bluuebunny/crossref_metadata_2025 huggingface dataset:
Barriers and facilitators in the implementation of a telemedicine-based outpatient brain tumor surgery program
Authors: Mora Carla , Sampedro Isabel , Rodríguez-Caballero Angelina , Martín-Láez Rubén , Ortega-Roldán Marta , Venkatraghavan Lashmi , Fernández-Miera Manuel , Varea Mar , Pajaron-Guerrero Marcos , Esteban Jesus , Moreno Blanca , Manzano Asunción , Ruiz Isabel , Martino Juan , Zadeh Gelareh , Bernstein Mark , Velásquez Carlos
Published: June 2022

OBJECTIVE

Despite growing evidence on the benefits of outpatient oncological neurosurgery (OON), it is only performed in a few specialized centers and there are no previous descriptions of established OON programs in Europe. Moreover, increasing application of telemedicine strategies, especially after the start of the coronavirus disease 2019 (COVID-19) pandemic, is drastically changing neurosurgical management, particularly in the case of vulnerable populations such as neuro-oncological patients. In this context, the authors implemented an OON program in their hospital with telematic follow-up. Herein, they describe the protocol and qualitatively analyze the barriers and facilitators of the development process.

METHODS

An OON program was developed through the following steps: assessment of hospital needs, specific OON training, multidisciplinary team organization, and OON protocol design. In addition, the implementation phase included training sessions, a pilot study, and continuous improvement sessions. Finally, barriers and facilitators of the protocol’s implementation were identified from the feedback of all participants.

RESULTS

An OON protocol was successfully designed and implemented for resection or biopsy of supratentorial lesions up to 3 cm in diameter. The protocol included the patient’s admission to the day surgery unit, noninvasive anesthetic monitoring, same-day discharge, and admission to the hospital-at-home (HaH) unit for telematic and on-site postoperative care. After a pilot study including 10 procedures in 9 patients, the main barriers identified were healthcare provider resistance to change, lack of experience in outpatient neurosurgery, patient reluctance, and limitations in the recruitment of patients. Key facilitators of the process were the patient education program, the multidisciplinary team approach, and the HaH-based telematic postoperative care.

CONCLUSIONS

Initiating an OON program with telematic follow-up in a European clinical setting is feasible. Nevertheless, it poses several barriers that can be overcome by identifying and maximizing key facilitators of the process. Among them, patient education, a multidisciplinary team approach, and HaH-based postoperative care were crucial to the success of the program. Future studies should investigate the cost-effectiveness of telemedicine to assess potential cost savings, from reduced travel and wait times, and the impact on patient satisfaction.
The health economic effects of an imaging technology–based telemedicine system for rural neuro-emergency patient care
Authors: Sato Hirotaka , Kinoshita Manabu , Tani Yuji , Kimura Teruo , Osanai Toshiya , Osanai Hiroaki , Ogasawara Katsuhiko
Published: June 2022

OBJECTIVE

“Join,” an imaging technology–based telemedicine system, allows simultaneous radiological information sharing between physically remote institutions, virtually connecting advanced medical institutions and rural hospitals. This study aimed to elucidate the health economics effect of Join for neurological telemedicine in rural areas in Hokkaido, Japan.

METHODS

Information concerning 189 requests for patient transfer from Furano Kyokai Hospital, a regional rural hospital, to Asahikawa Medical University Hospital (AMUH), an advanced academic medical institution, was retrospectively collected. The Join system was established between Furano Kyokai Hospital and AMUH in February 2019. Data collected from patients between April 2017 and December 2018 were included in the non-Join group, and those collected between February 2019 and October 2020 were included in the Join group. Clinical variables, reasons for patient transfer requests, duration of hospital stay, and medical costs per patient were analyzed between these two groups. Furthermore, clinical characteristics were compared between patients who were transferred and not transferred based on Join.

RESULTS

More patients were discharged < 7 days after transfer to AMUH in the non-Join group compared with the Join group (p = 0.02). When focusing on the Join group, more patients who were not transferred were discharged < 1 week (p < 0.01). On the other hand, more patients required surgery (p = 0.01) when transferred. The ratio of patients whose medical cost was < USD5000 substantially decreased, from 33% for the non-Join group to 13% for the Join group.

CONCLUSIONS

An imaging technology–based telemedicine system, Join, contributed to reducing unnecessary neuro-emergency patient transfer in a remote rural area, and telemedicine with an integrated smartphone system allowed medical personnel to effectively triage at a distance neuro-emergency patients requiring advanced tertiary care.
Inpatient virtual shared medical appointments to improve health literacy, increase patient self-efficacy, and reduce provider burnout in acute cerebrovascular pathology patients and their caregivers: a pilot study
Authors: Mahajan Uma V. , Sharma Neha , Maynard Marquis , Kang Lei , Labak Collin M. , Raghavan Alankrita , Sajatovic Martha , Hoffer Alan , Shammassian Berje H. , Wright James M. , Zhou Xiaofei , Wright Christina Huang
Published: June 2022

OBJECTIVE

Admission to the hospital for an acute cerebrovascular condition such as stroke or brain hemorrhage can be a traumatic and disorienting experience for patients and their family members. The COVID-19 pandemic has further intensified this experience in addition to exacerbating clinician and resident burnout. To ameliorate some of these concerns, a team of resident and medical student trainees implemented a virtual shared medical appointment (vSMA) program for inpatients with acute cerebrovascular disorders and their caregivers. The authors hypothesized that an early intervention in the form of a vSMA improves patient and caregiver health literacy and preparedness while simultaneously educating clinical trainees on effective communication skills and reducing clinician burnout.

