bluuebunny/crossref_metadata_2025 huggingface dataset:
ANÁLISES DA ADOÇÃO DO PREÇO HORÁRIO NO BRASIL
Authors:   , Oliveira Helena
Published: May 2024

Este trabalho auxiliará na compreensão dos benefícios que a adoção do Preço Horário na precificação da energia elétrica, sob o suporte técnico do modelo matemático DESSEM, trará para a gestão de compra e consumo de energia. As análises procurarão explicar e reportar, assuntos ou eventos, precedentes ou correlatos, para facilitar a compreensão das matérias. Será feita uma leitura da contabilização sombra do Preço Horário, onde será balizado o aculturamento à maior granularidade do Preço de Liquidação de Diferenças (PLD). Em seguida, será avaliada se a operação sombra do DESSEM, registra indícios de que o modelo está pronto e funcionando de forma consistente e estável. Por fim, uma contemplação dos aspectos da comercialização de energia, assomando as dificuldades gerais e seus desafios por segmento, servirá para a deliberação sobre as pujantes decisões estruturais para o mercado de energia absorver integralmente a proposta do Preço Horário.
Exercícios domiciliares para pacientes pós-COVID 19: Um guia de bolso
Authors: Brito Anna Luísa Araújo , Silva Jakson Henrique , Xavier Anderson Brasil , Porfirio Pedro Vinicius , Santos Arthur Aldo dos , Brandão Daniella Cunha , Andrade Armele Dornelas de , Campos Shirley Lima
Published: May 2024

A COVID-19 pode desencadear complicações musculoesqueléticas e respiratórias, como fraqueza muscular, fadiga persistente e dificuldades respiratórias. Estas manifestações, inicialmente agudas, podem perdurar por semanas ou até meses em diferentes graus de gravidade. Nesse contexto, é crucial considerar abordagens terapêuticas de longo prazo visando melhorar o condicionamento físico e cardiorrespiratório. Exercícios físicos e respiratórios realizados em casa representam uma alternativa viável. Este guia de bolso oferece orientações para pessoas afetadas pela doença, incluindo técnicas de alongamento e exercícios. Além disso, disponibiliza uma seção para impressão, que serve como ferramenta para monitorar a realização dos exercícios, incluindo tipo, frequência e intensidade.
1 Trigonometria - Versão Digital em Português/Libras
Authors: Soares Janine de Oliveira , Machado Rosilene Beatriz
Published: May 2024

Neste material, apresentamos a nova versão para acessar ao livro digital online. Nela você encontra alguns dos principais conceitos matemáticos relacionados ao conteúdo de trigonometria presentes no currículo de matemática, tanto do ensino fundamental quanto do ensino médio. Assim, no decorrer das páginas que seguem, o leitor encontrará uma discussão conceitual sobre: ângulo, triângulo; razões trigonométricas no triângulo retângulo; círculo e circunferência; circunferência trigonométrica; seno, cosseno e tangente de um arco trigonométrico; e razões trigonométricas em triângulos quaisquer.
UNIRILA: Turismo, Desarrollo Locales, Aspectos Educacionales Y Lingüísticos
Authors: Maciel Rúberval , Mamede Simone , Dorsa Arlinda Cantero , Siufi Beatriz Guerci de , Enrique Mario Gustavo Leiva
Published: May 2024

Esta coletânea de texto representa uma ação inovadora internacional fruto de tratativas governamentais a partir da assinatura da carta de Assunção pelos governos da Argentina, Brasil, Chile e Paraguai ao se pensar na tríplice hélice: setores Governamental, Empresarial e Universitária como instância de trabalho para se planejar a implantação do Corredor Bioceânico.
A partir de então, a Universidade Estadual de Mato Grosso do Sul - UEMS teve o papel de fazer as articulações entre as universidades dos quatro países na II Expedição da RILA, com apoio do Setlog, do Governo do Estado de Mato Grosso do Sul e do Itamaraty, em 2017.
No mesmo ano, houve o I Seminário da UNIRILA em Campo Grande-MS e desde sua criação, por meio do Convênio estabelecido entre as universidades dos quatro países, a Rede Universitária da Rota de Integração da América Latina (UNIRILA) tem objetivado promover a interação entre as universidades dos países que a compõem, fomentando o desenvolvimento colaborativo nos campos acadêmico, científico, tecnológico e cultural. Este esforço recíproco colaborativo, faz com que a UNIRILA, por meio de seus pesquisadores, venha desde 2016, promovendo ações em prol da implantação do Corredor Bioceânico, seja por meio de publicações científicas, palestras, oficinas, assim como da presença efetiva nos fóruns oficiais realizados na Argentina, Brasil, Chile e Paraguai.
LEUCEMIAS AGUDAS E A RELAÇÃO COM A PREVALÊNCIA SOBRE A POPULAÇÃO INFANTIL
Authors: DAMACENO SHESTER CARDOSO , OLIVEIRA ROBERTA VASCONCELLOS SOUZA DE , FERRAZ MARIA EDUARDA DORNELES , BRAGA RENAN BARROS , FERRAZ JOÃO GUILHERME DORNELES , SOUSA MIRNA RIBEIRO FREITAS DE , SILVA VIVIANE LIMA , LOPES ALINE COSTA , VALERIO FABRICIO RICARDO , VASCONCELOS JOÃO HENRIQUE RAMOS DE
Published: May 2024

