bluuebunny/crossref_metadata_2025 huggingface dataset:
Does Patient-Reported Outcome Measures Use at New Foot and Ankle Patient Clinic Visits Improve Patient Activation, Experience, and Satisfaction?
Authors: Bernstein David N. , Jones Courtney Marie Cora , Flemister A. Samuel S. , DiGiovanni Benedict F. , Baumhauer Judy
Published: December 2023

Category:

Other; Ankle

Introduction/Purpose:

Patient-reported outcome measures (PROMs) can help predict clinical outcomes and improve shared clinical decision-making discussions. There remains a paucity of research assessing how the use of PROMs may drive improved patient experience and patient activation. This randomized, controlled trial study objectives: 1) Determine if the active use and discussion of PROMs during new patient visits are associated with patient satisfaction and experience 2) Determine if the active use and discussion of PROMs during new patient clinic visits are associated with patient activation; and 3) To determine if the objectives (1) and (2) differ based on surgeon or sociodemographic factors.

Methods:

This Institutional Review Board (IRB) approved singled-blinded RCT was registered prior to data collection on ClinicalTrials.gov (NCT04654910). As a standard of care, new foot and ankle patients completed PROMIS Physical Function (PF), Pain Interference (PI), and Depression assessments. Patients were then randomized to viewing and discussing their PROMIS scores with their surgeon or not. Following the clinic visit, patients completed a series of Clinician & Group Survey-Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) questions and the Patient Activation Measure (PAM). CG-CAHPS findings and PAM responses were compared between the two groups and after clustering on surgeon. Potential interaction effects by social deprivation were also explored.

Results:

After enrolling patients but removing those lost to follow-up or with missing data, 97 and 116 patients remained in the intervention control cohorts, respectively. No difference was found in CG-CAHPS responses, nor PAM scores between the two groups (p>0.05). All surgeons were highly rated by all patients. When clustered by surgeon, intervention subjects were less likely to indicate “top box” scores for the understanding domain of the CG-CAHPS question (OR:0.51;p < 0.001) and had decreased odds of high patient activation compared to control subjects (OR:0.67;p=0.005). Among the most socially disadvantaged patients, there was no difference in control and intervention subjects in their likelihood of having high patient activation (p=0.09).

Conclusion:

Well perceived foot and ankle surgeons who show and discuss PROMs results may not improve the patient experience or activation and may, in fact, decrease understanding or patient activation in select populations. Future work is needed to determine when PROMs discussions are most beneficial and how best to present PROMs data. Health literacy tools and/or communication training may better engage different patient groups regarding PROMs.
The Effect of ASA Score on Total Ankle Arthroplasty
Authors: Ashy Cody , Morningstar Joshua L. , Gross Christopher E. , Scott Daniel
Published: December 2023

Category:

Ankle; Other

Introduction/Purpose:

The American Society of Anesthesiologist (ASA) physical status classification system serves as a useful measure of patient comorbidities. Multiple studies have found an increased risk of readmission in patients undergoing total knee or hip arthroplasty with elevated ASA scores. There is a paucity of literature investigating the association of ASA score and postoperative outcomes following total ankle arthroplasty (TAA). Thus, this study seeks to evaluate the relationship between ASA score and postoperative outcomes following TAA.

Methods:

The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was queried from 2007-2020 to identify 2210 TAA patients. Patients were stratified based on preoperative ASA score, 1-normal healthy patient (n=101), 2-mild systemic disease (n=1228), 3-severe systemic disease (n=855), 4-severe, life-threatening systemic disease (n=26). Demographics, medical comorbidities, concomitant procedures, hospital length of stay (LOS), and 30-day complication, readmission, and reoperation rates were compared between groups. The cohort was predominantly male (54.0%) and mean patient age was 63.99 (range 19-87) years with a mean BMI of 31.01 (range 17.14-57.78) m/kg2.

Results:

Patients with an ASA score ≥3 were significantly older (≤2 =62.78, ≥3 =65.81%; p<.001), with higher BMI (≤2 =29.72, ≥3=32.97; p<.001). 2210 patients were discharged following TAA, with 37 readmitted within 30 days following surgery. There was no statistically significant difference in readmission or reoperation rate based on ASA score. (Table 1) The average LOS following TAA was 1.81 (range 0-28) days, and increased ASA score was statistically significantly associated with longer length of stay (≤2=1.69 days, ≥3 =1.98 days; p<.001). Patients with ASA score ≥3 were discharged home at a significantly lower rate than those with lower ASA scores (≤2 =95.3%, ≥3 =87.4%; p<.001). There was no statistically significant difference in postoperative complication rates within 30 days of surgery.

Conclusion:

Higher ASA score was statically significantly associated with increased length of stay and non-home discharge disposition. These findings are valuable for physicians and patients to consider prior to TAA given the increased utilization of resources and cost associated with higher ASA scores.
Varying Distance Between Suture-Endobuttons Does Not Improve Stability of the Transected Syndesmosis in a Motion Tracking Cadaveric Model
Authors: Stauffer Taylor , Anastasio Albert T. , Brinson Kenneth , Kim Billy I. , Joseph Gabriel P. , Storaci Hunter , Chan Calvin , Oji David E. , Lau Brian , Chou Loretta
Published: December 2023

Category:

Ankle; Sports

Introduction/Purpose:

A growing body of evidence favors the use of dynamic fixation techniques such as suture endo button over rigid screw fixation for syndesmotic injuries. However, specific dynamic fixation techniques have been poorly evaluated. The purpose of this study was to compare single suture-endobutton fixation (single) to double fixation with suture-endobuttons placed one centimeter (cm) apart (double 1 cm) and double fixation with suture-endobuttons placed three cm apart (double 3 cm).

