bluuebunny/crossref_metadata_2025 huggingface dataset:
Self-care behavior in hemodyalized patients in Ibarra, Ecuador
Authors: Jaramillo Jácome Karen Vanessa , Hidobro Guzmán José Fabián , Morejón Jácome Gladys Edelmira , Cárdenas Robles Edison Daniel
Published: April 2024

Introduction: The increase of patients with chronic kidney disease (CKD) on haemodialysis treatment in Ecuador and the complexity of care, points to the validity and importance of applying Orem's Theory, being relevant in the context of CKD, since knowledge about self-care behaviours can help to avoid complications in these patients. Objective: To analyse the health self-care behaviours of haemodialysis patients at a dialysis centre in Ibarra, based on Orem's theory. Material and Methods: A quantitative, observational, cross-sectional study with a sample of 30 haemodialysis patients of both sexes who met the inclusion criteria; the questionnaire Assessment of self-care of patients on hemodialysis treatment with a 0.86 Crombach's alpha reliability was used for data collection, applied during the third quarter of the year 2021. Results: 50% of the group presented an inadequate level of self-care in health and 60% of the patients established self-care behaviours as substantially adequate. The diagnostic outcome variables of the self-care test and the self-care behavioural factor on rest and sleep habits were significantly associated. There is a positive correlation between the self-care test diagnosis in haemodialysis patients and self-care behaviours. Conclusion: The group of patients evaluated show a deficit in self-care practices, and self-care behaviours are also a factor involved in the test diagnosis score.
Validity of South African design water flows for fire protection in KwaZulu-Natal rural towns
Authors:   , Khumalo Mpilo Njabulo
Published: April 2024

Fire accidents can be catastrophic, causing loss of life, property and livelihood. Firefighting can therefore be defined as “fire suppression, search and rescue, extrication, ventilation, salvage, overhaul and emergency medical services”. So, while numerous methods exist to extinguish fires, the primary resource used in South Africa is potable water supplied via water distribution systems. In South Africa, the provision of water for firefighting is legally the responsibility of property owners. The main aim of this study was to compute the volumes, durations, and fire flows that have been needed to extinguish fires within a KwaZulu-Natal district municipality and compare them to the existing South African fire flow design standards to expose any inconsistencies between the two. The study achieved this by visiting the three fire stations within the said KwaZulu- Natal district municipality and collecting the records available on the fire incidents that have occurred since the establishment of each fire station. For each of the said fire stations, the study analysed each record to ascertain the volume of water used to extinguish each fire and estimated the time it took to extinguish the fire in order to calculate the average required flow that was used to extinguish the fire. The findings revealed that the study area falls under Moderate Risk 2 per the Guidelines for Human Settlement Planning and Design (2019). It was also found that most fires occur between the hours of 14:00 and 19:00. Most of the fires in the study were classified under grass fires at 54%, followed by structural fires at 30%, and industrial fires accounted only for 16%. The average amount of water required to extinguish all fires in the area was 23.677KL/day, which is only 13.15% of the 180KL/day recommended by the Guidelines for Human Settlement Planning and Design (2019). The study also found that a Water Distribution System (WDS) that considers fire flow was far more expensive to build than a WDS that did not consider fire flow. Considering fire flow in the WDS increased the cost of construction by approximately 40%. The 40% percentage cost increase, coupled with the low volume of water required to extinguish fires (23.677KL/day), suggests a need to reassess the figures provided by the current South African fire flow guidelines. South African national standards and guidelines need to be reduced, especially for rural towns where fires were extinguished with less than 15% of the water currently recommended for storage. For a safety factor of 2, a storage capacity of 50KL/day in place of 180KL/day was recommended for risk category 2.
Implicações entre pandemia, degradação ambiental e sistema capitalista
Authors: Tavares Paulo Roberto
Published: April 2024

This paper aims to analyze the correlations between the current pandemic outbreak of Covid-19 and the process of environmental degradation that has been intensifying more and more throughout this period. The main methodological coordination applied in this research consisted of a bibliographic review, contextualized by the reading and analysis of journalistic material. This research seeks to question, especially in relation to the Brazilian context, how the global pandemic and the collapse in the environment are intrinsic processes when situated in a broader context of capitalism's offensive. The proposal is to articulate the socio-historical configurations between these phenomena to the production model in force. A central issue to be attacked is the way the economy has been given, demanding a new reorganization, extinguishing predatory actions and their process of unlimited expansion as if nature were infinitely exploited in an unbridled manner by capital-intensive.
Impacto da inflação no poder de compra e a desvalorização da moeda
Authors: Higino Lucas Gabriel Diogo
Published: April 2024

