bluuebunny/crossref_metadata_2025 huggingface dataset:
Small-fiber neuropathy and celiac disease: A narrative review
Authors: Silva Gustavo Figueiredo da , Wollmann Giulia Murillo , Imhof Luana Schlindwein , Pereira Marina Steingräber , Souza Matheus Fellipe Nascimento de , Franzoi André Eduardo de Almeida , Gonçalves Marcus Vinicius Magno
Published: December 2021

Background: Neurological manifestations of celiac disease (CD) have a prevalence of 10% to 22% among patients. Of this group, neuropathy is present in up to 23%, with small fiber neuropathy (SFN) being the most described, with a predominance of painful symptoms and appendicular paresthesia. Objectives: Review literature to describe the clinical management of SFN in CD. Design and setting: Narrative review. Methods: Non-systematic review on Pubmed and Scielo database. Results: CD is a chronic inflammatory autoimmune disease that can generate extraintestinal manifestations as SFN. Small fiber neuropathy is a painful focal sensory neuropathy of slow progression, with distal predominance, symmetrical or not, beginning in adulthood and, sometimes, followed by autonomic dysfunction. Electroneuromyography studies (ENMG) suggest greater involvement of myelinated Adelta and C myelinated thin fibers, which is a precursor of sensory ganglionopathy in the dorsal root and can progress to large fiber neuropathy. The ENMG of SFN is usually normal because it is generally not demyelinating. To confirm the diagnosis, a skin biopsy that evaluates the fiber’s intra-epidermal density is indicated. Another exam is the quantitative test of the sudomotor reflex, capable of evaluating autonomic function. Finally, treatment should be directed to the underlying cause, optimization of the treatment of CD, and the management of symptoms, such as pain. Conclusions: The SFN, despite being an uncommon manifestation of CD, is possibly underdiagnosed due to the lack of studies evaluating this manifestation in celiac patients. Therefore, further studies are needed in order to instigate early diagnosis and adequate clinical management.
Dysphagia in patients with amyotrophic lateral sclerosis
Authors: Vieira Marina Duarte Gama , Medeiros Anna Letícia Siqueira de , Silva Narayna Suellen Santos da , Ribeiro Edlene Lima
Published: December 2021

Background: Amyotrophic lateral sclerosis is a rare neurodegenerative disease that acts on the upper and lower motor neurons, causing muscle weakness.¹²³Dysphagia occurs due to malfunction of the swallowing mechanisms and generates functional problems.⁴⁵⁶ Objectives: Describe the pathophysiology of dysphagia and discuss strategies for symptom relief. Design and setting: Systematic review, Faculdade Integrada Tiradentes, Jaboatão dos Guararapes - PE. Methods: Systematic review of 10 articles from the last years. Results: Dysarthria and dysphagia are common signs of upper motor neuron involvement and 80% of ALS cases exhibit asymmetric limb weakness.⁶ Conclusions: To improve the nutrition of patients with dysphagia, is suggested the use of supplements, changes in diet and food consistency, along with education on safe swallowing modes. Also percutaneous endoscopic gastrostomy can be used as an alternative. ⁷⁸⁹¹⁰
SARS-CoV-2 infection in the development of peripheral neuropathies
Authors: Andrade Dariana Rodrigues , Lima Letícia Mendes de , Rosa Luis Henrique Goes Hamati , Cardoso Edvaldo
Published: December 2021

Introduction: Although respiratory symptoms are the characteristic findings of COVID- 19, this disease may also present with neurological manifestations, since SARS-CoV- 2 showed several degrees of neurotropism. Objectives: To review the influence of SARS-CoV-2 infection on the development of peripheral neuropathies. Methods: Integrative review carried out at PUBMED with the descriptors peripheral neuropathy, SARS-CoV-2 and COVID-19, and having as inclusion criteria full texts and in English in the period from 11/2019 to 05/2021. The selection has made among those compatible with the objectives of the work. Results: Peripheral neuropathy was observed in less than 1% of patients with COVID-19. The virus can cause acute polyradiculoneuropathy regardless of pulmonary disease, and may occur due to dysregulation of the immune system caused by SARS-CoV-2. Systemic hyper-inflammation with macrophage activation syndrome has been proposed for patients with COVID-19. Such immunomediated manifestations typically occur after the decrease in the acute phase of disease. The most commonly reported symptoms in peripheral nervous system involvement are ageusia, anosmia, diplopia, facial nerve paralysis, polyneuritis, myasthenic crisis, musculoskeletal injuries, and neuralgia. Conclusion: As soon as possible recognition of peripheral neuropathy may result in better clinical goals for patients and understanding these manifestations will contribute to the development of improved treatment. Although only a small percentage of patients with COVID-19 develop peripheral neuropathy, in a pandemic this can have a major impact.
Peripheral nerve biopsy: Is it still important for the early diagnosis of neural leprosy?
Authors: Borges Isabella Sabião , Moreira João Victor Aguiar , Oliveira Thales Junqueira , Rosa Maria Fernanda Prado , Assunção Gabriel Nunes Melo , Aguiar Pedro Otávio Rego de , Ferreira Thaciany Soares , Garcia Leonardo Peixoto , Pacheco Glauber Mota , Oliveira Clarice Pereira Sales , Alves Gabriela Tomás , Maciel Pedro Henrique Pereira , Fernandes João Paulo Moreira , Santos Alencar Pereira dos , Damasceno Junior Eustaquio Costa , Bueno Mateus Barros , Souza Rafael Lopes de , Silvestre Leonardo Rivelli , Goulart Isabela Maria Bernardes , Santos Diogo Fernandes dos
Published: December 2021

