bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigation of the Correlation between Weight Underwater and Water Depth
Authors:   Crisis and Emergency Management: Theory and Praxis, Lee Hyun Suk , Jo Ho Jeong , Jeong Yu Sik
Published: April 2024

This study is one of the basic experiments for the development of a weight type water level gauge. The weights are made of polyvinyl chloride (PVC) with a density of 1.1-1.35 g/cm3, in cylindrical shapes of different sizes. The weights come in different diameters: 5, 6, 7, and 8 centimeters, and two different lengths: 20 and 30 centimeters. The weight of the weights was measured using a load cell and the inverse relationship of weight change with increasing depth was investigated. Also, by adjusting the gap between the weight and the outer casing, the distance at which the error in the weight observation due to the surface tension of water of 72.75 dyne/cm (20℃) was not affected was determined. In conclusion, we found that the larger the diameter of the weight and the smaller the height, the better the correlation with the water depth. Also, considering contamination of the PVC weight and manufacturing precision, it was determined that the space between the PVC weight and the external case required more than 1cm. A buoyancy type water level gauge requires the smallest possible weight diameter and sufficient clearance.
International Research Trends on the Digital Inequality of Immigrants Using Topic Modeling: Focusing on Articles Published in Web of Science
Authors:   Crisis and Emergency Management: Theory and Praxis, Kang Hye Jung , Jin Myung , Ha Yujin , Kim Gun-Woo
Published: April 2024

The study aims to analyze key issues and research trends in international research on the digital inequality of immigrants. Based on a total of 401 articles on digital inequality of immigrants published in Web of Science registered journals between 2000 and February 2023, the authors identified key research topics. The analysis reveals an increasing number of articles on immigrants’ digital inequality, starting with two articles in 2006, and showing a sharp increase since 2020. Research areas on the digital inequality of immigrants are led by various academic fields, including social science, medicine, and multidisciplinary studies. Five topics were identified through topic modeling and word network analysis: ‘immigrants’ digital inequality in health’, ‘COVID-19 and immigrants’ digital inequality’, ‘Immigrants’ digital inequality in education’, ‘Immigrants’ inequality in the digital age’, and ‘Digital inequality of migrant workers’. It was shown that topics of ‘immigrants’ digital inequality in health’ and ‘Immigrants’ inequality in the digital age’ have been attracting significant attention.
Enhancing the Disaster Safety Capabilities of Local Government: Improving the Pride of Public Officials and Establishing the Collaborative Governance
Authors:   Crisis and Emergency Management: Theory and Praxis, Kim Yeon Jun , Lee Jae Eun
Published: April 2024

This paper aims to propose strategies to enhance the disaster management capabilities of local governments. It is necessary for local government leaders to increase their interest in disaster safety, boost the self-efficacy of officials, and find ways to enhance their pride. It is vital to establish collaborative governance that mobilizes the disaster safety capacities within the region. Reflecting on the work experience of the disaster safety department when appointing senior officials and expanding recruitment is essential steps. Additionally, promoting the stable and efficient operations of disaster safety organizations can be achieved by conducting regular personnel appointments every January. Furthermore, it is necessary to establish disaster safety specialized institutions in the form of foundation corporations in 17 metropolitan local governments and set up crisisonomy graduate school to nurture specialized professionals. Practical on-site manuals and conducting on-site training are also essential. Lastly, managing the early stages of disaster occurrences and operating a disaster situation room equipped with on-site response capabilities are crucial.
“Evaluación Sí, pero No Así”: Estudio de caso de una política fallida en el bachillerato Mexicano
Authors: Luz Marina Ibarra Uribe  , Fonseca Bautista César Darío
Published: April 2024

Este artículo aborda uno de los momentos más álgidos en la política educativa mexicana reciente, enmarcado en la Reforma Educativa del 2013: La evaluación al desempeño docente de los profesores de Educación Media Superior del país, y el condicionamiento al que fueron sometidos de perder su puesto laboral frente a grupo en caso de no aceptar la evaluación o de reprobarla. Inédita en su tipo y alcances, la evaluación desencadenó una polémica en todo el país, polarizando a la población sobre sus bondades y efectos perversos. El propósito de este trabajo es recuperar, a través de un estudio retrospectivo, la experiencia, percepción, el sentimiento y las emociones que generó la evaluación en un grupo de docentes de bachillerato del estado de Morelos, México. Se empleó una metodología cualitativa, las técnicas que se emplearon fueron la recuperación de fuentes hemerográficas, documentos oficiales y contenidos transmitidos en la televisión, así como la realización de entrevistas a 25 profesores de los 34 seleccionados por la autoridad educativa para ser evaluados. Las entrevistas se realizaron antes y después de la presentación de la evaluación. Entre los hallazgos destaca que los profesores aceptaban ser evaluados, pero consideraron el proceso evaluativo desorganizado, injusto y hasta punitivo.
Anesthesia Management in Blalock-Taussig Shunt Procedure
Authors: Putri Rieza Furry Anissa , Poernomo Herdono
Published: April 2024