Inflation is characterized as a continuous increase in prices, caused by the loss of purchasing power and currency devaluation. Starting with an economic sphere as the financial situation of a country, the liquidity of a currency is linked to the monetary policy adopted by the current government. In accordance with these arguments, this work aimed to study the variation and exchanges of currency over the years and the relevance of the IPCA index in household budgets. The research was based on a bibliographic survey with the support of articles, books and periodicals that have already delimited themselves to the study of this issue. Data from the IPCA was used, which is considered the official inflation index in Brazil, measured, and released by the IBGE. The research contains images, represented through tables showing the trajectory and evolution of the currency in Brazil. Inflation is defined as the rise in the price of basic consumer items, since it is one that measures prices in general, the isolated rise of a particular product, good or service cannot be considered inflation. Brazilian currency over the years went through several changes that affected the liquidity of the economy and the purchasing power of consumers. This research presents the problem of how the Brazilian currency has undergone changes over the course of the high inflation rates. This study is justified by the relevance of the topic for society in general, and not just for professionals in administration, accounting, and economics. Through the analysis and measurement of the data, it was obtained as a result that the population's purchasing power is largely concentrated in the acquisition of basic products and services that make up the IPCA's basic basket. On the other hand, as for the economic plans adopted in Brazil, they all had the common objective of stabilizing the economy, containing the unbridled rise in prices.
Jogos pedagógicos tradicionais e digitais
Authors: Silva Gizelle Cristina da
Published: April 2024

The study of this research is related to traditional and digital pedagogical games and the cognitive development of students with learning difficulties. The objective of this study was to determine if stimulation through pedagogical and digital games enables the improvement of the cognitive development of students with learning difficulties. The research methodology was qualitative, with an exploratory focus. Data collection was done through the case study method. The interview was the primary data collection instrument and bibliographic and documentary references were the secondary instruments. The investigation took place with a sample of 11 students from the State Public School of Elementary Education Silvio Micheluzzi in the city of Ji-Paraná, in the State of Rondônia, Brazil. The results of the investigation showed that Students improved basic cognitive skills, demonstrating greater agility in the development of activities, better optimization in the time of fixing attention and concentration, improvement in the quality of immediate and long-term memory, optimization of perception and logical reasoning, and greater autonomy in decision making and problem solving.
Marketing digital
Authors: Gouveia Aucenir
Published: April 2024

This study sought to present the theme “Digital Marketing: an essential tool for the company's profitability”. With the technological era increasingly present in the lives of the population, the way to publicize the company also had to be updated, thus Digital Marketing was gaining ground. The general objective of this article was to discuss digital marketing and its role in business innovation. The methodology used was a literature review, where different materials already published on the subject portrayed here were searched in reliable databases. Thus, this research concludes that digital marketing allows a greater portion of potential customers to be reached, thus increasing sales, improving communication with customers and, consequently, increasing the company's popularity and profitability.
Teorias críticas do direito e formação dos direitos trabalhistas das mulheres
Authors: Jacinto Ana Letícia Domingues
Published: April 2024

Feminism as a social movement presents countless expressions and forms of action and the same is seen in its relation to Law. The feminist critique of the Law is vast and plural, presenting different ways of interpreting it, either as a tool of struggle for women, or as a maximum expression of women's subordination in the patriarchal logic. Thus, in view of the different points of view observable in the development of feminism, from the beginning of the 20th century, we will seek to identify the forms of action of the Brazilian feminist movement in relation to the labor norms in formation at the time, bringing up women and his actions that disputed the meanings of the regulation of labor relations proposed by Getúlio Vargas from 1930 onwards.
Nitinol guidewire fragmentation using the OTSC extractor device: an innovative approach for an ERCP complication
Authors: Vara-Luiz F , Nunes G , Mendes I , Oliveira C , Veloso J , Fonseca J
Published: April 2024

Endoscopic retrograde cholangiopancreatography (ERCP) with metallic stenting provides an effective minimally invasive approach for palliative drainage of patients with malignant biliary obstruction and surgically unresectable disease, however, adverse events related with stent deployment may occur.
Position statement on how can we can implement the Greendeal in our gastrointestinal and gastrointestinal endoscopy department in Belgium
Authors: Aerts M , Reynaert H , Roelandt P , Caenepeel P , Dewint P , Lemmers A , Colle I
Published: April 2024

The importance to reach the target to be carbon net zero by 2050, as presented by the European Commission in the European Green Deal, cannot be overestimated. In a current endoscopy world, where single use has found its place and techniques are constantly evolving, it will be a challenge to reach these goals. How can we reconcile this evolution to a carbon neutral status by 2050 without compromising patients care, clinical standards and training needs? The European Society of Gastrointestinal Endoscopy (ESGE) together with the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) recently published a position statement (1) whereas in the UK there is the work from the green endoscopy group (2) in line with the strategy of the British Society of Gastroenterology (BSG) on sustainability (3). In Flanders, a project called “greendeal in duurzame zorg” had its kick off in March 2023 (4) so it is about time that we in Belgium, as gastroenterologists, start with tangible actions to a more sustainable daily practice. We wrote this position statement in cooperation with the Vlaamse Vereniging voor Gastro-Enterologie (VVGE), the Société royale belge de Gastro-entérologie (SRBGE) and the Belgian Society of Gastrointestinal Endoscopy (BSGIE). We will also work together in the coming years to continue to motivate our members to work on these initiatives and to co-opt new projects within the framework of the greendeal.
Out of place, not out of mind
Authors: Weicker B , Colin H , Baldin P , Moreels T.G.
Published: April 2024

We present endoscopic images of two different patients who underwent upper gastrointestinal endoscopy. The first image (Figure 1A) comes from a 45-year-old female with a history of epigastric pain, responsive to proton pump inhibitors (PPIs), and no significant medical history. The second image (Figure 1B) shows the oesophagus of a 63-year-old male with regular alcohol consumption and experiencing heartburn. Both patients were treated with pantoprazole 20 mg daily. The endoscopic findings were unremarkable, except for the oesophageal lesions shown here.
EM TEMPOS DE PANDEMIA: A UTILIZAÇÃO DO APLICATIVO DE WHATSAPP COMO FERRAMENTA DIDÁTICA E PEDAGÓGICA EM UMA ESCOLA ESTADUAL DO MUNICÍPIO DE BOCA DO ACRE- AM
Authors: Lima Renan de Cássia Queiroz
Published: April 2024

