bluuebunny/crossref_metadata_2025 huggingface dataset:
Educação infantil na pandemia e pós-pandemia: reflexões sobre o emparedamento das crianças
Authors: Machado Castelli Carolina , Coll Delgado Ana Cristina
Published: December 2021

Este artigo tem, como intuito, despertar um olhar sensível e reflexivo sobre os efeitos da pandemia e da pós-pandemia no grupo social da pequena infância e suas implicações para o campo pedagógico da educação infantil. A partir de autoras e autores dos Estudos da Criança, da Educação Infantil e da Filosofia, são discutidos alguns dos impactos da crise pandêmica na educação e na vida das crianças pequenas brasileiras, evidenciando um dos efeitos potencializados pela pandemia: o emparedamento das crianças, desde bebês. Nos últimos anos, a grande permanência de tempo que as meninas e os meninos passam nos espaços fechados, isto é, emparedadas e emparedados, sem contato com a natureza, já vem sendo problematizada. Retoma-se essa discussão à luz da conjuntura atual, analisando suas implicações para o retorno presencial das crianças e dos bebês às escolas infantis. Diante da necessidade de repensar as práticas educativas, são levantadas algumas contribuições para um retorno às escolas infantis, o qual seja pautado pelo cuidado com as crianças de todas as idades e suas famílias, com as/os profissionais das escolas e com o planeta do qual fazemos parte.
Los ojos de las infancias en la metodología de una investigación psicopedagógica
Authors: Pranich Gabriel
Published: December 2021

El propósito del presente trabajo es acercarnos a la construcción de una interpretación, de una mirada, en un equipo de investigación en el campo de la psicopedagogía para realizar la lectura de los datos pertenecientes al campo. La hipótesis que intentaré sostener es que una metodología da a ver una situación mediante la construcción de un observable. De ahí que la responsabilidad es intrínseca a la construcción de una metodología. ¿Cómo construimos lo visible en una investigación?
The Nature of Change
Authors: Byrne Richard B.
Published: December 2021

The Nature of Change
Joy in the Void
Authors: Byrne Richard B.
Published: December 2021

Joy in the Void
Los recursos impositivos de la constitución nacional
Authors: Rocco Armando M.
Published: December 2021

Los recursos impositivos de la constitución nacional
Costo contable y costo técnico económico
Authors: Reig Enrique Jorge
Published: December 2021

Costo contable y costo técnico económico
asociaciones halófilas del partido de Bahía Blanca
Authors: Verettoni Haydee Nora
Published: December 2021

Las asociaciones halofilas del partido de Bahía Blanca
factor político en la ciencia económica
Authors: Olivar R.
Published: December 2021

El factor político en la ciencia económica
Conceptos operativos y constructos mentales en la elaboración de los modelos y de la teoría
Authors: Machlup Fritz
Published: December 2021

Conceptos operativos y constructos mentales en la elaboración de los modelos y de la teoría
Inflación mundial
Authors: Lipsey Richard G.
Published: December 2021

Inflación mundial
Algunos componentes de la demanda de dinero para el partido de Bahía Blanca
Authors: Romanelli Rodolfo
Published: December 2021

Algunos componentes de la demanda de dinero para el partido de Bahía Blanca
El precio de la tierra en la evaluación de proyectos agrícolas
Authors: Cincunegui Jorge E.
Published: December 2021

El precio de la tierra en la evaluación de proyectos agrícolas
El enfoque no monetario de la inflación: algunas consideraciones metodológicas
Authors: Ortíz Elena
Published: December 2021

El enfoque no monetario de la inflación: algunas consideraciones metodológicas
Vazquez Presedo, V., Poder económico internacional
Authors: Vercesi Alberto
Published: December 2021

Vazquez Presedo, V., Poder económico internacional
La reforma del sistema eléctrico argentino
Authors: Guzowski Carina
Published: December 2021

La reforma del sistema eléctrico argentino
Investigación aplicada: entonces y hoy
Authors: Elías Victor J.
Published: December 2021

Investigación aplicada: entonces y hoy
Condicionamientos al ingreso a la educación superior y equidad. Algunos resultados empíricos
Authors: Cerioni Liliana , Morresi Silvia
Published: December 2021

La implementación de condicionamientos al acceso a la educación superior persigue fundamentalmente el objetivo de mejorar la eficiencia. Sin embargo se sospecha que puede disminuir las posibilidades de acceso de quienes pertenecen a los estratos sociales más desfavorecidos. A través del análisis del desempeño en el curso de nivelación de tres cohortes de estudiantes de Contador Público de una universidad nacional, y mediante la estimación de un modelo de variables categóricas ordenadas, se pudieron obtener algunas conclusiones acerca de la menor probabilidad de ingresar satisfactoriamente a la universidad que tendrían los estudiantes de escuelas públicas que provienen de hogares cuyos jefes alcanzaron bajos niveles educativos.
Equilibrio general en economias con externalidades y conjuntos de produccion no convexos en un espacio de bienes de infinitas dimensiones
Authors: Fuentes Matías N.
Published: December 2021

El presente trabajo fue distinguido con el Premio Estudios Económicos 2009, correspondiente a la IV Edición del Congreso Nacional de Estudiantes de Posgrado en Economía, CNEPE. Forma parte de la tesis doctoral del autor en el programa de Doctorado en Economía Teórica de la Universidad Autónoma de Madrid. El autor desea agradecer los valiosos comentarios de los profesores Julio H. G. Olivera, Eduardo Rodríguez y Fernando Tohmé. Todos los errores y omisiones son de mi exclusiva responsabilidad. Con posterioridad a este artículo, el autor desarrolló el teorema aquí expuesto pero relajando varios supuestos lo cual ha implicado que la demostración sea diferente a la aquí desarrollada en algunos tramos de la misma.
El paradigma estratégico. Evolución, renovación y desafíos
Authors: Brunet Ignasi , Pazzi Andrés
Published: December 2021

