bluuebunny/crossref_metadata_2025 huggingface dataset:
Effective strategies to improve health worker performance in delivering adolescent-friendly sexual and reproductive health services
Authors: Denno Donna M. , Plesons Marina , Chandra-Mouli Venkatraman
Published: September 2020

Background

Despite recognition of the important role of health workers in providing adolescent-friendly sexual and reproductive health services (AFSRHS), evidence on strategies for improving performance is limited. This review sought to address: (1) which interventions are used to improve health worker performance in delivering AFSRHS? and (2) how effective are these interventions in improving AFSRHS health worker performance and client outcomes?

Methods

Building on a 2015 review, a search for literature on 18 previously identified programs was conducted to identify updated literature and data relevant to this review. Data was systematically extracted and analyzed.

Results

Due to the parent review’s eligibility criteria, all programs included health worker training. Otherwise, supervision was the most frequently reported intervention used (n=10). Components and methods related to quality of trainings and supervision varied considerably in program reports. Nearly half of programs described employing processes to ensure availability of basic medicines and supplies (n=7). Other interventions (policies, standards, and job descriptions [n=5]; refresher trainings [n=5]; job aids or other reference material [n=3]) were less commonly reported to have been employed. No discernible patterns emerged in the relationship between interventions and outcomes of interest.

Conclusions

Multi-faceted complementary strategies are recommended to improve health worker performance to deliver AFSRHS; however, this was uncommonly reported in the programs that we reviewed. Effectiveness and cost-effectiveness evaluations of interventions and intervention packages are needed to guide efficient use of limited resources to enhance health worker capacity to deliver AFSRHS. In the interim, programs should be developed and implemented based on available existing evidence on improving health worker performance within and outside adolescent health.

Implications and contribution

This review is the first to examine the interventions commonly used to improve health worker performance in delivering AFSRHS. The findings indicate a need for additional effectiveness and cost-effectiveness evaluations of such interventions. In the meantime, existing evidence on improving health worker performance within and outside adolescent health must be integrated more thoughtfully into program planning and implementation.
The Neoliberal Turn: Libertarian Justice and Public Policy
Authors: Christmas Billy
Published: September 2020

In this paper I criticize a growing movement within public policy circles that self-identifies as neoliberal. The issue I take up here is the sense in which the neoliberal label signals a turn away from libertarian political philosophy. The are many import ant figures in this movement, but my focus here will be on Will Wilkinson of the Niskanen Center, not least because he has most prolifically written against libertarian political philosophy. Neoliberals oppose the idea that the rights that libertarianism claims people have are useful guides for making the world a freer place because they forestall too much governmental/democratic political action that they purport to be necessary for increasing freedom. Wilkinson mistakenly takes libertarianism to be a set of ideal public policies for achieving a perfectly free society. If it were, he would be right to turn away from it. But placing rights to freedom at the center of their theory of justice does not commit libertarians to an all-or-nothing approach to political change. Consequences and strategy matter – particularly in a non-ideal world – without abandoning the idea that each individual has a right to freedom. In mistaking libertarian moral claims as a set of policy prescriptions, Wilkinson complains that idealistic policy prescriptions not only fail to take account of how those who disagree will respond to such policies if implemented, but also thereby undermines the justice of those policies in the first instance. Wilkinson proposes that change in the direction of freedom must go through the proper channels of actually-existing democratic legitimacy. It as this stage that Wilkinson’s project comes into direct conflict with libertarianism. Whilst libertarianism is not committed to any particular method of creating a free society under non-ideal conditions, and therefore does not rule out democratic political activism as one among many means of doing that, it cannot be committed to the permanence of democratic political authority, and this is what Wilkinson’s neoliberalism demands above all else. It turns out that Foucault’s characterization of neoliberalism long ago is still accurate to Wilkinson’s own view: that neoliberalism is not about creating a society of free individuals, it is about designing the state apparatus in ways that are inspired by the workings of free society – it is about legitimizing the chains, not breaking them. Neoliberalism is not a pragmatic alternative to libertarianism, but rather a gross misapplication of it.
Functional imaging with 11C-metomidate PET for subtype diagnosis in primary aldosteronism
Authors: Soinio Minna , Luukkonen Anna-Kaarina , Seppänen Marko , Kemppainen Jukka , Seppänen Janne , Pienimäki Juha-Pekka , Leijon Helena , Vesterinen Tiina , Arola Johanna , Lantto Eila , Helin Semi , Tikkanen Ilkka , Metso Saara , Mirtti Tuomas , Heiskanen Ilkka , Norvio Leena , Tiikkainen Mirja , Tikkanen Tuula , Sane Timo , Välimäki Matti , Gomez-Sanchez Celso E , Pörsti Ilkka , Nuutila Pirjo , Nevalainen Pasi I , Matikainen Niina
Published: September 2020

Objective

Endocrine Society guidelines recommend adrenal venous sampling (AVS) in primary aldosteronism (PA) if adrenalectomy is considered. We tested whether functional imaging of adrenal cortex with 11C-metomidate (11C-MTO) could offer a noninvasive alternative to AVS in the subtype classification of PA.

Design

We prospectively recruited 58 patients with confirmed PA who were eligible for adrenal surgery.

Methods

Subjects underwent AVS and 11C-MTO-PET without dexamethasone pretreatment in random order. The lateralization of 11C-MTO-PET and adrenal CT were compared with AVS in all subjects and in a prespecified adrenalectomy subgroup in which the diagnosis was confirmed with immunohistochemical staining for CYP11B2.