O uso eficaz das tecnologias de informação e comunicação tornou-se importante prática no contexto globalizante que exige inovação na sala de aula e melhoria da qualidade dos processos educacionais. A eficácia dessas tecnologias ficou acentuada no período pandêmico do COVID-19 em vários locais do Planeta e, em particular, no Estado do Amazonas, cujos alunos das escolas da rede estadual foram atendidos pelo CEMEAM, departamento da SEDUC/AM. Em razão da suspensão das aulas presenciais, devido à política de isolamento social, a SEDUC/AM implantou o Regime Especial de Aulas não Presenciais, o Programa “Aula em Casa”, oferecendo aulas remotas, veiculadas pelo CEMEAM, e recebidas pelos alunos em suas casas. Nesse sentido, com o propósito de verificar a eficiência e eficácia desse Programa, este artigo objetiva discorrer sobre: Os mecanismos utilizados pelo CEMEAM; em que medida o Programa atendeu as necessidades das escolas e dos alunos; a forma como ocorreu o processo de planejamento das atividades com alunos e professores nesse período; os recursos tecnológicos utilizados para envio de material, e sobre o percentual de aceitação dos recursos, por parte da comunidade escolar. Para isso desenvolveu-se uma pesquisa de cunho documental com uma das escolas do Município Boca do Acre/AM, utilizando-se uma abordagem quali-quantitativa, destacando-se os procedimentos e as ferramentas mais utilizados, na escola em questão, bem como os resultados obtidos durante o acompanhamento pedagógico no Município, cujas atividades didáticas e pedagógicas foram realizadas utilizando-se o WhatsApp, Meet e Youtube. A pesquisa demonstrou que diante do cenário de pandemia do COVID-19, a utilização do WhatsApp como ferramenta didática e pedagógica mostrou-se como uma alternativa eficiente para garantir a continuidade do aprendizado.
O LÚDICO COMO FERRAMENTA PARA ALIMENTAÇÃO SAUDÁVEL NO AMBIENTE ESCOLAR
Authors: Almeida Danielle Portela de , Reis Douglas do Nascimento , Araújo Diogenes Alves de , Santos Carla Daiane , Oliveira Geverson Oliver de Assis , Nascimento Lucas Victalino
Published: April 2024

Uma alimentação saudável é fator primordial no processo de desenvolvimento físico e intelectual do indivíduo. A forma como nos alimentamos expressa nosso estilo de vida, nossos costumes e crenças. É na infância que ocorre a construção dos primeiros hábitos alimentares. Sendo assim é de grande importância abordar essa temática no ambiente escolar, pois é nessa fase que as crianças estão mais acessíveis para o aprendizado. Desenvolver esses conceitos de forma lúdica e atrativa pode proporcionar o entusiasmo e satisfação das crianças. Nesse sentido, o lúdico pode ser uma importante ferramenta para promover uma alimentação saudável. Partindo desse pressuposto, o objetivo do artigo foi trazer o diálogo entre alimentação escolar e ludicidade, identificando quais ferramentas são utilizadas nesse processo de construção da aprendizagem e hábitos saudáveis. Trata-se de uma revisão sistemática da literatura, a partir de pesquisas realizadas nas bases de dados “SciELO”, “LILACS” e “Medline”. Os resultados apontam que o lúdico é uma ferramenta importante no processo de construção do conhecimento acerca da alimentação saudável e que a adoção de estratégias educativas impacta positivamente as crianças nela envolvidas. Diante disso, atividades lúdicas devem ser incentivadas no ambiente escolar e várias ferramentas podem ser utilizadas nesse processo.
O DIREITO DAS LAJES E SUAS REPERCUSSÕES NO DIREITO DE FAMÍLIA E NO DIREITO SUCESSÓRIO
Authors: Mello Kelvin de Andrade , Azevedo Flávia Regina Porto de
Published: April 2024

O direito de laje é um instituto jurídico considerado um direito real sui generis, distinto do direito de superfície e da propriedade plena, conforme estabelecido pelo artigo 1.510-A do Código Civil. Historicamente, seu surgimento no Brasil está ligado à ocupação informal do espaço urbano, especialmente em áreas de alta densidade populacional, como favelas, onde as lajes representam construções horizontais adicionais sobre residências existentes. O contexto histórico do direito de laje está relacionado à ocupação desordenada de áreas urbanas, resultante do déficit habitacional e da falta de políticas públicas eficazes. A legislação brasileira não era inicialmente clara em relação às lajes, o que gerava incertezas legais para seus ocupantes. Com a introdução do direito de laje na legislação civil brasileira pela Lei nº 13.465/2017, surgiram novas questões legais relacionadas ao divórcio e ao direito sucessório. No caso de divórcio, a construção da casa sobre o terreno de um dos cônjuges levanta questões sobre a partilha dos direitos resultantes da construção. Segundo o artigo 1.255 do Código Civil, o construtor perde as benfeitorias em favor do proprietário do terreno, mas tem direito a indenização se agiu de boa-fé. No direito sucessório, o direito de laje tem implicações na herança e partilha de bens, especialmente no que diz respeito à inclusão das unidades de laje no inventário e avaliação de bens. Os titulares do direito de laje podem ter direitos sucessórios sobre as unidades construídas sobre a laje, o que exige uma análise cuidadosa para determinar sua distribuição entre os herdeiros. Em resumo, o direito de laje tem raízes na ocupação informal do espaço urbano no Brasil e influencia questões legais relacionadas ao divórcio e ao direito sucessório, levantando novos desafios para a legislação e a prática jurídica no país.
RANKING DA TRANSPARÊNCIA ATIVA DOS MUNICÍPIOS DE RONDÔNIA
Authors: Santos Edson Bernardo dos , Amaral Leandro Vieira do , Carneiro Alexandre de Freitas , Custódio Elizângela Maria Oliveira
Published: April 2024