Background: The early recognition of neural impairment in leprosy represents a challenge in clinical practice and peripheral nerve biopsy may be required for diagnostic. Objective: Characterize the epidemiological, clinical, electroneuromyographic, laboratory and histopathological aspects of patients undergoing peripheral nerve biopsy during investigation of primary neural leprosy. Methods: 104 patients with peripheral neuropathy, referred to a national reference center leprosy, were biopsied. All patients had clinical evidence of peripheral neuropathy associated with the absence of skin lesions and were being investigated. Results: Of 104 biopsied, leprosy was confirmed in 89.4%. 66 were classified as primary neural leprosy and 27 as neural relapse or reinfection. All cases confirmed presented asymmetric neural impairment with predominance of sensory symptoms (88.2%), followed by muscular weakness and/or amyotrophy in 44.1% and pain in 34.4%. Neural thickening of one or more nerves was observed in 78.5% of the patients. The biopsied nerves were: ulnar (67.8%), superficial fibular (21.5%), sural (8.6%), radial (1.1%) and deep fibular (1.1%). 29% presented histopathological abnormalities and 4.4% acid fast bacilli. Nerve and superjacent skin qPCR were positive in 49.5% and 24.8% of cases, respectively. The patients with multiple mononeuropathy presented higher frequency of neural thickening (p<0.0001) and histopathological abnormalities (p=0.0077), but lower rates of positivity of ELISA anti-PGL-I (p=0.0100), qPCR in the peripheral blood (p=0.0157), and in the slit skin smear (p=0.0032). Conclusions: Peripheral nerve biopsy is an important tool in the investigation of primary neural cases, contributing to the early diagnosis and reducing diagnostic errors and the need for empirical treatment.
New approaches for Alzheimer early detection
Authors: Carvalho Jordy Silva de , Pitta Marina Galdino da Rocha , Andrade César Augusto Souza de
Published: December 2021

Background: Alzheimer’s disease (AD) is neurodegenerative and complex, characterized by the progressive loss of neurons, causing cognitive deficits. It’s the leading cause of dementia in the elderly, affecting about 35.6 million people worldwide. The high costs of invasive diagnostic techniques have limited early detection and intervention. Objectives: This review approached some new non-invasive diagnostic techniques involved in AD. Methods: The descriptors used were “Alzheimer’s Disease”, “Biomarkers” and “Early diagnosis”. PubMed database was used during the period of 2016-2021. Articles not related to the proposed theme were excluded, leaving 4 articles. Results: In the last few years, great advances have been made in diagnosing AD, such as brain NMR, CSF biomarkers, Pittsburgh compound B and brain PET scan. Beta-amyloid proteins (βA) and TAU in CSF are the only available markers for AD diagnosis in the clinic. The main limitations are early detection, differential diagnosis and progress disease report. Salivary biomarkers are being studied as a simple non-invasive diagnostic tool, with βA1-42/1-40 and pTAU being the most investigated in AD. Acting as a window on the brain, the retina can reflect the pathogenesis of the brain, with a focus on neurodegeneration and microvascular changes measured using optical coherence tomography technologies. Conclusions: Several criteria have been proposed for the diagnosis of AD, including biomarkers, biological fluids and brain changes detectable by imaging. Early detection of AD is vitally important, as it’ll allow patients to receive adequate and individualized information, care and support.
Cerebrovascular diseases mortality in the elderly in the state of São Paulo
Authors: Purificação Isaac Rêgo , Nogueira Allêh Kauãn Santos , Souza Matheus Araújo de , Alencar Camila de Almeida Costa , Rios Sancha Mohana Brito Goes
Published: December 2021

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.
Relationship of selenium consumption and the improvement of cognitive performance in humans and animals: a systematic review
Authors: Barbosa Everton Horiquini , Almeida Mariana , Nogueira Brendon Stallen Lopes
Published: December 2021

Introduction: The aging process is characterized by morphological, physiological, biochemical and psychological changes that depend on the lifestyle. This process is the result of the accumulation of molecular and cellular damage throughout life, leading to a gradual decrease in physical and mental capacity, and greater chances of the development of pathologies such as the decline in cognitive function. Studies show that adequate consumption of foods containing selenium (Se) acts to inhibit the production of free radicals, reducing the damage caused by oxidative stress. Therefore, the aim of this study was to investigate the relationship between selenium consumption and the maintenance of cognitive function. Methods:A systematic review of scientific articles was carried out to analyze the relationship between Se consumption and cognitive function in the elderly. The identification of the articles was carried out in the electronic databases Pubmed, MEDLINE and LILACS, by two independent researchers. In all databases, the search was performed using the Results: The search resulted in 270 studies, however, applying the inclusion and exclusion criteria, eight articles were selected. Conclusion: We conclude that an adequate intake of Se must be indicated in order to maintain the brain function. In summary, the articles discussed in the presente study show a high relation of Se consumption and the improvement of cognitive performance, both in humans and in animals.
Analysis of hospitalizations and deaths by epilepsy in the years of 2010 to 2019 in Brazil
Authors: Basso Carolina Souza , Roehrig Julia Bortolini , Savioli Ana Luiza , Oliveira René Ochagavia Chagas de , Busin Isabella Montemaggiore , Toffoli Laura , Paglioli Victória Bento Alves , Bernich Natali Rocha , Ferrari Gabriela Kreutz , Falcetta Julia Estrazulas , Martins Bruna , Silva Bianca Briques da , Redmann Lucas Henrique Skalei , Fassina Vitória , Gugliemi Vanessa Saling , Affonso Ana Laura Terra
Published: December 2021