Results

In the whole study population, the concordance of AVS and 11C-MTO-PET was 51% and did not differ from that of AVS and adrenal CT (53%). The concordance of AVS and 11C-MTO-PET was 55% in unilateral and 44% in bilateral PA. In receiver operating characteristics analysis, the maximum standardized uptake value ratio of 1.16 in 11C-MTO-PET had an AUC of 0.507 (P = n.s.) to predict allocation to adrenalectomy or medical therapy with sensitivity of 55% and specificity of 44%. In the prespecified adrenalectomy subgroup, AVS and 11C-MTO-PET were concordant in 10 of 19 subjects with CYP11B2-positive adenoma and in 6 of 10 with CYP11B2-positivity without an adenoma.

Conclusions

The concordance of 11C-MTO-PET with AVS was clinically suboptimal, and did not outperform adrenal CT. In a subgroup with CYP11B2-positive adenoma, 11C-MTO-PET identified 53% of cases. 11C-MTO-PET appeared to be inferior to AVS for subtype classification of PA.
La imaginación, una vía para pensar la educación de las nuevas generaciones
Authors: Bonilla Sainz Nahomi
Published: September 2020

Hoy en día visualizar un panorama diferente es de lo que menos se encargan los jóvenes, engullidos en un vertiginoso y voraz mundo, dan por sentado su presente y su futuro, la transformación de dicho panorama empieza hoy, imaginando una realidad diferente, un paisaje más colorido y afable, los docentes podemos ser detonadores para que las nuevas generaciones imaginen horizontes diferentes, permeados de diálogo, respeto, libertad, entendimiento y multiplicidad.
Conciencia corporal en el desarrollo de habilidades motrices en estudiantes de primer ciclo de la Facultad de Cultura Física, Deporte y Recreación de la Universidad Santo Tomás
Authors: Rodríguez Gómez Vivian Johana
Published: September 2020

La presente investigación nace de la inquietud que se genera en la autora al evidenciar el desempeño de los estudiantes en las diferentes clases como Artes Dancísticas, Expresión Corporal y Artística, y algunos entrenamientos de diferentes selecciones de la Universidad; también al desconocimiento y la falta de interés que existe, no solo en sus estudiantes sino en los maestros de la Facultad de Cultura Física, Deporte y Recreación de la Universidad Santo Tomás frente al tema de conciencia corporal y movimiento. Teniendo como base la importancia de ambos temas y la diferencia que se generaría no solo en los practicantes de los diferentes deportes, sino también en la facultad al implementar en sus clases, tanto prácticas como teóricas, estos conocimientos.
Cambios en la condición física en estudiantes que ingresan al programa de Cultura Física, Deporte y Recreación Cohorte 2013-I
Authors: Castro-Jiménez Laura Elizabeth , Argüello-Gutiérrez Yenni Paola , Vásquez Nicole , Valderrama Jose , Tovar Heider , Godoy Oskar , Sabogal Daiver
Published: September 2020

Objetivo.Determinar los cambios existentes en la condición física, en la cohorte de estudiantes de Cultura Física, Deporte y Recreación del 2013-I a 2017-I.Metodología.Estudio de corte cuantitativo, con una cohorte de seguimiento prospectivo desde el 2013-I hasta el 2017-I, con alcance descriptivo. Los criterios de inclusión fueron, estudiantes de la Facultad, quienes hayan permanecido activos desde el ingreso hasta la fecha del corte. Los componentes que se evaluaron fueron la fuerza (a través de dinamometría), flexibilidad (test de Wells) y agilidad (prueba de obstáculos y adaptación al balón) Resultados. Se inicio el seguimiento en el 2013-1 a 153 estudiantes hasta el 2017-1, los cuales terminaron 38 estudiantes. Se encontró una disminución de los valores de fin de carrera de las pruebas de flexibilidad (media pre 8.51 y post 3), prueba de obstáculos (media pre 31,35 seg y post 43.61 seg). Conclusión.Las pruebas de fuerza de mano y adaptación al balón mejoró su media, pero sus rangos disminuyeron con respecto a la prueba de inicio. Finalmente, mejoró los valores de la fuerza de espalda.
Presencia de lesiones en el entrenamiento físico mílitar. una experiencia de investigación en la escuela militar de cadetes general josé maría cordova
Authors: Castro Jiménez Laura Elizabeth , Melo Buitrago Paula Janyn
Published: September 2020

Objetivo. El militar que está en proceso de formación es sometido a altas exigencias físicas, mentales y psicológicas que se ven aumentadas por el tiempo de concentración, por las horas de entrenamiento y la densidad de las actividades. Es por lo anterior, que el proceso de entrenamiento se asemeja al de altos logros por su duración mayor a seis meses de forma consecutiva y de forma diaria, de esta manera el militar presenta un riesgo mayor a la aparición de lesiones, las cuales pueden llevar a procesos de recuperación lentos y generar en algunos casos la deserción de éste. El objetivo de la investigación es conocer las lesiones producto del entrenamiento físico militar en la Escuela Militar de Cadetes General José María Córdova. Metodología.Este estudio es de tipo cuantitativo, de corte descriptivo. Se diseñó una encuesta para conocer las lesiones producto del entrenamiento físico militar. Resultados.Dentro de los resultados se evidencia que muchas de las lesiones presentadas son por sobre-entrenamiento y sobreesfuerzo, por parte de los militares al mando o de los mismos cadetes, motivados por sobresalir, tener mejores condiciones al interior de la Escuela o por cumplir órdenes extras que en su mayoría son ejercicios físicos por acciones en contra de su reglamento. Conclusiones. Esta es una población que generalmente no se toma en cuenta en el área de la actividad física y el deporte por ser la fuerza que protege al país y se desconoce el contexto en que se deben entrenar y las consecuencias de ellos para salir a brindar un servicio al país.
Rorty y los problemas de una ética pragmática
Authors: Gómez Pardo Rafael
Published: September 2020

