche Sebastián , Ortuño-Molina Jorge
Published: April 2024

RESUMEN Los llamados valores humanos son capaces de explicar las motivaciones de los individuos. Estos valores se configuran a partir de representaciones sociales que se transmiten entre generaciones y en las que la formación académica tiene un papel destacado. En este trabajo se realiza un análisis de los valores que los jóvenes atribuyen a los que consideran los personajes históricos más destacados, a partir de una encuesta validada y de entrevistas realizadas a estudiantes de 16-18 años en la ciudad de Murcia (España). Los datos obtenidos se han analizado, desde un diseño cuantitativo no experimental y con el programa estadístico IBM SPSS, con el propósito de identificar tanto los personajes seleccionados como los valores predominantes que se asocian a ellos a partir de las concepciones de los valores motivacionales de Schwartz. Los resultados nos aproximan a una visión estereotipada de la historia en la que predominan las narrativas tradicionales y ejemplarizantes protagonizadas por personajes masculinos, adscritos a una tipología político–militar asociados a la meritocracia. Por tanto, la agencia histórica se ve comprometida por estos rasgos que distancian a los individuos de una ciudadanía responsable y democrática.
Perception of RSI/WMSD risks involved in teleworking among employees at a public university
Authors: Candido Ana Carolina Ferreira , Alencar Maria do Carmo Baracho de
Published: April 2024

Abstract Introduction Although teleworking emerged decades before the COVID-19 pandemic, the spread of the virus in 2020 resulted in faster and more widespread implementation of this work format. However, the lack of a dedicated workspace may pose ergonomic risks and increase the incidence of musculoskeletal disorders. Objective Understand the risks of repetitive strain injury (RSI) and work-related musculoskeletal disorders (WMSDs) in teleworking from the perspective of employees at a public university. Methods A list of employees at a public university who were full or part-time teleworkers was obtained from the campus Personnel Department and used to select subjects for individual scripted interviews. The interviews were recorded and transcribed for thematic content analysis. Results Eight employees took part in the interviews, most of whom were women, aged between 33 and 64 years and from different professional categories. The interviewees reported ergonomic deficiencies, musculoskeletal symptoms, using individual preventive strategies, and the advantages of teleworking, among others. Conclusion There are still ergonomic-related risks of RSI/WRMDs, and despite changes made during the COVID-19 pandemic, it remains important to comply with preventive needs and improve knowledge management among workers.
Comparação do nível de dependência funcional pré e pós-operatório de idosos submetidos à artroplastia de quadril
Authors: Silva Jefferson Carlos Araujo , Sousa Gabriela Martins , Cota Natália Barrel , Silva Thalita Cristinny Araujo , Oliveira Murilo Rezende , Cavalcante Tamires Barradas
Published: April 2024

Resumo Introdução Fraturas de colo do fêmur e osteoartrose no quadril afetam a independência funcional de idosos. A artroplastia de quadril (AQ) é uma cirurgia para tratar essas condições e a fisioterapia pode reduzir o nível de dependência funcional. Objetivo Comparar o nível de dependência funcional pré e pós-operatório de idosos submetidos à AQ, avaliar a associação entre dependência funcional e independência funcional e verificar se a idade está associada à pior dependência funcional destes pacientes. Métodos Estudo transversal, descritivo, quantitativo e de associação, onde voluntários idosos submetidos à AQ foram avaliados no pré e pós-operatório usando o índice de Katz e a Medida de Independência Funcional (MIF). A análise comparativa foi realizada com os testes estatísticos Wilcoxon pareado e correlação de Spearman. Uma regressão linear examinou a influência da dependência funcional na independência pós-operatória (p < 0,05). Resultados Quarenta e oito pacientes foram avaliados tanto no pré quanto no pós-operatório por meio do índice Katz, observando-se uma redução da dependência funcional após o procedimento de AQ. A avaliação da MIF demonstrou que houve aumento da independência funcional no pós-operatório, demonstrando que o procedimento cirúrgico associado à fisioterapia precoce, enquanto o paciente ainda está hospitalizado, promoveu a independência funcional. Além disto, houve uma relação diretamente proporcional entre nível de dependência e idade. Conclusão A dependência funcional reduziu após a cirurgia de AQ e aumentou a independência em idosos. A dependência funcional impactou a independência após a cirurgia e a idade influenciou a dependência funcional.
The Clinical Relevance of the Infiltrating Immune Cell Composition in Kidney Transplant Rejection
Authors: Vaulet Thibaut , Callemeyn Jasper , Lamarthée Baptiste , Antoranz Asier , Debyser Tim , Koshy Priyanka , Anglicheau Dany , Colpaert Jill , Gwinner Wilfried , Halloran Philip F. , Kuypers Dirk , Tinel Claire , Van Craenenbroeck Amaryllis , Van Loon Elisabet , Marquet Pierre , Bosisio Francesca , Naesens Maarten
Published: April 2024