Esta pesquisa analisa o Índice de Transparência Ativa nos cinquenta e dois municípios do Estado de Rondônia, com o intuito de examinar o ranking desses municípios ao longo do ano de 2022. A pesquisa é caracterizada como descritiva, com abordagem qualitativa. O modelo de análise foi o proposto por Chiariello (2022), categorizado em quatro dimensões: Orçamento Estimado; Receita Real; Despesa Real; e Licitações. Cada uma dessas dimensões foi associada a indicadores classificados com duas respostas possíveis: "não" ou "sim", aos quais foram atribuídos valores binários de 0 e 1, respectivamente. Além da abordagem analítica apresentada pelo modelo, a pesquisa levou em consideração a seleção dos quinze municípios melhores classificados no Índice Firjan de Desenvolvimento Municipal (IFDM). A pesquisa revelou que municípios destacados no IFDM também se destacam positivamente no Índice de Transparência Ativa (ITA), indicando comprometimento com a transparência nas ações públicas. Concluiu-se que ocorreu uma melhora notável na transparência em comparação com estudos anteriores, pois mesmo os municípios de menor porte estão entre os primeiros colocados. Este estudo ganha relevância em âmbito estadual ao avaliar o cumprimento das legislações pelos municípios investigados, além de oferecer contribuições para pesquisas futuras de forma longitudinal, bem como promover o controle social.
OS DESAFIOS DO PROFESSOR INICIANTE NA CARREIRA DOCENTE NO ENSINO SUPERIOR
Authors: Bezerra Lindoneide Frazão , Pessoa Ana Léia Mesquita , Silva Wenderson Cruz da
Published: April 2024

Introdução:  A formação e a atuação do professor de educação no nível superior vêm sendo construída ao longo do tempo. Além disso, a docência no ensino superior está relacionada também a um fator muito importante: a inserção no mercado de trabalho a qual muitos profissionais procuram pelo curso como forma de se recolocação no mercado de trabalho. Objetivo compreender os desafios enfrentados pelo docente iniciante no Ensino Superior. Metodologia: Estudo elaborado a partir de pesquisas bibliográficas que consistiram organizar e esclarecer sobre o tema da pesquisa. Metodologia: Resultado: Selecionou-se 15 artigos sobre os desafios do docente no ensino superior e a educação contemporânea e ações para o desenvolvimento do professor na atuação docente. Conclusão: Portanto, espera-se que estes apontamentos somem com outras pesquisas para a ampliação sobre as reflexões teórico-metodológicas sobre a docência no ensino superior e, sobretudo, que sejam respeitadas as peculiaridades e singularidades na formação da docência para o ensino superior.
Atmospheric oxygen as a tracer for fossil fuel carbon dioxide: a sensitivity study in the UK
Authors: Chawner Hannah , Saboya Eric , Adcock Karina E. , Arnold Tim , Artioli Yuri , Dylag Caroline , Forster Grant L. , Ganesan Anita , Graven Heather , Lessin Gennadi , Levy Peter , Luijkx Ingrid T. , Manning Alistair , Pickers Penelope A. , Rennick Chris , Rödenbeck Christian , Rigby Matthew
Published: April 2024

Abstract. We investigate the use of atmospheric oxygen (O2) and carbon dioxide (CO2) measurements for the estimation of the fossil fuel component of atmospheric CO2 in the UK. Atmospheric potential oxygen (APO) – a tracer that combines O2 and CO2, minimizing the influence of terrestrial biosphere fluxes – is simulated at three sites in the UK, two of which make APO measurements. We present a set of model experiments that estimate the sensitivity of APO simulations to key inputs: fluxes from the ocean, fossil fuel flux magnitude and distribution, the APO baseline, and the exchange ratio of O2 to CO2 fluxes from fossil fuel combustion and the terrestrial biosphere. To estimate the influence of uncertainties in ocean fluxes, we compare three ocean O2 flux estimates from the NEMO–ERSEM, the ECCO–Darwin ocean model, and the Jena CarboScope (JC) APO inversion. The sensitivity of APO to fossil fuel emission magnitudes and to terrestrial biosphere and fossil fuel exchange ratios is investigated through Monte Carlo sampling within literature uncertainty ranges and by comparing different inventory estimates. We focus our model–data analysis on the year 2015 as ocean fluxes are not available for later years. As APO measurements are only available for one UK site at this time, our analysis focuses on the Weybourne station. Model–data comparisons for two additional UK sites (Heathfield and Ridge Hill) in 2021, using ocean flux climatologies, are presented in the Supplement. Of the factors that could potentially compromise simulated APO-derived fossil fuel CO2 (ffCO2) estimates, we find that the ocean O2 flux estimate has the largest overall influence at the three sites in the UK. At times, this influence is comparable in magnitude to the contribution of simulated fossil fuel CO2 to simulated APO. We find that simulations using different ocean fluxes differ from each other substantially. No single model estimate, or a model estimate that assumed zero ocean flux, provided a significantly closer fit than any other. Furthermore, the uncertainty in the ocean contribution to APO could lead to uncertainty in defining an appropriate regional background from the data. Our findings suggest that the contribution of non-terrestrial sources needs to be better accounted for in model simulations of APO in the UK to reduce the potential influence on inferred fossil fuel CO2 using APO.
Time-varying reliability models for parallel systems consisting of beam structures with crack flaws
Authors: Gao Peng , Xie Liyang
Published: April 2024