Este ensayo expone las ideas fundamentales de la ética pragmática de Rorty, partiendode su crítica de la verdad como representación y la propuesta de la solidaridad en unsentido moral. El autor intenta sentar las bases de una crítica a la ética pragmática yestablece la necesidad de volver a plantear el tema de la persona -desde un cristianismomás “actualizado”- y se formula el problema de la esencia de lo pragmático al interiorde una metafísica que, fundándose un referente simbólico o analógico, supere eldogmatismo y logre inspirar sentimientos como la solidaridad.
Filosofía de la educación latinoamericana
Authors: Niño Fideligno
Published: September 2020

La educación latinoamericana se convierte hoy en privilegiado objeto de crítica y desvelo,así como de esperanza puesta en el fruto de tantos esfuerzos encaminados a transformarlay mejorarla. Empero, si no queremos, como parece estar ocurriendo actualmente,que tales transformaciones queden bajo la orientación casi exclusiva de poderes regidospor predominantes intereses económicos y de mercado, se hace necesario el concurso demúltiples saberes, uno indispensable, la filosofía.Contribución esencial a este menester, es la propuesta del presente trabajo, la puede brindarcon creces el pensamiento de Xavier Zubiri y su creador discípulo Ignacio Ellacuría.En efecto, como se intentará mostrar, el horizonte de la filosofía de la realidad históricapermite asumir el quehacer educativo en la perspectiva de una praxis que vaya más alláde los seculares intentos de aculturación uniformadora o de los renovados propósitos dediferenciación excluyente, unos y otros corrosivos de la riqueza multicultural de los pueblosde nuestra América y negadores de la posibilidad de construir un proyecto históricocomún de mayor justicia y libertad
Quantitative SARS-CoV-2 Serology in Children With Multisystem Inflammatory Syndrome (MIS-C)
Authors: Rostad Christina A. , Chahroudi Ann , Mantus Grace , Lapp Stacey A. , Teherani Mehgan , Macoy Lisa , Tarquinio Keiko M. , Basu Rajit K. , Kao Carol , Linam W. Matthew , Zimmerman Matthew G. , Shi Pei-Yong , Menachery Vineet D. , Oster Matthew E. , Edupuganti Srilatha , Anderson Evan J. , Suthar Mehul S. , Wrammert Jens , Jaggi Preeti
Published: September 2020

OBJECTIVES:

We aimed to measure severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serological responses in children hospitalized with multisystem inflammatory syndrome in children (MIS-C) compared with those with coronavirus disease 2019 (COVID-19), those with Kawasaki disease (KD), and hospitalized pediatric controls.

METHODS:

From March 17, 2020, to May 26, 2020, we prospectively identified hospitalized children with MIS-C (n = 10), symptomatic COVID-19 (n = 10), and KD (n = 5) and hospitalized controls (n = 4) at Children’s Healthcare of Atlanta. With institutional review board approval, we obtained prospective and residual blood samples from these children and measured SARS-CoV-2 spike receptor-binding domain (RBD) immunoglobulin M and immunoglobulin G (IgG), full-length spike IgG, and nucleocapsid protein antibodies using quantitative enzyme-linked immunosorbent assays and SARS-CoV-2 neutralizing antibodies using live-virus focus-reduction neutralization assays. We statistically compared the log-transformed antibody titers among groups and performed linear regression analyses.

RESULTS:

All children with MIS-C had high titers of SARS-CoV-2 RBD IgG antibodies, which correlated with full-length spike IgG antibodies (R2 = 0.956; P < .001), nucleocapsid protein antibodies (R2 = 0.846; P < .001), and neutralizing antibodies (R2 = 0.667; P < .001). Children with MIS-C had significantly higher SARS-CoV-2 RBD IgG antibody titers (geometric mean titer 6800; 95% confidence interval 3495–13 231) than children with COVID-19 (geometric mean titer 626; 95% confidence interval 251–1563; P < .001), children with KD (geometric mean titer 124; 95% confidence interval 91–170; P < .001), and hospitalized controls (geometric mean titer 85; P < .001). All children with MIS-C also had detectable RBD immunoglobulin M antibodies, indicating recent SARS-CoV-2 infection. RBD IgG titers correlated with the erythrocyte sedimentation rate (R2 = 0.512; P < .046) and with hospital (R2 = 0.548; P = .014) and ICU lengths of stay (R2 = 0.590; P = .010).

CONCLUSIONS:

Quantitative SARS-CoV-2 serology may have a role in establishing the diagnosis of MIS-C, distinguishing it from similar clinical entities, and stratifying risk for adverse outcomes.
Human Gastrointestinal Microbiota and Neural Activity: Effects of Probiotics on Mental and GI Health
Authors: Tomasi David , Webb Sophia
Published: September 2020

This review examines the general parameters of the microbiota-gut-brain axis, with special emphasis on a clinical-medical perspective and anthropological research foci. In particular, the authors focused on the observed vs. non-observed (observable) effects of psychobiotics on psychiatric conditions, as well as IBD and IBS comorbidities with psychiatric conditions; the latter was examined within the context of utilizing dietary changes to influence individuals’ microbiomes and to ameliorate GI and mental health. Despite some fascinating observations seen in preclinical animal models and promising outcomes observed in several clinical studies of probiotic supplementation on humans with psychiatric as well as GI conditions, this area of research warrants further scientific examination. This research is particularly important in order to provide scientific evidence supporting the use of probiotics (exclusively or as an adjunct treatment) for psychiatric and/or GI conditions in clinical settings. An important consideration in this sense is the need for standardized experimental methods, which can help guide evidence-based recommendations such as differences in dosing, timing, and duration of supplementation, as well as help elucidate genetic predispositions and potential dietary-pharmacological interactions. Such research methods would allow for a better understanding of the processes and mechanisms probiotics induce and/or cause within the context of human physiology.
A zsírdús étrend indukálta steatosis és a bél–máj tengely változásai
Authors: Blázovics Anna , Sipos Péter , Kocsis Ibolya , Fébel Hedvig , Kleiner Dénes , Szentmihályi Klára , Fehér Erzsébet
Published: September 2020