Backgroud: Epilepsy is a chronic, recurrent disease, characterized by paroxysmal changes in intellectual, sensory, motor, autonomic or affective activity, with limited time. Objectives: To analyze cases of hospitalizations and deaths between 2010 and 2019 in Brazil. Methods: Descriptive epidemiologic study using data from the Department of Information of the Brazilian Health System (DATASUS). The variables researched were: hospital admissions, death, brazilian regions, age group, gender and race. Results: It was accounted 196,351 hospitalizations, 52% in the Southeast, 25% in the South, 14.7% in the Northeast, 5% in the Midwest and 3.1% in the North. In relation to profile, the male gender (59.9%) constituted the majority. In the case of deaths, 12.723 males and 6.557 females were reported, of which 46,4% were white and 41,8% were brown race. Major part of the deaths, 41,9% happened in the Southeast. The most affected age group was between 40 and 49, with 20.5% of cases. Conclusions: Therefore, most hospitalizations and deaths occurred in men, aged between 40 and 59 years, of white race, residents of the Southeast region.
Acute cerebellar ataxia associated with varicella zoster virus encephalitis
Authors: Dantas Madson Caio dos Santos , Prudêncio João Pedro Cardoso
Published: December 2021

Context: Varicella-zoster virus (VZV) primary infection causes a diffuse vesicular rash and affects mainly young people. VZV-associated encephalitis is a rare complication since the advent of vaccination, and can present as different neurological syndromes. This report aims to describe a case of acute cerebellar ataxia after VZV-associated encephalitis in a child, admitted to the Onofre Lopes University Hospital (HUOL) in Natal, Brazil. Case report: We present the case of a 9-year-old girl referred to HUOL with polymorphic skin lesions for 8 days. She evolved with headache, vomiting, drowsiness and confusion. Upon admission, she was pale (+/4+), anicteric, confused (GCS=14), hemodynamically stable, SaO2=99%, with pupillary response and no meningism. Laboratory tests showed Hb 11.7g/dl, leukocytes 7,200/mm³ (93% segmented, 1% eosinophils, 5% lymphocytes and 2% monocytes), AST 38U/ml and ALT 46U/ml. Once clinical diagnosis of VZVencephalitis was made, the patient was admitted to the ICU for monitoring and treatment. Cranial CT showed hypodensities on the frontal and occipital lobes; CSF analysis: glucose=76mg/dl, proteins=24mg/dl, leukocytes=9/mm3 (monocytes 78%). She improved progressively and was transferred to the ward, evolving with ataxia, suggesting cerebellitis. Conclusions: This case describes a chickenpox rare complication nowadays: encephalitis. Along evolution, the patient presented acute cerebellar ataxia, a more prevalent condition in children, usually having a limited course.
Effectiveness of riluzole in the treatment of amyotrophic lateral sclerosis
Authors: Sohler Renato Puccioni , Mendonça Gabriel Pinto , Freitas Rodrigo Cesar Carvalho , Ribas José Roberto
Published: December 2021

Background: amyotrophic lateral sclerosis (ALS) is a motor neuron degenerative disease with high mortality and few therapies. One of these is riluzole, inspite of uncertainty effectiveness. Objective: the aim of this study was to evaluate the survival rate associated with the use of this medication in the treatment of ALS. Methods: The study was based on a narrative review of the scientific articles that used randomized controled trials with riluzole for ALS. We selected articles published in english during the period of January 1th, 2000 to December 31th, 2020. The MeSH terms “amyotrophic lateral sclerosis” or “motor neuron disease” and “riluzole” or “rilutek” were used in Pubmed and Lilacs databases. Studies that used only patients with advanced stage ALS were excluded. The t-Student test between sample means was applied to determine the significance of the difference between the survival time (years) of the riluzole and placebo treatment, for a 95% confidence level. Results: through the search, four articles were obtained (Table 1). Conclusion: Data analysis showed that riluzole is only effective in the first year. From the second onward, it does not exceed the results of the placebo.
Case report: Takotsubo cardiomyopathy in a patient with Alzheimer’s disease
Authors: Melo Isadora Vieira de , Lacerda Eduardo Guimarães , Gontijo Gustavo de Freitas Mendonça , Andrade Hugo Haran Souza , Paula Marlon Séles de , Reis Matheus Fernandes Alves dos , Gomes Renato Tales , Sales Alex Italo da Silveira , Xavier Guilherme Assis , Diório Isabela Saraiva Nemer , Sousa Rodrigo Cunha de
Published: December 2021

Context: The Takotsubo cardiomyopathy (TTC) is an acute cardiac dysfunction, clinically similar to myocardial ischemia, more common in postmenopausal women and related to emotional stress. Case report: A 71-year-old female patient, with Alzheimer’s disease (AD), sought emergency care after severe chest pain. Electrocardiogram showed ST segment elevation in the anteroseptal wall. Physical exam: HR=108bpm, PA=126x78mmHg, SaO2=6%. Complementary exams showed a mild lesion in the middle third of the anterior descending artery, moderate impairment of left ventricular (LV) function by apical aneurysm without thrombi, mitral prolapse with mild reflux and an ejection fraction of 37%, suspecting of TTC. Conclusions: TTC is defined as a transient, usually reversible and segmental LV dysfunction, configuring a differential diagnosis of acute coronary syndrome. An overactivation of the sympathetic autonomic nervous system can cause catecholamine toxicity to the heart. Although several studies show a lower emotional response capacity in patients with cognitive impairment, more recent studies suggest that this emotional responsiveness is not so affected by dementia. Therefore, patients with AD may be susceptible to developing TTC, both because of the multiple drugs that they are exposed, increasing catecholamine levels, and because of the disease itself, that represents a stressful context. Thus, TTC is often associated with emotional stress and should not be overlooked in patients with AD.
Development of an application prototype for mobile devices about pregnancy and syphilis in pregnancy as a health education strategy
Authors: Oliveira Andressa Cristina Batista de Lacerda , Morgado Lina , Dias Aline Pinho , Caldeira Ana Katarine de Oliveira , Moura Ana Beatriz de Almeida Medeiros , Oliveira Júnior Maurício da Silva
Published: December 2021

