bluuebunny/crossref_metadata_2025 huggingface dataset:
Risks of Selected Fetal Adverse Pregnancy Outcomes at Advance Maternal Age
Authors: Yasmeen Saadia , . Sumayya , Saleem Javeria , Liaqat Jawairiah , Pervaiz Nadia , Rehman Fatima
Published: October 2021

Background and Aim: Advanced maternal age pregnancy could be referred to as pregnancy after 35 years or older. The prevalence of postponing pregnancies is increasing day by day worldwide. However, limited evidence was found on advanced maternal age pregnancy association with fetal adverse outcomes. The present study aimed to evaluate the frequency of advanced maternal age selected fetal adverse pregnancy outcomes. Place and Duration: Obstetrics & Gynaecology department of Alkhidmat Hospital Kohat and Qazi Hussain Ahmad Medical Complex, Nowshera for duration of six months from November 2020 to April 2021. Materials and Methods: This single-centered retrospective study was conducted on 220 postpartum women in the study group (≥35 years) and 170 control group postpartum women (20-34 years) who delivered at Obstetrics & Gynaecology department of Alkhidmat Hospital Kohat and Qazi Hussain Ahmad Medical Complex, Nowshera after 28 gestational weeks. Individuals who met the inclusion criteria were enrolled and sampled based on randomized control sampling technique for both control and study groups. Data extraction checklist and pretested questionnaire were used for data collection from the maternal charts. Adverse pregnancy outcome and advanced maternal age was correlated adjusted relative risks and strength with a 95% confidence interval. SPSS version 20 was used for data analysis and considered p-value >0.05 as a statistical standard. Results: The adverse neonatal outcomes include low birth weight, preterm birth, and stillbirth with a prevalence 38 (17.4%), 46 (20.8%), and 31 (14.2%) respectively in the study group. In the control group, the incidence of low birth weight, preterm birth, and stillbirth was 21 (12.6%), 15 (14.6%) and 6 (3.5%) respectively. The stillbirth (ARR=3.16 95% CI (1.29–6.03) and preterm deliveries (ARR=2.71 95% CI (1.79–3.86) risk had significantly higher prevalence compared to control group advanced age pregnancy. Insignificance association was found between low birth weight and advanced maternal age. Conclusion: Stillbirth and preterm birth was the adverse fetal outcome significantly related with advanced maternal age pregnancy. There was no significant association between low birth weight and advanced maternal age. Keywords: Maternal age, Fetal Adverse Pregnancy Outcomes
Comparison of Intra Abdominal Pressure Monitoring Techniques and the Effects of the Abdominal Compartment Syndrome
Authors: Shah Salman A. , Asaf Saeedah
Published: October 2021

Background: Abdominal compartment syndrome (ACS) is a life-threatening condition that develops in the setting of increasing and uncontrolled intra-abdominal hypertension (IAH), leading to cardiovascular, respiratory, neurologic and/or renal dysfunction. Aims: To establish a porcine model for the evaluation of the effects of IAH on renal blood flow (RBF) and to determine if IVC pressure and/or Camino fiberoptic direct intraabdominal pressure measurements can accurately predict IAPs that have been derived using bladder pressure measurements. Methods: Abdominal laparotomy, placement of IAP and RBF measuring devices, and fascial closure were performed on six adult feeder pigs with a mean body weight of 25 +/- 5 kg. A Transonic Doppler flow probe, a suprapubic bladder catheter, a Camino fiberoptic probe, and a triple lumen central venous catheter were placed and then baseline measurements were taken of renal blood flow, bladder pressure, direct intra-peritoneal Camino pressure and IVC pressure, respectively. Normal saline was then infused into the abdomen to simulate increasing IAP. Following a 5–10-minute stabilization period, all measurements were again taken. Results: The correlation between IVC pressure and bladder pressure was 0.98, with a mean bias of -0.5 (SD 2.0; 95% CI: -0.9, -0.2). The correlation between direct IAP readings by Camino probe and bladder pressure was 0.91, with a mean bias of -3.9 (SD 4.3; 95% CI: -4.6, -3.2). There was a strong negative correlation (-0.95) between RBF and bladder pressure. At an IAP of 20 mmHg, RBF reduced by an average of 45.4% (95% CI: 40%, 50.8%). Upon abdominal decompression, RBF returned to 66.6% (95% CI: 54.3%, 78.9%) of its baseline value. Conclusions: A porcine model is effective in accurately measuring changes in real time RBF. RBF progressively declines as IAP increases, however upon decompression, it fails to achieve complete recovery. IVC pressure measurements correlate well with, and therefore may substitute, the gold standard bladder pressure measurements as representatives of IAP. Keywords: Abdominal Compartment syndrome, renal blood flow, intrabdominal hypertension, bladder pressure
Factors influencing patient’s choice of type of surgery: Laparoscopic vs Open
Authors: Muhammad Bilal Syed , Hayat Khan Wasim , Ismat Butt Usman , Butt Roshan , Umar Muhammad , Kashif Malik Ramzan
Published: October 2021

