bluuebunny/crossref_metadata_2025 huggingface dataset:
Ampliación teleológica del mecanismo procesal de acción de grupo desde una configuración de realismo jurídico colombiano
Authors: Jamaica Trujillo Gonzalo Enrique , Monsalve Mantilla Milton Dubán , Rey Pedroza Wilson
Published: July 2023

La acción de grupo es un mecanismo judicial de raigambre procesal estatuido por la Asamblea Nacional Constituyente en el artículo 88 constitucional, cómo una acción que se origina en los daños ocasionados a un número plural de personas, sin perjuicio de las correspondientes acciones particulares. No obstante, el propio constituyente señala en el inciso primero del precitado artículo 88 que será el legislador en encargado de regular los aspectos procedimentales del dispositivo constitucional en referencia. El legislador dio cumplimiento a la orden impuesta por el texto constitucional y, a través de la ley 472 del 5 de agosto de 1998 desarrolló el ejercicio de las acciones de grupo. En lo que atañe con la procedencia y la finalidad que se persigue al enervar esta acción constitucional, el legislador previó en los artículos tres y cuarenta y seis que el propósito que persiguen las personas que impetran la acción, es el reconocimiento y pago de la indemnización de los perjuicios causados a un grupo. Lo anterior, denota que para el legislador la acción de grupo fue prevista de forma exclusiva para obtener una reparación de tipo económico para las personas que hayan sufrido un perjuicio común. Sin embargo, al interior del sistema jurídico colombiano inmerso bajo una teoría del canon del realismo jurídico, se exporta una nueva concepción finalística con un radio de acción más amplio, ya que se observa en la praxis judicial de los jueces de la República, la posibilidad de solicitar, además de tasaciones pecuniarias, reparación de índole moral y psicológica que coadyuvan a dignificar más la situación de los accionantes.
Effect of different HLB value and enzymatic treatment on the properties of old newspaper deinked pulp
Authors: Mayeli Nader , Talaeipour Mohammad
Published: July 2023

Current deinking processes use potentially environmentally damaging chemicals in large quantities. The use of enzymes could be an attractive alternative to certain other chemicals used in deinking. In this research, the effects of different HLB (hydrophile-lipophile balance) values and enzymatic treatments on the deinking of old newspaper pulp (ONP) was studied, and optical properties and mechanical strengths of deinked pulps (DIP) were determined. Enzymatic treatments of old newspaper pulps were performed at two temperatures, 20°C and 50°C. Nonionic surfactants with different HLB values were used as the flotation agent. The flotation was conducted for pulps with and without enzymatic treatment. The results showed that brightness values for the floated pulp without enzyme treatment were slightly greater than for the enzyme-treated deinked pulp. Also, dirt count for treated pulps with commercial cellulase and floated with ethoxylated fatty alcohol of HLB 12 at 50°C was lower than that of other pulps. The mechanical strengths of the enzymatically deinked pulps, in terms of burst, tensile, folding endurance, E-MOD, and elongation, were increased, but tear strength for the floated pulps with ethoxylated fatty alcohol of HLB 12 was increased at 50°C without enzymatic treatment. Also, the deinking efficiency of handsheets made from treated pulps with commercial cellulase and ethoxylated fatty alcohol of HLB 12 was highest. The treated pulps with enzyme only, with a combination of commercial cellulase and lipase at 50°C, showed the lowest freeness value in comparison with other pulps.
Topics in Foreign Language Teaching in Research Articles in Psycholinguistics: Reviewing the State-of-the-Art
Authors: Kapranov Oleksandr
Published: July 2023

The article introduces a study whose purpose is to provide a review of research articles (RAs) in psycholinguistics which focus on foreign language teaching (FLT). To that end, the study examines a corpus of RAs in psycholinguistics that address FLT-related research topics, which are published in two international peer-reviewed journals, namely Psycholinguistics and Eastern European Journal of Psycholinguistics. The corpus was examined for the presence of research topics in FLT, as well as the RAs’ bibliometric data. The results of the corpus analysis revealed that the majority of the RAs were single-authored by female researchers, who focused on such FLT-related research topics as translation and interpreting, speaking in a foreign language (FL), and FL proficiency. It was established that the FLT-themed RAs investigated primarily English as a Foreign Language (EFL) and, less frequently, German, Chinese, Japanese, Latin, and Ukrainian. The findings are further described and discussed in the article.
Psychological hallmarks of endometriosis with emphasis on sexual dysfunction, stress, anxiety and depressive symptoms
Authors: Fiala Ludek , Lenz Jiri , Adamik Zdenek , Sajdlova Rachel , Kestlerova Daniela , Vetvicka Vaclav
Published: July 2023