Methods:

Twenty-four lower leg specimens from twelve cadavers were tested using a custom biaxial apparatus. Internal rotation, external rotation, and anterior and posterior translation of the tibia and fibula were examined using motion tracking systems after transection of deltoid and syndesmotic ligaments to compare three syndesmotic repair techniques: 1) a single suture-endobutton placed 1 cm above the joint line, 2) two suture suture-endobuttons placed 2 and 3 cm above the joint line, and 3) two suture- endobuttons placed 1 and 4 cm above the joint line.

Results:

All three endobutton constructs improved the stability of the syndesmosis by reducing aberrant motion after transection. There was no clear superiority of either single suture-endobutton (SEB), double suture-endobuttons placed 2 and 3 cm above the joint line (DSEB 1), or double suture-endobuttons placed 1 and 4 cm above the joint line (DSEB 3). DSEB 3 and DSEB 1 showed equal median laxity for tibia internal rotation (2.7 degrees, DSEB 1 (2.0 – 3.2) degrees, DSEB 3 (2.3 – 2.8) degrees), tibia external rotation (-0.2 degrees, DSEB 1 (-0.4 - 0.4) degrees, DSEB 3 (-0.4 - 0.3) degrees), and fibula external rotation (-0.3 degrees, DSEB 1 (-0.7 - 0.3) degrees, DSEB 3 (-0.7 - 0.7) degrees).

Conclusion:

Cadaveric biomechanical studies are critical to evaluate various suture-endobutton constructs prior to widespread use in patients. Our results demonstrate that the added cost of a second suture-endobutton may not confer substantial additional stability to the syndesmosis. Likewise, increased spread between suture-endobuttons appears to have minimal impact of syndesmotic stability.
A Cross Sectional Analysis of Arch Height and Pressure Distribution in a Normalized Population of More than 1000 Subjects
Authors: Delahunty Nathan Patrick , Jackson J. Benjamin , Gonzalez Tyler , Dias Travis
Published: December 2023

Category:

Midfoot/Forefoot; Basic Sciences/Biologics

Introduction/Purpose:

There are normal variations in the shape of an individual’s foot. However, recent investigations involving large, heterogenous populations are scarce, complicating attempts to create a uniform definition of clinical foot arch height. The purpose of this study was to determine the distribution of plantar foot pressures from the general population.

Methods:

1015 randomly sampled individuals (2030 feet) had a bipedal standing profile obtained utilizing a high sensitivity pressure mat. Data collected included: total foot length (cm), peak pressure (kPa), peak contact pressure (kPa), and total contact area (cm2). Demographic information and data regarding individual comorbidities previously to be linked to pathologic arch height conditions were collected. A flatfoot was defined as Midfoot total area>Mean+1SD while a high arch was defined as Midfoot total area< Mean-1SD.

Results:

Our logarithmic transformation the data was representative of a normally distributed dataset and our demographic data closely reflective of the demographics United States population. Data for the right foot vs left foot were: 8.18% and 6.50% of participants had a flatfoot, 78.82% and 79.51% had normal arches, and 13.00% and 13.99% had high arches, respectively. The prevalence of normal bilateral arches was 70.54%, bilateral flat feet was 3.55%, and bilateral high-arched feet was 8.67%.

Conclusion:

Our data demonstrate a normalized distribution of plantar pressures and arch heights that were sampled from a population larger and more representative of the general populous than previously described. Given that our data may more accurately reflect the spectrum of normal adult foot. With these baseline characteristics defined, future research into arch height associated pathologies may proceed with a more standardized assessment when defining study populations.
Effect of Fibula Shortening on Medial Clear Space and Lateral Translation of the Talus: An Anatomical Cadaveric Study
Authors: Mason Lyndon W. , Heeran Niamh L. , Airey Grace , Gangadharan Rajkumar , Gomaa Abdul-Rahman , Bond Alistair P. , Roper Lucy
Published: December 2023

Category:

Ankle; Trauma

Introduction/Purpose:

Fibular shortening with an medial and syndesmotic ligament instability causes lateral translation of the talus. We hypothesise that the interaction of the anterior inferior tibiofibular ligament (AITFL) tubercle of the fibular with the anterior tibial incisura would precipitate lateral translation due to the size differential.

Methods:

Twelve cadaveric ankle specimens were dissected, removing all soft tissue except for ligaments. They were fixed onto a bespoke jig allowing tibial fixation and free movement of the talus and fibula. The fibula was progressively shortened in 5mm increments until complete ankle dislocation, measuring the medial clear space with each increment.

Results:

The larger AITFL tubercle interaction with the smaller tibial incisura caused a significant increase in lateral translation of the talus. This occurred in most ankles between 5-10mm of fibular shortening. The medial clear space widened following 5mm of shortening in 5 specimens (mean: 2.07, s.d: 2.53). All 12 specimens experienced widening by 10mm fibular shortening (Mean: 7.21mm, s.d: 2.21) and reached complete dislocation by 35mm fibular shortening.