El propósito de este artículo es exponer el desarrollo del pensamiento estratégico, que ha afectado a las presunciones dominantes en las que se basaba tradicionalmente la conceptualización de la empresa. Presunciones que se han visto sometidas a un fuerte escrutinio, y que ha conducido a una vuelta hacia el interior de las empresas, al ser conscientes las direcciones, tal y como afirma la Teoría de los Recursos y Capacidades, que únicamente mediante la adquisición de competencias distintivas se puede ser competitiva en la actualidad.
The extent of upskilling of the argentine labor market: a simple analysis
Authors: Esposto Alexis S. , Giménez Luis Federico
Published: December 2021

Over the last three decades the labor market of most developed countries have experienced a sustained period of upskilling. This means an overall increase in the skill requirement of jobs determined by the demand for skilled labor. This suggests that their labor demand has become more skill intensive, shifting towards skilled workers relatively to unskilled workers. An analysis of job growth of the Argentine labor market between 1997 and 2009 using data from the EPH, evidences a process of deskilling over this period, with serious implications in terms of competitiveness and about issues related to increasing social and economic inequality.
Desarrollo y democracia el estado de la relacion post- reformas
Authors: Raus Diego Martín
Published: December 2021

Este trabajo analiza los cambios conceptuales, institucionales y políticos que afectaron a la relación entre desarrollo y democracia en América Latina luego, y como resultado, de las reformas económicas de los '90 (Consenso de Washington). La sociología, la politología y la economía del desarrollo (CEPAL) tuvieron su auge en la década de los `50 al igualar, conceptualmente y como programa político, la relación entre desarrollo económico- modernización social- gobernabilidad política y estabilidad democrática. Este paradigma se vio interesadamente deconstruido en los `90 a partir de los efectos sociopolíticos que atravesaron negativamente a las sociedades latinoamericanas con la reincorporación de la economía de mercado (neoliberalismo). Analizar esa operación discursiva y política es el objetivo de este trabajo.
When more schooling is not worth the effort: another look at the dropout decisions of disadvantaged students
Authors: Patron Rossana
Published: December 2021

This paper shows that when student heterogeneity is introduced in the analysis, differences in the quality of education and in the probability of repetition, typical in developing countries, mark the contrast between an attractive and an inconvenient investment in education. The methodology associates educational quality
and repetition rates with educational returns. In particular, it makes apparent that lower secondary education, in the case of Uruguay, is an inconvenient investment for disadvantaged students, even disregarding the possibility of such students not being able to afford the opportunity costs, this fact probably also explains the
heavy dropout rates of this student type in many developing countries.
Let it float: new empirical evidence on de facto exchange rate regimes and growth in Latin America
Authors: Bermúdez Cecilia , Dabús Carlos
Published: December 2021

This paper reassesses the evidence presented in Levy-Yeyati and Sturzenegger (LYS) (2003) on the relation between exchange rate regimes and economic growth. We use their de facto classification as well as their database, in order to gain robustness and efficiency in the results. We run System GMM estimations.

Additionally, we focus on Latin American countries for the period 1974-2004. Differently to LYS, our evidence indicates that exchange rate regimes are not significant to explain economic growth, both in a worldwide sample of countries and particularly in Latin America. However, in this region flexible regimes appear to have more advantages in terms of the role of the determinants of economic growth in relation to the other exchange regimes.
Vị trí của ngành dệt may Việt Nam trong chuỗi giá trị dệt may toàn cầu
Authors: Trịnh Thị Thu Trang
Published: December 2021

Những năm gần đây, ngành dệt may Việt Nam đã khẳng định được vị trí và vai trò quan trọng của mình trong nền kinh tế. Mặc dù kim ngạch xuất khẩu lớn và liên tục tăng từ năm 2000 cho đến nay nhưng hiệu quả xuất khẩu vẫn còn thấp. Việc thâm nhập sâu rộng vào chuỗi giá trị toàn cầu là hết sức cần thiết để ngành dệt may nâng cao sức cạnh tranh trên thị trường thế giới. Bài viết trình bày bản chất của chuỗi giá trị dệt may toàn cầu, chỉ ra các bước tham gia vào chuỗi giá trị dệt may toàn cầu, xác định vị trí của ngành dệt may Việt Nam trong chuỗi, từ đó đưa ra những giải pháp nhằm nâng cao vị thế của ngành dệt may Việt Nam trong chuỗi giá trị dệt may toàn cầu.
Vấn đề việc làm sau khi tốt nghiệp của sinh viên ngành Tin học ứng dụng khóa 2010, Trường Đại học Đồng Tháp
Authors: Huỳnh Lê Uyên Minh , Nguyễn Thị Mỹ Dung , Trần Kim Hương
Published: December 2021

Hiện nay, vấn đề việc làm của sinh viên sau khi tốt nghiệp được gia đình, nhà trường, chính quyền và xã hội quan tâm. Trong bào báo này, chúng tôi tìm hiểu thực trạng việc làm của sinh viên ngành Tin học ứng dụng sau khi tốt nghiệp. Trên cơ sở đó, chúng tôi đề ra một số giải pháp nhằm giúp cho việc đào tạo của nhà trường đáp ứng được yêu cầu việc làm của sinh viên sau khi tốt nghiệp.
PENGARUH ASUPAN PROTEIN TERHADAP KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DENGAN OBESITAS DI PUSKESMAS PATUMBAK TAHUN 2017
Authors: Maria Ginting Wira , Sudaryati Etti , Sarumpaet Sorimuda
Published: December 2021