Aim: To evaluate the preference of patients presenting to a government sector hospital in Lahore regarding type of gall bladder surgery. Methodology: A cross sectional observation study was conducted at the Department of General Surgery, Services Hospital, Lahore from 1st January 2020 to 30th June 2021. A simple questionnaire to collect and analyze the data of the patients admitted for cholecystectomy. The content of the questionnaire included socio-demographic characteristics and lists of factors for making choice regarding type of surgery by the patient. Data was entered and analyzed using EXCEL 2013. Frequencies and Percentages were calculated as descriptive statistics whereas Fisher's exact test was conducted as inferential statistics. Results: The results of our study showed that the age (p=0.0001) of patient and cost (p=0.0427) of surgery played the most significant role in patient’s decision regarding the type of surgery. Conclusion: Age of the patient and financial constraints are important factors when patients decide about the type of surgery they want have. Despite advantages of laparoscopic surgery many patients chose open surgery due to poor financial status. Keywords: Cholecystectomy, type of surgery, patient’s choice, factors
Pharmaceutical Law and Pharmaceutical Legislation in Spain and in the European Union: Concept, Evolution and Sources
Authors: Noguera Peña Alfonso , del Castillo Rodríguez Carlos
Published: October 2021

Medicines and the professional activity of the pharmacists are the subject of study of Pharmaceutical Law and Pharmaceutical Legislation. In this paper, on the one hand, the definition of these disciplines is examined, as well as their field of study, evolution and sources. On the other hand, the development of Pharmaceutical Legislation in the European Union is analysed in three clearly differentiated periods and related to different juridic enactments of generations of norms that affect medicines. Special attention has been paid to the so–called third generation standards, as the regulatory developments at European Union level and national level have been depened in the last three decades. Finally, those areas of the pharmaceutical sector that could have a regulatory development in the coming years are detailed.
Historical development of the pharmaceutical industry in Spain prior to Transition
Authors: Rodríguez Nozal Raúl
Published: October 2021

Max Weber (1864-1920), in his classic Die protestantische Ethik und der Geist des Kapitalismus, tried to justify the unequal industrial development of the different European countries based on the religious division of the continent as result of the Lutheran Reformation; According to their approach, the establishment of Protestantism in the north and centre and Catholicism in the south became the northern areas prosperous and the southern areas depressed, encouraging a tendency in the Protestant countries towards factory work, in opposition to the Catholic preference for craftsmanship. As far as the pharmaceutical industry was concerned, this approach led to two different models: the Central European model, Protestant-inspired, and the Mediterranean model, established in mainly Catholic countries such as Spain. The pharmaceutical industry was the driving force behind the new therapeutics that emerged during the 19th century, and it did so by acting on the two fundamental components of the drug: composition and presentation; while the Central European and Anglo-Saxon countries were inclined to promote the composition, the Mediterranean pharmaceutical industry channelled its efforts towards the final consumer product, the “pharmaceutical speciality”.
Taking this framework into account, our intention is to offer a general overview of the Spanish pharmaceutical industry prior to the Transition, based on a series of stages ranging from the emergence of drugstore pharmacies in the mid-19th century to the establishment of pharmaceutical laboratories during Franco’s regime, including the classification of what we know as industrial medicines (“secret remedies”, “specific” and “pharmaceutical specialities”), their legal recognition (Stamp Act and health registration), their raw materials and main pharmaceutical forms.
Concrete precast rejects – treatment, characterization, and application in new concrete as recycled aggregate
Authors: Lima Victor Marcelo Estolano de , Fucale Stela , Estolano Amanda Marques Lopes , Berenguer Romildo Alves , Lima Nathan Bezerra de , Cabral Larissa Cunha , Nascimento Heliana Caroline Batista do , Lima Nathalia Bezerra de
Published: October 2021

This article evaluates the feasibility of using concrete waste from precast production as recycled aggregate in concrete. The processing of concrete waste employed a jaw-hammer crusher and a sieve, producing three types of Recycled Concrete Aggregate (RCA). After their characterization, RCA was incorporated in two types of concrete used in the precast factory: a flowing concrete (FC), slump 220 mm, employed in columns and beams; and the second one, a no-slump extruded concrete (NSC), used for hollow core slabs. X-Ray diffraction, thermogravimetric analysis and scanning electronic microscopy showed phases from the hydrated cement paste and the original aggregate. Results of mechanical performance showed that RCA did not influence the compressive strength but influenced other properties such as water absorption and modulus of elasticity. Lastly, it was concluded that RCA obtained in the precast factory showed great potential to be used within the factory production process.
A atuação do consultório na rua quanto ao acesso da população em situação de rua aos serviços de saúde: uma revisão literária
Authors: Aparecido Vendrame Macedo Felipe , Graciano Speçato Layla , Lima dos Santos Aliny
Published: October 2021

As equipes consultório na rua são equipes multiprofissionais da Atenção Básica em Saúde compostas por profissionais de saúde que prestam atenção integral à saúde das pessoas em situação de rua. Com o objetivo de identificar o atendimento prestado pela equipe consultório na rua à população em situação de rua; compreender os desafios e barreiras enfrentadas pela equipe; foi desenvolvida esta revisão integrativa. Inicialmente foram encontrados 110 estudos, dos quais 53 foram pré-selecionados e 12 selecionados. Os achados foram sistematizados em quatro categorias: 1) O vínculo como ferramenta de acesso e alcance às PSR; 2) Compreendendo os desafios e barreiras na prática das eCR; 3) Compreendendo a intersetorialidade como ferramenta fundamental para a construção da cidadania e saúde e 4) Redução de danos e inclusão social. Os estudos descrevem o trabalho das equipes do consultório na rua e apontam diversos desafios e dificuldades encontrados pela equipe na atenção integral à população em situação de rua.
Ensino de arte e educação quilombola - etnorracialidade e descolonização do olhar
Authors: Marques Walter Rodrigues , Coelho Cantanhede Meiryele , De Barros Vieira Rocha Luís Félix , Lucena Lima Assunção Ana Valéria , Pimentel Silva Vânia , Coêlho Costa Rosangela , Cardoso Alves Maryluce , Cruz Nunes Antonio de Assis
Published: October 2021