Background: The systemic to pulmonary artery shunts are done as palliative procedures for complex cyanotic congenital heart diseases. Blalock-Taussig shunt (BT shunt) provide regulated blood flow to the lungs allowing growth of pulmonary arteries until the patient reaches proper age and body weight suitable for definitive corrective repair. BT shunts are first line management in patients with critical cyanotic conditions.Case: A 12-month-old boy diagnosed with PA-VSD subaortic, L-R shunt PDA and critical PDA stenosis experienced a recurrent spell condition with the lowest oxygen saturation 40%, underwent urgent BT shunt surgery. Oxygen saturation increases to 80-85% after shunt procedure.Discussion: Anesthesia management includes optimizing preoperative condition and patient hydration state, providing balance anesthesia during surgery, maintaining balance of pulmonary and systemic blood flow. High oxygen fraction can be given to maintain oxygen saturation before BT shunt anastomosis. Mechanical ventilation, heart rate with sinus rhythm, preload and contractility is maintained to obtain normal cardiac output. After BT shunt anastomosis, the oxygen fraction is reduced with a saturation target of 70–85%. Postoperative management includes anticoagulant administration and monitoring postoperative complications. The patient developed complications of increased pulmonary blood flow postoperatively and was admitted to the PICU for 3 days. The patient was discharged in good condition from ward on day 7.Conclusion: Understanding the physiology of heart defects and perioperative management determine the success of BT shunt surgery, reducing patient morbidity and mortality. Optimizing intraoperative and postoperative oxygen delivery with oxygenation targets PaO2 40-45 mmHg and saturation 70-80% reflects the balance of pulmonary blood flow and systemic blood flow (Qp:Qs=0.7-1.5:1).
Management of Patients Post Laminectomy Decompression Et Causa Spinal Cord Injury Cervical Vertebrae 1-7 with Hyperglikemia in Intensive Care Unit
Authors: Yusuprihastuti Maulitia Neny , Adiyanto Bowo , Arifin Johan
Published: April 2024

Background: In the United States, in 2008 of 100,000 cases of spinal cord injury, 2/3 were cases of cervical injury. Patients who experience cervical to thoracic Spinal Cord Injury (SCI) above T8, usually have impaired function of the diaphragm and intercostal muscles which causes respiratory failure. Neurogenic shock occurs in patients who experience SCI above T6 which causes vasodilation, hypotension and severe bradycardia or asystole when stimulating vagal reflexes such as laryngoscopy or suctioning.Case: The patient was diagnosed with SCI cervical vertebrae 1-7. The patient underwent decompressive laminectomy et causa SCI cervical vertebrae 1-7 and hyperglycemia. Management includes surgical therapy, management of respiratory failure in the Intensive Care Unit (ICU), pharmacological therapy include insulin for hyperglicemia control, and support for neurogenic shock and physioterapy.Discussion: Patients with SCI require laminectomy, supportive therapy, pharmacotherapy include insulin, neurogenic shock, and respiratory support if there is respiratory failure. In cases of injury to cervical vertebrae 1-7, the patient requires ventilator support to assist the function of the diaphragm and intercostal muscles, pharmacological supportive therapy for neurogenic shock, as well as care from a sub-endocrine specialist to treat hyperglycemia. Stress-induced hyperglycemia was occurred due to CNS injury.Conclusion: Spinal Cord Injury (SCI) is a disorder of the spinal cord or spinal cord with neurological symptoms ranging from motor, sensory and autonomic function.  Respiratory failure in SCI above thoracic 8, is due to disturbances in the function of the diaphragm and intercostal muscles. The occurrence of neurogenic shock in SCI cases, especially above thoracic 6, manifests in the form of vasodilation, hypotension and severe bradycardia or asystole. Management in the ICU includes hemodynamic monitoring, respiratory failure, prevention of neurogenic shock, and pharmacology to treat hyperglycemia. Biochemical parameters, nutritional status, and respiratory function were also monitored.
Anesthetic Management for Abdominal Aortic Aneurysm Rupture
Authors: Priambodo Bhimo , Pratomo Bhirowo Yudo
Published: April 2024

Background: Aortic aneurysm is the thirteenth leading cause of death in the united states. Around 15.000 people died each year because of aortic aneurysm rupture. The mortality rate for this case are still high at around 90%. Patient diagnosed with acute aortic rupture will need an urgent surgery.Case: A 36-year-old man came with complaints of pain in the waist to back area since 1 week before entering the hospital and worsening 2 days before entering the hospital. Pain is felt intermittent. The pain is sharp and severe when the patient strains. On physical examination found high blood pressure (160/104 mmHg), chest X-ray showed widening of the mediastinum suspected descending aortic aneurysm, CT angiography showed a fusiform type descending aortic aneurysm pars thoracoles, ruptured abdominal aortic aneurysm of juxtarenal fusiform type to the terminal abdominal aorta and hemoperitoneum. The patient underwent repair of an abdominal aortic aneurysm under general anesthesia. After surgery the patient was admitted to the ICU for clinical and hemodynamic monitoring, but the patient's condition in the ICU worsened. The patient experienced acute kidney failure and liver failure, then the patient died on the 10th day after surgery.Discussion: Surgery for ruptured abdominal aortic aneurysm is associated with high mortality. Even patients who survive the initial procedure are at high risk of complications (such as renal, cardiac, respiratory, haematological, or gastrointestinal failure). The main goal of anesthesia is to maintain anesthesia with cardiovascular stability and normothermia for as long as possible. Minimum standards of monitoring for surgery include electrocardiogram, CVP, arterial line, temperature, and urine output. This operation uses a cell saver machine which functions to collect lost blood, clean the blood and return it to the patient.Conclusion: Surgery for patients with acute aortic rupture requires complicated and complex anesthetic techniques. This operation requires collaboration and good communication between the surgeon and the anesthesiologist.
Análisis del discurso político en un contexto de gestión para la paz en Colombia
Authors: Rico Revelo Diana , Pulido-Escobar Paola , Ferrer Hernández Stiven , Pedraza Quiñones Natalia
Published: April 2024