Abstract. Time-varying reliability assessment of parallel systems of beam structures with crack defects is of great importance for structural safety evaluation. In this paper, time-varying reliability models for parallel systems with cracked beams are proposed. In the modeling process, the statistical correlation between crack depth, random working load, random strength degradation, and random stress response as well as the complex failure correlation jointly caused by these factors are considered. Based on the finite element analysis of the cracked beams, the reliability models are constructed by combining the neural network and the response surface agent model. The validity of the model is verified by the Monte Carlo simulation method. The results show that crack depth and working load dispersion have important effects on reliability and failure correlation.
TOD effects on travel behavior: A synthesis of evidence from cross-sectional and longitudinal studies
Authors: Chi Bin , Lee Jinwoo
Published: April 2024

The impacts of transit-oriented development (TOD) on travel behavior have been extensively studied, with a predominant focus on cross-sectional analyses that provide a static evaluation at a specific point in time by comparing TODs and non-TODs. Longitudinal assessments that capture changes in behavior over time remain relatively uncommon, and the literature tends to overlook differences in evaluating TOD effects across cross-sectional and longitudinal analyses. Additionally, the role of trip purpose as a significant but unexplored variable influencing the degree of TOD effects is often disregarded. To address these gaps, this systematic review examines 48 quantitative studies, comparing the effects of TOD on travel behavior from cross-sectional and longitudinal perspectives, restructuring indicators of effects into transit use, non-motorized travel, vehicle dependence, and vehicle ownership, and differentiating the effects by trip purpose. A metric has been introduced to quantitatively assess the impact of TOD on travel behavior. The pooled results indicate that private vehicle usage remains high in TOD areas, particularly for non-commuting trips, and that the longitudinal effects of TOD are limited and potentially influenced by individual travel attitudes, residential self-selection, and long-term travel habit change. Furthermore, the methodological differences between cross-sectional and longitudinal studies may lead to divergent conclusions regarding the effects of TOD on travel behavior. Our analysis sheds light on the importance of carefully selecting an appropriate method for a given research question to maximize the accuracy and relevance of the findings. Combining TOD and shared mobility can create a more efficient multi-model transport network that meets the diverse needs of city residents and improves accessibility for all. Overall, this review provides new insights into the impacts of TOD on travel behavior and supports the potential for a paradigm shift toward multimodal transport through the integration of TOD and shared mobility.
La concepción positivista de los Grandes Libros Frederic Harrison y la recepción victoriana de la Bibliothèque de Auguste Comte
Authors: Pascual Martín Àngel
Published: April 2024

El presente artículo examina los orígenes positivistas de la tradición de los Grandes Libros. A menudo desatendida al lado de figuras como Matthew Arnold o Sir John Lubbock, se reivindica aquí, como un hito fundamental en el surgimiento de esta tradición, la obra de Frederic Harrison (1831-1923), y en especial su recepción de la Bibliothèque du Prolétaire au segle XIX de Auguste Comte. En la primera parte, a partir de los trabajos del francés y de su adopción por parte de quien se erigiría en uno de los máximos exponentes del positivismo en Inglaterra, se expone detenidamente el lugar que ocupa en la doctrina positiva la selección literaria y su uso habitual por parte de las clases populares. En la segunda parte, se analiza el diálogo que Harrison, bajo esta perspectiva, habría mantenido con Arnold y Lubbock, y más concretamente, el papel que sendos intercambios habrían jugado respectivamente en Culture and Anarchy, en la defensa de la cultura y en sus implicaciones para el ejercicio de la política, así como en la colección de los Best Hundred Books, sobre qué es imprescindible leer y la selección a que da lugar.
Presentación atípica de histoplasmosis diseminada
Authors: Taborro Andrés , Lerman Tenembaun Damián , Truccolo Paula , Colmegna Emiliano , Rodríguez Graciela
Published: April 2024

La histoplasmosis es una micosis sistémica producida por una variedad de hongo dimórfico llamado dimórfico Histoplasma capsulatum var. capsulatum inhalación de microconidias producidas en el ambiente. Es una enfermedad prevalente en nuestro medio y sobre todo en pacientes viviendo con HIV  con recuento de <200 linfocitos CD4/ml y con cargas virales  mayores a 100.000 copias/ml. La presentación de la forma diseminada raramente suele afectar al aparato reproductor; siendo la forma más frecuente pulmonar
Resistencia antibiótica y aspectos clínicos de Neisseria gonorrhoeae anorrectal en un hospital de CABA, Argentina
Authors: Scocozza Laura , Errecalde Laura , Montibello Silvia , Sidra Gabriela L. , Cipollone Sofía , Cabrini Mercedes , Rolón María José , Gianecini Ricardo A. , Oviedo Claudia , Galarza Patricia , Svidler López Laura
Published: April 2024

La infección por Neisseria gonorrhoeae (NG) es considerada de alta prioridad en salud pública, por su capacidad para desarrollar resistencia a la mayoría de los antibióticos empleados para tratarla.