Endometriosis is associated with gynecological disorders and infertility. More than 50 % of women report that they suffer from sexual dysfunctions, the most significant of which is pain, which can subsequently be associated with stress, anxiety, depression and partner discomfort. In our study, we focused on evaluating these symptoms. A total of 92 patients with endometriosis were included in the study. Clinical examinations were focused on biochemical analysis of cortisol and prolactin, as important hormones that can respond to stress, anxiety and depressive symptoms. At the same time, sexual function, stress, anxiety and depressive symptoms were psychometrically evaluated in these patients. Positive correlations were found between psychosocial trauma/stress and results from the sexual function questionnaire (R=0.30). Furthermore, positive correlations were evaluated between the results of Beck's questionnaire for assessing depression and prolactin (R=0.39) and also between the results of Beck's questionnaire for assessing depression and the anxiety test (R=0.33). We also found a high correlation between prolactin and anxiety (R=0.86). All results were confirmed by the Mann-Whitney test. These results represent important findings regarding the relationship of certain stress hormones, with sexual dysfunction and symptoms related to stress, anxiety and depression in women with endometriosis, which are still receiving little attention within endometriosis.
Factors Associated With Improved Pediatric Resuscitative Care in General Emergency Departments
Authors: Auerbach Marc A. , Whitfill Travis , Montgomery Erin , Leung James , Kessler David , Gross Isabel T. , Walsh Barbara M. , Fiedor Hamilton Melinda , Gawel Marcie , Kant Shruti , Janofsky Stephen , Brown Linda L. , Walls Theresa A. , Alletag Michelle , Sessa Anna , Arteaga Grace M. , Keilman Ashley , Van Ittersum Wendy , Rutman Maia S. , Zaveri Pavan , Good Grace , Schoen Jessica C. , Lavoie Meghan , Mannenbach Mark , Bigham Ladonna , Dudas Robert A. , Rutledge Chrystal , Okada Pamela J. , Moegling Michelle , Anderson Ingrid , Tay Khoon-Yen , Scherzer Daniel J. , Vora Samreen , Gaither Stacy , Fenster Daniel , Jones Derick , Aebersold Michelle , Chatfield Jenny , Knight Lynda , Berg Marc , Makharashvili Ana , Katznelson Jessica , Mathias Emily , Lutfi Riad , Abu-Sultaneh Samer , Burns Brian , Padlipsky Patricia , Lee Jumie , Butler Lucas , Alander Sarah , Thomas Anita , Bhatnagar Ambika , Jafri Farrukh N. , Crellin Jason , Abulebda Kamal
Published: July 2023

OBJECTIVES

To describe the quality of pediatric resuscitative care in general emergency departments (GEDs) and to determine hospital-level factors associated with higher quality.

METHODS

Prospective observational study of resuscitative care provided to 3 in situ simulated patients (infant seizure, infant sepsis, and child cardiac arrest) by interprofessional GED teams. A composite quality score (CQS) was measured and the association of this score with modifiable and nonmodifiable hospital-level factors was explored.

RESULTS

A median CQS of 62.8 of 100 (interquartile range 50.5–71.1) was noted for 287 resuscitation teams from 175 emergency departments. In the unadjusted analyses, a higher score was associated with the modifiable factor of an affiliation with a pediatric academic medical center (PAMC) and the nonmodifiable factors of higher pediatric volume and location in the Northeast and Midwest. In the adjusted analyses, a higher CQS was associated with modifiable factors of an affiliation with a PAMC and the designation of both a nurse and physician pediatric emergency care coordinator, and nonmodifiable factors of higher pediatric volume and location in the Northeast and Midwest. A weak correlation was noted between quality and pediatric readiness scores.

CONCLUSIONS

A low quality of pediatric resuscitative care, measured using simulation, was noted across a cohort of GEDs. Hospital factors associated with higher quality included: an affiliation with a PAMC, designation of a pediatric emergency care coordinator, higher pediatric volume, and geographic location. A weak correlation was noted between quality and pediatric readiness scores.
Fundamentals of Prestressed Concrete Design, Revised 2nd Edition
Authors:   Precast/Prestressed Concrete Institute
Published: July 2023

An illustrated presentation of the basic principles of designing prestressed concrete structural elements.
Natural ventilation in high-rise office building – Comfort and energy performance
Authors: Naili Basma , Háber István , Kistelegdi István
Published: July 2023