METHODS

Patients and caregivers of admitted patients were identified through a census of neurosurgery, neurocritical care, and neurology electronic medical records. A weekly 60-minute secure virtual session consisted of introductions and a 10-minute standardized presentation on cerebrovascular disease management, followed by participant-guided discussion. Participants completed presession and postsession surveys. Through this small feasibility study data were obtained regarding present challenges, both expected and unforeseen.

RESULTS

A total of 170 patients were screened, and 13 patients and 26 caregivers participated in at least 1 vSMA session. A total of 6 different healthcare providers facilitated sessions. The vSMA program received overwhelmingly positive feedback from caregivers. Survey responses demonstrated that 96.4% of caregivers and 75% of patients were satisfied with the session, 96.4% of caregivers and 87.5% of patients would recommend this type of appointment to a friend or family member, and 88.8% of providers reported feeling validated by conducting the session. The participant group had a 20% greater percentage of patients discharged home without home needs compared to the nonparticipant group. The primary obstacles encountered included technological frustrations with the consent process and the sessions themselves.

CONCLUSIONS

Implementation of a vSMA program at a tertiary care center during a pandemic was feasible. Themes caregivers expressed on the postsession survey included better understanding of caring for a stroke patient and coping with the unpredictability of a patient’s prognosis. The pandemic has precipitated shifts toward telehealth, but this study highlights the importance of avoiding marginalization of elderly and less technologically inclined populations.
Ecological implications of Rastrineobola argentea (omena) fishery: A rapid assessment of bycatch diversity at Dunga Beach, Lake Victoria, Kenya
Authors: Okinyi Walter , Outa Nicholas Otieno , Ogello Erick
Published: June 2022

Rastrineobola argentea (omena) is the second most important species in the fisheries of Lake Victoria after Nile perch. However, its fisheries have negative impacts on the ecology of the lake especially because of the high numbers and diversity of bycatch resulting from the fishery. This study conducted a rapid assessment in Dunga beach in Kisumu, Kenya to identify and quantify the bycatch and to collect information on the fishermen’s perceptions of the bycatch from the omena fishery. All the boats reported bycatches of different species and different sizes. The bycatches comprised of Lates niloticus, Haplochromis spps, Clarias gariepinus, Protopterus aethiopicus, Synodontis. The smallest bycatch recorded was Haplochromis spp (3.3 cm; 3g) while the largest fish bycatch was Protopterus aethiopicus (1.5 m; 2.4 kg). Other bycatch recorded were freshwater shrimps and molluscs. 80% of the fishermen suggested the provision of alternative livelihoods as a measure to reduce the pressure on omena fishery while 12% recommended stricter rules on gears implemented. A total of 99% of the fishers reported that they do not return bycatch into the lake but rather sell them together with the main catch (omena). The implications of this on the ecological functioning of the lake is predicated on the negative impacts on the trophic interactions in the ecosystem.
METHODS FOR INCREASING THE SAFETY OF OPERATION OF UNMANNED AIRCRAFT SYSTEMS IN THE URBAN ENVIRONMENT WHEN PERFORMING FLIGHT MISSIONS
Authors:   St. Petersburg State University of Aerospace Instrumentation, Gorelova A. A. , Kostin A. S. ,   St. Petersburg State University of Aerospace Instrumentation
Published: June 2022

The article proposes a methodology for ensuring the safety of the transportation process performed using an unmanned aircraft system - light and sound accompaniment of the flight stages, as well as signaling of errors during the flight. The development is designed to ensure that people who are under the aircraft on the route of its flight are aware of take-off, making an error-free flight and landing, and warn about the danger of being under the drone in emergency situations.
RESEARCH OF PASSENGER TRAFFIC IN THE TRANSPORT INTERCHANGE HUB
Authors:   St. Petersburg State University of Aerospace Instrumentation, Terpogosova T. T.
Published: June 2022

The article discusses and defines the main components of the transport-retuned node «Zvezdnaya». The analysis of traffic flows at the intersection of streets as part of the TPU is carried out. Also, the statistics of the traffic congestion of the TPU with passenger flows are presented. In particular, the characteristics of transport and passenger flows are described. To study the congestion of the metro lobby station, a simulation model of the queuing system in the AnyLogic environment has been implemented.
THE TECHNOLOGIES OF THE REALIZATION OF THE PRINCIPLES OF HISTORISM IN THE PROFESSIONAL ACTIVITY OF THE TEACHER OF MUSIC
Authors: Horbenko S.S. , Filatova L.M.
Published: June 2022

In the article says about the technologies of introducing the historical material into musical-educational process of the students of the comprehensive educational institutions on the basic of the personality oriented approach.
THE LESSON OF MUSIC AS A LESSON OF ART
Authors: Grozan S.V.
Published: June 2022

The article by deals with the following questions: planning the lesson of music as a creative process, art and pedagogic communicating at the lesson, definition of art and pedagogic communicating skills.
ТО THE QUESTION OF DEVELOPING ART EDUCATION IN UKRAINE: MIRGOROD ART SCHOOL AND THE FIRST YEARS OF ITS EXISTENCE
Authors: Krasyuk I.O.
Published: June 2022