Conclusion:

This study shows, that with fibular shortening, the interaction between the distal fibular AITFL tubercle and the anterior tibial incisura precipitates a lateral translation of the talus in an ankle fracture model where the medial and syndesmotic ligaments have been transected and the lateral ligaments remain intact. The interaction occurred between 5 and 10mm of fibular shortening. Beyond this point there was a near linear correlation between fibular shortening and medial clear space widening
How Much Subtalar and Ankle Joint Surface are Actually Destroyed when Reaming for Tibiotalocalcaneal (TTC) Nailing? A Cadaveric Study
Authors: Baker James , Schroeder Paul , Kimbler Tyra , Huh Jeannie
Published: December 2023

Category:

Ankle; Trauma

Introduction/Purpose:

Tibiotalocalcaneal (TTC) nailing in the setting of acute ankle trauma has become increasingly popular over the last decade, with expanding indications. Potential advantages of TTC nailing include: less soft tissue dissection, decreased wound burden, and earlier weightbearing. No consensus exists as to whether formal joint preparation is necessary, and at one or both joints. While some argue that joint preparation is not necessary due to inherent joint destruction from the injury and reaming during TTC nailing, others advocate for preparation to facilitate fusion and ensure no further motion occurs at the joint which could lead to nonunion and/or hardware failure. The purpose of this study was to quantify the proportion of ankle and subtalar joint articular surface destruction associated with reaming for TTC nail fixation.

Methods:

Twelve cadaver feet from 6 specimens were procured. The specimens were reduced and pinned into neutral ankle dorsiflexion and neutral hindfoot alignment. Prior to reaming, each specimen was secured in a simulated supine position. Per standard TTC nailing technique, a 3.0 millimeter (mm) guide wire was inserted under fluoroscopy, retrograde from the calcaneus, through the talus, and into the tibia, followed by a 12mm opening reamer. The specimens were then dissected, exposing the tibial plafond (TP), talar dome (TD), posterior facet of the talus (PFT), and posterior facet of the calcaneus (PFC). Clinical images of each joint were obtained at an angle of 90 degrees and 12 centimeters (cm) from the joint surface. The images were processed using the ImageJ software platform. The total joint surface area, area of articular destruction, and the remaining joint surface area were calculated. The percentage of joint destruction associated with reaming was then calculated.

Results:

The mean surface area values and percentages of articular surface destruction are summarized in Table 1. The mean surface area (cm2) after reaming was 11.82, 13.70, 9.23, and 7.79 for the TP, TD, PFT, PFC, respectively. The percentage of articular cartilage destruction was 9.32%, 10.33%, 8.89%, and 10.28% for the TP, TD, PFT, PFC, respectively. No joint destruction was observed in the middle facets of the subtalar joint.

Conclusion:

This study demonstrates that reaming for TTC nail placement involves only a small portion (roughly 8-10%) of each of the articular surfaces of the ankle and subtalar joints. Violation of the middle facet of the subtalar joint did not occur. These results suggest that a significant portion of hindfoot articular surface remains after reaming for TTC nail. Formal joint preparation may be beneficial to aid with fusion after TTC nail placement, particularly when used in younger, more active individuals who sustain hindfoot and ankle trauma.
Increased Metal Component Failure with STAR Total Ankle
Authors: Newton William , Morningstar Joshua L. , Nadeau Elizabeth K. , Ottofaro Trevor D. , Gross Christopher E. , Scott Daniel
Published: December 2023

Category:

Ankle Arthritis

Introduction/Purpose:

With the increasing total ankle arthroplasty (TAA) literature, there is a need to further examine the outcomes across a wide variety of implants. The purpose of this study is to review the existing literature and identify trends among current individual TAA implants.

Methods:

A comprehensive search of MEDLINE for all articles published between 1996 and 2021 was conducted with a minimum two-year mean follow-up. Two reviewers evaluated each study to determine whether it was eligible for inclusion and abstracted the data of interest. Meta-analytic pooling of group results across studies was performed, examining for individual implant survival and component failure. Seventy-three implant groups met inclusion criteria (3rd and 4th generation implants only), composed of STAR (20), Salto (mobile bearing) (10), Salto Talaris (11), Hintegra (8), Zimmer (6), INBONE II (6), INBONE I (4), Infinity (4), Cadence (4). 41 groups (56.2%) were implanted with mobile bearing devices and 32 (43.8%) with fixed bearing implants. In total, 6498 subjects were included with a mean age of 61.77 years and mean BMI of 28.5 kg/m2. At mean follow-up of 62.2 months, the overall reoperation rate was 21.13% and metal component revision rate was 10.16%.

Results:

Multivariate analysis of all implants, controlling for follow-up duration, found a statistically significant difference in the metal component survival rate (p=.036) and reoperation rate (p=.007) with the STARs TAAs surviving significantly worse and undergoing reoperation at a significantly higher rate than all other implants. There was no statistically significant difference in the rate of metal component revision (p=.768), tibial component failure rate (p=.095), or talar component failure rate (p=.089). Analysis of the Salto Talaris vs Salto found a significant difference in metal component survival rate (Salto=90.68%, Salto Talaris=97.81%; p=.002). Lastly, analysis of the INBONE I vs II implants found INBONE I had a significantly greater rate of revision due to metal component failure (INBONE I=9.8%, INBONE II=3.4%; p=.002).