Después de sostener un conflicto violento por más de medio siglo, la guerrilla de las Fuerzas Armadas Revolucionarias de Colombia-Ejército del Pueblo (FARC-EP) firmó un acuerdo de paz con el Gobierno colombiano en el 2016, para la terminación del conflicto y la construcción de una paz estable y duradera (acuerdo de paz, 2016), cuyo propósito contiene desafíos que articulan mecanismos institucionales y culturales para avanzar a la desescalada del conflicto armado interno en el corto, mediano y largo plazos. En este sentido, las aproximaciones desde la psicología política son fundamentales para explicar, comprender y transformar procesos asociados a la dinámica de un conflicto armado de larga duración. Por lo tanto, además de analizar procesos psicosociales vinculados a fenómenos políticos (Sabucedo, 1966), en este trabajo se retoma una perspectiva de la psicología política latinoamericana que enfatiza en el contexto en el cual ocurren los hechos (Alvarado et al., 2012; Díaz & Bravo, 2019).
Un acuerdo de paz en contextos de violencia y polarización, ¿por qué votamos por el no?
Authors: Caicedo-Moreno Angélica , López-López Wilson , Gil de Montes Lorena , Castro-Abril Pablo , Telletxea Saioa
Published: April 2024

El histórico acuerdo de paz entre el Gobierno colombiano y la guerrilla de las Fuerzas Armadas Revolucionarias de Colombia-Ejército del Pueblo (FARC-EP) marcó un nuevo capítulo en la historia del conflicto armado más longevo y de mayor victimización del continente. A finales del 2016 el Gobierno sometió el acuerdo a votación con un polémico resultado de 49.8% a favor y 50.2% en contra, que enfatizó la profunda polarización política del país. Este conflicto ha estado caracterizado por las repetitivas violaciones a los derechos humanos de la población civil (Comisión para el Esclarecimiento de la Verdad, la Convivencia y la No Repetición [CEV], 2022) y posee un historial de intentos infructuosos de paz con las guerrillas y los grupos paramilitares. El acuerdo de paz constituyó un punto de inflexión en las preferencias de los grupos sociales y políticos sobre la resolución del conflicto armado. ¿Cómo es posible que en un país que ha sufrido seis décadas de guerra, se rechace un acuerdo de paz? Este estudio buscó comprender este resultado mediante el análisis de los factores socioeconómicos y demográficos de quienes votaron a favor y en contra, en un contexto de polarización sociopolítica que llevó a este rechazo
Divine Madness in Plato’s Phaedrus
Authors: Shelton Matthew
Published: April 2024

Critics often suggest that Socrates’ portrait of the philosopher’s inspired madness in his second speech in Plato’s Phaedrus is incompatible with the other types of divine madness outlined in the same speech, namely poetic, prophetic, and purificatory madness. This incompatibility is frequently taken to show that Socrates’ characterisation of philosophers as mad is disingenuous or misleading in some way. While philosophical madness and the other types of divine madness are distinguished by the non-philosophical crowd’s different interpretations of them, I aim to show that they are not, in fact, presented as incompatible. Socrates’ pair of speeches demonstrates that madness can be divided into harmful and beneficial kinds, and in Socrates’ key discussion of philosophical madness (249c4-e4), I argue that the crowd correctly recognises that the philosopher is mad on the basis of his eccentricity, but wrongly assumes that the philosopher’s madness is of the harmful type because it fails to realise that the philosopher is enthused. Socrates’ second speech provides information about human souls and gods which shows that philosophical madness belongs to the beneficial type and so falls under the heading of divine enthusiasm after all. Importantly, human souls and gods are shown in the speech to be roughly isomorphic. Both philosophical and other kinds of divine madness involve having something divine inside a human body (entheos): in the former a human soul has become godlike; in the latter a human soul has been displaced by a god. Because of this, I propose that philosophy is presented as a genuine form of divine madness alongside the other more conventional examples.
Asymmetric Performance Evaluation Under Quantity and Price Competition with Managerial Delegation
Authors: Hamamura Jumpei , Ramani Vinay
Published: April 2024

In this paper, we consider asymmetric performance evaluation contracts under different product market configurations with managerial delegation and specify the optimal decision-making by the social and relative performance evaluation firms. We present a reversal result on the owner’s choice of the social performance and relative performance evaluation contract as the product market competition type changes from quantity to price competition. Surprisingly, results indicate that the consumer surplus increases as the degree of product substitution increases under quantity competition in a specific economic environment. A firm that considers social performance evaluation produces less, charges a higher price, and earns a lower profit than a firm that uses relative performance evaluation. We also endogenize the choice of performance evaluation systems. While relative performance emerges as the endogenous choice under both modes of product market competition, it leads to lower consumer surplus and social welfare in comparison to an asymmetric performance evaluation system.
On the complexity of implementation of a system of three monomials of two variables by composition circuits
Authors: Korneev Sergey A.
Published: April 2024