The article highlights one of the aspects of developing art education in Ukraine at the end of the 19-th and the beginning of the 20-th centuries. The detailed anafysis of researches publications in this country examines Mirgorod art school and its activities as one of the first educational establishments in the field of art, its curricula, methods  of teaching art subjects.
VOCAL-CHORAL PREPARATION OF THE STUDENT FOR WORK FROM A MANSION IN SYSTEM OF CREDIT-MODULAR TRAINING
Authors: Martyanova H.M.
Published: June 2022

In article questions of conditions of formation of the creative person of the singer, the conductor, the teacher of music are considered during singing-choral preparation on system of credit-modular training; a parity of the contents, the organization of vocational training to work from a mansion.
THE BALLET MUSIC AS A MEANS OF INSTRUMENTAL AND PERFORMING TRAINING OF THE FUTURE TEACHER
Authors: Nazarenko M.P.
Published: June 2022

In the article by the necessity c f the usage of the ballet music is grounded considered in the piano playing teaching of the students of the Department of Art of the Pedagogical University.
FORMATION OF THE PROFESSIONAL READINESS OF THE FUTURE TEACHERS OF IMITATIVE ART
Authors: Nosachenko T.B.
Published: June 2022

The article smooth the problem ofprofessional preparation of the future teachers of imitative art in the process study «Pedagogical drawing».
The suggestive technologies as a condition of vocational training of the teacher of music
Authors: Semenjak V.M.
Published: June 2022

In article application the suggestive technologies which promote successful mastering of the realized and not realized components of mentality during mastering a material is considered. Use auto-trainings, various kihtl.s of meditations for development of emotional - shaped sphere is offered.
LESSONS OF MUSICAL SOCIETY STUDIES AND THEIR ROLE IN THE FORMATION OF PROFESSIONAL THINKING FUTURE MUSIC TEACHERS
Authors: Shakhlievich O.A.
Published: June 2022

Уроки музичного саятознавства дають нам позитивний приклад порівняльного музикознавства, допомагаючи розглядати питання історії української музичної культури під новим кутом зору - під кутом зору порівняльного аналізу, з ’ясовувати загальні закономірності музично-історичного процесу на різних ступенях розвитку суспільства.
CHEST X-RAY IN HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTED-PEDIATRICS: A CASE SERIES REVIEW
Authors: Putri Dhira Rizki , Jannah Marichatul
Published: June 2022

In 2017,Â IndonesiaÂ had 4.950 new cases of HIV infection in pediatrics. In HIV, a chest x-ray is generally used to determine the Opportunistic Infections (OIs) to accelerate treatment. There are differences in the projections and the typical features on chest x-ray in each OI. The research aims to study the projectionsÂ and theÂ role ofÂ pediatricÂ chest x-ray examination in HIV. This is a descriptive qualitative research design with a case series.Â In this series, 5 pediatric patients with HIV infectionÂ are described with tuberculosis, pneumonia, and bronchiectasis. A chest x-ray in pediatrics is the most accessible investigation for respiratory disease and has an important role in the initial assessment and the follow-up of respiratory disease in HIV-infected children. It is recommendedÂ that a pediatric chest x-ray should be carried out with PA projection to obtain more optimal results. Pediatrics with clinical HIV infection can employ chest x-raysÂ to find typical features of bilateral hilar adenopathyÂ in cases of TB, focal and multifocal parenchymal abnormalitiesÂ in cases of pneumonia, or dilated and thickened airways that appear as ring shadows or tramwaysÂ in bronchiectasis.
FOOD RECALL MOBILE APPLICATION DESIGN AS A MEASURING TOOL FOR INDIVIDUAL AND FAMILY FOOD CONSUMPTION
Authors: Sari Ni Nengah Asti Kartika , Irianto Fajar , Hutami Anisa Tri
Published: June 2022

The information technology development has been used to create SITAMARI (daily food record system) that can be used as an assessment that correlates with a daily intake of food or the eating habit of the society that has been designed to be easy to use, efficient, and precise. The goals of this research were to design the SITAMARI application as the learning media of the Food Consumption Survey practice of the nutrition major's students. For now, the SITAMARI application is still in the development stage and thus hasnâ€™t been launched online for a larger audience. This research used the quasi-experimental design of one group pre-test-post-test. Research subjects are 25 3rd-grade Diploma III Nutrition students, aged 18 â€“ 25 years old, who have already understood 24 hours food recall method, and have a well-working Android smartphone. A pre-test questionnaire was given, followed respectively by the treatment and the same questionnaire as the post-test. Lastly, the Likert questionnaires about their perception after using the application were filled out. The statistical analysis using the paired sample t-test showed that t-calculated < t-table with a significant probability value of 0.00 < 0.05. It was concluded that the use of the application is effective in the students' learning. The user satisfaction survey showed the application was attractive in design and easy to use and increased knowledge in Food Consumption Survey. However, the results of the food recall calculation still need to be validated comparatively with the manual food recall format.
THE INFLUENCE-FACTOR OF CYCLING AS PHYSICAL ACTIVITY IN ELDERLY POST COVID-19
Authors: Setiawan Cahyo , Jannah Suci Muqodimatul
Published: June 2022