Conclusion:

Based on current literature, it appears that the STAR total ankle implant has a statistically significantly lower rate of metal component survival and higher rate of reoperation than the other 3rd and 4th generation implants examined, even when controlling for study follow-up duration. The fixed bearing Salto Talaris had statistically significantly better survival rate than the mobile bearing Salto. These findings are important to physicians when considering implants for total ankle arthroplasty.
Mid Term Followup of Patient Reported Outcomes in Patients <50 years with a Total Ankle Arthroplasty
Authors: Giambelluca Lacey Leigh , Umbel Benjamin D. , Anastasio Albert T. , Kim Billy I. , Nunley James A.
Published: December 2023

Category:

Ankle Arthritis

Introduction/Purpose:

End stage arthritis is a debilitating condition that significantly affects patients’ quality of life. Ankle arthritis differs from arthritis of the hip and knee in that ankle arthritis is often posttraumatic in nature and affects a younger patient population. Historically, younger age was a contraindication to total ankle arthroplasty (TAA) and ankle arthrodesis was the mainstay of treatment. Advances in TAA implant design and revision implants has expanded indications and increased usage of TAA. Despite this, many surgeons remain hesitant due to the lack of long term data on patient outcomes and survivorship in these patients. The purpose of our study was to evaluate patient reported outcome measures and survivorship after primary TAA in patients < 50 years of age at the time of surgery.

Methods:

A retrospective chart review was conducted of patients < 50 years of age who underwent primary TAA at a single institution from 2010-2020. Patient demographics, outcome measures, and complications were recorded. All patients had a minimum clinical follow up of 5 years. Patient reported outcome (PRO) measures collected included FADI, VAS, SMFA SF-36, AOFAS hindfoot scores, and FAOS scores. Outcome measures were evaluated preoperative, 1 year postoperative, and at final clinical follow up. Paired t-tests were performed to compare individual patients’ changes in PRO from preoperative to postoperative timepoints. Multiple comparisons correction was performed using the Bonferroni method. Implant survivorship was evaluated based on need for revision of either the tibial or talar component.

Results:

A total of 59 patients were included in the study. The average age at time of surgery was 43.2 years. All patients had a minimum follow up of 5 years with a mean follow up time of 8.8 years. Mean FADI improved from 53.3 (sd:14.1) preoperatively to 16.1 (sd:11.4) (p < 0.001) at 1-year postoperatively. Mean VAS and SMFA also improved from preoperative to 1-year postoperative timepoints [VAS: 68.2 (sd:27.0) to 10.3(sd:13.1) (p < 0.001); SMFA: 36.1 (sd:12.2) to 14.8 (sd:13.7) (p < 0.001)]. A total of 5 patients required revision of components during the follow up period. Three patients required complete revision of both tibial and talar components, 2 due to aseptic loosening and 1 due to deep infection requiring explant of components.

Conclusion:

Patients < 50 years undergoing TAA for end stage ankle arthritis have improved patients reported outcomes greater than 5 years after surgery. Despite the increased demands of the younger population, survivorship of total ankle implants in our study was 85% at a mean of 8.8 years postoperative. We believe that TAA is a safe and reliable option for young patients with high patient satisfaction at mid term follow up.
Palliative care, homelessness, and restricted or uncertain immigration status
Authors: Hudson Briony F. , Dzeng Elizabeth , Burnett Angela , Yeung Michelle , Shulman Caroline
Published: December 2023

Background:

People experiencing homelessness have limited access to palliative care support despite high levels of ill health and premature mortality. Most research exploring these challenges in the United Kingdom has focused on people living in hostels or temporary accommodation. People with uncertain or restricted immigration status are often unable to access this accommodation due to lack of entitlement to benefits. There is little research about the experiences of those in the United Kingdom who cannot access hostels or temporary accommodation due to restricted or uncertain immigration status with regards to palliative and end-of-life care access.

Aim:

To explore the barriers to palliative and end-of-life care access for people with uncertain or restricted immigration status, who are experiencing homelessness and have advanced ill health, and the experiences of UK hospices of supporting people in this situation.

Design:

A multi-method cross-sectional study.

Setting/participants:

An online survey for hospice staff followed by online focus groups with staff from inclusion health, homelessness and palliative care services, charities and interviews with people experiencing homelessness.

Results:

Fifty hospice staff responded to the online survey and 17 people participated in focus groups and interviews (focus groups: n = 10; interviews: n = 7). The survey demonstrated how hospices are not currently supporting many people with restricted or uncertain immigration status who are homeless and that hospice staff have received limited training around eligibility for entitlements or National Health Service (NHS) care. Interview and focus group data demonstrated high levels of unmet need. Reasons for this included a lack of consistency around eligibility for support from local authorities, issues relating to NHS charging, and mistrust and limited knowledge of the UK health and social care system. These barriers leave many people unable to access care toward the end of their lives.

Conclusion:

To advocate for and provide compassionate palliative and end-of-life care for people with uncertain immigration status, there is need for more legal literacy, with training around people’s entitlement to care and support, as well as easier access to specialist legal advice.
Single-Cell Transcriptomics Identifies Pituitary Gland Changes in Diet-Induced Obesity in Male Mice
Authors: Ruggiero-Ruff Rebecca E , Le Brandon H , Villa Pedro A , Lainez Nancy M , Athul Sandria W , Das Pratyusa , Ellsworth Buffy S , Coss Djurdjica
Published: December 2023