O artigo é um fragmento de monografia do curso de Artes Visuais/UFMA ampliado. Partiu-se do capítulo “Experiência e prática artística nas ações do PET - Conexões dos Saberes na Escola Municipal Santa Tereza”, em Alcântara – Maranhão, embasados nas discussões e oficinas realizadas, do eixo Direitos Humanos, Cultura. O objetivo é falar dos negros, suas trajetórias e negação de seus direitos. O estudo partiu da reflexão sobre a Lei 10.639/2003 referente ao ensino da História e Cultura Afro-Brasileira e Africana nas disciplinas escolares, “preferencialmente, nas áreas de Literatura, Arte e História” (BRASIL, 2003). Como Arte/educadores, compreendemos a importância de discutir a função social da escola para promoção e legitimação de ações afirmativas em prol da valorização histórica e identitária do povo brasileiro. Por isso, abordamos questões de valorização da cultura, arte e história afro-brasileira, numa escola quilombola. Objetivamos analisar as ações desenvolvidas pelo PET para efetivação e aplicabilidade da Lei no ensino de Arte na escola questionando-se: Em que medida o PET tem contribuído para a implementação da Lei no ensino de Arte da comunidade quilombola Manival para promover a Identidade Étnica?
Significação dos alunos e pedagogos da EJA: a importância da escola como fator protetivo e promotor de resiliência
Authors: Mansur Lopes Jamille , Neves de Oliveira Francismara , Ramos Rodrigues de Carvalho Luciana , Maceira Mauricio Maria Fernanda , Lopes Sanchez Júnior Sidney
Published: October 2021

Apoiada na teoria Bioecológica do Desenvolvimento Humano (BRONFENBRENNER, 1996), buscou-se a significação do ambiente escolar de acordo com as vivências dos alunos e pedagogos da Educação de Jovens e Adultos (EJA), considerando fatores de risco e proteção presentes nesse contexto. A pesquisa qualitativa e descritiva analisou as significações produzidas por 12 alunos e 4 pedagogos da EJA. Pode-se concluir que a Educação de Jovens e Adultos permite a retomada de um direito que foi negado por diversas razões. A escola deve atuar no sentido de diminuir as desigualdades que assolam os menos favorecidos, além de ser responsável por constituir redes de apoio e promover a construção de fatores protetivos aos estudantes e demais membros dessa ecologia de desenvolvimento: familiares, amigos, corpo profissional da escola, comunidade adjacente.  Assim, é notável considerar a EJA em sua função protetiva e promotora de resiliência, visto que desenvolve em seus alunos possibilidade de enfrentamento aos riscos, fortalecendo a dignidade humana e formando cidadãos de direitos.
El estudio de los recursos pesqueros en la Argentina de fines del siglo XIX
Authors: V. García Susana
Published: October 2021

Este trabajo explora distintas iniciativas planteadas en torno al estudio de los recursos pesqueros del litoral atlántico en la Argentina de fines del siglo XIX. Se presta atención a las prácticas científicas, los actores y las instituciones vinculadas a esos estudios y las exploraciones del espacio marítimo. Asimismo, se tratan las interacciones de los científicos con los sectores pesqueros para el acceso a especímenes e información y se aportan elementos para discutir las relaciones de la ciencia con el auge comercial de ciertos productos y los medios de transporte.
UK PubMed Central: Interview with Phil Vaughan
Authors: Fenner Martin
Published: October 2021

PubMed Central was launched in February 2000 by the U.S. National Institutes of Health (NIH) as a free digital archive of journal articles. Just as PubMed, PubMed Central covers research in the life sciences, but not other areas of research, e.g. ...
Pastorais populares e áreas protegidas: a mediação de conflitos no horizonte da Ecologia Política
Authors: Rodrigues Lucas Milani , Bertazi Marcio Henrique , Ranieri Victor Eduardo Lima
Published: October 2021

Neste trabalho objetiva-se compreender o papel do padre João 30, representante da Pastoral dos Pescadores de Cananéia, São Paulo, enquanto “mediador de conflitos” entre o Parque Estadual Ilha do Cardoso (PEIC) e as comunidades tradicionais que já viviam no território antes da criação daquela Unidade de Conservação. O trabalho está alicerçado na Ecologia Política e metodologicamente balizado pela análise de conteúdo das atas do Conselho Gestor do PEIC, complementada por entrevistas com membros de comunidades caiçaras da Ilha do Cardoso e blog dedicado à trajetória do padre. Os resultados mostram a articulação do clérigo às demandas das comunidades que assistia e revelam seu interesse pela conservação da natureza. Considera-se que a categoria “mediação de conflitos” é um dispositivo relevante no âmbito da Ecologia Política.
STUDY OF THE INFLUENCE OF THE DIAMETER OF MODIFIED TOOLS WITH INTERNAL COOLING CHANNELS UNDER DIFFERENT THERMAL FLOWS
Authors: França P. H. P. , Da Silva L.R.R.
Published: October 2021