As the age increases, the number of deaths caused by Covid-19 becomes prominent. In China, 3,6% of people aged 60-69 years died, followed by 8% of those aged 70-79 years becauseÂ older people commonly experienced various comorbidities such as cardiovascular, diabetes, chronic respiratory disease, and hypertension. Therefore, if older people perform cycling consistently as an exercise, it would increase their immunity and derive long-term benefits. This study was a descriptive-quantitative study aimed to describe the factors that influence physical activity, specifically cycling, in aged-people post-Covid-19. The International Physical Activity Questionnaire (IPAQ) has been used to collect the information. The results showed that 88,6% of elderly people cycle because they know about the importance of exercise in health. In terms of age, the people aged between 55 and 60 years old were dominated by cycling with 29% of them being female.
Bifunctional gallium cation chelators
Authors: Polivanova A. G. , Solovieva I. N. , Botev D. O. , Yuriev D. Y. , Mylnikova A. N. , Oshchepkov M. S.
Published: June 2022

Objectives. The chemistry of 67Ga and 68Ga radionuclides plays a key role in nuclear medicine for applications in radiopharmaceuticals, in particular, in noninvasive in vivo molecular imaging techniques. The use of radiometals for labeling biomolecules typically requires the use of bifunctional chelators, which contain a functional group for covalent bonding with the targeting vector in addition to the polydentate fragment coordinating the metal. The aim of the present review article is to analyze the currently accumulated experimental material on the development and application of bifunctional chelators of gallium cations in medical research, as well as to identify the main requirements for the structure of the chelator and its complexes with 68Ga, which are used to create effective Gabased pharmaceutical preparations.

Results. The review analyzed macrocyclic bifunctional chelators forming stable in vivo complexes with 68Ga and acyclic chelators, whose main advantage is faster complexation kinetics due to the short half-life of 68Ga. The advantages and disadvantages of both types of ligands were evaluated. In addition, a critical analysis of the binding constants and the conditions for the formation of complexes was presented. Examples of the influence of the geometry, lipophilicity, and total charge of the metal complex on the biodistribution of target radiopharmaceuticals were also given.

Conclusions. Despite the progress made in the considered areas of bifunctional chelators, the problem of correlating the chemical structure of a metal-based radiopharmaceutical with its behavior in vivo remains important. Comparative studies of drugs having an identical targeting vector but containing different bifunctional chelating agents could help further elucidate the effectof metal chelate moiety on pharmacokinetics. In order to create effective bifunctional chelating agents, it is necessary to take into account such factors as the stability and inertness of the chelator and its complexes under physiological conditions, lipophilicity, complexation kinetics, chelation selectivity, combinatoriality of the basic structure, along with economic aspects, e.g., the availability of raw materials and the complexity of the synthesis scheme.
Endothelial expression of the receptor for advanced glycation end products in experimental diabetes
Authors: Muñoz Nelson , Mosquera Jesús , Pedreáñez Adriana
Published: June 2022

The receptor for advanced glycation end products (RAGE) is implicated in the pathogenesis of several chronic diseases including diabetes. The interaction between RAGE and advanced glycation end products (AGEs) promotes gene expression, enhances the release of proinflammatory molecules and causes the generation of oxidative stress in numerous cell types. The aim of this investigation was to evaluate the effect of enalapril and losartan on RAGE expression in abdominal aortic endothelium of rats with experimentally induced diabetes. Male Sprague-Dawley rats, weighing approximately 150 - 200 g, were used. Diabetes was induced in 30 rats by intravenous administration of a single dose of 55 mg/kg body weight of streptozotocin (ETZ). The following groups were studied: control (n=10), diabetic (n=10), losartan-treated diabetic (n=10) and enalapril-treated diabetic (n=10) rats. RAGE expression in aortic endothelium was determined by indirect immunofluorescence. A significant increase in RAGE expression was observed in diabetic animals versus controls (p<0.001), there was a decrease in RAGE expression, in animals treated with losartan versus controls (p<0.01) and in those treated with enalapril (p<0.05) versus control and versus diabetes + vehicle. In conclusion, in the experimental model of ETZ-induced diabetes, there is an increase in RAGE expression at the level of the abdominal aortic endothelium, which can be reversed by treatment with losartan and/or enalapril, two drugs that block the renin-angiotensin system, suggesting its involvement in the molecular events related to vascular damage during diabetes.
Abdominal Wall Hernias: different types of classifications and complications
Authors: Larco Coloma Jesús , Larco Noboa Nicolás , Rumazo Zambrano Alegría
Published: June 2022

Abdominal hernias are defects due to loss of continuity of the fasciae and/or muscles with the protrusion of abdominal structures. They are the third most prevalent and incident abdominal pathology worldwide and the second pathology of consultation in general surgery in patients of age limits. There are various factors that contribute to their formation, but within the scientific community there are various types of classifications, which differ according to the professional training school and their decision-making. This bibliographic review aims to expose the most used abdominal hernia classification systems such as the European one that has a morphological vision, the Ventral Hernia Working Group that proposes its aspect on recurrence together with the modified one that exposes comorbidity and the staging system of ventral hernia that provides a comprehensive approach to classification and management. In addition to the most common complications of the same.
Acute Hepatitis in a Pediatric Patient with COVID -19 : Case Report
Authors: de la O-Cavazos Manuel , de la O Escamilla Manuel , Gómez-Orozco Alberto , Álvarez-Lozada Luis Adrían , Flores-Heredia Marco Antonio
Published: June 2022