Obesity is a chronic disease with increasing prevalence worldwide. Obesity leads to an increased risk of heart disease, stroke, and diabetes, as well as endocrine alterations, reproductive disorders, changes in basal metabolism, and stress hormone production, all of which are regulated by the pituitary. In this study, we performed single-cell RNA sequencing of pituitary glands from male mice fed control and high-fat diet (HFD) to determine obesity-mediated changes in pituitary cell populations and gene expression. We determined that HFD exposure is associated with dramatic changes in somatotrope and lactotrope populations, by increasing the proportion of somatotropes and decreasing the proportion of lactotropes. Fractions of other hormone-producing cell populations remained unaffected. Gene expression changes demonstrated that in HFD, somatotropes became more metabolically active, with increased expression of genes associated with cellular respiration, and downregulation of genes and pathways associated with cholesterol biosynthesis. Despite a lack of changes in gonadotrope fraction, genes important in the regulation of gonadotropin hormone production were significantly downregulated. Corticotropes and thyrotropes were the least affected in HFD, while melanotropes exhibited reduced proportion. Lastly, we determined that changes in plasticity and gene expression were associated with changes in hormone levels. Serum prolactin was decreased corresponding to reduced lactotrope fraction, while lower luteinizing hormone and follicle-stimulating hormone in the serum corresponded to a decrease in transcription and translation. Taken together, our study highlights diet-mediated changes in pituitary gland populations and gene expression that play a role in altered hormone levels in obesity.
FORMALIZATION OF THE CULTURAL HERITAGE MANAGEMENT MODEL AS A FACTOR OF TOURISM DEVELOPMENT IN THE RUSSIAN FEDERATION
Authors: Ibragimov Ernest E. , Avdil’ Ibraim E.
Published: December 2023

The article formalizes the model of cultural heritage management, clarifies the content of cultural heritage cognition by considering the processes of studying, preserving and using cultural heritage objects as a factor in the development of tourism in the Russian Federation, taking into account modern challenges and opportunities.

The preservation of cultural heritage and its rational use have a key role and importance for attracting tourist flows and improving socio-economic indicators and sustainable development of the region. In this regard, the importance of highlighting the internal structure of the cultural heritage management process as a factor in the development of tourism in the Russian Federation is actualized.

The purpose of the study: to formalize the model of cultural heritage management as a factor of tourism development in the Russian Federation.

The research methodology is represented by a set of general scientific and special historical methods of scientific cognition, the principles of historicism, scientific, systematic and complex.

The scientific novelty consists in an attempt to comprehensively comprehend the problem of studying, preserving and using Russian cultural heritage objects based on the analysis of contemporary research on the subject, taking into account modern realities and formalizing the model of cultural heritage management as a factor in the development of tourism.

The model of cultural heritage management as a factor of tourism development in the Russian Federation is formalized. The main reserves for improving the efficiency of cultural heritage management as a factor of tourism development are improving the quality of tourist products in the field of cultural and educational tourism; combining material and intangible parts of cultural heritage; developing eventfulness in the regions; creating an authentic environment in Russian tourist locations; branding cultural heritage sites and territories of their placement; using a wide range of digital technologies to promote and involve cultural heritage objects in the tourism industry; training professional personnel to work in the cultural and educational tourism industry.
how to generate (educate) an inquiring-jazzing community: free and open suggestions from an international workshop (ICPIC 2022)
Authors: Zorzi Eleonora , Santi Marina
Published: December 2023

This paper presents the collective reflection of a temporary community of inquiry (COI) created during an international workshop at the 20th biennial ICPIC conference--“Philosophy In And Beyond the Classroom: P4wc Across Cultural, Social, and Political Differences”-- and the suggestions emerging from that event. The workshop, entitled “Pedagojazz—improvising and inquiring, community interplay”, was conducted via Zoom, but participants were both online and present in person. The topic focused on the pedagojazz perspective, and the short activities proposed were aimed at involving the (temporary) COI in a collective discussion about how it would be possible to transform a community of inquiry into an inquiring-jazzing community. Three premises were introduced as common background on which to develop our reflections: the pedagojazz perspective; the connection between pedagojazz idioms and the different roles of the facilitator in P4wC; and the idea that jazz, and collective improvisation in particular, can inform COI development. The principles and practices of pedagojazz and collective improvisation are presented in detail here. During the workshop, Zoom chat and the Wooclap site were used to involve all participants and to gather their contributions and suggestions. A word cloud and three tables were produced and are presented here. Interesting themes, questions and perspectives emerged that can help us reflect in a more complex way on the education of P4wC facilitators across cultural, social and political differences.
Petróleo e Nacionalismo na Argentina Kirchnerista (2003-2015) | Oil And Nationalism In Kirchnerist Argentina (2003 - 2015)
Authors: Biasetto Bruno
Published: December 2023

RESUMO
Este artigo explora a complexa relação entre os recursos de petróleo e o surgimento do nacionalismo e discurso populista na Argentina durante os anos do governo de Nestor e Cristina Fernandez de Kirchner. Analisando as dinâmicas sociopolíticas, políticas econômicas e retórica em torno do petróleo, descobrimos como o controle e a exploração desse recurso estratégico se tornaram um ponto focal para fomentar sentimentos nacionalistas. O estudo demonstra como o Kirchnerismo utiliza estrategicamente o petróleo para impulsionar suas agendas políticas e consolidar o apoio entre a população argentina, remodelando, em última instância, a identidade da nação e o cenário político.
ABSTRACT
This paper delves into the intricate relationship between oil resources and the emergence of nationalism and populist discourse in Argentina during the Nestor and Cristina Fernandez de Kirchner years. Analyzing the socio-political dynamics, economic policies, and rhetoric surrounding oil, we uncover how the control and exploitation of this strategic resource became a focal point for fostering nationalistic sentiments. The study demonstrates how Kirchnerism strategically harnessed oil to bolster their political agendas and consolidate support among the Argentine populace, ultimately reshaping the nation's identity and political landscape.
La atracción de inversiones extranjeras en energías renovables no convencionales en Argentina, el caso del programa RenovAr (2016-2019)
Authors: Dicósimo Emiliano
Published: December 2023