We study the complexity of implementation of systems of monomials by composition circuits. Here, by the complexity we mean the smallest possible number of operations required for computation of the system of monomials from the variables;
under this approach, results of intermediate computations can be used several times. The main result of this paper establishes, for an arbitrary system of three monomials of two variables without zeroth powers, a formula for the complexity of their joint implementation by composition circuits with an additive error which is either 1 or 0.
Model-based prediction of frost formation inside frozen food packages under temperature fluctuations
Authors: Nakagawa Kyuya , Nakabayashi Maya , Yasunobu Toshiko
Published: April 2024

Frozen storage of food products is widely accepted not only in the industry but also by households. Frost formation during long-term storage is recognized as a phenomenon that causes changes in product characteristics and quality losses. However, quantitative prediction and control of frost formation remains a challenge. In this study, a mathematical model was developed to predict frost formation inside frozen food products (i.e., frozen minced meat packed in a polyvinylidene chloride (PVDC) film) under fluctuating temperature conditions in a domestic refrigerator. The proposed model is based on heat transfer and energy balance equations, and the amount of frost formation is estimated from the heat generated by condensation. The heat transfer coefficients were experimentally obtained and applied to the developed model. The interactions between the amplitude and frequency of temperature fluctuations and the corresponding amount of frost formation were visualized using contour plots. Both the amplitude and frequency were found to increase frost formation. For the range of fluctuations tested (temperature amplitudes of 0.5–2.5 K and cooling rates of 0.0125–0.2 K/min when connected to the compressor), the simulation predicted that the amount of frost in the packages varied up to approximately 4.5 times (0.48–2.18 g/month for packages containing 300 g of minced meat) depending on the different temperature fluctuation settings.
Simulated WSR-88D Observations of the Streamwise Vorticity Current
Authors: Dixon Austin , Skinner Patrick , Orf Leigh
Published: April 2024

The streamwise vorticity current (SVC) has been shown in recent research to have a role in the tornadogenesis process in some supercells. Although field experiments have succeeded in observing the feature using mobile radars, limited knowledge exists on how/if SVCs can be observed using operational radars. To explore this possibility, simple radar emulation software was used to create simulated Weather Surveillance Radar 1988 Doppler (WSR-88D) radar images of an SVC in a high-resolution numerical simulation of a supercell thunderstorm. This proof-of-concept approach shows that SVCs likely can be observed in an operational setting under idealized circumstances. Two analysis times from the simulation are used to compare the signatures of both a weak and a strong SVC. This study suggests that results are highly contingent on radar viewing angle, and quality observations of the SVC may only be possible when a storm is within 45 km of the radar site. In Plan Position Indicator (PPI) scans, SVCs are found to be associated with inflow winds that penetrate more rearward with height downstream of the mesocyclone. Range Height Indicator (RHI) reconstructions show a reflectivity billow that resembles a density current head containing a Kelvin-Helmholtz (KH) billow, as well as a radial velocity couplet co-located with the SVC. A vertical shear product is introduced to visualize low-level vertical wind shear in the vicinity of the SVC to facilitate identification of the feature without interrogation of multiple elevation angles of radial velocity data.
Transtheoretical and transdiagnostic models in the treatment of anxiety
Authors: Esteban Calvo Flavio
Published: April 2024

This text explores a comprehensive and contemporary approach to addressing anxiety, focusing on the concepts of transtheoretical diagnoses and transdiagnostic treatments. The complexity of anxiety and the need to consider multiple dimensions, such as biological, behavioral, cognitive, systemic and spiritual factors, are recognized. The importance of making a complete diagnosis that includes the patient's personal history is highlighted and the relevance of a multidimensional treatment that combines psychoeducation, relaxation techniques and verbal therapy is underlined.
Policy Approaches for Increasing Adolescent HPV Vaccination Coverage: A Systematic Review
Authors: McKeithen Mary Catharine , Gilkey Melissa B. , Kong Wei Yi , Oh N. Loren , Heisler-MacKinnon Jennifer , Carlson Rebecca , James Greeshma , Grabert Brigid K.
Published: April 2024

CONTEXT

US jurisdictions have enacted a wide range of policies to address low human papillomavirus (HPV) vaccination coverage among adolescents, but it is unclear which policies are effective.

OBJECTIVE

To systematically review the impact of governmental policies on adolescent HPV vaccination coverage.

DATA SOURCES

PubMed, Embase, and Scopus databases.

STUDY SELECTION

Eligible studies, published from 2009 to 2022, evaluated the impact of governmental policies on HPV vaccination coverage among adolescents ages 9 to 18.

DATA EXTRACTION

Two investigators independently extracted data on study sample, study design and quality, policy characteristics, and HPV vaccination outcomes. We summarized findings by policy type: school-entry requirements (SERs), federally-funded policies related to the Vaccines for Children program and Medicaid, educational requirements, and others.