La presentación anorrectal suele ser asintomática y frecuente en hombres que tienen sexo con hombres (HSH). En Argentina, se recomienda terapia antibiótica dual (ceftriaxona+azitromicina/doxiciclina) como primera línea empírica.

Este estudio observacional y retrospectivo se realizó para evaluar el porcentaje de positividad de NG anorrectal, el perfil de sensibilidad a penicilina, tetraciclina, ciprofloxacina, ceftriaxona, cefixima y azitromicina, así como los aspectos clínicos-epidemiológicos de los pacientes atendidos entre 20/10/2015 y 20/03/2020 en consultorios coloproctológicos de un hospital público. 

Se detectaron 55/436 hisopados rectales positivos para NG (13%). El 95% era HSH y 71%, VIH+. En 18/55 NG fue la única infección. Las co-infecciones más frecuentes: HPV (38%) y C. trachomatis (35%). 

La sensibilidad a cefalosporinas de espectro extendido (CEE) y a azitromicina fueron 100% y 98%, respectivamente. Se observó la emergencia local de los primeros cinco aislamientos de NG anorrectal con sensibilidad reducida (SR) a CEE, el primer aislamiento con categoría no-sensible a azitromicina y otro con SR a azitromicina concomitantemente con SR a CEE.

Aunque el uso de terapia empírica dual sigue siendo adecuado para nuestra institución, se observó la emergencia de aislamientos con SR y NS a las drogas de primera línea, evidenciando la importancia de la vigilancia epidemiológica a nivel local para definir los tratamientos empíricos.
Leptospirosis: predictores de mala evolución clínica en pacientes hospitalizados, 25 años de experiencia
Authors: Cogliano Florencia , Sadonio María José , Cravero Guillermina , Correa Alejandro Gabriel , Castro Maximiliano Gabriel , Galluccio Federico Rafael
Published: April 2024

Introducción

La leptospirosis es una zoonosis que constituye un problema emergente de salud pública. La insuficiencia renal, plaquetopenia y compromiso respiratorio se describen como predictores de mortalidad.

Objetivos

Describir características clínicas, imagenológicas y de laboratorio de individuos hospitalizados por leptospirosis y evaluar los predictores de mala evolución clínica (MEC).

Materiales y métodos

Estudio de cohorte de inclusión ambispectiva de pacientes con leptospirosis internados en un hospital de la ciudad de Santa Fe entre los años 1997 y 2022. Se definió MEC como: admisión a Unidad de Cuidados Intensivos (UCI), requerimiento de asistencia respiratoria mecánica (ARM) y/o muerte. Se utilizaron las pruebas de Chi-cuadrado, test T de Student o la U de Mann-Whitney, según correspondiera. Se construyó una regresión logística binaria con las variables con p<0,05.

Resultados

101 pacientes, 87,1% (n=88) hombres, mediana de edad de 29 (RIC 44-20) años. La fiebre fue el síntoma más frecuente [83,2% (n=84)], seguido del compromiso digestivo [62,4% (n=63)]. Las alteraciones de laboratorio más frecuentes fueron: eritrosedimentación elevada [91,9% (n=79)] y leucocitosis [61% (n=61)]. Se observó MEC en el 25,7% (n=26). El 25,7% (n=26) fue admitido en UCI, 13,9% (n=14) requirió ARM y 5% (n=5) falleció. La presencia de plaquetopenia (OR=13,3, IC95% 2-80), las alteraciones en la radiografía de tórax (OR=33,5, IC95% 5-225) y la ausencia de cefalea (OR=6,8, IC95% 1-32) fueron predictores independientes de MEC.

Conclusiones

En concordancia con la bibliografía, la afectación pulmonar y plaquetopenia constituyen factores de riesgo para la mala evolución clínica. En nuestra serie, la cefalea constituyó un síntoma protector.
Hemocultivos contaminados: “Bundle para lograr proporciones aceptables “
Authors: Hinojosa Mirian , Camblor Fabricio , Rodríguez Alejandra , Guzzi Leda , Christin Martin
Published: April 2024