El gobierno de Mauricio Macri (2015-2019) impulsó mediante una política exterior globalista pragmática la atracción de inversiones extranjeras en energías renovables no convencionales (ERNC). La mayoría de estas inversiones arribaron a partir del programa Renovar iniciado en 2016. El objetivo de este artículo es analizar la política exterior del gobierno y su vinculación con los socios tradicionales y no tradicionales y como esta vinculación junto a tres factores de atracción de inversiones (incentivos fiscales, financiación internacional y acción diplomática) permitieron el arribo de IED en parques de ERNC de estos socios. Se toma al RenovAr como un estudio de caso, estudiando en profundidad a las empresas extranjeras inversoras. Se arriba a la conclusión de que las empresas extranjeras actuaron no solo como inversoras, sino también como proveedoras de componentes, liderando las de socios tradicionales, pero achicándose, a medida que transcurría el RenovAr, la diferencia con las empresas de socios no tradicionales.
PAISAGENS CULTURAIS E PATRIMÔNIO MUNDIAL: INOVAÇÕES E RETROCESSOS NOS PLANOS DIRETORES DO RIO DE JANEIRO NO PERÍODO 2011-2021
Authors: De Mendonca Guilherme Cruz , Dos Santos Carla Medeiros Solidade , Barroso João Pedro Faro , Rocha Joyce Alves
Published: December 2023

O Rio de Janeiro é uma cidade única por suas características naturais e culturais, identificando o Rio no Brasil e no mundo. As paisagens culturais cariocas se revelam não apenas na sua monumentalidade, mas igualmente no cotidiano das culturas populares, nos botequins, nas rodas de samba, nas praias e em outros ambientes que expressam relações natureza-cultura. Essa natureza que virou cidade e essa cidade-natureza possuem o reconhecimento jurídico internacional, pois desde 2012 as paisagens culturais cariocas entre o mar e a montanha foram inscritas na Lista de Patrimônio Mundial da UNESCO. Em 2011, o PD, instrumento básico de política urbana, trouxe inovações para a proteção das paisagens culturais cariocas. Em setembro de 2021, Projeto de Lei Complementar (PLC) instituiu a revisão do Plano Diretor (PD). Este artigo tem por objetivo analisar os avanços e retrocessos relativos às paisagens culturais no PD e no PLC. Quais os avanços e os retrocessos entre ambos? A partir de métodos qualitativos tradicionais de hermenêutica jurídica e com base na Teoria Crítica do Direito, os resultados observados foram de retrocessos e poucos avanços no PLC em princípios, diretrizes, políticas urbanas e setoriais, conceitos e instrumentos, sendo uma proposta relativamente inferior para as paisagens culturais cariocas.
O DIREITO À CIDADE E A POLÍTICA URBANA NO CAPITALISMO PERIFÉRICO: CONSIDERAÇÕES SOBRE O DESENVOLVIMENTO DOS MARCOS REGULATÓRIOS URBANÍSTICOS NA AMÉRICA LATINA
Authors: Giacobbo Guilherme Estima , Hermany Ricardo
Published: December 2023

O Direito Urbanístico latino ainda convive com um paradigma civilista que disputa espaço com o paradigma administrativista e urbanístico, concebendo a propriedade como direito sagrado, absoluto e inviolável. Isso dificulta a tarefa dos administradores públicos na implementação da função social como pressuposto da propriedade e obsta a concretização do Direito à Cidade, cuja importância conceitual foi resgatada na recentemente. Nesse processo, a recuperação de mais-valias urbanísticas tem sido discutida de modo mais profundo, acompanhada de um aparato jurídico inovador em alguns países. A partir disso, o problema de pesquisa do trabalho é o seguinte: qual o panorama do Direito à Cidade na América Latina em relação ao marco regulatório urbanístico e em que termos se pode viabilizar políticas públicas urbanísticas em torno de um eixo comum voltado à consecução do Direito à Cidade? Baseando-se no método de abordagem dedutivo, utilizando técnica de pesquisa bibliográfica, legislativa e procedimento monográfico, o objetivo geral do trabalho é situar os marcos regulatórios urbanísticos mais notáveis na América Latina em relação ao Direito à Cidade. A premissa é de que deve existir um eixo comum no desenvolvimento de políticas públicas, voltadas ao controle da função social propriedade e à recuperação de mais-valias urbanísticas.
RESPONSABILIDADE SOCIOAMBIENTAL DAS EMPRESAS PARA A EFETIVAÇÃO DO PLANEJAMENTO URBANO NAS CIDADES
Authors: Gomes Magno Federici , Amorim Lohany Dutra , Gonçalves Mariana Lima
Published: December 2023

Com o crescente aumento da população urbana, a temática sobre planejamento urbano torna-se necessária. Diante disso, o objetivo do artigo é analisar a eficácia da responsabilidade socioambiental no planejamento urbano efetivo, para que assim, este trabalho atinja a finalidade de responder à pergunta-problema acerca das dificuldades de efetivação e potenciais de melhoria social do planejamento urbano conjugado à contribuição das empresas por meio da adoção das medidas de integridade. A metodologia utilizada para alcançar esta finalidade foi com a utilização de métodos teórico-documentais, com técnica dedutiva e especulativa. Assim, foi possível compreender a responsabilidade socioambiental e os programas de integridade. Além disso, observou-se a atuação e o impacto das empresas na sociedade e cidades. E, por fim, analisou-se o planejamento urbano nas cidades, suas dificuldades de efetivação e seu potencial de melhoria social conjugado com a atuação empresarial.
LOTEAMENTOS DE ACESSO CONTROLADO: RETROCESSO E SEGREGAÇÃO SOCIOESPACIAL
Authors: Torres Juliana Castro , De Oliveira Zaíra Garcia , Costa Paula Martins da Silva
Published: December 2023