RESULTS

Our search yielded 36 eligible studies. A majority of studies evaluating HPV vaccine SERs found positive associations between SERs and HPV vaccination coverage (8 of 14), particularly for SERs in Rhode Island and Washington, DC. All studies evaluating SERs for other adolescent vaccines observed positive spillover effects for HPV vaccination (7 of 7). Federally-funded policies related to Vaccines for Children and Medicaid were consistently associated with higher HPV vaccination coverage (7 of 9). Relatively few studies found associations between educational requirements and HPV vaccination coverage (2 of 8).

LIMITATIONS

Studies used limited vaccination data sources and non- or quasi-experimental designs. Some studies had no or poorly matched comparison groups.

CONCLUSIONS

Our findings suggest promise for SERs and federally-funded policies, but not educational requirements, for increasing HPV vaccination coverage among adolescents.
Resveratrol modulates the Nrf2/NF-κB pathway and inhibits TSLP-mediated atopic march
Authors: He Quan , Liu Weihua , Chen Zi , Wei Guangfei , Jiang Jingxian , Zhang Liuchao , Zhou Linfu
Published: April 2024

Background: Resveratrol has been found to have anti-inflammatory and anti-allergic properties. The effects of resveratrol on thymic stromal lymphopoietin (TSLP)-mediated atopic march remain unclear.
Purpose: To explore the potential role of resveratrol in TSLP-mediated atopic march.
Methods: The atopic march mouse model was established by topical application of MC903 (a vitamin D3 analog). Following the treatment with resveratrol, airway resistance in mice was discovered by pulmonary function apparatus, and the number of total cells, neutrophils, and eosinophils in bronchoalveolar lavage fluid was counted. The histopathological features of pulmonary and ear skin tissues, inflammation, and cell infiltration were determined by hematoxylin and eosin staining. The messenger RNA (mRNA) levels of TSLP, immunoglobulin E, interleukin (IL)-4, IL-5, and IL-13 were measured by real-time quantitative polymerase chain reaction. The protein expression of nuclear factor kappa B (NF-κB)/nuclear factor erythroid 2-related factor 2 (Nrf2) signaling-associated molecules (p-p65, p65, p-I kappa B kinase alpha (IκBα), IκBα, Nrf2, and TSLP) in lung and ear skin tissues were assessed by Western blot analysis.
Results: Resveratrol attenuated airway resistance and infiltration of total cells, eosinophils, and neutrophils in both lung and ear skin tissues. Resveratrol ameliorates serum inflammatory markers in allergic mice. Moreover, the phosphorylation levels of NF-κB pathway-related proteins were significantly reduced by administration of resveratrol in allergic lung and ear skin tissues. Similarly, the protein expression of TSLP in both lung and ear skin tissues was reduced by resveratrol, and Nrf2, a protector molecule, was increased with resveratrol treatment.
Conclusion: Resveratrol attenuates TSLP-reduced atopic march through ameliorating inflammation and cell infiltration in pulmonary and ear skin tissues by inhibiting the abnormal activation of NF-κB signaling pathway.
THE USE OF A TRAINING 3D-MODEL IN THE TREATMENT OF A PATIENT WITH A PATHOLOGICAL FRACTURE OF THE PROXIMAL PART OF THE FEMUR (CASE FROM PRACTICE)
Authors: Drobotun Oleg , Konovalenko Sergii , Ternovyi Mykola
Published: April 2024

Prostate cancer is the second most common cause of malignancy in men, with bone metastases being a significant source of morbidity and mortality in advanced cases. Objective. To give a clinical example of a patient with a pathological transtrochanteric fracture of the right femur with displacement of fragments, the presence of metastasis at the fracture site, to emphasize the importance of 3D-training before surgery. Methods. A clinical example with a significant impairment of the function of the right lower extremity against the background of a significant pain syndrome is given. The diagnosis was established: pathological transtrochanteric fracture of the right femur with displacement of fragments, the presence of metastasis at the fracture site. Pre-surgical training was carried out using a 3D-model and total endoprosthetics of the right hip joint with a revision individual implant of the cement fixation type was carried out. The patient fully recovered the function of the right lower limb and hip joint, the pain syndrome was eliminated, and sleep normalized. The use of a 3D-model for preoperative training of surgeons made it possible to rationally limit traumatization of healthy tissues during tumor removal, prevent possible complications and optimize the time of surgical intervention and thus minimize blood loss. Conclusions. The use of a training 3D-model before surgery followed by prosthetics with a special oncological endoprosthesis provided satisfactory functional results and restoration of the patient's quality of life in the given clinical case. The use of a 3D-model is the key to careful preparation for surgical intervention, taking into account the individual anatomical features of the pathological process and adjacent tissues, which allows you to significantly optimize the terms of the operation and reduce blood loss, and also provides valuable experience for further surgical practice.
Modern Technologies for Bone Defect Replacement (Literature Review)
Authors: Buryanov Oleksandr , Kvasha Volodymyr , Kuprii Valentyn , Sobolevskiy Yuriy , Chornyi Volodymyr , Hliba Heorrhii , Rohozynskyi Valentyn
Published: April 2024