Absztrakt:

Bevezetés: A zsírmáj kialakulhat betegségek, műtétek,
gyógyszerek, éhezés vagy túlzott mértékű alkoholfogyasztás következtében, de a
helytelen táplálkozást, a zsírbő és rostszegény étkezést tartják az elsődleges
oknak. A nem alkoholos zsírmájbetegség a lakosság 20–30%-át érintheti. A
táplálkozási eredetű zsírmájat korai stádiumban általában szövődménymentes
májkárosodásnak írják le. Célkitűzés: Kutatásaink célja a
zsírdús táplálkozás bél–máj tengelyre gyakorolt hatásának a feltérképezése volt.
Módszerek: Rutinlaboratóriumi, analitikai és szövettani
módszerekkel patkányokban vizsgáltuk a bél és a máj redoxparamétereit, valamint
a máj zsírsavösszetételét és elemtartalmát. Eredmények: A máj
elzsírosodása során a vérszérumban mérhető májenzim- és metabolitértékek
eltérései mellett a redox-homeosztázis mutatóiban is szignifikáns változások
igazolódtak. Változás volt kimutatható a májban, a vérben és a belekben. A máj
elzsírosodásának folyamata együtt jár a transzmetiláló képesség csökkenésével.
Megváltozott a zsírsavösszetétel és a fémion-homeosztázis is a májban.
Szövettani vizsgálatoknál a májlobulusok centrális részén a hepatocyták
megduzzadtak, bennük zsírcseppek láthatók, piknotikus sejtmagok alakultak ki,
ami a zsíros elfajulásra jellemző. A vékony- és vastagbél enterocytái sérültek,
helyenként lelökődtek a felszínről, és gyulladásos reakciók figyelhetők meg a
nyálkahártyában. Következtetés: Eredményeink alapján
leszögezhető, hogy a zsírdús diéta okozta steatosis már korai stádiumban sem
tekinthető egyszerűen reverzibilis változásnak, mert a változások kedvezőtlenül
befolyásolják az egész szervezet redox-homeosztázisát, és egyben alapját
képezhetik súlyos szív- és metabolikus betegségeknek, valamint siettethetik a
gastrointestinalis tumorok kialakulását. Orv Hetil. 2020; 161(35):
1456–1465.
A májbetegségek kialakulásának új szempontjai – különös tekintettel az autophagiára és a mikro-RNS szerepére
Authors: Werling Klára
Published: September 2020

Absztrakt:

Az autophagiának fontos szerepe van a sejtműködés egyensúlyának fenntartásában.
Aktivitásának csökkenése kulcsfontosságú különböző májbetegségek kialakulásában
és progressziójában. A csökkent autophagia hozzájárul a sejtek elzsírosodásához,
az endoplasmaticus reticulum stressz fokozásához és a májbetegség
előrehaladásához nem alkoholos eredetű zsírmájban. A krónikus alkoholfogyasztás
gátolja az autophagiát. Alfa-1-antitripszin-hiányban az autophagia hozzájárul az
endoplasmaticus reticulumban lerakódott kóros fehérjék lebontásához. A hepatitis
C- és B-vírusok felhasználják az autophagiát saját replikációjukhoz. A hepatitis
C-vírus nem strukturális 5A és 5B fehérjéi serkentik az autophagosoma-képződést.
A mikro-RNS-ek a génexpresszió módosításával szerepet játszanak számos
fiziológiás és patológiás folyamatban, így az autophagia szabályozásában is. A
mikro-RNS-122 a HCV-replikációban játszik szerepet. HBV-fertőzésben a
mikro-RNS-ek befolyásolják a sejthalált, a DNS-károsodást, a vírus
rekombinációját és a sejten belüli jelátvitelt. Nem alkoholos eredetű zsírmájban
a mikro-RNS-122 a zsír- és szénhidrát-anyagcserén keresztül fejti ki hatását.
Alkoholos májbetegségekben a mikro-RNS-ek az oxidatív stressz és a
szabadgyök-képződés útján befolyásolják a betegséget. A mikro-RNS-ek hatással
vannak az autophagiára, és az autophagia is befolyásolja a mikro-RNS-ek
expresszióját. Kölcsönhatásuk megismerése közelebb visz a májbetegségek
kialakulásának megértéséhez. Orv Hetil. 2020; 161(35): 1449–1455.
A réz élettani funkciója, a rézfelhalmozódás és a rézhiány kóroktani szerepe
Authors: Vetlényi Enikő , Rácz Gergely
Published: September 2020

Absztrakt:

A réz esszenciális nyomelem az emberi szervezet számára, fontos szerepet tölt be
számos anyagcsere-folyamatban. Nélkülözhetetlen többek között a légzési lánc és
a vasanyagcsere helyes működéséhez, a szabad gyökök eliminációjához, a hormonok,
neurotranszmitterek szintéziséhez, valamint az extracelluláris mátrix
stabilizálásához. A réz az oxidációs állapotváltozásra képes mivoltának
köszönhetően kettős arculatú elem. A jelentősége a szervezetben a fehérjékhez
kötötten vitathatatlan, azonban a szabad réz súlyos sejtkárosodást idéz elő
főképpen szabad gyökös reakciók, fehérjék egyéb esszenciális fémtartalmának
helyettesítése, valamint jelátviteli pályákra gyakorolt változatos hatása révén.
Az emberi szervezetben jelen levő réz mennyisége kényes egyensúlyt képez. Mind
hiánya, mind többlete súlyos tünetek, illetve kórképek kialakulását idézi elő.
Táplálkozáseredetű rézanyagcsere-zavarok ritkán jelentkeznek, mivel az átlagos
napi bevitele megfelelően fedezi a szükségletet, valamint a szervezet a
rézraktárak kapacitásának köszönhetően jól tolerálja az átmeneti eltéréseket. A
hiányállapot és a túlzott bevitel klinikai tüneteinek megismerésében és
megértésében a rézanyagcserét érintő genetikai betegségek (Menkes-, Wilson-kór)
nyújtottak segítséget. A réznek a krónikus betegségek kialakulásában betöltött
szerepére egyre nagyobb figyelem irányul. Jelentősége körvonalazódik
neurodegeneratív, valamint daganatos kórképek esetében is, mind kóroki
tényezőként, mind terápiás célpontként. Orv Hetil. 2020; 161(35): 1488–1496.
Inzulin-túlérzékenységi reakció vagy valami más? Tanulságok egy eset kapcsán
Authors: Nagy Eszter , Komlósi Zsolt István , Márton Dalma Fanni , Halász Adrienn , Gergely Péter , Somogyi Anikó
Published: September 2020