Leucemia aguda é um tipo de câncer que afeta o sangue e a medula óssea, sendo mais
comum em crianças do que em adultos. Na infância, as leucemias agudas representam
cerca de um terço de todos os cânceres diagnosticados, com a leucemia linfoblástica
aguda (LLA) sendo o tipo mais prevalente. Embora a causa exata das leucemias agudas
ainda não seja totalmente compreendida, fatores genéticos, ambientais e exposição a
certas substâncias tóxicas podem desempenhar um papel no seu desenvolvimento.
Demonstrar a a prevalência da leucemia sobre a infância e a relação com a saúde pública.
Foi realizada uma revisão bibliográfica com busca nos bancos de dados Scielo, onde
foram encontrados 113 artigos e PUBMED, onde foram encontrados 30 artigos utilizando
os descritores ‘Leucemia' e ‘Infantil'. Os artigos estavam no recorte temporal de dois
anos, entre 2021 e 2022 As leucemias agudas na infância geralmente se manifestam
rapidamente e de forma agressiva, exigindo tratamento imediato. Os sintomas podem
incluir fadiga, fraqueza, febre, dores nos ossos e articulações, sangramento fácil e
infecções frequentes. O diagnóstico é feito através de exames de sangue e da medula
óssea, que podem revelar a presença de células cancerígenas anormais. O tratamento das
leucemias agudas na infância envolve uma combinação de quimioterapia, radioterapia e,
em alguns casos, transplante de células-tronco. É importante ressaltar a importância da
conscientização sobre as leucemias agudas na infância, bem como o financiamento para
pesquisas que buscam entender melhor a doença e desenvolver tratamentos mais eficazes
e menos invasivos. Com o avanço da ciência e da medicina, espera-se que o futuro traga
ainda mais progressos no combate a essa doença devastadora, proporcionando às crianças
afetadas uma chance maior de cura e uma melhor qualidade de vida.
Palavras-chave: Leucemia, Leucemia Aguda, Infância
PRINCIPAIS CAUSAS DE TRAUMAS PEDIÁTRICOS INFANTO JUVENIL NO BRASIL: O RETRATO DE UMA DÉCADA
Authors: PONTES VITÓRIA DE MELO , OLIVEIRA PEDRO HENRIQUE SALES DE , BARROS ALAN DE PAULA FERREIRA , PINHEIRO MOARA VÉRAS , RIBEIRO GUILHERME BARBOSA MARQUES , PAULA MARIA CLARA SILVA DE , COSTA ANA JÚLIA SOUSA DA , CRUZ FRANCISCO CAIO DE AMORIM CARVALHO , MEDEIROS ISA GABRIELLE JESUS MENDES MOURA , SOUZA ANTÔNIO TIAGO DA SILVA
Published: May 2024

Traumas pediátricos infantojuvenis é uma preocupação da Saúde mundialmente, devido
a sua alta morbimortalidade. Acidentes de trânsito, afogamentos, queimaduras, estão entre
os principais fatores de risco. Acidentes de trânsito e quedas estão entre as causas de
trauma mais prevalentes dentro da população no Brasil, classificadas em causas externas
e sendo, em sua maioria, evitáveis e passíveis de prevenção. A ocorrência desses acidentes
varia de acordo com idade, sexo e nível de desenvolvimento da criança. Demonstrar como
a compreensão sobre as principais causas de traumas pediátricos infantojuvenis. Trata-se
de uma revisão de literatura entre o período de 2014 a 2024, foi conduzida nas bases de
dados Scientific Electronic Library Online (Scielo), PubMed e Periódicos da
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Bibliotéca
Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde

(LILACS), utilizando os Descritores em Ciências da Saúde (DeCS): Causas; Infanto-
juvenil; Trauma. Observou-se maior frequência de traumas mecânicos em crianças do

sexo masculino entre 3 a 12 anos, tendo como prevalência acidentes em vias públicas e
em seguida na própria residência. O trauma mais comum é a queda, a qual ocorre por
múltiplos fatores como idade, gênero, tipo de moradia, entre outros. A principal lesão
resultante de trauma mecânico encontrado foi o esquelético que ocorre na maioria dos
casos em membros superiores. O Traumatismo Crânio Encefálico na população pediátrica
também é predominante, entre 2 e 6 anos de idade, as principais causas são quedas da
própria altura e quedas de alturas superiores. Enfatiza-se a importância de promover
medidas educativas, legislativas e ambientais que visem alertar a população sobre a
importância da prevenção a esses acidentes pediátricos, além de mitigar esses riscos.
Palavras-chave: Causas; Infanto-juvenil; Trauma.
ABORDAGEM INTERPROFISSIONAL EM SITUAÇÕES DE URGÊNCIA E EMERGÊNCIA
Authors: GOMES PATRICK GOUVEA , OLIVEIRA CRISTIANA PACÍFICO , FERREIRA MARIA ALYNE DE SÁ , SILVA LARISSA SOARES , CARVALHO JENIFFER CHRISTINE FERREIRA DE , SANTOS LORENA MARINA DE SOUZA , MATOS LARISSA DOS SANTOS , NEVES ELIAS GABRIEL DANTAS , XAVIER ADRIANA CRISTINA ALVES , XAVIER ADRIANA CRISTINA ALVES
Published: May 2024