In this work, the effect on heat generation at the chip-machine tool interface was studied by varying the diameter of internal grooves of a tool for the turning process. This tool is modified with internal channels that circulate water as a coolant through a closed system. As an output parameter, the maximum cutting temperature at the chip-tool interface was studied. The input parameters were the thermal flux present at the chip-tool interface and the diameter of the internal channels present in the cutting tool. All the analysis of variation of the internal channels of the tools and also of the thermal flow exerted on the chip-tool interface were carried out using the finite element method by the Ansys® Workbench 19.2 software. The main one was that the variation in the diameter of the tool's internal grooves does not expressly impact the machining specifications.
ALTERNATIVES OF DOMESTIC WASTEWATER SLUDGE DRYING PROCESSES FOR ENERGY RECOVERY : A REVIEW
Authors: Camera S. , Pineda-Vásquez T. , Bianchi F. M. , Martins L. S. , Virmond E. , Watzko E. S.
Published: October 2021

As communities grow, cities need to increase their capacity to collect and treat domestic wastewater. The need of larger domestic wastewater treatment plants and proper disposal of its solid waste has attracted the scientific community to research about new technologies that will use those systems and waste as a way to generate energy. The moisture content of a fuel effects the combustion products and the energy released by the reaction.  Therefore, in order to make biomass to be a viable fuel option, the technological and scientific challenges of the drying process of wastewater sludge must be faced and overcome so the lowest moisture content level is achieved. Conventional drying processes as for example, direct and indirect thermal drying, are commonly used. However, other processes using renewable energy as for example solar drying are also being studied by the scientist around the world. Moisture content, physical-chemical properties as for example, heating values, composition, ash fusibility are all relevant properties taken into consideration when choosing a fuel for a specific application. The herein review is intended to present some existing domestic wastewater drying processes, alternative ways of improving the efficiency of those processes.
STIGMASTEROL VARIATION IN A MEDHYA RASAYAN PLANT (CENTELLA ASIATICA L.: APIACEAE) COLLECTED FROM DIFFERENT REGIONS
Authors:   Haffkine Institute for Training Research and Testing Acharya Dondeji Marg Parel, Mumbai 400012, India., Chowdhary A , Chaturvedi P , Memon R.
Published: October 2021

Medhya Rasayanas are group of medicinal plants described in Ayurveda (Indian system of medicine) with multi-fold benefits, specifically to improve memory and intellect by Prabhava. The study deals with the estimation of stigmasterol content, a chief ingredient in the Centella asiatica, (a part of Medhya Rasayana) collected from different regions of India. Stigmasterol is a chief phytosterol in this neurologically important plant, which has been proved as a useful substance in medication of Alzheimer’s disease. The plant collected from Panvel was observed the best source of stigmasterol (0.0582%) as compared to others.
ANAYASA MAHKEMESİ KARARLARINDA (İDARİ YARGI BAĞLAMINDA) GEREKÇELİ KARAR ALMA HAKKI
Authors: ŞİRİN Tolga
Published: October 2021

Bu çalışmanın amacı, gerekçeli karar alma hakkını Anayasa Mahkemesinin bireysel başvuru (anayasa şikâyeti) üzerine verdiği kararlar çerçevesinde ele alıp bu hakka ilişkin sorunları idari yargı ölçeğinde tespit ve kategorize etmektir. Bu amacı gerçekleştirmek için, içtihada dayalı bir yöntem kullanılmıştır. Bu çerçevede Anayasa Mahkemesinin kararlar bilgi bankasında yer alan tüm kararlardan, çalışma başlığına uygun filtrelemeler yapılarak ulaşılan bulgular paylaşılmıştır. Çalışmanın, söz konusu hakka ilişkin literatürü tüketme ve bu bağlamda etraflı bir tartışma sürdürme iddiası yoktur. Konuyla ilgili meri hukukun durumunu sistemli biçimde ortaya koyma ereği güdüldüğü için “hukuksal realist” perspektifle içtihat temelli çalışılmıştır. Plan itibarıyla; ilk başlıkta Anayasa Mahkemesinin ve Avrupa Konseyi organlarının bu hakka ilişkin ilkesel belirlemelerinden hareketle öznel bazı tespitler aktarılmakta; ikinci başlıkta bu tespitlere koşut ihlal görünümleri kategorize edilmekte; son başlıkta ise yapılan taramadaki bulgular, sistemli olarak ortaya konmaktadır.
ПРИНЦИП ВОЗМОЖНЫХ ПЕРЕМЕЩЕНИЙ В МОМЕНТНОМЕМБРАННОЙ ДИНАМИЧЕСКОЙ ТЕОРИИ УПРУГИХ ТОНКИХ ОБОЛОЧЕК /
The Principle of Possible Displacments in the Moment-Membrane Dynamic Theory of Elastic Thin Shells
Authors: Sargsyan S.
Published: October 2021

В работе излагается моментно-мембранная динамическая теория упругих тонких оболочек на основе метода гипотез, который соответствует качественной стороне результата интегрирования
трехмерной граничной задачи моментной теории упругости в тонкой
области оболочки.
На основе принципа возможных перемещений трехмерной моментной динамической теории упругости с независимыми полями перемещений и вращений и основных соотношений моментномембранной динамической теории упругих тонких оболочек, устанавливается принцип возможных перемещений для моментномембранной динамической теории упругих тонких оболочек./

In the present paper the moment-membrane dynamic theory of elastic
thin shells is presented based on the hypotheses method, which corresponds to
the qualitative side of the result of integration of the three-dimensional
boundary-value problem of the moment theory of elasticity in a thin region of
the shell.
On the basis of the principle of possible displacements of the threedimensional moment dynamic theory of elasticity with independent fields of
displacements and rotations and the basic relations of the moment-membrane
dynamic theory of elastic thin shells, the principle of possible displacements
for the moment-membrane dynamic theory of elastic thin shells is established.
Jejak Pesantren di Madura; Dari Islamisasi hingga Dinamika Lembaga
Authors: Trisnani Evarianisa Endang
Published: October 2021