Key Points

The estimated composition of immune cells in kidney transplants correlates poorly with the primary rejection categories defined by Banff criteria.

Spatial cell distribution could be coupled with a detailed cellular composition to assess causal triggers for allorecognition.

Intragraft CD8temra cells showed strong and consistent association with graft failure, regardless of the Banff rejection phenotypes.

Background

The link between the histology of kidney transplant rejection, especially antibody-mediated rejection, T-cell–mediated rejection, and mixed rejection, and the types of infiltrating immune cells is currently not well charted. Cost and technical complexity of single-cell analysis hinder large-scale studies of the relationship between cell infiltrate profiles and histological heterogeneity.

Methods

In this cross-sectional study, we assessed the composition of nine intragraft immune cell types by using a validated kidney transplant–specific signature matrix for deconvolution of bulk transcriptomics in three different kidney transplant biopsy datasets (N=403, N=224, N=282). The association and discrimination of the immune cell types with the Banff histology and the association with graft failure were assessed individually and with multivariable models. Unsupervised clustering algorithms were applied on the overall immune cell composition and compared with the Banff phenotypes.

Results

Banff-defined rejection was related to high presence of CD8+ effector T cells, natural killer cells, monocytes/macrophages, and, to a lesser extent, B cells, whereas CD4+ memory T cells were lower in rejection compared with no rejection. Estimated intragraft effector memory–expressing CD45RA (TEMRA) CD8+ T cells were strongly and consistently associated with graft failure. The large heterogeneity in immune cell composition across rejection types prevented supervised and unsupervised methods to accurately recover the Banff phenotypes solely on the basis of immune cell estimates. The lack of correlation between immune cell composition and Banff-defined rejection types was validated using multiplex immunohistochemistry.

Conclusions

Although some specific cell types (FCGR3A
+ myeloid cells, CD14
+ monocytes/macrophages, and NK cells) partly discriminated between rejection phenotypes, the overall estimated immune cell composition of kidney transplants was ill-related to main Banff-defined rejection categories and added to the Banff lesion scoring and evaluation of rejection severity. The estimated intragraft CD8temra cells bore strong and consistent association with graft failure and were independent of Banff-grade rejection.
Outcome Based Curriculum Development for Studio Courses: Data Mining an example course
Authors:   Professor, Department of CSE, SRK Institute of Technology, Vijayawada, Haritha D. , Suneetha M. ,   Professor & Head, Dept of IT, Velagapudi Ramakrishna Siddhartha Engineering College, Vijayawada, Kavitha D. ,   Associate Professor, Department of IT, Prasad V. Potluri Siddhartha Institute of Technology, Vijayawada
Published: April 2024