Introduction: Syphilis is a systemic sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. It has chronic evolution and is subject to flare-ups and latency periods when untreated, which can produce the acquired or congenital forms of the disease. It has been acknowledged in 2016 as an epidemic in Brazil. Objective: To identify the information needs of pregnant women regarding syphilis during pregnancy and congenital syphilis, aiming to assist in the development of a technology-mediated educational resource as a strategy to promote health and fight the syphilis epidemic. Methods: The prior knowledge of pregnant women assisted in high-risk prenatal care at the Maternity of Divino Amor in Parnamirim/RN was investigated, in order to identify the information needs of this population and support the development of a prototype of an educational resource in prenatal care services that use technological mediation, education and communication as distance health education strategies. Results: Forty-six pregnant women who demonstrated to have gaps in knowledge about syphilis were assessed with regard to: signs and symptoms of the disease, prevention measures, and vertical transmission. Conclusion: These findings supported the development of a prototype educational resource that intends to be an important source of information for the adoption of preventive health measures, contributing to the learning process of pregnant women, to the improvement of health indicators in this population and the reduction of congenital syphilis cases.
The reading contracts in the advertising discourse of health communication campaigns: an analysis of the “I know. Do you know?” campaign
Authors: Costa Ana Cláudia , Barbalho Arthur , Sousa Suelayne , Lacerda Juciano de Sousa , Molano Mar Marcos , Ramos Maria Natália , Muneiro Lilian Carla
Published: December 2021

Introduction: In view of the syphilis epidemic that Brazil is experiencing and the need to strengthen the discourse on preventing this sexually transmitted infection (STI), the campaign "Eu sei, você sabe?" (I know. Do you know?) was conducted for dissemination of the pieces on social media. Objective: The of aim of this study was to perform a qualitative descriptive analysis of the posts published on the social network Instagram of the National Campaign to Fight Syphilis 2020-21 aimed at young people. Methods: The analysis performed was based on the method suggested by Eliseo Véron and aimed to establish relationships between the "reading contracts" offered and the processes of focusing (strong direct relevance) and defocusing (interdiscursive relevance) acting in the messages with the results of the communication indicator "Reach/Exposure". Results: The analysis was conducted from October 2020 to April 2021. In all, 31 cards were published. Among them, eight publications presented in their content a discourse directed at young people including individuals in the 20-29 age bracket. In general, the pieces provided a common proposal of visual structuring and aimed to address the deficiencies identified in previous campaigns developed and presented in the perspective of the project itself, as well as the propositions established by control agencies for dealing with syphilis in Brazil. Conclusion: Some hypotheses raised on the basis of the analysis were as follows. There is the possibility that the distinction between grammars of production and recognition produce negotiations or resistance to the meaning of the interpellation contained in the theme "Sífilis. Eu sei. Você sabe?” Even if the characters presented in the cards did not include some specific audiences, such as young transgenders, the language offered can generate empathy in these audiences. The production strategies of cards with a more visual aesthetic and added to a predominantly graphic distribution of important information possibly contributed to a greater reach/impact on the social network audience.
Adsorption of Methylene Blue and Reactive Black 5 by Activated Carbon Derived from Tamarind Seeds
Authors: Ishak Zaniah , Salim Sa’diah , Kumar Dilip
Published: December 2021

One of the most environmentally friendly methods to treat wastewater, especially synthetic dyes, is the production of activated carbon from agricultural waste. Tamarind seeds were transformed from negative-value waste into activated carbon in order to study the removal of synthetic dyes. The particular agro waste was soaked in ZnCl2 for chemical activation to increase its surface area and enhance its porosity. Physical activation of tamarind seeds was done by the carbonization process by burning at a temperature of 300 °C for 1 hour and cooling for 24 hours before washing with HCL to activate a pore surface for the tamarind seeds' carbon. The effects of parameters related to the adsorption of the dyes by tamarind seed activated carbon, such as contact time, initial concentration, absorbance dosage, and pH, were studied. The experimental data found that adsorption on both synthetic dyes exhibited a Langmuir isotherm in which the correlation value, R2, was 0.9227 (methylene blue) and 0.6117 (Reactive black 5). Meanwhile, the rate of adsorption for methylene blue (MB) and Reactive black 5 (RB5) by tamarind seed activated carbon was found to be well fitted in a pseudo-second-order model. More research is needed to meet the standard effluent of dyeing wastewater from the industrial sector.
Application of Carbon Nanotubes (CNTs) for Remediation of Emerging Pollutants - A Review
Authors: Chung Jia Hui , Nur Hasyimah  , Hussein Norelyza
Published: December 2021