A abordagem da equipe de saúde integrada no trabalho é essencial para a visualização
social sobre as informações do funcionamento e atuação de cada um dos profissionais
nesses ambientes, sendo necessária essa abordagem. Objetivo: Demonstrar a
integralidade de atuação dos profissionais de saúde na urgência e emergência. Trata-se de
uma revisão Integrativa de Literatura, com busca nos bancos de dados SCIELO e
PUBMED, utilizando os descritores ‘Multiprofissionalismo', ‘Urgência' e
‘Emergência'.Foi utilizado o recorte temporal de dois anos, entre 2020 e 2021. Sabe-se
que o interprofissionalismo é essencial na rotina do dia a dia na urgência e emergência,
isso acontece por que os profissionais necessitam de atuações conjuntas e não somente de
maneira isolada, fato esse que é desconhecido por parte da população. A ação conjunta
deste acontece desde os momentos inicias da recepção dos pacientes até a saída destes,
essa ação conjunta se mostra essencial para a melhoria na qualidade de vida dos pacientes.
Além disso, a colaboração interprofissional leva a uma maior eficiência nos cuidados de
saúde. A integração de diferentes especialidades minimiza redundâncias nos processos,
otimizando recursos e reduzindo custos. Isso é particularmente crucial em um momento
em que os sistemas de saúde enfrentam desafios crescentes e demandas complexas.
Portanto, é importante demonstrar a atuação profissional conjunta.
Palavras-chave: Interprofissionalismo, Saúde, Urgência
RESILIÊNCIA DOS TRABALHADORES DA ATENÇÃO PRIMÁRIA À SAÚDE NO CONTEXTO DE PANDEMIA DE COVID-19
Authors: GOULART GIULIA DOS SANTOS , WOJCIECHOWSKI TAINÁ CAROLINE GONÇALVES , SILVA MARCULINA DA , NEVES ANA CLÁUDIA PAIVA WEIGERT , ANDOLHE RAFAELA
Published: May 2024

A pandemia de COVID-19 apresentou aos trabalhadores da Atenção Primária à Saúde
diversos desafios em relação à organização do trabalho, o que resultou na instabilidade
do processo de trabalho e gerou repercussão adversa na saúde mental e na qualidade de
vida destes trabalhadores. Portanto, neste período tornou-se fundamental pensar em
estratégias de resiliência e na capacidade de transformação do ser humano diante de
adversidades. Analisar a resiliência em trabalhadores da Atenção Primária à Saúde no
contexto da pandemia da COVID-19. Estudo transversal, com trabalhadores de saúde da
Atenção Primária à Saúde da 4a Coordenadoria Regional de Saúde e da cidade de Ijuí.
Dados foram coletados mediante questionário sociodemográfico, laboral e saúde e, Escala
de Resiliência, formato online, analisados a partir da estatística descritiva, correlação de
Spearman, teste Kolmogorov-Smirnov, teste Qui-Quadrado ou Exato de Fischer e Alpha
de Cronbach. Participaram do estudo 120 trabalhadores de saúde, com predomínio de
31,7 % Agente Comunitários de Saúde e 72,5% com nível moderado/alto de resiliência.
Houve associação entre cargo de trabalhadores de ensino médio e resiliência (p=0,03).
Embora a média esteja dentro de nível médio/alto, considera-se 27% dos trabalhadores

apresentaram baixo nível de resiliência, situação de risco para adoecimento. Recomenda-
se ampliar compreensão e medidas para melhor enfrentamento de situações adversas,

aumentando a capacidade de resiliência.
Palavras-chave: Atenção primária à saúde; Resiliência; Saúde do trabalhador; Trabalho;
Trabalhadores de saúde.
RELATO DE EXPERIÊNCIA DE DISCENTES DE TERAPIA OCUPACIONAL EM UM CENTRO ESPECIALIZADO EM REABILITAÇÃO TIPO III
Authors: Santana Ingrid Estheffani Calil , Batista Paula Rayane Oliveira , Mello Nathalia Castilhos , Mendes Michely Caroline Nascimento , Sá Nonato Márcio Custódio Maia
Published: May 2024

A hanseníase é uma doença crônica, infectocontagiosa
ocasionada por uma bactéria chamada Mycobacterium leprae, que possui preferência pelas vias aéreas. Acometem primordialmente as mucosas, pele e nervos periféricos, causando lesões neurais e com elas
danos graves. É uma doença de evolução lenta e progressiva e que se não for tratada pode causar deformidades e ser irreversível. Entre os países do mundo, o Brasil ocupa o segundo lugar em registros de novos casos nas regiões, continuando a ser um impasse na questão de saúde pública (Brasil, [s.d.]).
INTERVENÇÕES NA DOENÇA DE PARKINSON: umolhar integralizado e humanizado da Fisioterapia no projeto do Núcleo de Atenção ao Idoso/Parkinson da Universidade do Estado do Pará: relato de experiência
Authors: Aguiar Kailany da Silva , Costa Breno Victório Ozias , Costa Brunna Gabrielli Freitas da , Valente Débora Suely Martins , Moraes Márcia Goretti Guimarães de
Published: May 2024

O envelhecimento é um processo comum do ser humano, que
ocorre em todo o percurso da vida, sendo que a última fase é a velhice. Esta etapa é caracterizada por apresentar diversas mudanças. Estima-se que, em 2050, a população mundial idosa ultrapassará o número de 2.1
bilhões. Já, no Brasil, a porcentagem de pessoas com mais de 60 anos,
de 2012 para 2021, foi de 11,3% para 14,7%, demonstrando um
aumento de quase dez milhões para essa comunidade. Enquanto isso,
na região Norte do Brasil, apenas cerca de 9,9% da população possui
mais de 60 anos, visto que esse território é considerado a região com a maior concentração de grupos com menos de 18 anos, com cerca de 30,7% da população nortista. A mudança desse perfil populacional traz novas demandas, com muitas preocupações por parte dos governantes em relação à execução e criação de novas políticas públicas (WHO, 2022; IBGE, 2022).
The Healing and Aging-related Properties of Adipose Tissue Fragments Obtained through the Guided SEFFI Procedure’s Mechanical Fragmentation are Facilitated by the Exosomes Present in the Final Injection
Authors: Alessandro Casadei , Alessandro Gennai , Bruno Bovani , Tommaso Pusceddu , Lucia Sileo , Maria Pia Cavalieri , Martina Greco , Barbara Zavan
Published: May 2024