Hipertensi dapat diakibatkan karena kondisi tubuh orang yang gemuk, Obesitas dan hipertensi adalah masalah kesehatan yang ada di masyarakat Indonesia bahkan dikalangan wanita usia subur. Tujuan penelitian: untuk mengetahui asupan protein dan asupan garam terhadap kejadian Hipertensi pada WUS obesitas di Patumbak. Metode penelitian case control. Sampel dalam penelitian ini adalah 104 WUS (52 kasus dan 52 kontrol). Pengambilan data menggunakan penimbangan berat badan, tinggi badan, tekanan darah dan wawancara recall konsumsi. Analisis bivariate (regresi logistik sederhana) asupan protein (0,003), ada pengaruh signifikan antara asupan protein. Saran: WUS agar mengontrol berat badan dan memeriksakan tekanan darah secara teratur dan mengikuti edukasi tentang pola makan.
UPAYA PENCEGAHAN INFEKSI SALURAN KEMIH OLEH PERAWAT PADA PASIEN TERPASANGNYA KATETER DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Authors: Putra Ritonga Edisyah
Published: December 2021

Infeksi saluaran kemih merupakan penyakit yang paling banyak ditemukan di tempat pelanyanan kesehatan. Sebagian besar infeksi saluran kemih disebabkan oleh bakteri tetapi virus dan jamur juga dapat menjadi penyebabnya. Infeksi bakteri sering diakibatkan Escherichia coli. Tujuan penelitian ini adalah mengetahui upanya pencengahan infeksi saluran kemih oleh perawat pada pasien terpasangnya kateter  di RSU Imelda Pekerja Indonesia Medan. Jenis penelitan ini adalah penelitian kuantitatif dengan desain deskritif observasioanal dan jumlah sampel dalam penelitian ini adalah 39 orang. Berdasarakan penelitian yang telah dilakukan  bahwa mayoritas jenis kelamin responden adalah perempuan yaitu sebanyak 26 responden (66,7%) dan minoritas jenis kelamin responden adalah laki-laki yaitu sebayak 13 responden (33,3%). Mayoritas umur responden adalah berumur 20-24 tahun yaitu sebanyak 18 responden (46,2%) dan minoritas umur responden adalah berumur >36 tahun yaitu sebayak 4 responden (10,2%), mayoritas lama bekerja responden adalah 0-4 tahun yaitu sebanyak 29 responden (74,4%) dan minoritas lama bekerja responden adalah >10 tahun yaitu sebayak  4 responden (10,3%). Mayoritas pendidikan responden adalah D-III yaitu sebanyak 33 responden (84,7%) dan minoritas pendidikan responden adalah S-I Keperawatan yaitu sebayak 6 responden (15,3%). Berdasarkan dari hasil penelitian yang telah dilakukan dengan memberikan quisioner kepada perawat ditemukan bahwa mayoritas upaya pencegahan infeksi saluran kemih yang dilakukan oleh perawat pada pasien terpasang kateter adalah baik yaitu sebanyak 29 responden (74,3%) dan minoritas upaya pencegahan infeksi saluran kemih yang dilakukan adalah  kurang baik yaitu sebanyak 10 responden (25,7%). Bagi pihak Rumah Sakit Umum Imelda Pekerja Indonesia Medan diharapkan agar lebih meningkatkan kepatuhan dalam melakukan perawatan kateter urine dalam pencegahan infeksi saluran kemih.
PENGARUH PELATIHAN DAN PENERAPAN METODE 5S OLEH KEPALA RUANGAN TERHADAP PERENCANAAN LOGISTIK DI RUMAH SAKIT SWASTA KOTA MEDAN
Authors: Rina Situmorang Paskah , Syahputra Ritonga Edy
Published: December 2021

Sikap kerja 5S (Seiri, Seiton, Seiso, Seiketsu dan Shitsuke) merupakan suatu sikap yang harus dimiliki seorang pekerja dalam sebuah organisasi. Dimana sikap kerja ini berawal dari kebulatan tekat yang dimiliki oleh anggota dalam suatu organisasi untuk mencapai suatu tujuan dalam hal pemilahan alat-alat di Rumah Sakit. Dengan proses pemilahan, penataan, pembersihan, pemantapan dan pembiasaan terhadap alat-alat kesehatan serta komitmen yang kuat dari seluruh perawat sangat dibutuhkan dalam melaksanakan pekerjaan sehingga asuhan keperawatan dapat dilaksanakan dengan baik. Salah satu komponen penting dalam mendukung upaya penyembuhan adalah peralatan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pelatihan dan penerapan metode 5S oleh kepala ruangan terhadap perencanaan logistik di Rumah Sakit Swasta Kota Medan. Jenis penelitian ini adalah penelitian kuantitatif dengan metode quasi experimental study dengan desain one group pre test-post test. Populasi dalam penelitian ini adalah kepala ruangan rawat inap yang ada di rumah sakit swasta kota medan berjumlah 25 orang. Teknik pengambilan sampel adalah total sampling. Hasil penelitian didapatkan bahwa ada pengaruh pelatihan dan penerapan metode 5S terhadap perencanaan logistik dimana Uji Mc Nemar pada fungsi perencanaan, penyimpanan, pemeliharaan dan pengendalian sebesar 0,002. Setelah intervensi penerapan metode 5S perencanaan logistik kepala ruangan yang meliputi fungsi perencanaan, penyimpanan, pemeliharaan, dan pengendalian mengalami peningkatan yaitu dalam kategori baik sebanyak 25 orang (100 %). Hasil observasi yang dilakukan peneliti kepada seluruh kepala ruangan di ruang rawat inap rata-rata sudah melaksanakan penerapan metode 5S yaitu pemilihan kebutuhan alat sesuai dengan pedoman penerapan metode 5S. Saran kepada seluruh kepala ruangan dan perawat yang ada di rumah sakit khususnya diruangan untuk terus melakukan perencanaan logistik dengan baik dan melaksanakan tugas pokok masing-masing sehingga fungsi perencanaan berjalan optimal sesuai prosedur dan pengadaan alat dilakukan secara efektif dan efisien sehingga dapat meningkatkan mutu asuhan keperawatan.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PLEBITIS PADA PASIEN YANG TERPASANG INFUS DI RUMAH SAKIT IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN
Authors: Herlina Meriani , Gandha Prasthyo Jafa Anggi
Published: December 2021