O artigo objetiva analisar a legalização do loteamento de acesso controlado inserido pela Lei 13.465/17, avaliando as consequências que este isolamento de camada da população provoca no complexo sistema urbanístico, ante as funções socioambientais da cidade e da propriedade. Por meio de estudo bibliográfico, constatou-se que o medo e a insegurança, devido à prevalência da criminalidade e da omissão do Poder Público em promover ações de enfrentamento da situação, fomenta para que determinados grupos sociais, especialmente aqueles com maior poder econômico, se reúnam em espaços fechados cercados de segurança, lazer e entretenimento, se refugiando de certa forma desta realidade social que se encontra a maioria das cidades brasileiras, buscando maior segurança e qualidade de vida para a sua família, considerando que morar neste tipo de ambiente, além da segurança, retrata prestígio, privacidade e exclusividade. O que se observa é que o referido "refúgio", tanto pela exclusividade como por demais fatores, pode favorecer a divisão de classes e ideais da cidade, intensificando a cultura do individualismo e a desigualdade, impedindo a convivência entre os moradores da cidade, a livre circulação nos espaços públicos, ferindo, de certo modo, os princípios fundamentais e as diretrizes urbanísticas previstas na legislação.
EXCLUSÃO SOCIAL URBANA, “INDIVIDUALISMO AGÊNTICO” E “REGIMES DE JURIDICIDADE”: UMA ABORDAGEM SOCIOJURÍDICA
Authors: Villas Bôas Filho Orlando
Published: December 2023

O presente artigo, a partir de uma revisão de literatura no campo dos estudos sociojurídicos, pretende indicar a existência de “regimes de juridicidade”, entendidos como expressão de diferentes formas de concreção da regulação jurídica distintas do direito estatal, em contextos de exclusão social urbana. Para tanto, em primeiro lugar, baseando-se, especialmente, na obra de Lúcio Kowarick, realiza uma breve abordagem do problema da exclusão e da vulnerabilidade socioeconômica e civil no espaço urbano do Brasil contemporâneo. Em seguida, enfoca alguns aspectos fundamentais da “teoria do multijuridismo” proposta por Étienne Le Roy para, em meio a ela, situar o conceito de “regimes de juridicidade”. Por fim, procura ressaltar que a “teoria do multijuridismo” constitui um instrumento analítico muito apropriado para a “decodificação” dos “regimes de juridicidade” em contextos nos quais, em virtude da exclusão social, observa-se uma interação social caracterizada por aquilo que o sociólogo Danilo Martuccelli designa de “individualismo agêntico”.
CIDADES E RODOVIARISMO NA AMAZÔNIA OCIDENTAL: ANÁLISE DAS DINÂMICAS TERRITORIAIS DE LÁBREA (AMAZONAS)
Authors: Costa Silva Ricardo Gilson da , Silva Viviane Vidal da , Franco Marcelo Horta Messias , Negrão Marcelo Pires
Published: December 2023

O objetivo do texto é analisar os desdobramentos do rodoviarismo que atinge a cidade de Lábrea, discutindo as questões socioeconômicas, socioambientais, no processo de expansão da fronteira agrícola que atinge o sul do estado do Amazonas. Como método e metodologia da pesquisa, foram mobilizados os conceitos operacionalizados nos estudos amazônicos sobre fronteira, frentes pioneiras, dinâmicas territoriais e rodoviarismo que, de modo geral, problematizaram as transformações estruturais amazônicas nos últimos 60 anos. Para operacionalização da pesquisa, o acesso aos dados qualitativos da agropecuária, populacional, desmatamento, configuração territorial e cartografia realizou-se a partir das bases de dados do IBGE e INPE. Os trabalhos de campo foram realizados em três municípios do sul do Amazonas (Lábrea, Humaitá e Apuí), no período de 2019 a 2022, intercaladamente. Os principais resultados indicam que o deslocamento da fronteira agrícola, combinado com a expansão rodoviária, vem transformando a região em novo polo do desmatamento e pressões nas áreas protegidas, assim como, modificando a cidade de Lábrea a partir dos fluxos econômicos e sociais impulsionados pela demanda por terras e recursos naturais, cujas modificações se fazem presentes no campo e na cidade.
Analytical study on the Urban Operation for implementing sustainable cities
Authors: Mastrodi Josué , Sakai Yusuke
Published: December 2023

Aiming to contribute to the debate on the use of Brazilian urban policies instruments to promote the transition to more sustainable cities, this article analyses the Urban Operation institute (Operação Urbana Consorciada) from its theoretical perspective, identifying its main potentialities: that enable participation and synergy between various city actors in urban operation, and the implementation of an urban project, which can reconcile diverse interests and address actions on multiple urban challenges, elements that are fundamental to the implementation of more sustainable cities. And for its practical perspective, elucidating its main challenges on the ground, linked to its use to prioritize real estate expansion and the understanding given by Government as a collection instrument, emphasizing mechanisms such as sale and issuance of Additional Building Rights Certificate (In Portuguese, Certificado de Potencial Adicional de Construção, CEPAC), which takes the centrality and, consequently, leading to a distorted use of the UO.
PERSPECTIVES OF ENVIRONMENTAL PROTECTION IN THE WEST AMAZON
Authors: Maganhini Thais Bernardes , Borges da Silva Layde Lana , Barcellos Xavier Delson Fernando
Published: December 2023