The application of natural ventilation strategies in high-rise office buildings is considered one of the most promising trends to address high energy performance and enhance the indoor thermal comfort levels in interior office spaces. In this regard, this study attempts to assess the potential of natural ventilation strategies of a specific, previously investigated, envelope design of a high-rise office building located in a temperate climate zone. Different summer natural ventilation approaches were tested using the building energy simulation program IDA ICE 4.8, evaluating thermal comfort and energy demand. The findings indicated that considerable energy savings can be achieved, compared to conventional mechanical ventilation and air conditioning systems.
Relasi Kekuasaan Dalam Film Uwais Al-Qarni Karya Akbar Tahvilian (Kajian Hegemoni Foucault)
Authors: Rahayu Rika Rizki , Ainusyamsi Fadlil Yani , Mawardi Mawardi , Zulyatmi Yuke Alfi
Published: July 2023

Penelitian ini menjelaskan Salah satu  tujuan penelitian sastra adalah untuk menjembatani pemahaman antara penikmat karya sastra dengan karya sastra itu sendiri. Penelitian ini memiliki tujuan untuk menjelaskan bentuk tindakan kekuasaan  yang terdapat dalam film Uwais Al-Qarni,dan tinjauan Hegemoni Foucault terhadap relasi kekuasaan dalam film Uwais al-Qarni karya Akbar Tahvilian. Pendekatan yang digunakan oleh penyusun dalam penelitian ini merupakan pendekatan  sosiologi sastra yaitu hegemoni Foucault. Sedang metode yang dipilih penyusun adalah metode kualitatif dengan sifat deksriptif. Hasil penelitian yang didapat penyusun adalah sebagai berikut: Berdasarkan tinjauan  hegemoni Foucault, film Uwais Al-Qarni mengandung beberapa tindakan dan relasi kekuasaan yang dilakukan oleh para penguasa berupa nepotisme, budaya pembodohan terhadap rakyat, penindasan rakyat kecil,angkuh, dan mengejar reputasi melalui eksis kekuasaan. Bentuk relasi kekuasaan yang terdapat dalam film “Uwais Al-Qarni” yaitu:  : relasi kekuasaan  melalui pikiran, yaitu agama dan budaya, relasi kekuasaan  melalui tubuh sosial yaitu negara dan rakyat
TINJAUAN YURIDIS PEMANFAATAN FUNGSI RUANG DI KAWASAN BY PASS KOTA KENDARI
Authors: Prianto Wahyu
Published: July 2023

Fungsi ruang di kawasan By Pass Kota Kendari berdasarkan Rencana Teknik Tata Ruang Kota (RTRK) Kawasan Mandonga Kota Kendari tahun 2012, telah menetapkan  bahwa fungsi utama Kawasan ini  adalah kawasan Wisma Tambak. Kasawan budidaya tambak tersebut yang menjadi landasan sosial ekonomi bagi  para petani tambak serta menjadi kawasan yang menjadi landasan untuk menjaga ketersediaan ikan di Kota Kendari. selaian itu kawasan ini diperuntuhkan sebagai salah satu kawasan yang hijau yang berfungsi untuk menjaga kondisi ekosisitem dan menlindungi kelestarian lingkukngan hidup. Tambak juga menjadi kawasan yang berfungsi menjaga ketersediaan jumlah air serta berfungsi menampung air laut pada saat  air laut sedang pasang. Penelitian bertujuan untuk mengetahui pemanfaatan kawasan By Pass Kota Kendari,   Menurut  Rencana Teknik Ruang Kota (RTRK) Kota Kendari dan untuk mengetahui faktor-faktor yang Mengakibatkan pemanfaatan Ruang dikawasan By Pass tidak sesuai dengan Rencana Teknik Ruang Kota (RTRK) Kota Kendari. Penelitian ini dilakukan di Kendari bertempat di Kawasan By Pass, Kecamatan Mandonga, Kota  Kendari. Metode penelitian ini dilakukan secara Normatif Empiris. Hasil penelitian menunjukkan pemanfaatan fungsi ruang tidak sesuai  Rencana Teknik Ruang Kota (RTRK). Hal ini disebabkan karena pemanfaatan fungsi ruang di kawasan By pass Saat ini telah didominasi oleh bangunan permanen seperti Pertokoan dan Hotel bahkan SPBU dan Mesjid di teluk Kota Kendari. Sedangkan berdasarkan ketentuan-ketentuan yang ada pada Rencana Teknik Ruang Kota (RTRK) fungsi utamanya adalah Wisma Tambak. Keadaan ini disebabkan oleh beberapa faktor antara lain faktor ekonomi, sosial, politik. Terutama kawasan By Pass Yang sangat strategis.
PERLINDUNGAN HUKUM TERHADAP MASYARAKAT DALAM PELAKSANAAN PROGRAM PELAYANAN KESEHATAN OLEH BPJS DI KABUPATEN CIAMIS
Authors: Fuadhy Nabhan Sofwatul , Zulkarnaen Zulkarnaen , Rosidin Utang
Published: July 2023