The Injection of autologous Adipose-Derived Stem Cells (ADSCs) and Stromal Vascular Fraction (SVF) into dermal and subdermal layers can improve skin volume and rejuvenation. The SEFFI (Superficial Enhanced Fluid Fat Injection) technique, which involves minimal manipulation of autologous microfragmented adipose tissue, was utilized for harvesting and re-injection, using the SEFFILLER™ disposable medical device. Mechanical fragmentation of adipose tissue is a well-established surgical technique that stimulates tissue regeneration, filler, and biological activity. The study evaluated the biological properties (regenerative and anti-aging) of different harvest and processing fat graft methods among which the fragmented adipose tissue, specifically focusing on the presence of exosomes. Exosomes, nanometer-sized vesicles produced by cells for cellular communication, were found to contain miRNAs with anti-inflammatory, regenerative, and vascular content. The products’ contained exosomes were confirmed in the study through electron microscopy, Western Blotting, gene expression, and sequencing of miRNA content.
The Comparison of Brachial Artery Parameters between the Clinical Cuff, Pneumatic Controlled Air Band (KAATSU), and Elastic Band during Blood Flow Restriction at the same Perceived Tightness
Authors: Alexandra Passos Gaspar , De Matos LDNJ , Amorim S , De Oliveira RS , Fernandes RV , Laurentino G
Published: May 2024

The Blood Flow Restriction (BFR) technique is based on cuffs connected to a pressure device that induces partial arterial inflow. BFR combined with exercise has already been proven to increase strength, muscle mass, and muscular endurance. However, some BFR devices with pneumatic air bands, such as KAATSU (KA), are expensive and less accessible, making either a Sphygmomanometer Cuff (SC) or Elastic Band (EB) an interesting alternative. However, vascular parameters in response to blood flow restriction during KA, EB, and SC have not yet been compared. Purpose: The aim of this study was to compare the brachial blood flow behavior during restriction using bands such as KA, SC, and EB on the same perceived tightness. Methods: Thirty healthy men participated in a prospective crossover study. Participants underwent blood flow measurements before and during KA, SC, and EB use, with KA-perceived tightness taken as a reference. The brachial blood flow volume, the diameter of the artery, and blood flow velocity were measured before and immediately after the cuff’s inflation at a specific tightness. Results: Blood flow volume was significantly reduced in KA (52%, ES: 1.38), SC (61.7%, ES: 1.29), and EB (41.5%, ES: 1.22) (p <.0001). In addition, blood flow velocity was significantly reduced in KA (12.9%, ES: 0.74), SC (23.8%, ES: 1.02), and EB (25.6%, ES: 1.02) (p <.0001). No significant changes were observed in the diameter of the brachial artery for any condition (p > 0.05). Conclusion: Brachial blood flow behavior was similar between pneumatic controlled air band (KA), SC, and EB cuffs at the same perceived tightness. Highlights • Growing evidence suggests that blood flow restriction is an interesting technique to improve muscle mass and strength with less articular impact and practical applications are yet to be explored. • Different bands and devices have been used to apply in patients the technique and but, methods are still too heterogenous to be compared in the expected results. • Although studies in the BFR literature have shown that blood flow restriction is applied according to Arterial Occlusion Pressure (AOP) and the devices and techniques are trying to standardize it, there is still a lack of information on this matter. More studies are needed to evaluate their similarity and also understand their safety.
“Por amor al pueblo”: la fundación de la Universidad Católica de Valparaíso y la promoción de la clase media en Chile en la década de 1920
Authors: Burgos Pinto Raúl
Published: May 2024

Este artículo examina cómo sectores del catolicismo chileno articularon un discurso en donde destacaba la idea de contribuir a la consolidación de la clase media chilena para responder a los problemas del país durante las primeras décadas del siglo XX. Con tal propósito, se analizan los planteamientos elaborados por los católicos en el marco de la inauguración de la Universidad Católica de Valparaíso ocurrida en 1928. A partir de la revisión de documentación y prensa de la época, el artículo sostiene que la posición de los católicos que fundaron la Universidad tendría por objetivo promover una formación práctica para aportar al desarrollo económico y para favorecer la pre-sencia del catolicismo en la vida pública de Chile. La combinación de ambos aspectos ayudaría a perfi lar la existencia de un nuevo sector social –la clase media– que actuara de acuerdo con los valores del catolicismo, desempeñara un rol específi co en el contex-to económico local y, en defi nitiva, demostrase un mejoramiento de la condición moral y material de la sociedad de la época.
Historia de una profesión docente: hitos fundacionales del profesorado de historia en Chile (1889-1958)
Authors: Turra Díaz Omar
Published: May 2024

El artículo estudia la institucionalización de la formación del profesorado disciplinar de historia en el sistema educativo chileno, en un contexto de expansión de la enseñanza secundaria pública durante la segunda mitad del siglo XIX. Su objetivo es examinar los orígenes de la profesión docente especializada en la enseñanza de historia, en momentos fundacionales de su trayectoria histórica como cuerpo docente discipli-nar, con especial énfasis en sus inicios en el Instituto Pedagógico. En base a un diseño metodológico de carácter histórico, bibliográfi co y documental, el estudio postula y ar-gumenta que el impulso fundacional del profesorado de historia y geografía encuentra sus soportes en las exigencias formativas del plan de enseñanza humanista que se insti-tuyó para el liceo chileno, desde la década del 40 del siglo XIX, y en una discursividad favorecedora de una formación docente especializada promovida por educacionistas decimonónicos.
"So novel in its character from any thing known": Ottoman Antislavery Policy Under Mahmud II?
Authors: Smiley Will
Published: May 2024