Absztrakt:

Napjainkban az inzulin-túlérzékenységi reakciók az inzulinterápia ritka
mellékhatásának számítanak. Az inzulinallergiának vélt esetek kétharmadában a
tünetek kiváltásáért azonban nem az inzulin a felelős. A szerzők egy inzulinnal
kezelt, 64 éves nőbeteg esetét mutatják be, akinél az inzulinterápia alatt
jelentkező allergiás tünetek hátterét lymphocytatranszformációs teszt (LTT)
segítségével próbálták tisztázni. Vizsgálataik az inzulinnal szembeni
túlérzékenységet nem támasztották alá, ugyanakkor a protaminra pozitív LTT
halallergia gyanúját vetette fel. A kiegészítő immunszerológiai vizsgálatok a
diabetesszel társult, de korábban nem ismert pajzsmirigybetegségre is felhívták
a figyelmet. Tudomásunk szerint ez az első olyan esetismertetés Magyarországon,
amely a feltételezett inzulin-túlérzékenységi reakció valódi okát LTT
segítségével próbálta tisztázni. Orv Hetil. 2020; 161(35): 1483–1487.
First record of Glossophaga soricina (Pallas, 1766) (Chiroptera, Phyllostomidae) in the province of Corrientes, Argentina
Authors: Collett Miranda J. , D'Occhio Melisa
Published: September 2020

Pallas’s Long-tongued Bat, Glossophaga soricina (Pallas, 1766), has a large range, covering much of the Neotropics. Until this study, Argentine records for this species were restricted to Misiones, Chaco, Salta, Jujuy and unverifiable records from Buenos Aires. We report the discovery of this nectarivorous bat in Corrientes, extending its known range and increasing the number of bat species recorded in this province to 32. An adult male was captured in Apipé Grande island in October 2019. This bat species is considered Vulnerable in Argentina and needs urgent conservation action in order to avoid further threats.
Febrile Urinary Tract Infection after Radical Cystectomy with Urinary Diversion: Different Characteristics in Patients with Ileal Conduit and Orthotopic Neobladder
Authors: Lee Seungsoo , Baek Seung Ryong , Song Won Hoon , Kim Tae Nam , Park Sung-Woo , Nam Jong Kil
Published: September 2020

Background and ObjectiveTo compare the incidence of febrile urinary tract infection (UTI) and bacterial identification between patients with orthotopic neobladder (ONB) and ileal conduit (IC).
Materials and MethodsData of 164 patients who underwent radical cystectomy with ONB and IC for bladder cancer between January 2009 and January 2018 at our institution were analyzed. Febrile UTI observed was listed and subsequently compared. Incidence of febrile UTI, clinicopathological characteristics, and microorganisms identified were reported at 3 months interval; and preoperative predictors of febrile UTI were evaluated with Cox regression analysis. Patients were divided into ONB and IC.
ResultsThe study cohort included 52 patients with ONB and 112 patients with IC. Febrile UTI was diagnosed in 49 (29.9%) patients. Compared to IC group, ONB group had significantly higher incidence of young age (p=0.00), lower cancer stage (p=0.013), longer hospital stay (p=0.049), longer operation time (p=0.00), and higher incidence of febrile UTI within the first 3 months after surgery (p=0.006). On univariable and multivariable analysis, factors associated with significantly increased febrile UTI risk were diabetes (odds ratio [OR]: 4.52; p=0.002) and ONB diversion (OR: 1.27; p=0.031). Forty-four (89.8%) patients were culture positive. However, significant difference in microorganisms was not detected between patients who under-went ONB or IC diversion.
ConclusionDiabetes and ONB diversion were associated with higher risk symptomatic UTI following radical cystectomy.
Gestão de riscos em rede de suprimentos: um estudo bibliométrico
Authors: Macêdo Laysse Fernanda , Macedo Roberta de Cássia
Published: September 2020

A rede de suprimentos está sujeita a riscos que podem causar rupturas e afetar a capacidade de atender eficazmente os seus clientes, logo é fundamental gerenciar seus riscos para reduzir a vulnerabilidade e aumentar a resiliência. Diante da necessidade de estudos que tratem essa temática para fornecer informações atualizadas e consistentes, este estudo objetiva traçar um panorama da literatura acadêmica sobre a gestão de riscos na rede de suprimentos. Foi realizado um estudo bibliométrico a partir do levantamento de palavras-chave na base Web of Science e da utilização das ferramentas VOSviewer 1.6.13 e Tree of Science (ToS). Os resultados indicam: 1) os autores mais influentes da área de gestão de riscos na rede de suprimentos; 2) grande impacto das publicações tem origem dos EUA, China e Inglaterra, e a participação de países da América do Sul, incluindo o Brasil, é bastante limitada; 3) lacunas encontradas intra e inter clusters temáticos apontados pela rede de co-ocorrência de palavras-chave podem ser exploradas futuramente para avanços teóricos e empíricos e 4) não há restrições ou preferências por pesquisas qualitativas ou quantitativas ou por determinados métodos.
The relationship between organizational culture and the performance of a technology startup: A Fuzzy Cognitive Maps based analysis
Authors: Zanon Lucas Gabriel , Lisboa Vitor Seixas , Carpinetti Luiz Cesar Ribeiro
Published: September 2020