Information is provided regarding the materials used to replace bone defects caused by gunshot wounds. Materials and various techniques for replacing bone defects of the limbs are described. Goal. Conduct an analysis of surgical technologies and materials for the replacement of bone defects, by analyzing literary sources. Methods. In three reputable databases (PubMed, Scopus, and Web of Science), an analysis of the latest scientific studies devoted to the treatment of defects of long tubular bones in the period from 2015 to 2022 was carried out. The search was carried out using the keywords "bone defects", "autograft", "allograft", "Ilizarov method", "Masquelet method", "biocomposite materials". The results. Analysis of osteoinductive and osteoconductive properties of auto- and allografts, modern biocomposite materials. Established advantages and disadvantages. The contemporary analysis of literary sources does not provide an objective comparative assessment of the effectiveness of the treatment of bone defects according to the Masquelet and Ilizarov method due to the lack of a sufficient number of randomized studies, which is the basis for further targeted research. Conclusions. Treatment of bone tissue defects of various genesis is an urgent problem of modern orthopedics and traumatology. The wide range of treatment options is proof that no single strategy works for every patient, just as there is no perfect universal material to fill and ensure bone regeneration in the defect site. A promising direction is the search for new or a combination of known materials and methods, which are able to maximally provide compensation for these pathological conditions.
Social impact measures for social innovation: Challenges and pathways
Authors: Cunha Jorge , Alves Wellington , Araujo Madalena
Published: April 2024

ABSTRACT Purpose: How to evaluate the social impact of social innovation has emerged as an important question posed by academics, organizations, and policymakers in recent years. One reason for this is the increasing concern with the social impact of different types of organizations and social practices, particularly in response to a recognition of the urgency of developing more inclusive economies and societies. To find an answer to this question, this research seeks to investigate the state-of-the-art in terms of social innovation impact measurement, drawing on both scientific literature and practitioner literature. Originality/value: This research discusses the challenges posed by measuring the impact of social innovation initiatives and how these measurements may change the assessment process. The analysis finds that methodologies for measuring social innovation have mainly been undertaken in Europe, where these initiatives are largely addressed. Design/methodology/approach: This paper adopted a qualitative research approach based on the scoping review method. This method is widely used to identify emergent topics in scientific literature, aiming to identify implications for research and decision-making. The research was developed based on different steps to obtain information about the social impact measurement indicators and their overall contribution to the advancement of social innovation. Findings: The results also confirmed the lack of social innovation frameworks, methodologies, and tools capable of measuring the social impact of social innovations. Furthermore, a set of barriers in this field was identified, which can be used to channel better upcoming academic research on developing social impact indicators for social innovation.
Influence of switching costs and resource dependence in interorganizational cooperation
Authors: Castanha Eduardo Tramontin , Gasparetto Valdirene
Published: April 2024

Abstract Purpose: This article analyzes the influence of switching costs and resource dependence on interorganizational cooperation between contractors (buyers) and transport companies (sellers). Originality/value: The management accounting literature has traditionally focused on intraorganizational controls. However, researchers have a growing interest in applying management accounting elements in the interorganizational scope. This study contributes to the literature on interorganizational relationships by presenting possible evidence of the relationship between resource dependence, switching costs, and interorganizational cooperation between contractors and transport companies. Design/methodology/approach: This quantitative study surveyed the perception of professionals from food and beverage sector companies about the transport companies they contract. A total of 120 professionals participated in the study, and the Structural Equations Modeling (SEM) technique was used to analyze the structural model. Findings: The relational and procedural dimensions of switching costs and resource dependence influence interorganizational cooperation positively. A total mediation of resource dependence was found in the relationship between procedural switching costs and interorganiza-tional cooperation. The results showed that switching costs and resource dependence are antecedents of interorganizational cooperation between the firms surveyed and the transport companies they contract. As for social and managerial implications, this study offers managers a deeper understanding of the importance of switching costs and resource dependence and the impacts of these factors on interorganizational cooperation.
Fatores associados à peregrinação anteparto em maternidadede referência no Ceará
Authors: Mesquita Annita de Lima , Rodrigues Hillary Bastos Vasconcelos , Ferreira Uly Reis , Domingos Maria Aparecida Ferreira , Oliveira Bruno Luciano Carneiro Alves de , Cardoso Alexandrina Maria Ramos , Biazus-Dalcin Camila , Aquino Priscila de Souza
Published: April 2024

RESUMO Objetivo: Identificar fatores associados à peregrinação anteparto em gestantes de Fortaleza, Ceará, Brasil. Método: Estudo transversal com 300 puérperas de uma maternidade de referência estadual, realizado de março de 2020 a janeiro de 2021. Foi estimada a frequência da peregrinação segundo características socioeconômicas e de assistência pré-natal. Análises com o Teste Qui-Quadrado de Pearson selecionaram variáveis para a regressão de Poisson ajustada. Resultados: A frequência de peregrinação anteparto por mais de um serviço de saúde foi de 34,3%. Não conhecer a maternidade de referência (1,16; IC95% 1,04–1,30) e não residir próximo à maternidade de referência (1,16; IC95%: 1,03–1,31) estiveram associados à ocorrência de peregrinação entre as mulheres. Características pessoais e de assistência pré-natal não se mostraram associadas. Conclusão: Verificou-se associação da peregrinação anteparto com o desconhecimento da maternidade de referência e com a residência distante dessa maternidade, o que requer melhor comunicação da equipe e a garantia de acesso facilitado aos serviços de assistência obstétrica por meio da implementação eficaz da regionalização dos cuidados maternos.
Dilemas ético-legais da prática de enfermagem em emergências e desastres: revisão de escopo
Authors: Duarte Alex Coelho da Silva , Chicharo Sandra Conceição Ribeiro , Silva Thiago Augusto Soares Monteiro da , Oliveira Alexandre Barbosa de
Published: April 2024