ABSTRACT: In 1830, Sultan Mahmud II issued a sweeping order freeing enslaved people. Scholars have often been puzzled by this apparently unprecedented 1830 decree, and they have sometimes seen it as the beginning of Ottoman abolition. Yet the academic consensus is that Ottoman state efforts against slavery began only later, in 1847 at the earliest. This article attempts to resolve the discrepancy. By studying the original order and placing it in context, I argue that it emerged from a longer Ottoman tradition of freeing foreign captives after wars. Mahmud extended this tradition to Greece once that state won its independence in 1830. Thus Mahmud's order was not the unprecedented beginning of Ottoman abolition, but the last act in an older interimperial system of regulating enslavement. That system offered precedents for Ottoman antislavery action but was not itself opposed to slavery. Furthermore, I argue that the reason Mahmud's order has perplexed scholars is because of how it was transmitted to us. A single British observer is responsible for all subsequent work on the order, and his presentation of it was deeply colored by his position in contemporary British debates about abolition and the Eastern Question.
The "Columbus of his Nation": The Visit of Emin Bey to the United States
Authors: Alıcı Fatih , Önder Sıla
Published: May 2024

Abstract: Placing Emin Bey, the first Ottoman envoy sent to the United States, at the center of analysis, this article examines the visit of an Ottoman naval officer, a member of the nascent Ottoman "scientific intelligentsia," and his efforts to challenge the pre-existing American perceptions of the Ottoman Empire in the antebellum era. The first section of this article discusses how Ottoman military reforms paved the way for the emergence of a new kind of "engineer officer" like Emin Bey. The second section expounds on the surprising impact that Emin Bey's visit made on American society. It analyzes how an Ottoman naval officer offered an opportunity through which American citizens reevaluated their diplomatic, social, and cultural institutions as well as those of the "Orient". The final section focuses on the legacy that Emin Bey left behind him, after completing his visit in the United States.
Progresión atípica gigante de tumor testicular germinal mixto, el reporte de 2 casos
Authors: Alvarez Giraldo Carolina , Cuellar Torres Álvaro
Published: May 2024

El cáncer de testículo es una entidad que afecta a los varones con relativa frecuencia, en su mayoría está representado por células germinales. Se presentan 2 casos, en donde hay una importante e inusual progresión loco regional gigante. Los síntomas asociados incluyen aparición de masa testicular con o sin dolor, aumento del volumen escrotal, edema, y su progresión está supeditada al diagnóstico y tratamiento oportuno.
El diagnostico de esta patología abarca un abordaje clínico, anamnesis y examen clínico detallado, y se complementa con estudios de imagen, marcadores tumorales, así como el estudio histopatológico definitivo y posteriormente una estadificación oncológica completa.
El tratamiento incluye un abordaje multidisciplinario, e integra intervención quirúrgica para orquiectomía, según la estadificación podrá requerir linfadenectomía retroperitoneal, y adicionalmente quimioterapia adyuvante, logrando importantes tasas de cura.
Tras el análisis detallado de los casos presentados, y la revisión de la literatura; evidenciando que el manejo adecuado y seguimiento oportuno, conlleva a respuestas terapéuticas aceptables; se resalta entonces la importancia de la adecuada adherencia al tratamiento oncológico multidisciplinario como clave en el desenlace y complicaciones derivadas de esta entidad
Cloacal malformations in the pediatric surgery department of Fez
Authors: Najib Chiboub  , Tayeb Ben Tayeb  , Othmane Alaoui  , Abdelhalim Mahmoudi  , Khalid Khattala  , Youssef Bouabdallah
Published: May 2024

Introduction: Cloacal malformations, which exclusively occur in females. These anomalies are rare. The immediate prognosis depends mainly on the severity of the associated malformations and relies on the quality of the surgical repair. Patients and methods: This is a retrospective descriptive study of 5 patients managed in the pediatric surgery department of the Hassan II University Hospital of Fez, during a 13-year period from January 2008 to January 2021. Results: The diagnosis is made postnatally following systematic clinical examination in the delivery room, with only one case presenting with intestinal obstruction. The malformative assessment revealed: One case with cardiopathy, abnormal renal ultrasound findings in 3 cases (predominantly uretero-pyelocaliceal dilation), and spinal anomaly found in 2 cases, and abnormal MRI findings in 3 cases, while not performed in 2 cases. Four contrast studies were performed after colostomy, revealing 2 rectovesical fistulas and 2 bilateral VUR (vesicoureteral reflux). Immediate postoperative course was uneventful, with no dehiscence, stenosis, or obstruction noted. One patient died due to cardiac decompensation at 3 months of age. Long-term evolution was characterized by the presence of anal incontinence. Conclusion: Cloacal malformation is a serious pathology, it can frequently lead to functional and vital prognosis without forgetting the psychological one. The prognosis depends mainly on the quality of management and the presence of associated malformations.
Elimination of mercury thermometers in health facilities: Review of achievement data as of January–October 2023
Authors: Engrasia Widyadhana
Published: May 2024

The Minamata Convention as a form of international agreement in the prevention and reduction of mercury emissions globally moves the world in support of eliminating mercury in the environment. Indonesia is one of the countries that contributed to making the “National Action Plan for Mercury Reduction and Elimination” particularly within its health sector, focusing on the elimination of mercury thermometers. This study aims to analyze the achievement of the elimination of mercury medical devices in the form of thermometers at Indonesian health facilities as an evaluation material for improving performance in achieving the program target by 100%. The research method utilized is descriptive qualitative analysis. In this study, primary data processing was carried out online to eliminate mercury medical devices in health facilities in Indonesia. From the research findings, it can be concluded that the achievement of mercury thermometer removal in Indonesia still has not reached the target of the “National Action Plan for Mercury Reduction and Elimination”
The thin fat paradox: Understanding normal weight obesity and its clinical relevance
Authors: Winda Angriani  , Aisyah Elliyanti  , Desmawati Desmawati
Published: May 2024