Infeksi nosokomial merupakan infeksi yang terjadi pada pasien ketika berada di rumah sakit atau ketika berada di fasilitas kesehatan lainnya. Phlebitis adalah infeksi nosokomial yang berasal dari mikroorganisme yang dialami pasien yang diperoleh selama pasien di rawat di rumah sakit yang diikuti dengan manifestasi klinis yang sekurang-kurangnya 3x24 jam. Penelitian ini bertujuan untuk menganalisa adanya hubungan antara faktor-faktor penyebab phlebitis dengan kejadian phlebitis. Penelitian dilakukan pada Juli tahun 2018 dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh pasien yang terpasang infus selama bulan Juli tahun 2018 di ruangan ICU, Tulip, Asoka dan Mawar. Populasi pada penelitian ini adalah 269 orang. Tehnik sampling pada penelitian ini adalah proportionate stratified random sampling dengan demikian jumlah sampel adalah 160 orang. Analisis statistik yang digunakan uji chi square. Hasil analisis bivariat menunjukkan bahwa nilai p = 0,000 ada hubungan ukuran infus dengan plebitis, nilai p value 0,000 ada hubungan jenis cairan dengan plebitis, nilai p 0,001 ada hubungan lokasi pemasangan dengan plebitis, nilai p value 0,000 ada hubungan lama infus terpasang dengan plebitis, nilai p value 0,000 ada hubungan jumlah insersi dengan plebitis. Disarankan bagi responden Disarankan kepada responden agar tetap meningkatkan kinerja secara profesional untuk mencegah terjadinya plebitis
FAKTOR-FAKTOR YANG MEMPENGARUHI KETIDAK PATUHAN PASIEN DIABETES MELLITUS DALAM KONTROL ULANG DI RUANGAN PENYAKIT DALAM RUMAH SAKIT SANTA ELISAEBTH MEDAN TAHUN 2018
Authors: Melva Sianipar Connie
Published: December 2021

Penyakit Diabetes Mellitus (DM) adalah penyakit seumur hidup dan tidak dapat disembuhkan, akan tetapi kadar glukosa darah dapat dikendalikan sedemikian rupa. Salah satu cara untuk mengatasi akibat lebih lanjut dari diabetes mellitus adalah dengan penerapan kontrol diabetes mellitus. Namun sampai saat ini banyak ditemukan penderita diabetes mellitus yang tidak patuh dalam pelaksanaan kontrol ulang. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi ketidakpatuhan pasien diabetes mellitus dalam kontrol ulang di ruangan penyakit dalam Rumah Sakit Santa Elisabeth Medan 2018. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan jenis pendekatan cross sectional. Populasi pada penelitian ini adalah pasien DM yang di rawat di Rumah Sakit Santa Elisabeth Medan yang berjumlah 243 orang. Teknik pengambilan sampel menggunakan purposive sampling, peneliti menggunakan 15% dari jumlah populasi. Sehingga pada penelitian ini dengan menggunakan sampel 36 orang. Hasil penelitian ini adalah faktor ketidakpatuhan yang paling besar adalah pemahaman instruksi 21 responden dengan persentase 58.3%, kualitas insteraksi 20 responden 55.6%, dan keluarga 14 responden 38.9%. Disimpulkan bahwa ketaatan terhadap pendidikan kesehatan mendapat nilai tertinggi dan dukungan keluarga dalam nilai terendah, ini adalah situasi kritis dalam pengendalian ulang di Rumah Sakit Dalam untuk rumah sakit. Saran kepada manajemen rumah sakit dan para-medis tersebut harus memperbaiki interaksi mereka dalam memberikan instruksi kepada penderita diabetes mellitus.
PENGARUH LATIHAN FISIK DENGAN FLEXIBILITY EXERCISES TERHADAP KEMAMPUAN ACTIVITY DAILY LIVING’S (ADL’s) PASIEN KANKER DI MURNI TEGUH MEMORIAL HOSPITAL
Authors: Tarihoran Yusrial , Banjarnahor Seriga
Published: December 2021

Kanker  merupakan penyakit dengan pertumbuhan dan penyebaran sel abnormal oleh berbagai faktor seperti penggunaan tembakau, genetik, hormon, dan gangguan kekebalan tubuh sehingga sering mengalami keluhan fisik seperti kelemahan akibat kurangnya energi didalam tubuh dan berdampak terhadap kemampuan melakukan Activity Daily Living’s (ADL’s). Penelitian ini bertujuan untuk  menganalisis pengaruh latihan fisik dengan flexibility exercises terhadap kemampuan  Activity Daily living’s  (ADL’s)pasien kanker di Murni Teguh Memorial Hospital dengan kriteria sampel yaitu pasien yang menjalani kemoterapi, tidak memiliki luka akibat kanker, tidak mengalami anemia, tidak mengalami fraktur, berjenis kelamin perempuan kooperatif dan memiliki rekomendasi dari dokter untuk melakukan latihan fisik dengan flexibility exercises. Metode penelitian ini menggunakan rancangan one group pre-post test designe. Latihan fisik dengan flexibility exercises dilakukan minimal 30 menit setiap kali melakukan latihan dan dilakukan 3 kali seminggu selama 30 kali pertemuan dengan jumlah sampel sebanyak 30 orang dengan teknik accidental sampling. Luaran wajib penelitian ini berupa publikasi ilmiah jurnal nasional tidak terakreditasi dan luaran tambahan berupa keynot speaker/invited dalam temu ilmiah lokal dan nasional serta pembuatan bahan ajar di bidang pelayanan asuhan keperawatan pasien kanker dan juga paliatif care di bidang onkologi (kanker). Adapun tujuan dari Tingkat Kesiapterapan Teknologi (TKT) penelitian ini adalah berbagai produk alat kesehatan, berupa perumusan topik-topik penelitian, menyusun hipotesis, merencanakan rancangan experimen untuk menemukan solusi permasalahan, mengidentifikasi potensi dan peluang target terapi, pembuktian terhadap kebenaran konsep (proof-of-concept), penyusunan prosedur dan metode yang digunakan dalam studi klinis dan publikasi pembuktian kebenaran konsep.
On the geological interpretation of the Baikal porphyrya as a unique buried meteorite crater
Authors: Yakovlev V.
Published: December 2021