Abstract—Over the past few decades, with a growing emphasis on learner-centric methodologies, the Outcome-Based Education (OBE) framework has become prominent, with the aim of bridging the gap between academic learning experiences and industry requirements. Outcome Based Education (OBE) has been proving its prominence to ensure intended outcomes and quality. Efforts in designing and development of outcome-based curriculum help to create an effective learning environment. Outcome Based Curriculum Development (OBCD) ensures not only the domain knowledge but also centennial mastery over the knowledge, skills and attitudes needed for Industry 4.0 and above. To fill the gap between academic learning and industry requirements, Studio Pedagogy is gaining prominence, particularly for a few hard core courses that require more activity-based learning rather than traditional teaching-learning, i.e. Studio-Based Learning (SBL). This paper discusses OBCD for such an engineering course, Data Mining that needs theoretical concepts to learn by doing, being taught to 5th semester students as a case study. The end survey and assessment performance demonstrated the effectiveness of designing and implementing curriculum for this course as a Studio course with Studio Based Learning. Keywords— Outcome based education, Outcome based curriculum Development, Studio Pedagogy, Studio Based Learning, Learning -by -doing.
Fostering Higher Cognitive Skills Through Industry Collaboration: A Microcontroller-Based Approach
Authors:   School of Computer Science & Engineering, KLE Technological University, Hubballi., Nayak Aruna S. , Hiremath Namrata D. ,   School of Computer Science & Engineering, KLE Technological University, Hubballi., F.M Umadevi ,   School of Computer Science & Engineering, KLE Technological University, Hubballi., Patil Preeti B. ,   Centre for Engineering Education Research, KLE Technological University, Hubballi., Chickerur Satyadhyan ,   School of Computer Science & Engineering, KLE Technological University, Hubballi.
Published: April 2024

Abstract— This paper presents an innovative approach to enhance higher cognitive skills in students through collaboration with the industry, focusing on microcontroller education. In the fastevolving landscape of technology, bridging the gap between academia and industry is paramount. Our paper describes a course activity that leverages industry collaboration to impart critical thinking, problem-solving, and knowledge application skills to students. The course activity centers on the in-depth study of the Atmega32 microcontroller, chosen for its industry relevance and rich feature set. Students delve into fundamental concepts, architecture, programming, timers, counters, interrupts, and peripheral integration. They are encouraged to apply their knowledge to realworld scenarios through hands-on projects (Bolanakis, 2019) Key components of this approach include industry mentorship, project-based learning and formative assessment. Industry professionals guide students in solving industry-related challenges, fostering creativity and practical problem-solving. Continuous evaluation assesses students' critical thinking, knowledge application, and problem-solving abilities. The paper demonstrates the positive impact of this collaborative learning approach on students' cognitive skills and their preparedness for real-world industry roles. By adapting theoretical knowledge to address industry needs and aligning with best practices, students gain valuable skills essential for success in the technology-driven job market. Keywords— Cognitive Skills; Critical Thinking; Industry Collaboration; Knowledge Application; Problem-Solving
Integración del desarrollo sostenible en la enseñanza de la Estadística y Probabilidades: un análisis de los libros de texto de Matemática de la Educación Primaria
Authors: Su Chia Shih , Díaz-Levicoy Danilo , Hsu Chuan Chih
Published: April 2024

Objetivo: este estudio evaluó la alfabetización estadística y probabilística, y la educación para el desa-rrollo sostenible (EDS) en los 11 libros de texto de Matemática de primaria en Chile. El objetivo fue identificar el nivel de demanda cognitiva y el avance de la EDS, examinando la cantidad y tipo de vinculación con los 17 Objetivos de Desarrollo Sostenible (ODS) en las actividades y tareas presentadas. Metodología: se utilizó un análisis de contenido para examinar la vinculación con los ODS, el tipo de contenido y la demanda cognitiva de las actividades y tareas propuestas. Resultados: los resultados mostraron que las tareas propuestas en los libros de texto analizados son en su mayoría procedimentales, realistas y contextualizadas en situación asociada a ODS2, ODS3, ODS4, ODS5, ODS12 y ODS13. Además, se encontró que a medida que los cursos avanzan, aumenta la cantidad de tareas asociadas con los ODS y el nivel de demanda cognitiva es mayor. Conclusiones: aunque los libros de texto ofrecen oportunida-des para la enseñanza de estadística, probabilidad y EDS, es necesario integrar actividades de datos con nivel de demanda cognitiva más elevado. Esto permitirá fomentar el trabajo de proyectos estadísticos, desarrollando habilidades cognitivas, comportamentales y socioemocionales desde la educación primaria, en el marco de la EDS.
Profesores, deliberación y contenidos históricos en contexto de estallido social
Authors: Cavieres-Fernández Eduardo , Villalón Gabriel
Published: April 2024