Introducción. El problema de la contaminación de los hemocultivos es muy frecuente en establecimientos de atención hospitalaria, da lugar a la administración de antibióticos innecesarios y prolonga la hospitalización. Objetivo principal. Aplicar un bundle para reducir la proporción de contaminación de hemocultivos. Objetivo secundario. Realizar una encuesta anónima para detectar oportunidades de mejora en la técnica de extracción de hemocultivos. Metodología. Diseño del estudio: Estudio cuasi experimental que evaluó la proporción de contaminación de hemocultivos antes y después de implementar un bundle propio. Se determinó la proporción basal de contaminación de hemocultivos (ene-jul 2022), se realizó la intervención (agosto 2022) y se estableció la proporción de contaminación post intervención (sep.-abril 2023). Intervención: Se analizó la estructura, procedimiento y conocimiento del personal mediante una encuesta propia para detectar áreas de mejora. Se capacitó, a los técnicos de laboratorio, sobre el procedimiento de la toma de muestra mediante una simulación utilizando un brazo artificial. Se diseñó un bundle de seis medidas, se adaptó el procedimiento de toma de hemocultivo y se capacitó al personal. Análisis estadístico. Se analizó la proporción de hemocultivos contaminados entre los periodos pre y post utilizando Chi2 y la relación entre la proporción del periodo pre y post vs la literatura (3.00% contaminación aceptable) utilizando test Z para una proporción. Se consideró un p<0.05 como estadísticamente significativa. Se utilizo el software Stata 8. Resultados. Durante el estudio se analizaron un total de 3,965 hemocultivos. De estos, 1,978 corresponden al periodo pre-intervención y 1,987 corresponden al periodo post intervención. Durante la pre-intervención se detectaron 61 hemocultivos contaminados (3.08% vs 3.00% bibliografía, p:0.5866) mientras que en la etapa post intervención fue de 30 hemocultivos contaminados (1.51% vs 3.00% bibliografía, p:0.0000). La proporción de hemocultivos contaminados se redujo a la mitad, 3.08% vs 1.51%, p: 0.001. Se realizó una encuesta anónima pre y post intervención logrando mejoras en la técnica de toma de hemocultivos. Conclusión. La implementación del bundle propio para la extracción de hemocultivos, permitió reducir la proporción de contaminación a la mitad. El análisis de la encuesta nos permitió identificar oportunidades de mejora en la técnica de recolección de muestra de hemocultivos.
Pandangan Penggunaan Vaksin dalam Kaidah Fikih dan Ushul Fikih
Authors: Usman Errina , Irwanto Moch. Surya Hakim
Published: April 2024

Permasalahan di berbagai negara yang menyangkut nyawa manusia beserta tumbuh kembangnya memerlukan penanganan khusus. Berbagai macam kasus yang melanda membuat pemerintah bersegera dalam melakukan berbagai macam upaya. Corona virus, beserta penyakit lain yang dapat menyerang tubuh manusia dengan mudah dan dapat berakibat fatal jika tidak segera ditangani, maka pemerintah di seluruh dunia yakin bahwa cara memutuskan mata rantai virus-virus tersebut adalah dengan menggunakan vaksin. Penelitian ini bertujuan untuk menganalisis vaksin dalam pandangan kaidah fikih dan ushul fikih menggunakan metode kepustakaan (library research). Hasil penelitian ini menunjukkan bahwa penggunaan vaksin berdasarkan kaidah fikih dan ushul fikih diperbolehkan karena manfaatnya jauh lebih banyak daripada mafsadah atau kerusakannya.
Disclosures Economic and Environmental: A case study about Suzano
Authors: De Farias Sousa Oliveira Elisabete , Lausanne Fontgalland Isabel
Published: April 2024

The objective of this article was to highlight through a literature review the evolution of corporate sustainability. To this end, a case study of the Suzano Company was conducted through a descriptive, bibliographic and documental research, with a qualitative-quantitative problem approach. The study was built from the analysis of the Sustainability Report (2021) drawing a parallel between the indicators of the Global Reporting Initiative - GRI, specifically in the Environmental Dimension (GRI300) and Economic Dimension (GRI200). The best result obtained by the environmental dimension, after the company intensified the governance of water management in 2021, has achieved an important evolution in relation to the goal set for 2030 of reducing by 15% the water captured in the industrial operations. It is possible to conclude, that the objectives of the sustainability assessment to evaluate the growth of organizations towards sustainability and expose to those involved the results of these efforts, in addition to GRI's efforts to develop a quality guide for sustainability reporting, the Company analyzed, demonstrates that it meets the indicators and guidelines, making information available through the disclosure of sustainability practices, becoming more transparent, achieving success in its processes, through the evaluation of its consumers, employees and stakeholders, from a more comprehensive, standardized, transparent and less transversal report, in this case, mitigating the compliance risk.
Environmental Education and Literary Reading: A strategic pedagogical approach to the teaching-learning process
Authors: Maria de Sousa Feitosa Nathalia , Paulo de Sousa Ferreira João
Published: April 2024

Right to be observed in the educational process and especially in basic education, Environmental Education is a transversal theme to the school curriculum that requires specific teaching methodologies. Based on this assumption, the present study aimed to investigate the use of literary reading mediation in the pedagogical making to the teaching of Environmental Education in the classroom, even because literature is also a basic right and a formative and informative tool. This is a bibliographic research of qualitative approach and exploratory purpose, which made use of narrative review through the technique of Thematic Analysis of Braun and Clarke (2006). As a result, it was verified that, besides constituting recognized basic rights, Environmental Education and Literature can intersect for the instrumentalization of a cohesive teaching-learning process aimed at human, social, political and emancipatory formation, which meets the principles and objectives legally provided for such a transversal field of education.
Work in prisons: Considerations on racial inequalities and labor activities in Brazilian prisons
Authors: De Oliveira Silva Emilly , Maria Mendes Sheylla
Published: April 2024