New organizations, such as startups, are more exposed to failure due to their vulnerability when arriving the market. Therefore, monitoring and managing performance indicators becomes essential, since they enable the achievement of strategic objectives. However, this process is impacted by the organizational culture, which guides the company’s behavioral patterns. Therefore, this paper proposes the use of fuzzy cognitive maps to quantify the causal relations between Hofstede's cultural dimensions and the performance of a technology startup. The employed methodology is composed of three stages: literature review, computational model development and conduction of an illustrative application. It is classified as quantitative, axiomatic and normative, since it proposes a model from the identified gaps and the opinions of specialists, suggesting an approach that integrates the research concepts. The results indicate that the time for development is the most impacted indicator by culture. It can be concluded, therefore, that it was possible to consider the inherent subjectivity to the evaluation of the causal relations between culture and performance by applying the fuzzy cognitive map. Hence, action plans can be proposed to foster improvement initiatives that promote the culture-performance alignment.
Uma Reinterpretação das Liberdades Negativa, Positiva e de Escolha
Authors: Coser Ivo
Published: September 2020

RESUMO Este artigo apresenta uma reinterpretação dos conceitos de liberdade negativa, positiva e de escolha presentes na obra de Isaiah Berlin. Para efetuar tal operação apresentam-se duas hipóteses. A primeira sustenta que os conceitos devem ser compreendidos e analisados a partir da ideia de pluralidade presente na sua obra, qual seja, de que na experiência ordinária dos sujeitos existem diversos fins razoáveis e distintos, os quais, em certas circunstâncias, são conflitivos. Tal perspectiva confere centralidade ao conceito de liberdade de escolha. É esta ideia que empresta inteligibilidade teórica aos conceitos, ou seja, eles são pensados e julgados em razão da liberdade de escolha. A segunda hipótese considera que os conceitos de liberdade negativa e liberdade positiva não são necessariamente antagônicos. Tal fato decorre da maneira pela qual a ideia de diversidade é recepcionada em ambos. A liberdade de escolha requer muros que protejam o sujeito de obstáculos arbitrários e lhe forneça suporte, também requer que o sujeito chame para si o ato de escolher entre os diversos fins, de maneira que ele se entenda como seu próprio mestre. Tal relação mantém a diferença entre os conceitos, mas os pensa de maneira não antagônica.
Portugal, Debaixo do Terror Fascista: João Camoesas y la Propaganda contra la Dictadura Salazarista entre los Inmigrantes Portugueses en Estados Unidos (1935-1940)
Authors: Rodríguez Alberto Pena
Published: September 2020

RESUMEN El objetivo de este artículo es recuperar la memoria de la oposición política a la dictadura salazarista entre los inmigrantes portugueses en Estados Unidos durante la segunda mitad de los años treinta, cuando adquiere una mayor intensidad y significación simbólica bajo el liderazgo del ex ministro republicano João Camoesas. Este trabajo demuestra que, durante este período, el salazarismo y el antisalazarismo mantuvieron un intenso debate en el seno de la comunidad inmigrante portuguesa, en el contexto de una atmósfera de agitación y movilización estimulada por la guerra civil española. Por medio de documentos originales de archivos diplomáticos y de la inmigración lusa, se puede observar la repercusión mediática y la reacción del salazarismo a la propaganda de sus opositores, a los que trató de deslegitimar proyectando una imagen de modernidad y defensa de los valores tradicionales y símbolos de la nación portuguesa con los que se identificaba al Estado Novo.
Creation and validation of a visual educational technology content for lactation physiology learning
Authors: Ribeiro Polyana de Lima , Cherubim Daiani Oliveira , Padoin Stela Maris de Mello , Paula Cristiane Cardoso de
Published: September 2020

ABSTRACT Objective: to create and validate a visual educational technology content for lactation physiology learning. Method: a methodological study that contemplated the stages of content creation and validation guided by the conceptual model of Knowledge Translation into action. The creation took place in partnership with the educational technology center of the project’s home institution. The validation was attended by 27 judges with experience in the obstetric, neonatal, pediatric or maternal and child areas and in the theme of breastfeeding. Results: an educational technology covered animation and video techniques to locate, respectively, elements of lactation physiology and the population involved. An Overall Content Validity Index of 0.84 was obtained. Conclusion: the visual educational technology for lactation physiology learning has been validated in content as a tool to introduce the theme and mediate health education actions that can have a positive impact on breastfeeding.
Patient-and Family-Centered Care and Patient Safety: reflections upon emerging proximity
Authors: Cruz Andréia Cascaes , Pedreira Mavilde da Luz Gonçalves
Published: September 2020

ABSTRACT Objective: To present reflections upon conceptual and pragmatic relationships between the Patient-and Family-Centered Care and patient safety. Method: A discussion about constructs related to the Patient-and Family-Centered Care and patient safety, which shows their interface with pragmatic issues of clinical nursing practice. Results: Considering patients and families as partners and agents promoting safe care is mandatory for the safety culture. Final considerations: Decreasing errors and adverse health care events can be accomplished by understanding manners to incorporate the principles of Patient-and Family-Centered Care into issues related to patient safety.
Homeostasis model assessment of insulin resistance (HOMA-IR) and metabolic syndrome at baseline of a multicentric Brazilian cohort: ELSA-Brasil study
Authors: Diniz Maria de Fátima Haueisen Sander , Beleigoli Alline Maria Rezende , Schmidt Maria Inês , Duncan Bruce B. , Ribeiro Antônio Luiz P. , Vidigal Pedro G. , Benseñor Isabela M. , Lotufo Paulo A. , Santos Itamar S. , Griep Rosane H. , Barreto Sandhi Maria
Published: September 2020