COVID-19 typically courses with mild clinical manifestations; however, a pediatric patient might get severe sequelae and complications when there is an infection. There is no information about liver complications due to COVID-19 in children in Mexico. This case report will set a precedent about timely diagnosis for hepatitis as a complication for COVID-19 disease in young patients in Mexico. Clinical case: A 12-years-old man has intermittent generalized abdominal pain misdiagnosed and treated for irritable bowel syndrome 3 days prior. The abdominal pain stayed, and a day after the patient vomited 3 times (each one after every meal). The patient started with orangish urine, weakness, fatigue and hyporexia 1 day prior to admission. The day of the admittance, a COVID-19 RT-PCR test was performed, giving a positive result. Once he was admitted, laboratory tests were made, showing an increase of liver enzyme levels, showing liver disease as a complication for the viral infection. Conclusion: Pediatrics patients might get Hepatitis due to COVID-19. In a patient with abdominal pain or other liver disease symptoms while coursing with the virus or even after the infection, further investigation must be made.
Memorias Seminario por inauguración del Observatorio Socioeconómico de Frontera UPEC Carchi – Nariño
Authors: Cordero Yosira , Terán Gustavo
Published: June 2022

En marco de la celebración de los diez años de creación de la UPEC, la Facultad de Comercio Internacional, Integración, Administración y Economía Empresarial realizó un seminario para inaugurar el Observatorio Socioeconómico de Frontera, desarrollado el 30 de marzo de 2016, en Tulcán, Ecuador. En el evento se presentaron avances y resultados de investigaciones, para atender problemas de la provincia del Carchi, Ecuador, y el departamento de Nariño, Colombia. Entre los temas abordados están el valor agregado en la economía de la Zona de Integración Fronteriza, la caracterización de los estudiantes extranjeros en el Carchi, la caracterización de la zona fronteriza con el departamento de Nariño, la infraestructura física en la zona fronteriza, los niveles de pobreza en la zona de frontera, los saberes cívicos en la innovación y los emprendimientos de la gestión pública.
Pre-induction Jerky limb movements on operation table – Is it transient ischemic attack
Authors: Singh Jotika , Gupta Vibhor , Chilkoti Geetanjali T. , Saxena Ashok Kumar , Gaur Diksha
Published: June 2022

Transient ischemic attack (TIA) is a diagnostic challenge for all physicians due to the temporariness of symptoms and the absence of any definitive diagnostic test. There is a very high risk of TIA being followed by an ischemic stroke, hence require urgent investigation and preventive strategies. At the same time, it is also important to distinguish TIA from other close differentials, to avoid wrong diagnoses leading to harmful, misdirected medical management. In this report, we will discuss the case of a middle-aged male patient with stable pre-operative vitals who was posted for total parotidectomy and suddenly developed jerky movement of the upper limb and transient aphasia on the operation theater table along with raised blood pressure. This is a very rare presentation of TIA that needs to be differentiated from other close differentials as this form is mostly associated with severe carotid occlusive disease and, hence, carries a high risk of stroke.
Vulvar melanoma with multisystemic metastases: A rare case presentation
Authors: Singhal Shailvi , Reddy K S Sunil , Kathirvel Kokila , Meena Lokesh , Yadav Abhishek Kumar , Sharma Pankaj
Published: June 2022

Malignant melanoma is the second most common vulvar malignancy which occurs in elderly females. In advanced stages of the disease, distant metastases can occur to any organ; hence, comprehensive radiological evaluation is necessary. We report a case of a 45-year-old female who presented with progressively increasing growth over the vulva for 6 months. On detailed clinical, pathological, and radiological workup, multiple metastases were found in the brain, liver, pancreas, peritoneum, lungs, and pleura. The final diagnosis of vulvar melanoma with multisystemic metastases was made after the histopathological examination.
Relação multicausal na morbimortalidade de SARS-CoV-2: uma análise comparativa entre os municípios potiguares
Authors: Beilfuss Daiane Débora , Santin Sadi Bruno Freitas , Pinheiro Ana Carine Guedes , Varela-Barca Francisco Napoleão Tulio
Published: June 2022

à metodologia, foram coletados dados presentes junto a plataforma do DataSUS, que é aberta ao público, delimitando-se como período avaliativo, o tempo compreendido entre o dia 19 de março de 2020 e o dia 07 de julho de 2020. Os dados obtidos foram colocados em tabelas e gráficos que melhor pudessem permitir uma avaliação dos registros, utilizando-se de programa de informática para separar, ordenar e classificar as variáveis de análise. Observou-se um maior número de casos registrados na capital do Estado, mantendo-se o perfil das demais capitais brasileiras. O município de Mossoró, segunda maior cidade do RN, registrou o primeiro caso e a maior elevação das taxas de óbitos, desde que o estado notificou seu primeiro caso. Houve grande correlação da taxa de mortalidade e a presença de fatores como idade avançada (60-70 anos), presença de comorbidades como diabetes e Hipertensão Arterial, ser do sexo masculino (comportamental, por demora em receber tratamento hospitalar), ter baixa escolaridade (dificuldade de acesso ao serviço médico). O estudo da multicausalidade na morbimortalidade das vítimas da pandemia vem auxiliar como forma de prevenção e para diminuição de casos fatais, uma vez que ainda estamos passando pela pandemia, serve também para rápido manejo no futuro em casos de novas epidemias virais, servindo também como registro histórico de um momento difícil da história da humanidade.
Vida e obra de Francisco Añón
Authors: Bel Ortega Fernando
Published: June 2022