The author argued a new interpretation of previously known within the Baikal Ridge igneous rocks of the genesis controversial, invites the conclusion of their impact origin. The new structure is proposed that buried meteorite crater – Baikal astrobleme Riphean age (600 million years). The diameter of the crater at least 510 km, with external emissions – 810 km. Done with the assumption that-cause-effect relationship uniquely Baikal asteroid crash with a unique global Lapland glaciation of the same age – 600 million years.
Results of the petrographic survey of the foundations of Savior’s Transfiguration cathedral in the city of Chernihiv
Authors: Nikitenko I. , Chernenko O.
Published: December 2021

On the basis of the petrographic analysis of the building stone from the Savior’s Transfiguration Cathedral foundations (11th century) in the city of Chernihiv, the sections of different periods of the temple construction were determined. On the basis of the petrographic peculiarities comparison of building stones from the foundations of the Cathedral and Desiatynna Tserkva in the city of Kyiv and similar rocks from outcrops, conclusions were drawn about the fact that Buchak series sandstones used in the cities of Kyiv and Chernihiv originated from different deposits. The probable places of mining of the raw material for the Savior’s Transfiguration Cathedral construction were the outcrops near the city of Novhorod-Siverskyi.
A Shared Space: Metatheatricality in Wilder's Unfinished Play The Emporium
Authors: Hamlett Bonnie Georgette
Published: December 2021

As an incomplete play, the scenes from The Emporium demonstrate Wilder's continued experimentation with character and metatheatricality. Through two distinctly different characters, Wilder explores the significance of the Everyman archetype and the purpose it serves in theater. John, the protagonist, represents Wilder's more traditional and familiar tendency to favor the Everyman in Everyone but still challenges the limitations of its archetype. In contrast, the Member of the Audience is by title inherently an Everyman and another of Wilder's uniquely metatheatrical figures existing in the space outside of his play-within-a-play structure. The Emporium offers new insights into how Wilder understood the Everyman as a character within metatheatricality and what it means to be the ideal audience for his theater.
Covid-19 Brachial plexopathy: a case report
Authors: Camelo Filho Antonio Edvan , Sodré Diego Sant’Ana , Arantes Halisson Flamini , Heise Carlos Otto
Published: December 2021

Context: The understanding of neuromuscular manifestations secondary to infection by SARS-CoV-2 is scarce. Peripheral neuropathies are a heterogeneous group of diseases affecting the peripheral nervous system, with a variable motor, sensitive and autonomic involvement. There are recent descriptions of atypical patterns of neuropathies after COVID-19. In this study we aim to report a brachial plexopathy secondary to COVID-19 with its clinical and electrophysiological characterization. We performed a cross-sectional, observational, descriptive, case report type, using medical record review. Case report: A 42 year-old female was hospitalized for 2 months due to severe respiratory syndrome due to COVID-19. She remained in the ICU for 20 days. During her stay in the ward she complained of weakness and pain in his right upper limb. Physical examination revealed weakness in the right shoulder abduction and elbow flexion. Nerve conduction studies demonstrated involvement of the upper trunk of the right brachial plexus. There was no report of trauma. Her BMI was 50 kg/m2. Conclusions: Recent studies bring atypical descriptions of focal neuropathies, multiple mononeuropathies and plexopathies, opening a new field of study in addition to the description of neuromuscular weakness following ICU stay after COVID-19. From an electrophysiological point of view, there is a recent interest in better characterization of patients with axonal neuropathies suggesting a possible vasculitic mechanism of neuronal damage after COVID-19. Further investigations are necessary to improve the characterization of this particular group, helping its diagnosis and early treatment to reduce complications and disabilities.
Bilateral diaphragmatic eventration and alveolar hypoventilation in congenital myotonic dystrophy
Authors: Moreira João Victor Aguiar , Goulart Isabela Maria Bernardes , Santos Diogo Fernandes dos , Borges Isabella Sabião , 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 , Oliveira Thales Junqueira , Assunção Gabriel Nunes Melo , Rosa Maria Fernanda Prado
Published: December 2021

Context: Congenital myotonic dystrophy (CMD) is a subtype of type 1 myotonic dystrophy presented in the neonatal period associated with a 16–40% mortality rate. CMD cause significant morbidity and mortality and often require intensive intervention at birth because of hypotonia, respiratory failure and feeding difficulties. It can cause respiratory problems including ineffective cough, recurrent pulmonary infections, orthopnea, dyspnea, poor sleep, apnea and snoring. However, there are few descriptions about diaphragmatic impairment in CMD. We present a baby who had bilateral diaphragmatic eventration associated with CMD. Case report: A term outborn female baby with normal birth weight, delivered by cesarean presenting hypotonia and breathing difficulty since birth. There was no history of meconium aspiration syndrome and aspiration pneumonia. Neurological examination showed a severe hypotonia, eyelid ptosis, oral motor weakness and suction inability, without contractures. Chest X-rays confirmed the bilateral diaphragmatic paralysis. Electroneuromyography confirmed a marked myopathic involvement with frequent myotonic discharges. The mother presented clinical and electrical myotonic phenomena. The baby started mechanical ventilation as was not maintaining saturation on head box oxygen. After surgical repair the baby started on non-invasive respiratory support with improvement of ventilatory conditions. Conclusion: Diaphragmatic eventration is a congenital condition where the muscle maintains its normal costal attachments but is significantly elevated with limited motility. Clinical manifestations vary to life-threatening respiratory distress. Bilateral congenital diaphragmatic eventration is rarer and has more guarded prognosis. Early diaphragmatic plication enhances weaning process and may prevent or minimize the morbidity. Infants with CMD should be monitored for diaphragmatic impairment.
Full attention meditation and the: benefits in self- perception of health in post-stroke individuals: pilot study
Authors: Carvalho Ana Beatriz Cavalcante de , Medeiros Ana Loyse de Souza , Araújo Denise Soares de , Cavalcante Gleyciana Leônidas , Cacho Roberta de Oliveira
Published: December 2021