Obesity, defined by the World Health Organization (WHO) as an excess accumulation of body fat or body fat percentage (BFP) associated with clear health risks, presents a significant global challenge. While Body Mass Index (BMI) serves as a conventional metric for identifying obesity, it fails to account for body composition variations, such as distinguishing between fat-free mass and adipose tissue. Consequently, individuals with normal BMI may exhibit excessive body fat (BFP≥30%), termed Normal Weight Obesity (NWO). In contrast, others with normal BMI and normal body fat are termed Normal Weight Lean (NWL). NWO significantly elevates the risks of various metabolic disorders, including hyperglycemia, diabetes, hypertension, dyslipidemia, and reduced HDL levels. Moreover, NWO is associated with an increased risk of cardiovascular diseases (CVD), hypertension, low HDL, central obesity, and muscle weakness. Individuals with NWO face a heightened risk of developing cardiometabolic diseases, including atherosclerosis, coronary artery disease, stroke, and heart failure, due to the adverse effects of excess body fat on cardiovascular health. Furthermore, NWO is associated with insulin resistance, inflammation, and endothelial dysfunction, further exacerbating the risk of metabolic disorders and cardiovascular complications. Early identification of NWO is crucial for implementing preventive measures and lifestyle interventions to mitigate these health risks. Integrating body fat percentage measurements into nutritional screening protocols in healthcare facilities is essential for identifying individuals at risk of NWO and initiating appropriate interventions to prevent the onset of cardiometabolic diseases. This study aims to provide comprehensive insights into Normal-Weight Obesity (NWO) and its potential health implications.
Secondary hyperparathyroidism: Update
Authors: Erick Alexander Cabrera Estrada  , Epitafio Rafael Mestre Sequeda  , Iván Alberto Salas Pinzón  , Olivia del Carmen Silva Sánchez  , Iris Michell Racedo Segura  , Diana Carolina Caicedo Sánchez  , Eduard Orlando Vargas Plazas  , Carlos Mario Moscote Terán  , Gabriela Lucia Lara Barreto  , Hilda Steffi Pineda Padilla
Published: May 2024

Secondary hyperparathyroidism is a clinical condition characterized by an increase in the synthesis and secretion of parathyroid hormone (PTH). Its presentation will be conditioned by the development of stimuli such as hyperphosphatemia, hypocalcemia, vitamin D deficiency, and PTH resistance. The most common cause of secondary hyperparathyroidism is chronic kidney disease, a pathological condition in which all the afore mentioned stimuli converge. Secondary hyperparathyroidism is evidenced by an increase in the size of the parathyroid glands, favored by cellular hyperplasia and hypertrophy. At the bone level, there will be an increase in the quantity and activity of osteoblasts and osteoclasts, leading to bone with unusual structural characteristics. Symptoms related to the disease include itching, bone pain, concentration alteration, and depression. In the long term, patients have a higher risk of cardiovascular mortality. Therapeutic options include calcimimetics, phosphate binders, vitamin D supplements, and surgery.
Utilization of Multitemporal Landsat Images for Analysis Urban Heat Island Based on Google Earth Engine in Cimahi City
Authors: Fahmi Syahrial , Wahyudi Diki , Putra Rayana Estu
Published: May 2024

Cimahi City is physically part of the Bandung-Cimahi core city conurbation of the system of cities in the Bandung City Basin Region so has high development activity. This condition causes an increase in the surface temperature of Cimahi City, especially in the downtown area and triggers the Urban heat island phenomenon. This research was conducted to map multi temporal spatial changes in the vegetation index (MSAVI) and land surface temperature (LST) in Cimahi City in 2015, 2019 and 2023 and to analyze their relationship to the phenomenon and the widespread distribution of urban heat island using Landsat 8 imagery by integrating cloud techniques. computing Google Earth Engine. The results of surface temperature (LST) were correlated with vegetation density (MSAVI) using a simple regression test to determine how much influence changes in vegetation density had on surface temperature (LST). The distribution of urban heat islands was obtained from the classification of LST processing with urban heat island threshold values. The results showed that there was an increase in the distribution area of the urban heat island phenomenon with a total area of urban heat island increasing by 1319.94 Ha in 2015, 3389.04 Ha in 2019, and 3634.04 Ha in 2023. The areas that are dominated by urban impacts The heat island occurred in South Cimahi District with an area affected of 1440.43 Ha.
Nel solco della tradizione: il Sant’Uffizio custode della fede e dei costumi durante il Pontificato di Pio XII
Authors: Barbolla Manuela
Published: May 2024

This contribution hopes to be a sort of mental voyage through the doctrinal, and other, works of the Holy Office. This short journey will attempt to describe the activity of the Dicastery, by examining the juridical instruments that dictated its rules and the rhythm of its daily life. It seeks to recount the activities and diverse matters examined by the Holy Office, with particular attention to the pontificate of Pius XII, by examining the various series present in the Archive of the Holy Office – in particular, Censura librorum, Rerum variarum, Dubia varia and Devotiones variae.
Le dossier Humani generis du Saint-Office
Authors: Fouilloux Étienne
Published: May 2024

The Holy Office’s file on the drafting of the encyclical Humani generis allows to understand how a simple instruction against French Jesuits’ theological tendencies, became a text of universal scope. In the course of its five successive versions, and following the indications of the Pope, the text in preparation thus gave birth to the Humani generis encyclical, naming no authors and finally published without the syllabus of erroneous propositions which had already been prepared. Jesuits who were close to the Pope or to the Superior General Janssens played a decisive role in its drafting, along with the Italian prelate Mgr Parente.
Did Pius XII Change a Dogma in 1947?
The Apostolic Constitution Sacramentum ordinis and its Underestimated Potential
Authors: Daufratshofer Matthias
Published: May 2024