RESUMO Objetivo: Mapear os dilemas ético-legais relacionados à prática de Enfermagem em situações de emergências e desastres. Método: Revisão de escopo, desenvolvida em conformidade com o método JBI, cujas fontes de informação foram acessadas em bases de dados, além da literatura cinzenta. A seleção se deu pela leitura dos títulos, resumos e descritores, observando critérios de elegibilidade, contando com dois revisores e um terceiro em caso de divergências. Após a leitura, procedeu-se à extração dos dados e análise de conteúdo de 17 publicações selecionadas. Resultados: Mapearam-se 13 dilemas ético-legais relacionados ao dever profissional/funcional diante da família, falta de equipamento de proteção individual e condição insegura no trabalho, preparação e disponibilidade para atuação, competências, limites impostos pela religião das vítimas, obrigatoriedade em prestar cuidado. Conclusão: Profissionais, pesquisadores e representantes da categoria precisam resolver demandas que envolvem a atuação em emergências e desastres, (re)conhecendo os dilemas ético-legais e buscando (re)enquadramentos legais e observância dos princípios fundamentais/éticos que regem a profissão, no sentido de amparar a tomada de decisão e o desenvolvimento de práticas seguras juridicamente.
DEPRESSIVE SYMPTOMS AND ASSOCIATED FACTORS IN PREGNANT WOMEN ATTENDED IN PRIMARY HEALTHCARE
Authors: Caldeira Daniela Marcia Rodrigues , Lima Cássio de Almeida , Monção Rafael Ataíde , Santos Viviane Maia , Pinho Lucineia de , Silva Rosângela Ramos Veloso , Silveira Marise Fagundes , Brito Maria Fernanda Santos Figueiredo
Published: April 2024

ABSTRACT Objective: to analyze the prevalence and factors associated with depressive symptoms in pregnant women attended in primary healthcare. Method: this is an epidemiological, cross-sectional and analytical study conducted in Montes Claros, in the north of the state of Minas Gerais, Brazil. The dependent variable (depressive symptoms) and independent variables (sociodemographic characteristics, social support, obstetric characteristics, sexuality and health conditions) were collected through a questionnaire and validated scales. The collection took place between October 2018 and November 2019. Descriptive, bivariate and multiple analyzes were performed through multinomial logistics regression. Results: a sample of 1,279 pregnant women was evaluated. The estimated prevalence of moderate and serious depressive symptoms was 16.2% and 25.2%, respectively. Low social support (p<0.001), low sexual performance (p = 0.002) and a high level of perceived stress (p<0.001) were factors associated with moderate depressive symptoms. First gestational trimester (p = 0.006), low social support (p<0.001), low sexual performance (p<0.001) and a high level of perceived stress (p<0.001) were factors associated with serious depressive symptoms. Conclusion: the prevalence of moderate and serious depressive symptoms in pregnant women attended in primary healthcare was considerable. Factors related to social support, gestational quarter (first quarter), sexuality and perceived stress showed association with these symptoms. Caution and the promotion of mental health is necessary for pregnant women in this scenario.
MOBILE GAME: TECNOLOGIA EDUCACIONAL PARA CUIDADOS DOMICILIARES DO PACIENTE SUBMETIDO AO TRANSPLANTE HEPÁTICO
Authors: Knihs Neide da Silva , Silva Ariadne Matzembacher da , Grespi Letícia de Oliveira , Magalhães Aline Lima Pestana , Paim Sibele Maria Schuantes , Moraes Pedro Henrique Braga , Martins Marisa da Silva , Treviso Patricia
Published: April 2024

RESUMO Objetivo: desenvolver e validar jogo educativo capaz de subsidiar ações de educação em saúde ao paciente submetido ao transplante hepático. Método: estudo de produto tecnológico, sustentado no referencial doDesign Centrado no Usuário, realizado em hospital de referência em transplante hepático. Participantes foram pacientes submetidos ao transplante hepático, enfermeiros e profissionais da tecnologia da informação. A coleta de dados ocorreu por meio de entrevista semiestruturada e questionário, utilizando as normas brasileiras para avaliação da usabilidade. A análise dos dados ocorreu por meio de análise de conteúdo, com base no modelo de cálculo para a escala de System Usability Scale. Resultados: participaram 17 pacientes, dos quais, sete enfermeiros e quatro profissionais da tecnologia da informação. O jogo é formado por cinco caminhos com os principais cuidados a serem desenvolvidos em domicílio. Cada caminho apresenta etapas a serem seguidas com suas regras. Quanto à validação, a média geral foi de 1,38. A avaliação da usabilidade pelos pacientes teve média de 80 pontos, já pelos profissionais foi acima de 75%. Conclusão: considera-se que a referida ferramenta está apta para ser usada na prática pelos usuários. Ainda, essa foi ajustada para atender às necessidades dos pacientes submetidos ao transplante hepático para apoiar e gerenciar os cuidados em domicílio.
Preceptor: o profissional de saúde-educador do século XXI
Authors: Botti Sérgio Henrique de Oliveira , Rego Sergio Tavares de Almeida
Published: April 2024