Abstract: Homeostasis model assessment of insulin resistance (HOMA-IR) is a method to measure insulin resistance. HOMA-IR cut-offs for identifying metabolic syndrome might vary across populations and body mass index (BMI) levels. We aimed to investigate HOMA-insulin resistance cut-offs that best discriminate individuals with insulin resistance and with metabolic syndrome for each BMI category in a large sample of adults without diabetes in the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Among the 12,313 participants with mean age of 51.2 (SD 8.9) years, the prevalence of metabolic syndrome was 34.6%, and 60.1% had overweight or obesity. The prevalence of metabolic syndrome among normal weight, overweight and obesity categories were, respectively, 13%, 43.2% and 60.7%. The point of maximum combined sensitivity and specificity of HOMA-IR to discriminate the metabolic syndrome was 2.35 in the whole sample, with increasing values at higher BMI categories. This investigation contributes to better understanding HOMA-IR values associated with insulin resistance and metabolic syndrome in a large Brazilian adult sample, and that use of cut-off points according to ROC curve may be the better strategy. It also suggests that different values might be appropriate across BMI categories.
COVID-19 e (in)segurança alimentar e nutricional: ações do Governo Federal brasileiro na pandemia frente aos desmontes orçamentários e institucionais
Authors: Alpino Tais de Moura Ariza , Santos Cláudia Roberta Bocca , Barros Denise Cavalcante de , Freitas Carlos Machado de
Published: September 2020

Resumo: A pandemia por COVID-19 representa um dos maiores desafios da saúde pública deste século, causando impactos na saúde e nas condições de vida das populações em todo o mundo. Tem sido apontado pela literatura que a pandemia afeta de diversas formas o sistema alimentar hegemônico. No Brasil, a pandemia amplifica as desigualdades sociais, raciais e de gênero já existentes, comprometendo ainda mais a garantia do Direito Humano à Alimentação Adequada (DHAA) e a concretização da segurança alimentar e nutricional, especialmente entre os mais vulneráveis. Nesse contexto, este artigo tem como objetivo analisar as primeiras ações, em âmbito federal, do governo brasileiro para a mitigação dos efeitos da pandemia que podem repercutir na segurança alimentar e nutricional, considerando as recentes mudanças institucionais das políticas e programas. Foi realizada uma revisão narrativa da literatura e utilizado como fontes de informação os boletins do Centro de Coordenação de Operações do Comitê de Crise para Supervisão e Monitoramento dos Impactos da COVID-19 e homepages de ministérios setoriais, de março a maio de 2020. As ações foram sistematizadas segundo as diretrizes da Política Nacional de Segurança Alimentar e Nutricional. Foi identificada a criação de arranjos institucionais para o gerenciamento da crise. Dentre as ações propostas, destacam-se aquelas relacionadas ao acesso à renda, como o auxílio emergencial, e a alimentos, como a autorização para a distribuição de alimentos fora do ambiente escolar com os recursos federais do Programa Nacional de Alimentação Escolar. No entanto, os retrocessos e desmontes na área de segurança alimentar e nutricional podem comprometer a capacidade de resposta do Governo Federal no contexto da COVID-19.
Reconocimiento de Expresiones Faciales Emocionales. Diferencias en el Desarrollo
Authors: López-Morales Hernán , Zabaletta Verónica , Vivas Leticia , López Marcela Carolina
Published: September 2020

RESUMEN El trabajo se propuso caracterizar el reconocimiento facial de emociones en población infanto-juvenil. Se administró una adaptación digital del Test Pictures of Facial Affects a 147 participantes de entre 9 y 18 años. Los resultados evidenciaron una asociación negativa entre la edad y la tasa de aciertos para alegría y positiva para asco y miedo. Además, se evidenció un efecto significativo de la edad en los tiempos de respuesta de todas las emociones a excepción del miedo. Los resultados sugieren que a medida que aumenta la edad el reconocimiento emocional es más veloz, sin embargo, esto se refleja en una mejoría en el reconocimiento emocional sólo en asco y miedo. Se discuten la importancia de estas emociones para la adolescencia.
Meanings Assigned to the School: Integrative Review of National Literature
Authors: Foresti Taimara , Kujawa Israel , Patias Naiana Dapieve
Published: September 2020

Abstract This paper aims to understand the meanings that students, parents, and teachers, assigned to the school, through an integrative review of the last ten years of Brazilian literature (2007-2017). The search in the databases included material from BVS-Psi, SciELO, and PePSIC, using the following terms in both English and Portuguese: meaning AND school; perception AND school; “social representation” AND school. Considering the inclusion and exclusion criteria, 11 papers were selected. The meanings were classified into two categories: (a) Meanings that strengthen the bonds and (b) Meanings that weaken the bonds. Results indicate that the school is represented in several ways, and the research are predominantly conducted with students.
Sexting and Gender Violence Among Young People: An Integrative Literature Review.
Authors: Souza Lara , Lordello Sílvia Renata Magalhães
Published: September 2020

Abstract This review aimed to systematize the studies on sexting and gender violence published between 2000 and 2016 in national and international journals. The search was performed in the databases - BVS-Psi, Psychlit, Medline, LILACS, and Oasis. We found 383 articles. After applying the exclusion criteria, 21 articles were analyzed. The results showed that sexting is not an a priori risk factor. The risk is related to variables such as the content of the messages, when it expresses violence, and age of the practitioners, indicating that the younger the age the greater the risk. It has been found that there are modalities related to gender violence, such as revenge pornography and slut-shaming, but these contents are not inherent to sexting.
Retirement and Meaning Attribution: A study with Active Workers in Brazil
Authors: Andrade Laura , Torres Cláudio
Published: September 2020