Introduction: Meditation is a technique that can be used in the rehabilitation of post-stroke individuals, helping to reduce stress and mental fatigue. Objective: To assess whether mindfulness meditation can influence the reduction of stress and improve the well-being of post-stroke patients. Methodology: This pilot study included post-chronic stroke individuals who understood simple commands and had a mobile cell phone. The intervention protocol was performed remotely and consisted of conducting guided meditation. Assessments were made before starting the program (T0), after four weeks (T4) and at the end of eight weeks (T8) using the following instruments: WHO well-being index (WHO-5), Numerical pain scale (END), Perceived Stress Scale, Modified Rankin Scale and Focused Rankin Assessment, Post-Stroke Self-Efficacy Scale (SSEQ-B), Functional Independence Measure (MIF), Participant’s Weekly Report, Participant’s Final Report and attendance. Results: Of the 12 patients contacted, only two completed the study. P1 obtained a total of 24 points in WHO-5 in (T0), (T4) and (T8) and 31 points for perceived stress in (T0), 27 points in (T4) and 30 points in (T8). The Numerical Pain Scale (END) obtained a zero score in all evaluations. P2, obtained a total of 15 points in WHO-5 in the period (T0) and 16 points in (T4 and T8). For the Perceived Stress Scale, it obtained 31 points in (T0) and 30 points in (T4) and (T8). At END he obtained a zero score in all evaluations. Conclusion: Mindfulness meditation did not demonstrate any benefits regarding the variables analyzed. However, some limitations need to be recognized, such as the low adherence of individuals to this type of intervention, since only 16.67% of the contacted participants completed the program.
iClinic: Software specialized in management of clinics and medical offices
Authors: Marquezin Thiago , Lourenço Felipe
Published: December 2021

Introduction: iClinic is a company that develops software with the purpose of assisting the doctor in the business management of his office or clinic. We believe that healthcare professionals are increasingly intertwined with technology. With that in mind, we offer an efficient and intuitive system, allowing our users to increase their productivity, reduce costs, decrease the no show rate and save time so that they can focus on humanized service. Methodology: A study was structured in order to understand what the doctors’ difficulties were when they became entrepreneurs. In order to contribute to the health area and when realizing that professionals are unassisted in the face of technological advances in their routines, iClinic has developed software capable of managing essential medical care tasks, namely: administrative management, medical records and electronic prescription, agenda service, telemedicine and online appointment scheduling. Results: Through market studies, interviews, routine monitoring of offices and clinics, it was found that the stored information of patients was largely contained in paper charts, notebooks, diaries and spreadsheets. Therefore, the insertion of technology in the administrative routine of offices and clinics was extremely important. With the use of the software, doctors obtained greater control of information, better management of time, financial control, reduction in the show and increase in the number of consultations. Conclusion: The health sector has stood out over the years and iClinic has as a pillar to encourage the evolution of good practices using technology, so the software developed by iClinic contributes immensely to the doctor or professional who runs the clinic and / or office increase the level of organization and efficiency, as the use of technology in administrative activities is indispensable in the globalized world.
Cortical and subcortical atrophy in individuals with Huntington's disease and Huntington-like disease
Authors: Souza Thierry Kaue Alves Silva , Alves Nara Maria Borges , Moraes Fabiana , Paula Felipe de , Suemitsu Luciana Yasuda , Azevedo Paula , Piovesana Luiza , Bonadia Luciana , Cendes Fernando , Martinez Alberto Rolim Muro , Cendes Iscia Lopes- , Yasuda Clarissa Lin
Published: December 2021

Background: Huntington-like (HL) syndrome represents a group of diseases clinically similar to Huntington disease (HD) with different genetic etiology. Here, we aimed to compare clinical and neuroimaging features between HL and HD. Methods: We assessed 12 patients with HL (6 men; 53.66±13.02 years old) and 12 with HD (genetically confirmed, 6 men; 52.58±11.64 years old). All patients were followed at UNICAMP and were matched to sex, age, age at onset and duration of disease. They underwent 3T MRI scans, detailed neurological examination, the unified Huntington’s disease rating scale (UHDRS), the Montreal cognitive assessment (MOCA), Beck depression inventory (BDI), and the scale for the evaluation of rating ataxia (SARA). We APPLIED voxel-based morphometry technique (SPM12/CAT12/MATLAB software) to assess differences in the gray and white matters between groups and matched controls. Results: Groups were clinically similar, but the VBM study revealed widespread cortical (bilateral) and subcortical atrophy in HD (bilateral globi pallidi, amygdala, hippocampi, caudate and putamen), with a more restricted cortical (left temporal lobe) subcortical atrophy in HL (bilateral thalami, putamen and left hippocampus). Cortical atrophy in HL concentrated in the bilateral putamen. The left hippocampus were atrophic in both groups. Conclusion: Despite similar clinical presentation, patients with HL and HD have distinctive patterns of atrophy subcortical structures, mainly in the thalami. These results may raise insights into the underlying disease mechanisms in HL and HD and could be useful as biomarkers of disease progression in future therapy trials.
Canabinoids as a therapeutic alternative in refractory epilepsy
Authors: Elói Daniel Vinicius , Araújo Daniel Lopes Marques de , Marçal Gabriela Fonseca , Vargas Luana Soares , Ribeiro Matheus Garcia , Rabelo Nicollas Nunes
Published: December 2021