ese de doutoramento presentada por Fernando Bel Ortega, baixo a dirección do Dr. D. Xosé Luís Couceiro Pérez, profesor titular de Literatura Galega na Facultade de Filoloxía da Universidade de Santiago. Na tese doutoral do profesor Bel amósase ao lector o corpus, hoxe por hoxe máis extenso, da obra poética de Añón: 153 composicións, das cales 14 son inéditas. Ademais do mérito cuantitativo, non pequeno, o corpus ofrecido por Bel contén outras achegas, algunhas tan valiosas como a datación, en 1845, dunha composición tan importante como “Recordos da infancia”. A partir do estudo e da edición do profesor Bel Ortega estamos en condicións bastante precisas para facer unha lectura axeitada da obra literaria de Añón e para precisar a súa presenza e a súa incidencia dentro do noso Prerrexurdimento.
The role of the Big Four audit firms and the legal system in non-GAAP comparability
Authors: Macchioni Riccardo , Allini Alessandra , Prisco Martina
Published: June 2022

The purpose of this paper is to investigate whether the firms with the same Big Four audit firm and from the same legal system disclose more comparable non-GAAP measures. Using 23,436 pairs of European firms, we hand-collected infor-mation on the non-GAAP measures disclosed in the statement of comprehensive income. The results showed that the firms with the same Big Four audit firm or from the same legal system are positively and significantly associated with non-GAAP comparability. Our work adds to the studies on accounting comparability. Furthermore, it provides fresh insights that support the latest IASB activity on the Primary Financial Statement project, under which the standard setter has en-dorsed ED/2019/7 General Presentation and Disclosures.
The role of Key Performance Indicators as a performance management tool in implementing corporate strategies: A critical review of the literature
Authors: Hristov Ivo , Chirico Antonio , Camilli Riccardo
Published: June 2022

Over recent decades, organizations have moved into highly competitive markets that force companies to implement Performance Management Systems (PMSs) to keep monitoring strategy alignment and activities. In this context, this paper provides a Systematic Literature Review (SLR) on the use of Key Performance Indicators (KPIs) in PMSs. Relevant and useful papers have been selected for the analysis and the final 60-paper sample has been studied by means of con-tent analysis and descriptive statistics. The relevant findings have been reported across categories (i.e. value drivers, practices and measures, contextual drivers, and critical issues), such as increasing the use of KPIs supporting sustainable de-velopments and a dichotomy between qualitative and quantitative indicators. In particular, authors revealed the need for a KPI strategical formulation and for a cultural factor aimed at ensuring the effective integration of quantitative, qualita-tive and sustainable development indicators. Therefore, a conceptual model was developed in order to guide managers through the criticalities and the recently reported requirements. This review addresses the KPIs' implementation from both a systemic and critical point of view; these aspects made our study really useful for practitioners of all application sectors.
Parenting adolescent daughters: differential effects of maternal attachment insecurity and proximity-seeking
Authors: Oskis Andrea , Thorn Lisa , Clow Angela
Published: June 2022

Parenting adolescents requires parents to display diverse competencies, and parenting competence i.e. «caregiving» may be affected differentially by the underlying dimensions of an individual's «care seeking» behaviour, i.e. their own attachment style. Twenty five mothers of adolescent daughters were recruited in a cross-sectional design for this pilot study. Mothers aged between 32-51 years with a mean (± SD) age of 44.72 (± 5.47) years and each completed the Parenting Role Interview, which provides an «investigator-based» as-sessment of their parenting competence, as well as self-report measures of attachment style, stress, depression and well-being. Results revealed that greater parenting competence was associated with higher levels of the specific attachment construct of proximity-seeking, but not attachment security. In addition, worse maternal psychological health was associated with attachment insecurity, but not proximity-seeking. The underlying attachment dimension of proximity-seeking may hold particular significance for mothers of adolescent daughters and may be a viable resilience target for parenting interventions.
L'istituzione del tribunale unico per le persone le famiglie e i minori, l'unificazione dei riti e la considerazione dell'interesse del minore
Authors: Montaruli Valeria
Published: June 2022

L'articolo analizza i principali aspetti della delega contenuta nella legge 26 novembre 2021, n. 206 sulla riforma del processo civile, analizzando i principali profili ordinamentali relativi all'istituendo "Tribunale per le persone, per i minorenni e per le famiglie" ed evidenziando come l'estesa monocraticità e la marginalizzazione della multidisciplinarietà rischino di porre al centro il conflitto familiare e di depotenziare la tutela del minore in situazioni di pregiudizio. In questa chiave, si esaminano alcuni aspetti relativi alla delega sul rito unico, concludendo che l'imponente sforzo di unificazione e razionalizzazione di una materia così frammentata potrà produrre i risultati sperati, solo attraverso una piena valorizzazione del patrimonio esperienziale e culturale della giustizia minorile.
La legge delega 26 novembre 2021, n. 206 e le disposizioni immediatamente precettive
Authors: Castellani Cesare
Published: June 2022

L'articolo prende in esame le norme che troveranno immediata applicazione alla prossima data del 23 giugno 2022, quindi in un momento certamente anteriore a quello fissato dal legislatore della delega per l'approvazione dei decreti legislativi sugli altri aspetti della riforma. Vengono affrontate le problematiche connesse alla nuova disciplina dell'art. 403 c.c., alla riforma dell'art. 38 disp. att. nel rapporto con l'art. 709 ter c.p.c., alla figura del curatore speciale del minore.
Un giusto giudice per un giusto processo: giudici onorari tra collegio e ufficio del processo
Authors: Italia Eugenia
Published: June 2022