Nanotechnology is currently an upward trend in diverse fields, and therefore, its application will be reviewed in this paper. One of the nanotechnologies which can be used in environmental remediation is carbon nanotube (CNT). Its excellent mechanical and chemical properties allow it to have better achievement in remediating a wide range of organic and inorganic pollutants. CNT can be categorized into two types: single-walled carbon nanotube and multi-walled carbon nanotube. Due to urbanization, various types of pollutants have been released into the environment in great amounts. For instance, estrogen is the hormone generated and released from animals and humans. However, the overconcentration of estrogen affects the physiology of biological life. Besides, pesticides are frequently used by farmers to increase the fertility of the land for agricultural purposes, while heavy metals are commonly found during anthropogenic activities. Long-term absorption of heavy metals into the body tissues will accumulate toxic effects, leading to body system dysfunction. Hence, CNT technologies, including adsorption, membrane filtration, disinfection, hybrid catalysis, and sensing and monitoring, can be applied to remediate these pollutants. However, the application of nanotechnology and CNT faces several challenges, such as production costs, toxicity, ecological risks, and public acceptance. Application of CNT also has pros and cons, such that the lightweight of the CNT allows them to replace metallic wires, but dealing with nano-sized components makes it challenging.
La Formación del Profesorado de Historia y Ciencias Sociales para la Práctica Reflexiva
Authors: Pagès Blanch Joan
Published: December 2021

El presente artículo discute sobre la formación del profesorado de Historia y Ciencias Sociales. Se revisan cuáles son las competencias que requieren los profesores de Historia y Ciencias Sociales y se propone como el desarrollo de la práctica reflexiva puede permitir fortalecer la formación profesional.
Análisis financiero de la cadena productiva de sacha inchi (Plukenetia volubilis, L) en el departamento Norte de Santander, Colombia
Authors: Nuñez Rodriguez J. J. , Muñoz Rodríguez M. F. , Peña Neira P. L. , Arambula Garcia C. I. , Carvajal Rodríguez J. C. , Gonzalez Verjel M. S.
Published: December 2021

El objetivo de la investigación fue realizar un análisis financiero de la cadena productiva en los eslabones de producción, agro transformación y comercialización de los productos y subproductos de sacha inchi.  La metodología utilizada sigue los lineamientos de una investigación cuantitativa, evaluativa y transversal con la consulta de fuentes documentales, cooperativas, tiendas agropecuarias, productores, profesionales de la agroindustria y comercializadores de la región. Los componentes financieros de la cadena productiva mostraron altos niveles de ingresos económicos por hectárea por ventas de la producción de  semillas (68%); agro trasformacion (66% harina y 63% aceite) y; comercialización del aceite (46%) y de la harina (62%) de sacha inchi. Los indicadores financieros fueron positivos en la producción (agricultor) con rentabilidad estática del 53%, ROI de 0.14 y C/B de 1.14; en la agro transformación (aceite y harina) con rentabilidad estática del 60%, ROI de 0.66 y C/B de 1.66 y; en la comercialización de los productos con una rentabilidad estática del 56%; ROI de 0.38 y C/B de 1.38. Se concluye que la cadena de valor de sacha inchi presenta indicadores financieros positivos y significativos en cada uno de sus eslabones, por lo que se constituye en un agro negocio con altas potencialidades de desarrollo en el departamento Norte de Santander.
La pereza fiscal como problema relevante en la descentralización
Authors: Muñoz Caicedo Beatriz Eugenia
Published: December 2021

uno de los obstáculos que ha impedido mayor nivel de profundización en el proceso de descentralización de la administración pública y mayor autonomía para los municipios, es la ausencia de esfuerzos para incrementar el recaudo de tributos locales, lo que es conocido como pereza fiscal. La presencia de este fenómeno disminuye, de manera visible, el margen de maniobra de las administraciones municipales, alimenta la ineficiencia del gobierno local y detiene los avances de la descentralización. A partir de un marco de referencia sobre descentralización y finanzas públicas municipales, este artículo señala los avances en un grupo de municipios antioqueños e identifica los principales mecanismos que pueden utilizarse para incrementar el recaudo de tributos locales.Palabras clave: descentralización, pereza fiscal, impuestos municipales, tributos.
Perspectivas de la Educación Contable: Desafíos para el reconocimiento de los espacios socioambientales en los programas de Contaduría Pública en la ciudad de Medellín.
Authors: Usma Zuleta Leidy Jhojana , Torres Pérez Sara
Published: December 2021

Este artículo pretende analizar la contribución de la educación contable en los estudiantes de Contaduría Pública de la ciudad de Medellín, con el fin de reconocer los espacios socio-ambientales en los que habitan y se desarrollan personal y profesionalmente. Para esto, se presenta una conceptualización sobre el término espacio socio-ambiental; se realiza una caracterización desde los contenidos curriculares, los perfiles profesionales y las líneas de investigación, con el propósito de exponer sus aproximaciones socio-ambientales. Finalmente, se exponen y analizan algunas ideas sobre el aporte académico y sentires de los estudiantes de Contaduría Pública en la discusión socio-ambiental en Colombia, particularmente en la ciudad de Medellín donde se realiza el estudio. Palabras clave: educación y formación contable, espacios socio-ambientales, currículo.
IMPRESCRIPTIBILIDAD VS IMPUNIDAD EN LA TRANSICIÓN ESPAÑOLA
Authors: Moreno Fonseret Roque , Candela Virgilio Francisco
Published: December 2021

En este artículo se analiza la situación actual existente en España respecto de la justicia y la reparación de las víctimas del franquismo, cuarenta y tres años después de la muerte de Francisco Franco. La represión del Estado autoritario propició más de 30.000 desaparecidos que todavía hoy, pese a una Ley de Amnistía que data de 1977 y de una Ley de Memoria Histórica creada en 2007, no han sido ni juzgados ni reparada su memoria. Es este un análisis de la impunidad existente en España donde se constata que no sólo no se ha atendido a las víctimas de crímenes de derecho internacional cometidos durante la Guerra Civil y el franquismo en territorio peninsular, sino que incluso, en muchas oportunidades, se ha impedido el acceso a la justicia a las familias de las víctimas. Se concluye la investigación advirtiendo que sin justicia ni reparación no es posible la reconciliación nacional.
Un Cambio Paradigmático Necesario En La Enseñanza De La Estructura De Los Costos En La Formación Del Contador Público. (A Paradigmatic Change Needed in Teaching the Structure of Costs in Public Accountant Training).
Authors: Ríos Hernández Lesly Yulieth
Published: December 2021