Introduction: Epilepsy is characterized by abnormal electrical discharges in the brain that generate neuronal hyperexcitability and hypersynchrony. In the last years, pharmacological strategies have been efficient in the control of epileptic seizures of approximately 80% of patients, however, there are still refractory cases. Objective: To elucidate new forms of epilepsy treatment with cannabinoids. Design: Systematic Review performed at Centro Universitário Atenas – Paracatu – Minas Gerais. Methods: Literature review performed in the SciELO and PubMed databases, with the following terms: epilepsy and cannabidiol. Five papers, published from 2017 to 2020, written in English or Portuguese, were selected. Review: Epileptic seizures affect conscience, motor, sensory, and cognitive functions. The treatment with available antiepileptic drugs does not display a complete therapeutic efficiency, as it is still observed the presence of refractory patients. In this context, the cannabidiol (CBD), by interfering in the information flow between neurons, acts therapeutically preventing overload. In the central nervous system, CBD acts in the CB1 receptors, present in GABAergic inhibitory neurons and glutamatergic excitatory neurons. Evidence from an electronic research performed in 2015, with 117 parents of children with refractory epilepsy that used cannabidiol, displayed that seizures were reduced by 85%, including 14% with total suppression. Conclusion: The studies show that CBD, by acting with specific neuronal receptors, decreases cerebral hyperexcitability. Therefore, this therapeutic alternative may improve the physical and emotional well-being of refractory epileptics.
Busca ativa das parcerias sexuais de gestantes com sífilis: um relato de experiência na atenção primária em saúde de Raposa (MA)
Authors: Sousa Livia Cristina , Diniz José Adailton Roland , Oliveira Paulo André Melo , Costa Gláucia de Oliveira , Silva Antonia Yara Moreira Lima , Meireles Alessandra Coelho Vivekananda , Viana Marconi Relnner Mesquita
Published: December 2021

Introdução: A falta de tratamento dos parceiros sexuais é um dos principais entraves para o controle da sífilis. As parcerias sexuais das pessoas acometidas pela sífilis têm um importante papel na transmissão da doença. Objetivo: Relatar as atividades desenvolvidas, bem como os resultados da busca ativa para tratamento das parcerias sexuais em Raposa (MA). Métodos: Trata-se de um relato de experiência tendo como referencial as ações de busca ativa desenvolvidas pela ESF. Realizou-se um levantamento das parcerias sexuais não tratadas para sífilis a partir dos casos notificados no Sistema de Informação de Agravos de Notificação. Realizou-se convocação para testagem e tratamento das parcerias. As ações foram desenvolvidas nos anos de 2017 a 2019. Resultados: A busca ativa por meio de ação de testagem permitiu-nos localizar 7 dos 13 parceiros sexuais de gestantes com sífilis não tratados. Durante a abordagem dessas parcerias, realizou-se testagem, e os casos positivos iniciaram o tratamento conforme o protocolo clínico de manejo da sífilis e foram encaminhados para coleta de sangue para o Estudo Laboratorial de Doenças Venéreas e seguimento clínico em unidade básica de saúde escolhido pelo contato. Aproveitando-se a oportunidade, verificaram-se a situação vacinal em relação à hepatite B e o rastreio das outras infecções sexualmente transmissíveis e realizaram-se ações de educação em saúde sobre a sífilis e mandala de prevenção combinada do vírus da imunideficiência humana. Durante as ações de testagem foram encontrados casos suspeitos para sífilis, nenhum caso reagente para hepatite B e C, e todos sem a comprovação vacinal para hepatite B. Para as outras parcerias sexuais não encontradas durante a busca, agendou-se posterior comparecimento à unidade básica de saúde ou nova busca ativa. Conclusão: É significativo o benefício gerado pelas ações de busca ativa das parcerias sexuais, uma vez que fornece subsídios para a identificação de possíveis focos da doença e elaboração de estratégias para seu controle, além de promover o diagnóstico precoce, evitando-se as sequelas do diagnóstico tardio.
Teste de vírus da imunodeficiência humana em homens que fazem sexo com homens frequentadores de saunas
Authors: Maia Jéssica Karen de Oliveira , Araújo Júnior Antonio Jose Lima de , Oliveira Reângela Cíntia Rodrigues , Mota Nikaelly Pinheiro , Queiroz Maisa Leitão de , Galvão Marli Teresinha Gimeniz
Published: December 2021

Introdução: A elaboração da diretriz 90-90-90 pela Organização Mundial da Saúde indica relevância para a testagem rápida para o vírus da imunodeficiência humana. Nesse contexto, deve-se reconhecer a forma com que os homens que fazem sexo com homens vivenciam suas práticas sexuais de modo a identificar os locais que esses costumam frequentar para que se possa redirecionar as ações de diagnóstico e redução de danos nessa população. Objetivo: Identificar a prevalência da testagem para vírus da imunodeficiência humana e características dos homens que fazem sexo com homens frequentadores de saunas. Métodos: Estudo transversal desenvolvido em saunas no estado do Ceará em novembro de 2019. Estudaram-se homens que fazem sexo com homens adultos in loco (saunas). Inquiriu-se acerca da testagem e dados de caracterização sociodemográficas. Os participantes foram investigados quanto às variáveis sociodemográficas e clínicas, estas analisadas pelo software R. Resultados: Participaram 72 homens que fazem sexo com homens, a maioria >30 anos (60,0%), com ensino superior incompleto (37,1%), sem relacionamento afetivo (25,7%), negros (60,0%), com mais de três salários mínimos (34,3%), sem filhos (85,7%), que faziam uso de álcool (51,4%) e não fumavam (91,4%). Entre eles 80,0% realizaram teste rápido para vírus da imunodeficiência humana alguma vez na vida. Conclusão: Observou-se que houve uma relevante aceitação dos homens que fazem sexo com homens à realização do teste rápido para vírus da imunodeficiência humana. Isso demonstra a necessidade do oferecimento e oferta da testagem em diversos locais usuais de agrupamento de homens que fazem sexo com homens, além dos serviços de saúde, promovendo a acessibilidade e contribuindo para a identificação do vírus e, portanto, redução da cadeia de transmissão.
Intervenção educativa para prática da vacinação contra papilomavírus humano em adolescentes
Authors: Ferreira Hellen Lívia Oliveira Catunda , Barbosa Denise de Fátima Fernandes , Siqueira Cícero Mendes , Nicolau Ana Izabel Oliveira , Lima Thais Marques , Souza Leilane Barbosa de , Soares Paula Renata Amorim Lessa , Oriá Mônica Oliveira Batista , Aquino Priscila de Souza , Pinheiro Ana Karina Bezerra
Published: December 2021