La riforma introdotta dalla legge 26 novembre 2021, n. 206 impone una riflessione profonda sul ruolo dei giudici onorari che da «giudici» diventano «ausiliari». La riflessione impone però una panoramica a largo raggio, in senso diacronico, ripercorrendo l'evoluzione delle funzioni dei giudici onorari, e in senso ontologico, indagando e fissando il fondamento della giustizia minorile. Si arriverà alla conclusione che la prevista soppressione della collegialità integrata dai giudici onorari mina l'essenza stessa della giustizia minorile e in ragione di questa gravità deve essere ripristinata. Per una effettiva tutela non è sufficiente prevedere un «giusto» processo se al contempo non è previsto un «giusto» giudice, multidisciplinare, competente a rispondere efficacemente ai bisogni di questo comparto specifico della giustizia.
Collegialità e multidisciplinarietà del Giudice minorile nella giurisprudenza costituzionale a confronto con le scelte della legge 26 novembre 2021, n. 206
Authors: Conti Andrea
Published: June 2022

L'Autore prende in esame la legge 26 novembre 2021, n. 206 nella parte in cui ha delegato il Governo a istituire il tribunale per le persone, per i minorenni e per le famiglie, con particolare riferimento alla composizione del nuovo organo giurisdizionale. Successivamente verranno analizzati, anche alla luce dell'insegnamento della Corte costituzionale, i caratteri della collegialità e della multidisciplinarietà tipici del tribunale per i minorenni per poi verificare se il loro superamento, attraverso l'istituzione del tribunale per le persone, per i minorenni e per le famiglie, risulti sorretto da adeguate motivazioni e giustificabile alla luce del best interest del minore.
Cambiamenti climatici e ondate di calore in ambito urbano. Temi, problemi e vissuti della cittadinanza nel caso torinese
Authors: Bagliani Marco , Bignante Elisa , Dansero Egidio , Fedi Angela , Menegat Stefano
Published: June 2022

Gli eventi estremi sono uno degli esiti del cambiamento climatico con maggiori implicazioni per il vissuto delle persone. L'articolo indaga l'impatto delle ondate di calore nei contesti urbani, con un'analisi di caso studio. L'analisi intrapresa con il progetto "RicercaEventi Estremi a Torino" si è basata su 120 interviste semi-strutturate agli abitanti di due quartieri periferici. I risultati hanno messo in luce tendenze già rilevate nella letteratura internazionale, in particolare la percezione delle ondate di calore come fenomeni aggravanti preesistenti condizioni di precarietà. I risultati evidenziano anche come aspetti culturali e psicosociali siano fattori chiave per la vulnerabilità dei contesti locali alle ondate di calore.
Gli agenti di destabilizzazione e la transizione energetica
Authors: Grasso Marco
Published: June 2022

L'articolo analizza gli ‘agenti di destabilizzazione', cioè i soggetti che possono erodere il potere del blocco fossile per agevolare una rapida transizione verso sistemi socio-energetici a bassa intensità carbonica. Gli agenti che modificano i contesti sociali, economici e politici in cui il blocco fossile opera sono considerati forze ‘primarie' e indirizzano i loro sforzi verso l'erosione delle forme strumentali e discorsive del potere del blocco fossile. Gli agenti che utilizzano i mercati e gli strumenti politici, amministrativi e legali per modificare in senso virtuoso il comportamento del blocco fossile sono definite forze ‘operative' e mirano a scardinarne il potere istituzionale e materiale. Questa categorizzazione, consentendo di collegare specifici agenti di destabilizzazione a specifiche forme di potere del blocco fossile, fornisce un riferimento analitico per condurre studi empirici sulla transazione energetica.
Il medico psichiatra: chi era costui? Riflessioni sulla crepa dello specchio
Authors: Di Petta Gilberto , Tittarelli Danilo , Vanacore Raffaele
Published: June 2022

Le forme del conoscere, dell'essere e dell'agire psichiatrico sono state tutt'altro che stabilite una volta per tutte. Gli attuali strumenti accademici di formazione si sono appiattiti da tempo su di una linea semplicistica e riduzionistica. Nel Secondo Novecento una serie di condizioni aveva conferito alla figura dello psichiatra una centralità mai avuta prima nella storia: la chiusura/ridimensionamento dei manicomi, l'introduzione e la diffusione degli psicofarmaci, l'avvento del concetto di "salute mentale" territoriale. Il suddetto riduzionismo, però, ha scelleratamente decomplessizzato la figura dello psichiatra, il cui problema identitario è, così, divenuto ancor più pressante, fino ad implodere, come l'immagine alla rottura di uno specchio. La psichiatria, infatti, a differenza di altre branche mediche, mette in gioco un fattore antropologico, quello della "follia" e delle sue modalità di manifestazione e di costituzione. Se questo fattore, storicamente, era considerato decisivo nello strutturarsi e nel rivelarsi della cosiddetta "malattia mentale", in epoca più recente la bonifica della psichiatria dalle paludi della follia ha prodotto, a nostro avviso, e in maniera speculare, una rottura nella costituzione identitaria dello psichiatra. Chi è lo psichiatra se non è più in grado di tenere acceso il dialogo tra la società e la follia? La questione della follia mette in moto, come legna che alimenta il fuoco dell'umano, la ricerca del senso e della cura. Lo sradicamento della follia dal territorio dell'umano ha prodotto una classe di psichiatri in cerca d'autore, partecipi di una quotidiana messinscena clinica, senza alcuna pretesa di comprensione, di cura e di libertà. Le sole, queste ultime, a poter consentire uno specchiarsi non deforme - attraverso il prisma umano dello psichiatra - della "follia" e della "norma", in quanto entrambe espressioni della vita.
Il processo di trasformazione dell'economia in provincia di Pavia: un quadro generale
Authors: Garofoli Gioacchino
Published: June 2022