En la actualidad, el sector servicios se ha posicionado de manera sostenible en la economía local, sin embargo, al revisar la estructura de costos que las empresas de dicho sector aplican, se evidencia que esta no se corresponde a sus necesidades, en la medida que esta estructura se encuentra configurada a partir de las tendencias y características de las empresas manufactureras. El presente artículo, precisamente tiene la finalidad de analizar la importancia que, desde la academia se innove en la enseñanza de la estructura de costos, para que los futuros profesionales en Contaduría Pública tengan las competencias y habilidades adaptativas que les permita responder de manera integral a los requerimientos de las empresas cuyas características sugieren la utilización de otros métodos de costeo. El artículo se desarrolla bajo una metodología cualitativa, haciendo uso de una entrevista semiestructurada, la cual permitió evidenciar que, en la actualidad los docentes de costos de algunas universidades de la ciudad de Medellín, no consideran pertinente o importante transformar la estructura de enseñanza de los costos en las facultades de Contaduría Pública, sin embargo, lo que consideran relevante es flexibilizar o adecuar la estructura tradicional a los requerimientos de las compañías de servicios.
Los fraudes en las rentas departamentales: una mirada desde la institucionalidad a las dimensiones social, económica, legal y normativa
Authors: Zapata Álvarez Luisa Fernanda , Usma Zuleta Leidy Jhojana
Published: December 2021

Este artículo emerge como resultado del proceso de investigación que ha tenido lugar en el convenio entre la Secretaría de Hacienda del Departamento de Antioquia y el Tecnológico de Antioquia - Institución Universitaria. U., en el marco de la Estrategia Integral al Control de las rentas ilícitas. En el texto se desarrollan algunas afectaciones en las dimensiones social, económica, legal y normativa a partir de la ocurrencia de fraudes en cinco rentas en el departamento de Antioquia. Es una investigación cualitativa con método hermenéutico, que utilizó fuentes escritas y orales a través de la revisión documental, la encuesta y la entrevista semiestructurada a personal relacionado con las rentas departamentales en los distintos municipios de Antioquia. El análisis se realizó a partir de un proceso de sistematización, categorización y triangulación de la información, y dio como resultado las categorías relacionadas en cada una de las dimensiones y analizadas a la luz de la cultura de la legalidad y las buenas prácticas.
Formato de Cesión de Derechos de Autor
Authors: En-contexto Revista
Published: December 2021

Formato de Cesión de Derechos de Autor
Características de la logística y la infraestructura de Puerto Antioquia en las exportaciones antioqueñas
Authors: Guerrero Molina María Isabel , Vásquez Suárez Yasmín Alexandra
Published: December 2021

La construcción de un puerto marítimo es una oportunidad de crecimiento para la región. El objetivo de la investigación buscó definir las características de la logística y la infraestructura de Puerto Antioquia en Urabá, y su competitividad frente a los demás puertos en Colombia. La metodología implementada en la investigación fue descriptiva, de corte cualitativa; la recopilación de la información se realizó a través de entrevistas semiestructuradas a 11 empresas, se eligieron dos empresas por cada sector que interviene en la operación logística: navieras, transportista terrestre, agencia de aduana, proveedores, tercero beneficiado de puertos y una comercializadora. Los hallazgos indican que los actores que intervienen en la operación logística están preparándose para realizar la operación automatizada, y en cooperación con las empresas de la región, realizando cambios y aplicando estrategias competitivas para mejorar la calidad de vida de la comunidad.
El proyecto de vida y la retención de jóvenes talento en algunas provincias antioqueñas
Authors: Muñoz Cardona Ángel Emilio , Pérez Gómez Gustavo Adolfo
Published: December 2021

La finalidad del presente artículo de investigación es observar la relación: felicidad urbana versus retención de jóvenes talento, en 27 municipios antioqueños integrados bajo la figura de Provincias Administrativas y de Planificación (PAP). De allí, las preguntas de investigación: ¿qué tan felices son los jóvenes adolescentes de undécimo grado de las Provincias de Cartama, San Juan, Aguas y Magdalena Medio? ¿Cómo ven ellos la realización de sus proyectos de vida en sus municipios? ¿Qué satisfacción brinda a futuro el crecimiento económico y social de su municipio? La investigación se basa en los índices: Bienestar Pluridimensional, Felicidad Urbana y Felicidad Integral. La metodología de investigación se basó en entrevistas focales y la elaboración de 2.119 cuestionarios, con un nivel de confianza del 95% y un margen de error del 5%. Cada cuestionario reunió 44 preguntas donde se hace una caracterización demográfica; se evalúa la satisfacción con los recursos y servicios municipales ofertados y las relaciones de pertinencia con la comunidad. El estudio concluye en la necesidad de una administración pública más comprometida con el fomento cultural de sus ciudadanos en el manejo y uso del tiempo libre, con inversiones públicas encaminadas a fortalecer la cohesión social o de apoyo mutuo ciudadano para el logro de un estar bien común e igual para todos.
Editorial. La escritura científica como sentido de utilidad pública
Authors: Gómez Zapata Yuliana
Published: December 2021