The problem of violence has been studied by several researchers who analyze contemporary society. In these debates, reflections on the involvement of young people in crime, the increase in incarceration of the black population and the importance of public policies for the prevention of this phenomenon are common. The Federal Constitution of Brazil - CRFB of 1988 and Law 7.210/84 of Penal Execution (LEP) show that educational and work activities must be carried out by the prison population, mainly because they represent efficient mechanisms in the rehabilitation of inmates. This research aims to analyze the criteria used by the penitentiaries to select the convicts considered apt to develop productive activities, verifying, above all, if the convicts' race, color, or ethnicity interfere in their possibilities of access to work activities. The methodology used consisted of the literature review produced on this topic specifically in Brazil in the last five years. The data obtained revealed aspects that allow the permanence of an unequal society, which violates rights guaranteed in the Magna Carta and in the Criminal Executions Law. Among them, the persistence of racial inequalities in prisons, the overcrowding and precariousness in prisons and, above all, the neglect of the public power in not expanding policies aimed at resocialization, stand out. In view of this, the need for the State to intervene in this reality is identified by implementing public policies capable of collaborating with the effectiveness of basic guarantees guaranteed to all citizens, including those who are under deprivation of liberty.
Financial comparison of sewage treatment and disposal systems in rural areas
Authors: Souza Palmeira Juliany , Suellen Alves Santos Carla , De Assis Ferreira Leandro , Maiara Farias Ferreira Dantas Ortelina , Caetano Vieira Zacarias
Published: April 2024

Studies show that conventional sanitation technologies, due to their high costs, end up excluding rural populations. Among the options for the treatment and final disposal of sewage in rural areas we can mention septic tanks with sump and biodigester tanks with filtering gardens.  In view of the above, the objective of this article is to make a financial comparison of two individual sewage treatment systems: septic tank with floor drain, and biodigester septic tank with filtering garden. To perform the financial analysis in the case of the septic tank with drain, the amounts were calculated based on the dimensions indicated by ASPROESTE (2018). For the biodigester septic tank with filtering garden, the quantities of materials indicated by ASPROESTE (2018) were adopted for the case of a residence with 5 people. Finally, after the quantities raised, taking as a basis the prices contained in the National Research System of Costs and Indexes of Civil Construction (SINAPI) the costs of implementation of these devices were estimated. The results show that the septic tank system with drain presented a cost of R$ 2580.22 and the biodigester tank system a total cost of R$ 8,682.93. It is concluded that the biodigester septic tank system is more expensive, but allows the reuse of the effluent as biofertilizer, and the values found are relatively high for low-income populations, being indicated the creation of government programs, which deliver these devices for the poorest population.
A study on scientific production published in accounting journals in Brazil
Authors: Matheus de Medeiros Caio , Lausanne Fontgalland Isabel , Rodrigues de Morais Luz Janayna , De Paci Nunes Kaline , Gonzaga da Silva Emerson
Published: April 2024

The present study analyzes the characteristics of scientific productions related to teaching and research in accounting in Brazil, highlighting the most pertinent themes and their relevance to the evolution of accounting science. A descriptive research was carried out using the database available in Periodicals with classification “A2” to “B3”. In this sense, we sought to identify in this work the state of the art in the light of accounting science on research and teaching, in the period of eleven years. The profile of academic production in teaching was developed on the themes academic performance, perception of students of the Postgraduate Program in Accounting Sciences, Sufficiency Exam, Teaching Accounting Sciences, History of Accounting, Academic Competencies, Accounting Theory, Accounting Profession, Course of Accounting Sciences, Learning Styles, Curriculum Structure and PBL. The topics covered in the accounting research were: Management Accounting, Corporate Governance, Performance Evaluation, Auditing, Controllership, Budget, Cost Management, Management Accounting, Scientific Journal and Costs. The results showed that the journals that received the most publications on the subject studied were: Revista Educação e Pesquisa em Contabilidade and Revista Contemporânea de Contabilidade. Most of the articles are researches that used a quantitative approach, and the most frequent data collection instruments were: Survey/Research and Bibliometric Research, both in teaching and in research in the accounting area.
Impact of the Irregular Disposal of Masks and the Perception of the Community of the Federal Institute of Sergipe, Campus Aracaju/SE
Authors: Gomes da Silva Júnior Carlos , Caetano Vieira Zacarias , Cristine Gomes de Araújo Laline , Matheus dos Santos Mota Alan , Fabrício Rodrigues Andrade Diego
Published: April 2024

In early 2020, the first case of COVID-19 was detected in Brazil. The pandemic continued to advanced, which led to the adoption of the use of masks in commercial establishments, parks, workplaces, public transport, as a protective measure. This situation generated another concern, the impact generated by irregular disposal. In view of the above this study aims to perform a survey of the impacts caused by the irregular disposal of masks and verify the perception of the academic community (students, teachers and administrative technicians) of the Federal Institute of Education, Science and Technology of Sergipe, Aracaju Campus. A questionnaire was elaborated to be applied to the academic community where we sought to identify the perception of the interviewees about the use of masks, and the impact that their irregular disposal can cause. These data were tabulated, and graphs were generated.  The results show that: masks are efficient in combating the proliferation of COVID-19 and irregular disposal has numerous impacts. It is concluded that most interviewees do not properly sanitize the masks, are aware of the impacts generated by incorrect disposal, but do not perform the correct disposal.