In 1947, Pius XII issued the Apostolic Constitution Sacramentum ordinis, which reformed the matter and form of ordaining Deacons, Priests and Bishops, thus changing a doctrine that had been valid for 500 years. Whereas the Council of Florence, in its 1439 Decree for the Armenians, had established the presentation of instruments as the matter of the sacrament, the laying on of hands was now sufficient. For the first time, it is possible to reconstruct the genesis of this papal document, thus providing an insight into the writing workshop of the Magisterium and the Holy Office. The Consultor Franz Hürth SJ was the main actor in this sacramental-theologically sensitive issue. Did Pius XII thereby change a dogma?
La Situationsethik attraverso le carte del Sant’Uffizio (1951-58)
Authors: Ferrari Federico
Published: May 2024

The Situationsethik began to be a source of concern for the Roman authority only at the beginning of the 1950s when some Catholic authors promoted a morality that, in evaluating an act, took greater account of the context rather than the universal moral law. Through the examination of the archival material of the former Holy Office, it was possible to reconstruct the stages of the path that led the ‘Suprema’ to carry out severe investigations on some scholars (Fuchs, Michel, Leclercq, Tiberghien) and to the promulgation of the Instructio of 1956 with which the ethica situationis was condemned.
OPTIMALISASI WAKTU PADA PELAKSANAAN PROYEK GEDUNG DENGAN MENGGUNAKAN METODE CPM DAN PERT (Studi Kasus Gedung Laboratorium School Internasional Unesa Surabaya)
Authors: Sofiah Rizqyatus , Siswoyo Siswoyo
Published: May 2024

ABSTRAK: Optimalisasi waktu sangat penting untuk diketahui pada perencanaan suatu proyek konstruksi. Waktu yang optimal maka pelaksanaan proyek mendapatkan keuntungan maksimal. Tujuan penelitian (1) Untuk mengetahui aktivitas pekerjaan yang berada dalam lintasan kritis dan tidak kritis pada Proyek Pembangunan Gedung Laboratorium School Internasional Unesa Surabaya (2) Untuk mengetahui waktu yang optimal pada Proyek Pembangunan Gedung Laboratorium School Internasional Unesa Surabaya (3) Untuk mengetahui besaran biaya yang optimal pada Proyek Pembangunan Gedung Laboratorium School Internasional Unesa Surabaya. Metode penelitian yang digunakan CPM (Critical Path Method) dan PERT (Program Evaluation and Review Technique). Hasil penelitian  menggunakan metode CPM diketahui lintasan kritis yaitu Pekerjaan Pembersihan Lahan (A), Pekerjaan Tanah (C), Pekerjaan Pondasi (E), Pekerjaan Beton (Lt.1-Lt.Atap) (F), Pekerjaan Pasangan & Beton Praktis (Lt.1-Lt.4) (G), Pekerjaan Kanopi (Lt.1) (I), Pekerjaan Kusen Pintu/Jendela (Lt.1-Lt.4) (N), Pekerjaan GWT Air Bersih & Rumah Pompa (R), Pekerjaan Jalan Paving (T) sedangkan menggunakan metode PERT didapatkan dapat selesai tepat waktu yaitu dalam kurun waktu 26 minggu adalah 92,51 persen. Total biaya optimal proyek adalah sebesar Rp 14.744.954.569. KATA KUNCI : Crashing Time, CPM, Lintasan Kritis, Optimalisasi Waktu, dan PERT
Past Imperfect: Revisiting the History of the Federation of State Medical Boards
Authors: Johnson David Alan
Published: May 2024

In 2020, FSMB commenced a closer look at its history to provide a more transparent accounting of past statements, actions and policies evincing bias, discrimination, or racism. There is much in FSMB history that is positive but it is clear that FSMB fell short at times in demonstrating a consistent commitment to values we recognize as integral to a just society. This failure proved especially impactful to international medical graduates (IMGs), osteopathic physicians, women, and persons of color. Vitriolic language, under-representation and bias factored into the FSMB experience of these groups to varying degrees.

While some FSMB statements and policies reflected overt bias, more often, inaction or silence characterized FSMB response to discrimination unfolding within the medical profession and society. This can be attributed, in part, to the long period in which FSMB's modest resources created over-reliance upon the profession (eg, the American Medical Association). This dependence resulted in missed opportunities for FSMB to champion priorities committed to the responsibilities and interests of the regulatory community and the public it serves, as opposed to those of the profession. Unsurprisingly, FSMB governance reflected the same power dynamics and lack of diversity seen within leadership in the profession until recent decades.

FSMB has taken multiple steps to address past failures: revisiting how it recognizes and honors individual contributors to medical regulation, adopting policy statements and guidelines codifying a commitment to inclusive governance and educational programming. Further actions are possible through naming conventions behind FSMB awards and potential policy addressing the appointive process to state medical boards.
Development of an electric drive for personal light electric vehicles
Authors: Smyrnov Oleh , Borysenko Anna , Marchenko Danylo
Published: May 2024