Editorial. La escritura científica como sentido de utilidad pública
Identificación de las barreras a la logística verde en el Valle de Aburrá: caso de estudio
Authors: Taborda Duque Mallely Alexandra , Barco Charfuelan Jhonny Camilo , Vanegas-López Juan Gabriel , López-Cadavid Diego Alejandro
Published: December 2021

Este estudio tuvo como objetivo identificar las barreras intervinientes en la implementación de la logística verde en las empresas del Valle de Aburrá. Para ello, se estableció un conjunto barreras dividas en 5 categorías generales y 22 específicas.Posteriormente, se midió la importancia relativa de dichas barreras a través de la perspectiva de 10 empresas encuestadas, aplicando un modelo de análisis jerárquico de procesos para determinar los obstáculos más influyentes y se propuso 5 posibles alternativas de solución. Los resultados destacaron que las barreras asociadas con los costos e inversión de recursos fueron las más restrictivas del conjunto analizado.
Aproximaciones al rol de estudiante en un programa de posgrado virtual
Authors: Solorio Pérez Carlos David
Published: December 2021

Se presentan los resultados de una investigación de corte cualitativa, mediante el análisis crítico del discurso expresado en las narrativas de estudiantes de un posgrado que se oferta en modalidad virtual en México. Las respuestas de los alumnos a la encuesta de satisfacción presentan dos temas para discutir: la retroalimentación y la evaluación de su aprendizaje
O SER MULHER NA CIÊNCIA E O SER MULHER NA HISTÓRIA
Authors: Ribeiro Graziele Apª Correa , Migliorini Rafaela Alves , Tondini Daniela Pedro , Lacerda Daiane Regina Bandeira , Arndt Daniela Vanessa
Published: December 2021

A pesquisa realizada foi construída em cima da problemática: Como o ensino de Ciências pode contribuir para uma maior equidade entre mulheres?
Mulheres na pesquisa: Reflexão sobre as mulheres Em seus diversos espaços de atuação
Authors: Salles Virgínia Ostroski , Wachholz Larissa Aparecida , Smaniotto Melissa Andréa
Published: December 2021

Nesta obra coletiva intitulada “Mulheres na pesquisa: reflexão sobre as mulheres em seus diversos espaços de atuação”, reunimos 12 capítulos de 34 pesquisadoras e 2 pesquisadores, que se dedicaram na tarefa analisar, refletir e dialogar sobre os múltiplos impactos, desafios e conquistas das mulheres ao longo do tempo e em seus diversos espaços de atuação, pois nós como pesquisadoras precisamos reverberar esta reflexão em nossos espaços de atuação
UMA JUSTIÇA FEMININA? A BRASILIDADE RESTAURATIVA CONSTRUÍDA POR MULHERES
Authors: Macedo Júlia Palmeira , Advincula Maria Júlia Poletine , Graf Paloma Machado , Soares Yollanda Farnezes
Published: December 2021

Este capítulo promove uma investigação acerca do protagonismo feminino nas pesquisas e práticas de justiça restaurativas no Brasil, a partir da análise de entrevistas estruturadas realizadas com 4 pesquisadoras influentes neste território, que compartilharam sobre seus percursos na pesquisa e na prática restaurativa.
LPG Stoklama Terminalinde Risk Değerlendirilmesi
Authors: AKDAĞ Baharsu , ÇETİNYOKUŞ Saliha
Published: December 2021

Çalışmada, gemiyle gelen LPG ürününü depolayıp kara tankerleri ile müşterilere dağıtan bir LPG stoklama terminalinde risk değerlendirmesi amaçlanmıştır. Terminalde depolanan LPG, tehlikeli madde türü ve miktarı yönü ile 2 Mart 2019 tarihli ve 30702 sayılı Resmî Gazete’de yayımlanan Büyük Endüstriyel Kazaların Önlenmesi ve Etkilerinin Azaltılması Hakkında Yönetmelik kapsamına girmektedir. Yürütülen risk değerlendirme çalışmaları bu Yönetmelik kapsamındaki yükümlülükler üzerinden yapılmıştır. Çalışmada nitel ve nicel risk değerlendirme yöntemleri birlikte kullanılmıştır. İlk aşamada, HAZOP (Hazard and Operability) yönetimi ile nitel analiz, sonraki aşamalarda ise Hata Ağacı Analizi (Fault Tree Analysis – FTA) ve Olay Ağacı Analizi (Event Tree Analysis – ETA) yöntemleri ile nicel analizler yürütülmüştür. Bunlara ek olarak, Olay Ağacı Analizinde değerlendirilen alevlenir gazlar ve sıvıların kontrolsüz bir şekilde açığa çıktıklarında tutuşma olasılıklarını tahmin etmek üzere Tutuşma Olasılığı Hesaplama Modülü (CCPS’in Probabability of Ignition Calculation Tool) kullanılmıştır. HAZOP çalışmasında, risk matrisine göre kırmızı bölgede ya da şiddetin 2 veya üzerindeki turuncu bölgelerde bulunan olaylar için büyük kaza senaryoları oluşturulmuştur. Hata Ağacı Analizinde, kritik olay olarak tanımlanan hataların kök nedenleri ve bu kök nedenlere bağlı olarak mevcut bariyerlere göre kritik olayın gerçekleşmesine dair frekans değeri bulunmuştur. Hesaplanmış olan bu frekans değeri, terminalde bulunan sınırlayıcı bariyerler ve tutuşma olası çıktıları ile Olay Ağacı Analizi çalışmalarında incelenmiştir. Olay Ağacı Analizinde, yangın, patlama ve yayılım olayları ile ramak kala olaylar kapsamında nihai frekans değerleri bulunmuştur. Yapılan çalışmalar sonucunda oluşturulan senaryolar için belirlenen büyük kaza frekans değerleri, Yönetmelik’teki eşik frekans değeri (≤10-4 /yıl) ile karşılaştırılmıştır. Risk değerlendirmesi sonunda eşik değerden daha düşük belirlenen frekans değerleri, terminalde alınan önlemlerin ve tüm bariyerlerin yeterli olduğunu göstermiş ve herhangi bir iyileştirme yapılmasına ihtiyaç olmadığı belirlenmiştir. Çalışmada sunulan metodolojinin, sanayi kuruluşlarına yol gösterici nitelikte olacağı söylenebilir.
Targeting the nurse practitioner workforce: Influences and barriers in choosing rural practice
Authors: Barnacle Mykell , Peltier Allison , Saarinen Heidi , Olson Christine , Gross Dean
Published: December 2021