L'articolo tratta le trasformazioni economiche in provincia di Pavia nel secondo Novecento, dai cambiamenti di struttura produttiva e dei livelli occupazionali ai diversi modelli di sviluppo perseguiti. Dopo il dopoguerra emerge un rapido processo di industrializzazione, specie nei due comuni più grandi, che si inseriscono nel processo di trasformazione del "triangolo industriale" e del "miracolo economico" italiano. In questa fase l'economia pavese, e la città di Pavia, è caratterizzata dalla presenza di grandi imprese, che la fanno rientrare nell'ambito di un modello à la Perroux. Successivamente soprattutto Pavia, ma anche Vigevano, entrano nella fase della crisi della grande impresa dei primi anni Settanta. A partire dalla metà degli anni Settanta inizia a innescarsi un modello di sviluppo periferico, basato sulla piccola impresa e sul coinvolgimento di aree esterne alle città principali, seguendo il modello della Terza Italia. Segue la fase di progressiva deindustrializzazione che determina una crescente dipendenza dal mercato del lavoro dell'area milanese, con aumento del pendolarismo. Il territorio pavese non riesce più a realizzare la valorizzazione delle risorse locali, a partire dal lavoro ma anche delle risorse finanziarie che non vengono più utilizzate per lo sviluppo territoriale. L'articolo si conclude con la discussione delle occasioni mancate e dei problemi lasciati alle future generazioni.
La finanza comunale in provincia di Pavia tra gli anni Sessanta e Settanta del Novecento
Authors: Osculati Franco
Published: June 2022

Nella provincia di Pavia erano, e sono, presenti numerosi comuni, molti dei quali di piccole e piccolissime dimensioni. L'industrializzazione del dopoguerra e la connessa immigrazione non sconvolsero il territorio; tuttavia, tra gli anni Sessanta e i primi anni Settanta si manifestava un forte fabbisogno di infrastrutture. Pur aumentando gli investimenti e gli organici, i comuni mantennero una condotta finanziaria prudente anche dopo la riforma tributaria del 1974 che abolì quasi totalmente i tributi locali. La maggioranza dei comuni era di sinistra, ma non sembra che i diversi colori politici abbiano caratterizzato significativamente i comportamenti delle giunte. Il presente saggio cerca di collocare la situazione locale nelle tendenze economiche generali di un periodo contraddistinto da inflazione e dalla formazione di un primo nucleo di debito pubblico nazionale, un lascito fastidioso ma inevitabile.
La "fibra miracolosa". L'Oltrepò Pavese e il cemento-amianto
Authors: Ziglioli Bruno
Published: June 2022

Il saggio esamina il caso dello stabilimento di cemento-amianto Fibronit di Broni (Oltrepò Pavese, 1919-1993). La cittadina è stata investita dal dramma della contaminazione da amianto, che continuerà a colpire ancora per molto tempo i lavoratori e gli abitanti. A Broni, la memoria pubblica della fabbrica e delle sue conseguenze sanitarie si è rivelata molto difficile, prendendo la forma di una profonda rimozione. Dal quadro descritto, emerge con evidenza come le lacerazioni all'interno della comunità abbiano condotto per molto tempo alla "invisibilizzazione" del problema dall'orizzonte urbano, rendendo molto difficoltosi gli interventi dei pubblici poteri.
Tailoring of Narrow Pores, Pore Size Distribution and Structural Details in Asymmetric Nanofiltration Membranes via Polyvinyl-pyrrolidone Additive
Authors: Safari Nurul Hannan Mohd , Rozali Sabariah , Hassan Abdul Rahman , Ahmad Musa
Published: June 2022

The roles of polyvinyl-pyrrolidone (PVP) additive in the tailoring of pores, pore size distribution, morphologies and molecular weight cut-off (MWCO) in phase inversion asymmetric nanofiltration membranes was addressed. Using established solute transport method, scanning electron microscopy (SEM) and Minitab software, details analysis of the enhanced performance-properties of narrow pores nanofiltration membranes were verified. Experimental and analysis data revealed that the membranes prepared with 2 wt% of PVP demonstrated fine performance-properties. At this concentration, the fabricated nanofiltration membranes possessed narrow pore size and molecular weight cut-off of 1.14 nm and 2290 Da, respectively. In addition, the fabricated nanofiltration membranes displayed fine structural details of narrow pore size distribution, good morphology and critical key properties. With the combinations of thinner skin layer, fine structures and narrow pores, it can be concluded that the 2 wt% of PVP is the optimum PVP concentration to produce selective narrow pore nanofiltration membranes. Eventually, summary data on pores, pore size distributions (PSDs) and key properties proved that the PVP additive is effective for controlling performances-properties and structural details in asymmetrical based membranes.