Many researchers need to work hard to build the history of the Islamization of Madura so that it is fully structured. This is because facts have mingled with legend. Therefore, this study seeks to identify the Islamization of Madura with historical facts obtained from library and field data. The approach used in this research is qualitative with historical sociology perspective. The results of this study reveal that there are two paths to Islamization of Madura, namely the royal path and the path of the da'i or better known as Walisongo. The royal line necessitated that the Islamization of Madura was through the royal leaders and nobles. Because the kings are Muslim, their descendants follow Islam and are followed by the residents under them who also embrace Islam. Meanwhile, from the da'i line, the process of Islamization of Madura is a continuation of the mega project of Islamization of the Nusantara which was very massive between the 7th century to the 15th century. Both paths are strengthened by pesantren - as typical Islamic educational institutions of the Nusantara - which are spread throughout Madura.
What Supports Startups Need From Science and Technology Parks
Authors: Lee Daniel C. , Feng Xu , Xiong Yangmin
Published: October 2021

This study establishes strategies for the science and technology park (STP) operators to develop the support their hosted companies/startups (HCs) need to improve their performance at different stages of maturity. Unlike most of the research concentrated on the STP's viewpoints or used the after-the-fact results to create the policy guidelines for the operators, our paper uses the opposite approach by directly asking the HCs regarding what they need. From our survey results, we have identified two different strategies for improving HCs' performance. A comprehensive internal incubation network is necessary for any startup in a relatively mature development stage but with short settled years. On the other hand, a robust external incubation network is crucial for small-size startups in a low level of development stage but with long-settled years at STPs. We hope that the methodology underpinned in this study could open a new window for future research to better aid HCs in an STP.
The Lack of Qualified EFL Teachers in Saudi Schools: A Qualitative Interview Study
Authors: Alqahtani Abdullah
Published: October 2021

Despite teaching English language in Saudi Arabia for 6 decades, yet the outcomes are unsatisfactory. In this article, the lack of qualified English teachers in Saudi Arabia is the main reason for causing that issue. To address the issue, this study attempts to understand how untrained teachers have a negative influence on students' performance and competence. Unstructured interviews were conducted with students from two Saudi schools to reflect on the problems and obstacles that Saudi pupils encounter as a result of their incompetent instructors. Instead of interviewing instructors, we interviewed students to know the strategies, methods, and techniques employed by their teachers, which resulted in their incapacity to improve. According to the participants, the majority of English teachers in Saudi schools speak Arabic in English lessons rather than English. They also employ traditional approaches such as the teacher-centered method. They educate and explain in English, but when they reach a major obstacle, they immediately switch to Arabic as an efficient option. The study's findings highlight the necessity of having trained teachers to teach English in EFL programs in Saudi Arabia. The study's objective is to demonstrate that instructors are at the heart of the issues that affecting students' growth and how to assist them to overcome those problems.

 
EDITORIAL INTRODUCTION
Authors: Van Staden Werdie , Appleyard James
Published: October 2021

If you are an employee or employer, occupational health physician, or a physician concerned with the work–life balance of your patient, this fourth issue on work–life balance and burnout is for you. It culminates in practical guidance captured in the Tokyo Declaration on Work–Life balance together with five articles that clarifies the golden reach of person-centered medicine (PCM) in occupational health of both a clinician and a patient.

How this golden reach extends much further than patient-centered medicine is captured in the first article. An employed person, whether patient or practitioner, works within an interpersonal context in which all role players including the employer should actively contribute in nurturing an employee’s well-being and work–life balance. The second article engages with the reach of PCM in reporting on the personality features needed to cope with (or avert) unemployment as is evident in a comparison between 245 long-term unemployed individuals and a control group of 1,948. The third article articulates how the golden reach of PCM is informed by the empirical relationship between work engagement and burnout. The fourth article considers the work–life balance among Japan’s physicians in the context of ongoing work style reform. The fifth article underscores that a person-centered work environment is crucial in addressing the challenges of burnout among physicians and medical students.
THE BROADENED SCOPE OF A PERSON-CENTERED APPROACH TO WORK, HEALTH, AND WELL-BEING
Authors: Van Staden Werdie
Published: October 2021

Background: Person-centered medicine (PCM) broadens the practical scope in health practice beyond patient-centered medicine.

Objectives: The objective of this article is to consider what a broadened scope mean in understanding how employment/work relates to the promotion of health and well-being of the patient and the practitioner.

Method: The conceptual scope of PCM is applied in considering the connections of work with health and well-being. The scope of occupational health is accordingly expanded in accounting for the work and well-being of the patient and the practitioner.

Results: PCM puts the person and people before their work. It recognizes that an employed person, whether patient or practitioner, works in a context that is interpersonal and in which all the role players contribute to a healthy milieu. This means that a healthy work–life balance should not be pursued merely as an attribute of an individual, but as a pursuit to which all role players should actively contribute and take joint responsibility. Both the employer and the employee should accordingly invest in a healthy work–life balance, for example. An employer that recognizes in a person-centered way its role in the well-being of its employee is investing in the employee as a valued asset not merely by attending to the person’s ill health and the prevention of ill health and burnout (as is commonly the objective in occupational health programs), but by promoting his or her positive health and well-being. Furthermore, PCM guides the pursuit of a person’s well-being in a healthy work context by accounting for the person’s subjective experiences, values, preferences and interests.