Problem. The article addresses the challenge of enhancing inclusive mobility and environmental cleanliness by developing a traction electric drive for personal light electric vehicles. A study was conducted on modern electric drive systems for personal light electric vehicles. Goal. The aim is to boost inclusive mobility and environmental cleanliness through the development of a traction electric drive for a personal light electric vehicle, specifically based on a tricycle. Methodology. The methodology involves scientific analysis and synthesis of traction electric drives for electric vehicles. An assessment of the nominal capacity of the battery module from the Nissan Leaf electric car was conducted using both partial discharge procedures and the Leaf Spy Pro program. Results. Based on an analysis of existing electric drive systems, a traction electric drive for a tricycle was developed. A functional diagram of the electric bicycle drive was generated. A control system for a sensorless brushless motor was developed, determining rotor position by measuring EMF in the free phase. This led to the creation of a stable voltage electrical circuit with a virtual midpoint. The tricycle's electric drive utilizes two 10-inch motor wheels on the rear wheels, enabling high speed and efficiency. Controllers specifically designed for electric wheel motors with a power of 350 W were selected to control the traction electric drive. Modules from the 2015 Nissan Leaf electric car's battery, which had depleted 20% of their capacity, were chosen to power the electric drive. The battery health status is 77.95%. A model of the battery's electrical equivalent circuit was constructed, and partial discharge graphs of the Nissan Leaf battery module were analyzed. Originality. The results provide a comprehensive insight into the development of a traction electric drive for personal light electric vehicles, using a tricycle as an example. Practical value. The research led to the development of an electric drive for a three-wheeled vehicle, with two motor wheels of 350 W nominal power each. The power supply voltage ranges from 36 V to 48 V, powered by six battery modules from the Nissan Leaf electric car, totaling 48 V. The energy capacity of one battery module is 0.3898 kWh, resulting in a total energy capacity of 2.3388 kWh for the vehicle's battery. However, the realizable capacity does not exceed 1.871 kWh, providing a travel distance of approximately 75 km on one battery charge. These findings demonstrate the feasibility of reusing batteries from electric cars with diminished capacity to power light electric vehicles. The results are relevant for scientific and technical professionals involved in electric vehicle development.
Using Phragmites australis plants as activated carbon to remove Mn(II), and Cu(II) ions from different aqueous solutions
Authors: Salam Hussein Talib  , Firas Ali Hussein  , Mohammed Khlaif Challab
Published: May 2024

This study investigates the use of agricultural byproducts of plants (Phragmites australis) as low-cost adsorbents for the removal of Cu2+ and Mn2+ from their aqueous solutions through the production of (AC). The results showed that the adsorption equilibrium time for both ions was 30 minutes. The results obtained showed that pH=5, pH=6 for Cu2+ and Mn2+ respectively were optimum to adsorption for these ions. The study showed that the weight (0.5 g) of the adsorbent was ideal to achieve the best adsorption and the ability of the adsorbents to adsorb  metal ions was as follows: Cu(II) > Mn(II).
Identifying biomarkers and trajectories of executive functions and language development in the first 3 years of life: design, methods and initial findings of the Germina cohort study
Authors: Fatori Daniel , Shephard Elizabeth , Naspolini Nathalia Ferrazzo , GUZMAN GROVER ENRIQUE CASTRO , Wang Jaqueline Yu Ting , Tótolo Pedro , Mafra Anthonieta Looman , Isaias Caio , Santos Davi Pereira dos , Russo Fabiele Baldino , Kobayashi Gerson Shigeru , Argeu Adriana , monike.nteixeira@gmail.com  , MATTIELLO-SVERZUT ANA CLAUDIA , Fernandes Maria Teresa Bechere , Alonso Danila Cristina Petian , Brentani Helena Paula , Scliar Marília , Schüroff Paulo A. , Zuccolo Pedro , Lerner Rogério , Geraldini Stephania , Euclydes Veronica Luiza Vale , Matijasevich Alicia , Campos Alline , Fujita Andre , Ponce de Leon Ferreira de Carvalho Andre Carlos , Taddei Carla R. , BUENO MARIA RITA DOS SANTOS E PASSOS , Braga Patricia C. B. Beltrão , Polanczyk Guilherme
Published: May 2024

This paper reports the methods and preliminary findings of Germina, an ongoing cohort study to identify biomarkers and trajectories of executive functions and language development in the first 3 years of life. 557 mother-infant dyads (mean age of mothers 33.7 years, 65.2% white, 48.7% male infants) have undergone baseline and are currently collecting data for other timepoints. A linear regression was used to predict baseline Bayley-III using scores derived from data-driven sparse partial least squares utilizing a multiple holdout framework of 15 domains. Significant associations were found between socioeconomic/demographic characteristics (B=0.29), epigenetics (B=0.11), EEG theta (B=0.14) and beta activity (B=0.11), and microbiome functional pathways (B=0.08) domains, and infant development, suggesting potential interventions to prevent impairments.
Myasthenia Gravis in the Wake of Pontine Stroke: A Case Report
Authors: Shorer Eran Frank
Published: May 2024

The simultaneous presentations of myasthenia gravis (MG) and stroke is rare and can bediagnostically challenging. In November 2022, a 71-year-old male presented with left-sided facial numbness, dysarthria, dysphagia, and right-sided body weakness; neuroimagingindicated a left pontine stroke. During admission he displayed modest clinical improvement with resolution on imaging. Post-admission he experienced intermittent dysarthria and dysphagia which were diagnosed as transient ischaemic attacks. In 2023, he experienced a similar episode, now with added ptosis and mild breathing difficulty, but with unchanged imaging findings. Although diagnosed with a stroke reinfarction, his condition deteriorated.Fluctuating symptoms led to a suspicion of MG. A pharmacological challenge with pyridostigmine which was positive and the diagnosis of MG was confirmed with a positive acetylcholine receptor antibody test; thymoma was absent. The patient's symptoms have since been well-managed with pyridostigmine, prednisone, and azathioprine. This case highlights the diagnostic challenges and potential for delayed or missed diagnosis of MG due to overlapping symptoms with pontine strokes.
Communicative Intent Coordination in Child-Caregiver Interactions
Authors: Agrawal Abhishek , Favre Benoit , Fourtassi Abdellah
Published: May 2024

Social interaction plays a key role in children's development of language structure and use. In particular, children must successfully navigate the complex task of coordinating their communicative intents with people around them in early conversations. This study leveraged advanced NLP techniques to analyze a large corpus of child-caregiver conversations in the wild, combining methods for communicative intent inference and for turn contingency evaluation. Key findings include the prevalence of classic adjacency pairs like question-response; caregivers initiated the overwhelming majority of these sequences. We also document new developmental shifts in intent expression and an interesting dissociation between frequency vs. well-coordinated use across the early years of development. This framework offers a new approach to studying language development in its naturalistic, social context.