Introdução: Infecção pelo papilomavírus humano é condição para desenvolvimento do câncer de colo uterino. Globalmente, maior prevalência de infecções é observada em idades jovens. Objetivo: Analisar efeitos de tecnologia educativa por meio de cartões-mensagem impressos na prática da vacinação contra papilomavírus humano em adolescentes. Métodos: Estudo experimental, do tipo ensaio clínico randomizado controlado, realizado em seis escolas municipais do Nordeste brasileiro de agosto/2018 a janeiro/2020 com meninas adolescentes entre 9 e 14 anos. A amostra total foi 238 no pré-teste (Grupo Controle (GC)=120, Grupo Intervenção (GI)=118) e 210 no pós-teste (GC=101, GI=109). Aplicou-se o inquérito conhecimento, atitude e prática pré e pós-intervenção. Realizaram-se teste de McNemar e modelo de regressão logística, com nível descritivo de 5%. Estudo aprovado sob parecer nº 2.645.679 do Comitê de Ética em Pesquisa e registrado na Plataforma Internacional de Registros de Ensaios Clínicos. Resultados: Em relação à prática pós-intervenção, verificou-se que GI tem frequência de prática avaliada em adequada (n=89) mais que GC (n=24), mostrando significância (p=0,000). A associação da prática com conhecimento e atitude foi significante (p=0,000), revelando que conhecimento e atitude adequados estão associados com prática adequada e vice-versa. Na regressão logística, evidenciou-se que idade 8.805,12 é significativa, mostrando que há duas vezes mais chances de haver adesão adequada que idades menores (p=0,017/OR=2,08). Conhecimento e atitude adequados pós-intervenção também são significantes (p=0,004/p=0,010). Adolescentes têm 2,5 vezes mais chances de terem avaliação da prática como adequada em relação às com conhecimento inadequado (odds ratio (OR)=2,516) e 5,5 vezes mais chances de terem prática adequada nas que apresentavam atitude adequada (OR=5,510). Conclusão: A intervenção é significativa para prática adequada, pois verificou-se que GI tem uma frequência de prática avaliada em adequada mais que GC e que idade, conhecimento e atitude explicam aproximadamente 70% da prática. Conhecimento e atitude adequados pós-intervenção, além da idade 8.805,12, aumentam a chance para prática adequada.
Investigação dos casos de sífilis congênita: ferramenta para vigilância, educação permanente e gestão
Authors: Souza Fábia Lisboa de , Teofilo Marcella Martins Alves , Kosa Kamila Cabral , Farias Yasmin Nascimento , Eppinghaus Ana Lúcia Fontes , Santana Márcia , Costa Antonio José Leal
Published: December 2021

Introdução: A sífilis congênita, embora seja um agravo possível de ser prevenido, ainda é considerada um grave problema de saúde pública. Objetivo: Analisar a conclusão e as vulnerabilidades dos casos de sífilis congênita residentes em Niterói (RJ) diagnosticados em 2018 e 2019. Métodos: Realizou-se análise dos casos de sífilis congênita residentes, exceto abortos, diagnosticados em 2018 e 2019, por fichas do Sistema de Informação de Agravos de Notificação e questionários de investigação. Resultados: Dos 46 casos de 2018 e 107 de 2019, respectivamente, 8 (17,4%) e 4 (4%) não fizeram pré-natal, 2 (4,4%) e 4 (4%) não fizeram triagem para sífilis congênita no pré-natal, 3 (6,52%) e 13 (12%) fizeram triagem porém não trataram, outros 11 (23,9%) e 17 (16%) não fizeram o tratamento adequado, 10 (21,7%) e 23 (21%) foram reagentes na triagem, tratamento adequado, porém reinfectaram, 9 (19,6%) e 32 (30%) foram reagentes na triagem, tratamento adequado, porém confirmaram sífilis congênita por outros critérios, 3 (6,52%) e 12 (11%) foram não reagentes no pré-natal porém foram reagentes no parto e 0 (0%) e 2 (2%) foram reagentes, considerados cicatriz sorológica, não tratada, e confirmaram por outros critérios. As principais vulnerabilidades identificadas foram família de baixa renda, 21 casos (45,7%) em 2018 e 50 casos (46,7%) em 2019, usuária de álcool e/ou outras drogas, 18 (39,1%) em 2018 e 34 (31,8%) em 2019. Conclusão: Investigar os casos de sífilis congênita com a atenção básica leva a identificar os casos que se referem a crianças expostas à sífilis materna e aos que de fato possuem critérios para sífilis congênita. A investigação dos casos de sífilis congênita é fundamental para qualificação da vigilância, aprimorando dados e apontando ações de educação permanente relacionadas à clínica e à avaliação das vulnerabilidades para pensar em estratégias intra e intersetoriais.