Conclusion: PCM provides for an approach to a healthy work context in which the patient or the practitioner may flourish through active investments for which both the employer and the employee should take responsibility.
Português Língua Estrangeira: uma proposta de ensino sistêmico
Authors: Moreira Tânia Maria , Barros Guilherme Barbat
Published: October 2021

Desde o anúncio da necessidade de ações que versem sobre a internacionalização no âmbito do Ensino Superior brasileiro, inúmeros foram os projetos e programas propostos e desenvolvidos em universidades federais, dentre os quais se destaca o Idiomas sem Fronteiras (IsF). Nesse sentido, tendo como finalidade dar visibilidade e compartilhar estudos e práticas de ensino, este artigo tem como objetivo apresentar princípios do Ciclo de Ensino e Aprendizagem norteadores no desenvolvimento de cursos de Português como Língua Estrangeira no IsF na Universidade Federal de Santa Maria (UFSM), bem como os resultados de uma experiência docente, vivenciada a partir de um levantamento qualiquantitativo e interpretativista envolvendo discentes estrangeiros matriculados em cursos de graduação e pós-graduação na UFSM. Desse modo, a perspectiva teórica e metodológica adotada se baseia nos estudos de Martin e Rose (2008) e Rose e Martin (2012). Os resultados alcançados sinalizam o perfil de acadêmicos estrangeiros na universidade e apontam algumas de suas demandas de aprendizagem sobre a Língua Portuguesa usada no Brasil. A experiência realizada envolveu o desenvolvimento de atividades de desconstrução, construção conjunta e individual de textos e resultou na publicação de um livreto de resenhas de filmes. Os textos produzidos pelos alunos serviram como instrumento de avaliação do processo de ensino e aprendizagem e da eficácia dos postulados de Martin e Rose (2008) e Rose e Martin (2012) no contexto situado.
Colocação pronominal e ensino de português: possibilidades metodológicas para a educação básica
Authors: Cerqueira Mirian Santos de , Silva Leosmar Aparecido
Published: October 2021

Este artigo tem como objetivo central apresentar uma possibilidade metodológica de abordagem da colocação pronominal em aulas de língua portuguesa para o ensino básico. Em relação à metodologia, inicialmente, fizemos uma ampla revisão de literatura sobre os clíticos pronominais no português brasileiro; em seguida, selecionamos dois textos literários e uma tira humorística para analisar seus aspectos gramaticais e discursivos, especialmente, os relacionados ao uso dos clíticos, ao mesmo tempo em que problematizamos a transposição didática da análise ao ensino de língua portuguesa. Os resultados mostraram que, nas aulas de língua portuguesa, é possível avançar para além das regras gramaticais prescritivas, valorizar diferentes manifestações de uso da língua e integrar as frentes de língua portuguesa. Estudos como o desenvolvido neste artigo podem contribuir para a reflexão sobre a relação entre gramática, leitura e produção textual.
O dispositivo literatura no livro didático: reflexão pós-pandemia
Authors: Pinto Luiz Renato de Souza , Costa Filho José Vinicius da
Published: October 2021

O que esperar da literatura no livro didático em face das novas realidades? Este artigo desenvolve reflexões sobre o dispositivo de literatura no livro didático, considerando o novo cenário pós-pandemia. Privilegia-se o diálogo com a pesquisa de Pimentel (2018) para sustentar a reflexão proposta. A metodologia qualitativa utiliza a ferramenta descritiva e de revisão bibliográfica para situar e desenvolver o objetivo da pesquisa. Resultados apontam que as relações de poder que atravessam a busca do conhecimento podem ser diminuídas com a criação de políticas públicas na área de educação, bem como de investimentos na cadeia produtiva do livro. Além disso, sinaliza para a necessidade de se melhorar os índices de interpretação das fontes e da produção discursiva, advindas de melhorias das relações docentes/discentes em nosso país. O artigo agrega à agenda de pesquisa ao destacar o dispositivo literatura no livro didático como ferramenta que contribui para contornar criticamente a realidade pós-pandêmica, marcada pela pós-verdade e fake news.
Escrita, multimodalidade e ensino: teoria e prática
Authors: Queiroz Heloísa
Published: October 2021

Sem resumo.
qFEx - um crawler para busca e extração de questionários de pesquisa em documentos HTML
Authors: Mathias Gilney N. , Dorneles Carina F.
Published: October 2021

Questionários de pesquisa podem ser utilizados por empresas ou instituições para avaliar itens ou produtos, mediar a satisfação de seus funcionários/clientes, ou serem utilizados por pesquisadores para coleta de dados que podem ser usados em estudos. Alguns problemas na criação de tais questionários envolvem: decidir quais perguntas fazer, como fazê-las e como organizá-las. Visando isso, este trabalho propõe a criação de um Web Crawler, que varre a Web em busca de sites que possivelmente contenham questionários, e de um Extrator, capaz de extrair os questionários da lista de páginas coletadas pelo crawler e salvá-las em um banco de dados relacional. A base de dados criada pode depois, servir para a análise desses dados e/ou como uma base centralizada de exemplos para a elaboração de novos questionários ou ainda para o reuso de questões existentes. Alguns experimentos são apresentados para demonstrar a correta coleta de questionários pelo crawler, e a posterior extração das questões presentes nos questionários.
PolRoute-DS: um Dataset de Dados Criminais para Geração de Rotas de Patrulhamento Policial
Authors: Sá Bruno Cunha , Muller Gustavo , Banni Maicon , Santos Wagner , Lage Marcos , Rosseti Isabel , Frota Yuri , de Oliveira Daniel
Published: October 2021