Resumo Introdução: É fato que os avanços pedagógicos na formação profissional em saúde não resultaram em melhor qualidade do cuidado, entretanto o trabalho em saúde como fonte para a formação e para a conscientização do preceptor como profissional de saúde-educador aparece como um caminho. Desenvolvimento: Tendo como base o envolvimento nas atividades cotidianas do trabalho, o preceptor oferece oportunidades de ensinagem; planeja, controla e guia o processo; estimula o raciocínio e a postura ativa do aluno; realiza procedimentos técnicos; modera a discussão de casos; observa, avalia o aluno executando suas atividades e analisa o seu desempenho; aconselha e cuida do crescimento profissional e pessoal do acadêmico; colabora na identificação de problemas éticos e em suas possíveis soluções; e estabelece os limites e cria possibilidades do uso da inteligência artificial. Conclusão: O preceptor - docente-clínico - transforma o ambiente de trabalho em momentos educacionais propícios, objetivando oferecer melhor cuidado à saúde da população.
Evaluation of Brazilian women’s participation in the CNPQ in the field of medical research
Authors: Keffer Gabriele Martins , Sousa Árlen Almeida Duarte de , Oliveira Fabrício Emanuel , Magalhães Marcelo José da Silva , Oliveira Eduardo Araújo , Martelli Júnior Hercílio
Published: April 2024

Abstract Introduction: Brazilian scientific production has shown substantial growth and achieved international visibility. However, in general, the participation of women in scientific activities remains limited. Objective: This study aimed to evaluate the indicators of scientific productivity of women fellows of the Council for Scientific and Technological Development (CNPq) in the field of Medicine. Method: This cross-sectional study was conducted on 541 (211 women, 39%) researchers registered as recipients of CNPq research productivity (PQ) scholarships in Medicine according to a list provided in December 2022. Results: There was a predominance of male researchers (n=330; 61%). In both the male and female groups, most researchers were at level 2, with 62.5% women and 47.2% men (p=0.018). All 211 female PQ scholars were distributed among 37 different institutions and published 34,969 papers in scientific journals, averaging 165.7 articles per researcher. In the last five years of the study period (from 2018 to 2022), 9,679 papers were published. Over their careers, the 211 researchers supervised 5,440 undergraduate research students, 4,144 master’s degree students, and 2,923 PhD candidates. There was a significant difference between the scholarship levels for the development of human resources in undergraduate research (p=0.040), master’s degree (p=0.027), and PhD. (p<0.001). Conclusion: There are still less women participating in CNPq medical research than men. However, we observed a substantial participation of women in all the assessed items, including technical and scientific production and the human resources training.
A Bearded Amazon
Authors: Costa Isaac
Published: April 2024

ABSTRACT A Bearded Amazon – The text grounds its methodology in Discourse Analysis. To do so, it mobilizes signifiers with the aim of discursively analyzing the artistic performance of a drag queen. The thesis presented argues that dressing up is a discursive mechanism that creates a symbolic punctum that conceals the traumatic reality of growing up unable to associate with the feminine. It concludes that the drag’s position, as a tension between masculinist formation and its opposite, represents a liminal, dissenting space of hybridity and transfiguration of pain, repression, and loss. The contribution lies in the fact that it is through this artistic practice that the subject of discourse resists and authorizes oneself to act, to signify.
When Theater is at the Vanguard: Ludovina Soares da Costa and The Deaf and Dumb or the Abbé de l’Épée: an Historical Drama
Authors: Reily Lucia , Sofiato Cássia Geciauskas
Published: April 2024

ABSTRACT When Theater is at the Vanguard: Ludovina Soares da Costa and The Deaf and Dumb or the Abbé de l’Épée: an Historical Drama – This article investigates the staging of Jean-Nicolas Bouilly’s play L’Abbé de l’Épée, [The deaf-mute or the Abbot de l’Épée] during Brazil's imperial period. The objective was to analyze how multiple discourses on deafness that circulated in the media, combined with the performance of the Portuguese actress Ludovina Soares da Costa as a deaf-mute young man motivated the founding of Brazil's first institution for the deaf, in Rio de Janeiro. The documentary study surveyed material from the newspaper collection at the Hemeroteca da Biblioteca Nacional, for periodicals from 1810 through 1860, reviewing ads, news and reviews of the performances. The results highlight the transmission of conceptions about deafness in the local society through theater.
Gender Scripts and Children’s Performances that Reverberate in the Context of Early Childhood Education
Authors: Moraes Jéssica Tairâne de , Felipe Jane
Published: April 2024

ABSTRACT Gender Scripts and Children’s Performances that Reverberate in the Context of Early Childhood Education – Based on Gender Studies and the Sociology of Childhood, this article seeks to understand and analyze the strategies that children establish to deal with the gender scripts addressed to them in everyday Early Childhood Education. The results of the analysis show that they seek more plural ways of living their experiences as girls and boys, even though they are educated based on binary concepts that try to impose a repeated control of children’s bodies. The research, of ethnographic inspiration, was developed based on participant observation with four-year-old children, in a public early childhood education school, in the Metropolitan Area of Porto Alegre/RS/Brazil.