En 2018, l’Institut Chico Mendes pour la protection de la biodiversité (ICMBIO) a attesté que le Brésil comptait 18 % des écosystèmes terrestres et 26 % des écosystèmes marins dans les aires protégées. La même année, 11 Unités de Conservation ont été créées dans l’État de Rondônia, mais huit jours après l’édition des décrets de création, l’Assemblée législative de Rondônia les a révoquées. Les indicateurs de l’affaiblissement du système d’autorisation environnementale en ce qui concerne la protection des unités de conservation dans l’État de Rondônia sont à l’étude. La méthode hypothétique-déductive est utilisée et l’hypothèse est formulée que le système juridique de l’État a des règles de délivrance de permis environnementaux qui sont incompatibles avec les règles fédérales de protection de l’environnement pour les aires protégées. À la fin, l’hypothèse est confirmée et des suggestions sont faites pour le traitement des problèmes identifiés.
Cidades Amazônicas no Período da Borracha A breve e trágica história de Santo Antônio do Madeira
Authors: Teixeira Marco Antônio Domingues
Published: December 2023

Este trabalho aborda a criação e extinção do município de  Santo Antônio do Madeira. Colonizada, há milênios, por Indígenas, a localidade tomou uma lúgubre fama ao ser considerada a cidade mais insalubre do mundo, segundo o Higienista Oswaldo Cruz que a visitou em 1910, no auge de uma pandemia de malária.  Desde  1722, tentou-se estabelecer a colonização portuguesa na região,  criando condições que permitissem o trânsito das  “monções que pelo  rio. Foram tentativas frustradas. No século XIX a região já havia sido abandonada, pelos colonizadores, diversas vezes. No século XX, Santo Antônio retomou sua importância como ponto de recebimento e reembarque da borracha boliviana, do Guaporé e do Mamoré. Em  1913 a cidade era fundada, pelo governo  do Mato Grosso e em 1943 anexada ao recém criado Território Federal do Guaporé, desaparecendo em 1945. A metodologia deste trabalho parte  da pesquisa bibliográfica, documental e de campo, com visitas ao sítio da cidade, hoje inexistente.  Os resultados revelam sua  inviabilidade, mas a localidade sempre foi e continua sendo um ponto nevrálgico na história das relações das sociedades locais com o rio. A pesquisa  compreende os últimos 300 anos, e estende-se da ocupação colonial portuguesa à construção da Hidrelétrica de Santo Antônio.
A CONSTITUIÇÃO DE HOLDING PATRIMONIAL PELO PRODUTOR RURAL – UMA ESTRATÉGIA PARA ALCANÇAR A SUSTENTABILIDADE ECONÔMICA
Authors: Cescon Silvana Potrich , Silvério Junior João Porto
Published: December 2023

Este estudo parte do questionamento relacionado à necessidade de encontrar uma solução para a sobrevivência de empresas familiares rurais, conciliado ao alcance dos objetivos de desenvolvimento sustentável previsto na Agenda 2030, da ONU. O ensaio perpassará por questões como a adoção de critérios e técnicas de governança pelos grupos familiares no meio rural e qual a melhor forma de buscar a sustentabilidade econômica no setor. Será aventada a possibilidade de utilização de holdings familiares no agronegócio, como possível estratégia para este fim. Para compreender os resultados esperados pela constituição da empresa rural será utilizado o método indutivo, analisando a conceituação doutrinária sobre o desenvolvimento sustentável e suas dimensões, com recorte nas dimensões econômica e social, bem como identificar de que forma a constituição de holding patrimonial familiar poderá contribuir para o planejamento sucessório, o aperfeiçoamento da governança, a redução de encargos tributários e a profissionalização da atividade, contribuindo para a sustentabilidade econômica e social da atividade rural. Através de procedimento técnico bibliográfico, analisar-se-á a doutrina especializada e o texto legal, objetivando demonstrar que há viabilidade na instituição de empresa familiar rural como estratégia capaz de contribuir para o desenvolvimento sustentável da atividade rural.
A principiologia na literatura tributária brasileira: história, direito e política.
Authors: Teodorovicz Jeferson
Published: December 2023

O presente trabalho busca oferecer visão panorâmica sobre os diferentes contornos históricos de reconhecimento e compreensão dos chamados “princípios tributários” ou “princípios da tributação”, especialmente compreendidos entre as lições da Ciência Política, da Ciência das Finanças, da Economia Política, das Ciências Econômicas e, finalmente, pelo Direito Tributário. A partir de uma proposta metodológica hipotético-dedutiva, busca-se responder, através de uma abordagem qualitativa, a seguinte questão (problema): a compreensão principiológica tributária na Ciência do Direito Tributário é una e totalitária ou permite diferentes perspectivas, variadas conforme a adoção preliminar de diferentes sistemas de referências (filosóficos jurídicos, econômicos, sociológicos, etc.,)? Parte-se da hipótese de que o trânsito da disciplina comporta diferentes compreensões principiológicas, que afetam a própria forma de enxergar a Ciência do Direito Tributário (em uma compreensão sistemática). A principal ferramenta de pesquisa será o levantamento bibliográfico e documental sobre diferentes campos do conhecimento, sem se esquecer da legislação tributária afetada por essas influências.