Esse artigo apresenta o dataset PolRoute-DS, criado para viabilizar o desenvolvimento e testes de abordagens de geração de rotas policiais em centros urbanos. O PolRoute-DS combina a estrutura espacial da cidade de interesse, representada como um grafo conexo e direcionado de segmentos de vias, com dados criminais obtidos de fontes públicas (no contexto deste artigo os dados são providos pela Secretaria da Segurança Pública de São Paulo). O PolRoute-DS se encontra disponível para uso da comunidade sob a licença Creative Commons By Attribution 4.0 International (versões CSV e PostgreSQL), e pode ser obtido em https://osf.io/mxrgu/.
Modelo de Previsão com Regressão Polinomial Para Casos de COVID-19 na Cidade de Tianguá-CE Através dos Classificadores Support Vector Machine e Random Forest
Authors: Sousa Roney Nogueira de , Sousa Ronieri Nogueira de , Brito Rhyan Ximenes de , Ximenes Janaide Nogueira de Sousa
Published: October 2021

A COVID-19 é um dos maiores problemas de saúde pública enfrentados no Brasil e no mundo atualmente. Para essa pesquisa utilizou-se de dados disponibilizados pela plataforma Brasil.io. Dessa forma usou-se de algoritmos com regressão polinomial para predizer os casos de COVID-19, com base no treinamento e teste a partir dos dados extraidos dos boletins diários que são fornecidos pela Secretaria de Saúde do Município. Os resultados obtidos foram satisfatórios visto que foram próximos aos observados na realidade. Assim, o classificador Random Forest (RF) obteve os melhores resultados com 83,70% de taxa média do coeficiente de determinação frente aos 54,50% obtidos pelo Support Vector Machine (SVM).
Proposta de um Servidor de Dados em Pesquisa Clínica Baseado no Padrão HL7 FHIR de Interoperabilidade
Authors: Vieira Igor O. , Marques Jefferson L. B.
Published: October 2021

Este trabalho apresenta um modelo implementável de servidor FHIR para dados de pesquisa em saúde, complementando a premissa de que pesquisa não deve mais ser considerada uma atividade isolada e sim conduzida em estruturas interoperáveis para eficiência e eficácia operacional. Os resultados adquiridos demonstram que é possível assim superar o grande desafio na comparação de dados de diferentes fontes, garantindo que conjuntos sejam correspondentes entre si.
AI-Powered Virtual Assistants in the Realms of Banking and Financial Services
Authors: Mori Margherita
Published: October 2021

This chapter aims at providing a framework for analysis on evolutionary trends in finance that have to do with technological progress and especially with artificial intelligence (AI) applications. The starting point can be identified with a survey on how they have modified the business areas involving banking and financial services and on what can be expected – in terms of future strategic shifts and behavioral changes – on both the supply and the demand sides. The next step revolves around a wider and deeper investigation on the role that virtual assistants have started to – and are likely to further – play in the areas under scrutiny: special attention is requested upon the provision of enhanced customer service support, including conversational AI and sound branding; implications encompass developments that are on the cards, based upon digitalization as a must – not just an option – as shown by the Covid-19 pandemic. Conclusions allow to emphasize the significance, advancing features and value of this conceptual paper, as it leads to sort out best practices and success stories that are worth disseminating and replicating to benefit not only individuals and enterprises having direct interest in them, but society as a whole.
Incorporation of Phase Change Materials and Application of 3D Printing Technology in the Geopolymer Development
Authors: Nmiri Ahmed
Published: October 2021

The building sector accounted for the largest share of both global final energy use and energy-related CO2 emissions. Despite the efforts made during the last decade to reduce energy consumption and greenhouse gas emissions, the demand for energy is increasing steadily. Thus, development of novel strategies to reduce energy costs and save the environment through a new building regulation has critical importance. Several new technologies are emerging to help achieve the aim of reducing energy usage in building sectors, eliminating greenhouse gas emissions, and recycling waste. Some of these technologies are: (1) the development of geopolymer binder that may be used as an alternative to ordinary Portland cement, (2) the adoption of three-dimensional (3D) printing technology in the civil engineering, and (3) the integration of phase change materials (PCM) in cementitious materials to increase energy efficiency of buildings. In this chapter we review some research about phase change materials-based geopolymer cement, and the adoption of the additive manufacturing technology in geopolymer applications, as well as, point to further areas of study required for wide-scale industry adoption.
Estado de salud en adolescentes de España, México y Chile durante la COVID-19: un estudio transcultural.
Authors: Tamarit Alicia , Schoeps Konstanze , Del Rosario Constanza , Amador Esparza Nancy A , Montoya-Castilla Inmaculada
Published: October 2021

La pandemia provocada por la COVID-19 es una crisis sin precedentes en la historia reciente, cuyas consecuencias han tenido un impacto mundial. Una de las etapas más vulnerables a los efectos de esta emergencia sanitaria es la adolescencia, pues atraviesan un proceso vital de cambios en diversos aspectos de su vida, y la inestabilidad social y económica se suma como factor de riesgo a su ajuste psicosocial. Los estudios a nivel transcultural han tratado de comparar y comprender las diferencias en la adaptación de los y las adolescentes a la pandemia en diferentes partes del mundo. El objetivo de este estudio fue analizar el estado de salud actual, en comparación con el estado de salud previo a la pandemia provocada por la COVID-19, en una muestra de adolescentes de España, México y Chile. Participaron 449 adolescentes (75.90% chicas) de entre 12 y 17 años (M= 15.37; DT= 1.09). Se estudió su estado general de salud mediante un cuestionario ad hoc, y se realizaron análisis descriptivos y análisis de Chi-cuadrado. Los resultados muestran que los y las adolescentes de España, México y Chile, especialmente estos últimos, tienden a presentar una incidencia significativamente mayor de síntomas físicos y psicológicos durante la pandemia, en comparación a su estado de salud anterior a la aparición del coronavirus. Estos resultados enfatizan la necesidad de detectar las necesidades específicas de los y las adolescentes teniendo en cuenta su contexto social y cultural, para poder poner en marcha intervenciones destinadas a proteger su salud mental durante esta pandemia.
El continuo de salud mental durante el confinamiento por COVID-19 en adultos argentinos
Authors: Eidman Leandro
Published: October 2021