Background and objective: Recruitment and retention of primary care providers are projected to worsen in rural regions. Nurse practitioners (NPs) are a crucial solution to the shortage of primary care providers in rural America. Little research exists regarding factors influencing new NPs’ decisions to practice in rural settings, as well as practice readiness. The purpose of this study is to explore factors influencing new NPs’ decision to practice in rural settings.Methods: A survey of family nurse practitioner (FNP) graduates in a rural state was conducted. The survey measured rural background, current practice environment, the impact of rural clinical experiences on readiness to practice, and perceptions of rural NP practice.Results: The data collected over five years (N = 42) indicated several factors that influenced an NP’s decision to choose a position in a rural or underserved setting. A wide scope of practice, rural roots, a desirable job offer, and strong relationships were influential when choosing rural practice.Conclusions: Most respondents (69%) were not practicing in rural or underserved areas. Among those who were, the ability to practice to the full scope of education and autonomy were the most important factors. However, respondents were also apprehensive and intimidated with the broad skill set required in rural care. Implications: This study provides insight into factors and barriers for new graduate NPs in choosing a rural practice setting as well as possible solutions to the rural workforce shortage.
Clinical Outcomes After Reverse Total Shoulder Arthroplasty in Patients With Primary Glenohumeral Osteoarthritis Compared With Rotator Cuff Tear Arthropathy: Does Preoperative Diagnosis Make a Difference?
Authors: Saini Sundeep S. , Pettit Robert , Puzzitiello Richard N. , Hart Paul-Anthony , Shah Sarav S. , Jawa Andrew , Kirsch Jacob M.
Published: December 2021

Introduction:

The primary purpose of this study was to evaluate the clinical outcomes of patients who underwent reverse total shoulder arthroplasty performed for primary glenohumeral osteoarthritis (GHOA) with an intact rotator cuff compared with rotator cuff tear arthropathy (CTA).

Methods:

This was a retrospective review of prospectively collected data including consecutive patients who underwent primary reverse total shoulder arthroplasty for GHOA or CTA with a minimum of 2-year follow-up. Baseline patient demographics and clinical outcomes including active range of motion, American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numerical Evaluation, and visual analog scale for pain were collected. Univariate and multivariate regression analyses were performed to evaluate the effect of preoperative diagnosis on clinical outcomes.

Results:

Patients with a preoperative diagnosis of GHOA demonstrated significantly better postoperative active forward elevation (138.6° versus 127.3°; P < 0.01), external rotation (54.2° versus 43.8°; P < 0.01), and change in internal rotation (Δ 2.1 points versus Δ 1.2 points; P < 0.01). Patients with GHOA demonstrated significantly better postoperative ASES (86.8 versus 76.6; P < 0.01), Single Assessment Numerical Evaluation (89.7 versus 78.5; P < 0.01), and visual analog scale scores (0.63 versus 1.2; P < 0.01). Minimal clinically important difference for ASES score was achieved by 97.5% of patients with GHOA compared with 86.7% of patients with CTA (P < 0.01), whereas substantial clinical benefit was achieved by 90.4% of patients with GHOA and 71.7% of patients with CTA (P < 0.01). After a multivariate linear regression analysis, postoperative ASES scores were independently associated with previous ipsilateral shoulder surgery (P = 0.042), preoperative ASES score (P = 0.01), and primary diagnosis of GHOA (P < 0.01).

Conclusion:

RTSA performed in patients with GHOA and an intact rotator cuff is associated with improved functional and clinical outcomes compared with those patients treated for CTA.

Level of Evidence:

Level III Therapeutic Study
“OKJA”: Imagem Sustentável, Práticas Insustentáveis
Authors: Cajado Tamiris da Silva , Bastos Adriana Teixeira , Martins Tiago André Portela
Published: December 2021

Este artigo analisa o filme “Okja” sob a ótica da sustentabilidade empresarial através de um estudo observacional com suporte na linguagem fílmica. Trata-se de uma pesquisa qualitativa, descritiva e documental, fundamentada nos conceitos de sustentabilidade, marketing verde e maquiagem verde, que tem como objetivo geral refletir sobre como a organização Mirando, do filme “Okja”, elabora suas estratégias de marketing de modo a disseminar imagem de sustentável para se manter competitiva no mercado. No filme, Okja é um dos super porcos criados pela empresa agroquímica Mirando para solucionar o problema mundial de escassez de alimentos. A trama se desenvolve com Mikha, a neta do fazendeiro que criou Okja, tentando resgatá-la da Mirando, a empresa que desenvolveu o super porco. A análise fílmica possibilitou ilustrar a prática greenwashing ao retratar as estratégias da Mirando ao buscar disseminar a falsa ideia de que seu produto é completamente natural e não transgênico, na tentativa de buscar um novo nicho de consumidores com o discurso de ser sustentável.