Objetivo: el objetivo de esta investigación fue analizar las actividades de deliberación implementadas por dos profesores de historia chilenos en torno a problemáticas públicas, utilizando los contenidos existentes sobre la Independencia Nacional, en el contexto de un estallido social en el país. Metodología: se empleó la metodología de estudio de casos a través de entrevistas y observaciones de clases. Hallazgos: se concluye sobre la importancia de los aspectos que sustentan la decisión de implementar actividades deliberativas en contextos sociales adversos y que, para los profesores de este estudio, se asocian a sus propias concepciones sobre la deliberación y a la empatía que sienten hacia sus estudiantes, con el fin de ayudarles a expresarse en momentos de alta tensión social. Si bien vincular pasado y presente puede resultar particularmente complejo dada la conexión emocional de los estudiantes con la problemática contingente, es un ejercicio que, permite explorar algunas conexiones con el propósito de comprender mejor los conflictos que están afectando actualmente a la sociedad. En ese sentido, la decisión de los profesores de usar contenidos del pasado más distante, como la Independencia Nacional, puede ser una contribución al respecto, si se apunta a las similitudes que continúan vigentes en el tiempo.
Impacto da fisioterapia aquática em UTIN sobre a mobilidade diafragmática avaliada por ultrassonografia cinesiológica: ensaio clínico
Authors: Liberato Kely Cristina , Andreazza Marimar Goretti , De Assis Marciane Sanches , Sarquis Ana Lucia Figueiredo , Kovelis Demetria Monteiro , Gomes Evellin de Oliveira , Lima Monica Nunes , Israel Vera Lúcia
Published: April 2024

INTRODUÇÃO: A fisioterapia aquática é uma modalidade de hidroterapia realizada em recém-nascidos (RN) nas Unidades de Terapia Intensiva Neonatal (UTIN). Os efeitos sobre nível de dor, estado comportamental e função respiratória já são conhecidos, porém pouco se refere aos efeitos sobre a função diafragmática na população recém-nascida a termo prematura. OBJETIVO: Avaliar o efeito da fisioterapia aquática sobre a amplitude diafragmática por meio da ultrassonografia cinesiológica diafragmática (USCD) em RNs internados em UTIN, bem como a segurança de sua realização quanto a estabilidade clínica dos RNs, estado comportamental, dor e desconforto respiratório. MÉTODOS: Ensaio clínico tipo antes e depois, de caráter transversal. Os RNs participantes do estudo receberam uma única intervenção com fisioterapia aquática durante 10 minutos. Foi realizada a avaliação utilizando a USCD antes e depois da sessão, e anotado as frequências cardíaca e respiratória, estado comportamental, dor e desconforto respiratório. RESULTADOS: Participaram 26 RNs. Observou-se aumento significativo da amplitude diafragmática (p= 0,02) e da saturação periférica de oxigênio (p= 0,05); os parâmetros fisiológicos permaneceram nos limites da normalidade e a intervenção não provocou desorganização comportamental, dor ou desconforto respiratório aos RNs. CONCLUSÃO: A fisioterapia aquática promoveu aumento da amplitude diafragmática, sugerindo que esta técnica pode ser utilizada como forma de estimular a contração da musculatura respiratória em RN, além de se mostrar uma técnica segura, pois não gerou instabilidade clínica, desorganização comportamental, dor ou desconforto respiratório aos participantes.