La pandemia que atraviesa el mundo presenta características que la califican sin precedente alguno. La mayoría de las investigaciones sobre epidemias y pandemias focalizaron sus estudios en variables psicopatológicas lo cual produjo desconocimiento al respecto de las consecuencias sobre las variables psíquicas salugénicas. El objetivo del presente estudio fue estudiar la salud mental positiva durante el confinamiento por Sars-Cov-2 en adultos argentinos. La muestra estuvo conformada por 941 participantes con una edad promedio fue de 33.77 (DE= 14.14; 78.5% mujeres, 20.8% varones). Los resultados informaron que una gran parte de la muestra presentó niveles de salud mental moderados, un porcentaje significativo una salud mental floreciente, mientras un porcentaje menor reportó niveles de salud mental languideciente. Se concluye que la forma en que la situación es autopercibida por los sujetos influye en sus niveles de su salud mental.
Malestar psicológico y respuestas de afrontamiento al confinamiento por la COVID-19
Authors: Seijo Dolores , Montes Álvaro , Marcos Verónica , Sanmarco Jessica , Novo Mercedes
Published: October 2021

La declaración de la situación de pandemia mundial por COVID en 2020, conllevó la implantación de medidas de confinamiento de la población y de limitación del contacto social, trayendo aparejada inseguridad económica y laboral, lo que la convierte en un evento altamente estresante. Estos producen malestar psicológico e impelen a los individuos a desplegar estrategias de afrontamiento para superar los efectos. Se diseñó un estudio de campo para conocer el malestar psicológico provocado por el confinamiento estricto y qué respuestas de afrontamiento activaron las personas para encarar este evento y, a través de ellas, evaluar la eficacia del afrontamiento ejercitado. Para ello se evaluó a una muestra comunitaria con 338 participantes que respondieron a una medida de malestar psicológico y a otra de afrontamiento del confinamiento. Los resultados mostraron una tasa de casos de deterioro moderado y clínico (.834) significativamente mayor a la esperada, siendo el incremento en la tasa de casos debida a la pandemia del 88%. En relación a las respuestas de afrontamiento, los resultados revelaron un incremento en el uso de estrategias evitativas, disminuyendo la confianza (-64.5%) en las estrategias aproximativas para el afrontamiento del confinamiento por la pandemia. Además, el afrontamiento del confinamiento por pandemia incrementó el uso de las estrategias cognitivas y comportamentales. Sobre la tasa de uso de las estrategias, se observó en todas una frecuencia de empleo significativa, siendo la estrategia de descarga emocional significativamente la más activada. Se discute la eficacia de las estrategias desplegadas por la población para el afrontamiento del confinamiento por pandemia, caracterizadas como desadaptativas, pasivas, evitativas y centradas en las emociones, y las implicaciones para el diseño de programas de potenciación.
Financial Implications of Early Hospital Discharge After AML-Like Induction Chemotherapy: A 4-Year Retrospective Analysis
Authors: Moore Nathan J. , Othus Megan , Halpern Anna B. , Howard Nicholas P. , Tang Linyi , Bastys Kyle E. , Percival Mary-Elizabeth M. , Hendrie Paul C. , Hartley Garrett A. , Welch Verna L. , Estey Elihu H. , Walter Roland B.
Published: October 2021

Background:Early hospital discharge (EHD) after intensive acute myeloid leukemia (AML) induction chemotherapy has become routine at the University of Washington/Seattle Cancer Care Alliance over the past several years. We assessed the financial implications of EHD over the first 4 years after its broad adoption for patients with AML and other high-grade myeloid neoplasms undergoing AML-like induction chemotherapy.Patients and Methods:We retrospectively compared charges between 189 patients with EHD who received all postinduction inpatient/outpatient care within our care system between August 2014 and July 2018 and 139 medically matched control patients who remained hospitalized for logistical reasons. Charges from the day of initial discharge (patients with EHD) or end of chemotherapy (control patients) until blood count recovery, additional chemotherapy or care transition, hospital discharge (for control patients only), an elapse of 42 days, or death were extracted from financial databases and separated into categories: facility/provider, emergency department, transfusions, laboratory, imaging, pharmacy, and miscellaneous.Results:Combined charges averaged $4,157/day (range, $905–$13,119/day) for patients with EHD versus $9,248/day (range, $4,363–$48,522/day) for control patients (P<.001). The EHD cohort had lower mean facility/provider, transfusion, laboratory, and pharmacy charges but not imaging or miscellaneous charges. During readmissions, there was no statistically significant difference in daily inpatient charges between the EHD and control cohorts. After multivariable adjustment, average charges were $3,837/day lower for patients with EHD (P<.001).Conclusions:Together with previous data from our center showing that EHD is safe and associated with reduced healthcare resource utilization, this study further supports this care approach for AML and other high-grade myeloid neoplasms if infrastructure is available to enable close outpatient follow-up.