Abstract The aim of this study was to investigate the meanings attributed to retirement by active workers. For this purpose, the Retirement Meaning Scale was constructed and administered to 275 active workers (53.5% women) aged 22 to 67 years. The results reveal an ambiguous meaning attribution to the phenomenon: on one hand, there is a positive idea of freedom; on the other hand, the workers report experiences of anguish and insecurity related to retirement. Among the variables investigated, the proximity to retirement was especially relevant to the perception of the phenomenon, which influenced three of the four factors identified. This study has implications for policies and programs that aim to promote healthy experiences in retirement.
Non-marine invasive gastropods on Ilha Grande (Angra dos Reis, Rio de Janeiro, Brazil): distribution and implications for conservation
Authors: Oliveira Jaqueline L. de , Miyahira Igor C. , Gonçalves Isabela Cristina B. , Ximenes Renata F. , Lacerda Luiz Eduardo M. de , Silva Patrícia S. C. da , Fonseca Francielle C. , Barbosa Amilcar B. , Nunes Gleisse Kelly M. , Santos Sonia B. dos
Published: September 2020

Abstract Invasive species are one of the main causes of biodiversity loss and the knowledge of their distribution is essential for conservation efforts. The present study inventoried the land and freshwater invasive molluscs of 25 villages of Ilha Grande (Rio de Janeiro, Brazil), an island with Atlantic Rainforest remnants. Three invasive species are found: Melanoides tuberculata (Müller, 1774), Physa acuta Draparnaud, 1805, both on two localities; and Achatina fulica Bowdich, 1822, on 16 localities. Most records were done on the island continental side, in anthropic areas, probably due to ease of access. One record was inside a conservation area, that calls concern about the spread of those species on the island and possible effects.
Produção científica qualificada: estudo de características acadêmicas de docentes dos Programas Stricto Sensu em Ciências Contábeis da região sul
Authors: Zabolotny Simone Rodrigues , Frare Anderson Betti , Gomes Débora Gomes de , Fernandez Rodrigo Nobre
Published: September 2020

Este estudo busca analisar se as características acadêmicas de docentes dos Programas de Pós-Graduação stricto sensu de Ciências Contábeis da região Sul influenciam na produção científica qualificada de artigos em periódicos. O estudo descritivo e quantitativo foi realizado através da coleta das informações nos Currículos Lattes, de cento e oito docentes, vinculados a oito Programas de Pós-Graduação stricto sensu em Ciências Contábeis da região Sul. Após a coleta das informações dos docentes (número de orientações, gênero, idade, formação) foi realizada a análise quantitativa, através da técnica de regressão com dados em painel. Nos resultados, verifica-se que não há como afirmar que a idade e o gênero influenciem na produção científica. Quanto as orientações, observa-se que a pontuação dos docentes acresce a cada orientação de mestrado, iniciação científica, graduação, especialização, em percentual de 7%, 5%, 3%, 2%, respectivamente.
Gestão na educação superior e as avaliações de suas práticas
Authors: Gama Maria Eliza Rosa , Santos João Timóteo de los
Published: September 2020

Este artigo é fruto de uma pesquisa que teve como temática o estudo aprofundado com relação às práticas de avaliação das atividades de gestão na educação superior. Tendo como base de consulta a pesquisa bibliográfica, foram analisados estudos relacionados aos conceitos de gestão que se encaixam com as atividades educacionais do ensino superior no Brasil, bem como as diferentes possibilidades de avaliar essas atividades. O artigo expõe as características específicas de cada tipo de processo avaliativo que pode ser utilizado para avaliar a gestão educacional, com foco na avaliação participativa, que é a forma de avaliação interna apontada por autores como Denise Leite e Wagner Andriola como parte fundamental de um processo de gestão educacional participativa. O tema final abordado neste artigo faz referência aos obstáculos existentes nas instituições de ensino superior brasileiras que dificultam as práticas de autoavaliação, especificamente nos cursos de graduação.
Life history traits of the exotic freshwater snail Melanoides tuberculata Müller, 1774 (Gastropoda, Thiaridae), and its sensitivity to common stressors in freshwaters
Authors: Okumura Denise Tieme , Rocha Odete
Published: September 2020

Abstract: Aim In the present study has analyzed several aspects of the life history traits of Melanoides tuberculata, an exotic species, under laboratory conditions, and its response to some stressors has also been applied. Methods Sensitivity to two toxic substances was tested. The mollusks were collected and cultured in the laboratory under controlled conditions of temperature of 25 ± 1 °C and ad libitum food regime. Growth rates and biomass were experimentally obtained and the individual growth curve obtained. Results The experiment lasted 287 days and the maximum shell lengths registered was 11.67 mm. The growth curve indicated a rate of 3.98 year-1 and a maximum theoretical length of 10.61 mm. The mean post-embrionary development time until first reproduction was 275 days and the size of the primipara was 10.13 mm. An accelerated growth of juveniles was observed with fast increase in the shell length until sexual maturity, but growth rate decreased afterwards as more energy was devoted to reproduction. Under the combination of 25 °C and fed on alternate days, M. tuberculata had a slow growth and a long-life expectancy under laboratory conditions. The tolerance of this mollusk to temperature as a stressor ranged between 16 °C and 37 °C, being the optimum temperature situated between 29 °C and 34 °C. The LC(I)50-24h for reference substances were: 0.70 g L-1 for KCl and 9.05 g L-1 for NaCl. Conclusion Based on these results, we can conclude that M. tuberculata is a species tolerant to temperature and salinity, what partially explains to accordance to its wide and rapid dispersion throughout tropical waters.