Tujuan dari penelitian ini adalah untuk mengetahui: 1) Bagaimana pengaturan pelayanan kesehatan oleh Badan Penyelenggara Jaminan sosial di Kabupaten Ciamis. 2) Bagaimana pelaksanaan perlindungan hukum terhadap peserta Badan Penyelenggara Jaminan Sosial dalam pelayanan kesehatan di Kabupaten Ciamis. Perlindungan hukum dapat diberikan kepada subyek hukum apabila hukum yang dibuat oleh pemerintah telah dapat berlaku secara efektif. Sehingga untuk menilai suatu hukum telah berlaku efektif atau belum maka dapat menggunakan teori efektivitas. Metode penelitian yang penulis gunakan yaitu metode deskriptif analisis, Serta menggunakan metode yuridis normatif, Jenis data yang digunakan dalam penelitian ini adalah jenis data kualitatif.Hasil penelitian menyimpulkan bahwa, 1) pengaturan pelayanan kesehatan BPJS di Kabupaten Ciamis diatur di Undang-Undang Nomor 40 Tahun 2004, Undang-Undang Nomor 24 Tahun 2011, BPJS wajib membayar fasilitas kesehatan pelayanan yang diberikan kepada peserta. 2) pelaksanaan perlindungan hukum terhadap peserta BPJS dalam pelayanan kesehatan di Kabupaten Ciamis ditinjau dari Undang-Undang Nomor 24 Tahun 2011. Terdapat kendala BPJS Kesehatan Kabupaten Ciamis dalam memberikan pelayanan kesehatan kepada peserta BPJS Kesehatan yaitu masih sering dikeluhkan peserta adanya tarikan atau dengan biaya pribadi. Adapun upaya dari BPJS Kesehatan Kabupaten Ciamis untuk memenuhi hak-hak peserta BPJS meningkatkan mutu pelayanan kepada peserta BPJS, dan menempatkan petugas BPJS di rumah sakit memberikan pelayanan administrasi dan informasi kepada peserta BPJS Kesehatan.
Politik Hukum dalam Pembaruan Kitab Undang-Undang Hukum Pidana (KUHP) di Indonesia
Authors: Fillah Muhammad Alwan
Published: July 2023

AbstractThis paper wants to try to provide an overview of the Legal Politics of Amending the Criminal Code in Indonesia, both in legal normative theory and in practice. This research is normative legal research conducted through library research by conducting studies and analyzing primary, secondary and tertiary legal materials. In this writing, researchers also conducted observation activities on Legal Politics in the Changes to the Criminal Code. The problems that will be studied in this research are: (1) How is the politics of criminal law in Indonesia? (2) How is legal politics in criminal law reform in Indonesia? This research is normative legal research using normative case studies in the form of legal behavior products. The results of the research show that it is time to update the criminal law of the Dutch colonial legacy which is still based on the principles and foundations of that time and replace it with a criminal law system and a new criminal law that is more relevant to the lives of Indonesian people.AbstractTulisan ini ingin mencoba memberikan gambaran tentang Politik Hukum Perubahan KUHP di Indonesia, baik secara teori normatif hukum maupun dalam prakteknya. Penelitian ini merupakan penelitian hukum normatif yang dilakukan melalui penelitian kepustakaan dengan melakukan kajian dan menganalisis bahan hukum primer, sekunder dan tersier. Dalam penulisan ini, peneliti juga melakukan kegiatan observasi terhadap Politik Hukum dalam Perubahan KUHP. Permasalahan yang akan dikaji dalam penelitian ini adalah: (1) Bagaimana Politik Hukum Pidana di Indonesia? (2) Bagaimana Politik Hukum dalam Pembaruan Hukum Pidana di Indonesia? Penelitian ini merupakan penelitian hukum normative dengan menggunakan studi kasus normatif berupa produk perilaku hukum. Hasil penelitinya menunjukkan bahwa Sudah saatnya untuk memperbarui hukum pidana peninggalan kolonial Belanda yang masih berdasarkan asas dan landasan pada masa itu dan menggantinya dengan sistem hukum pidana dan hukum pidana baru yang lebih relevan dengan kehidupan masyarakat Indonesia
A crimigração do imigrante LGBTI+
Authors: De Oliveira Luis Felipe , Gorisch Patricia Cristina Vasques de Souza , Martini Sandra Regina
Published: July 2023

O presente artigo tem por objetivo compreender os impactos da crimigração (criminalização das migrações) aos imigrantes LGBTI+[1]. A justificativa decorre por não haver uma proteção específica dos direitos humanos aos imigrantes LGBTI+, pela ausência de pesquisas que tratam o tema em análise e por ser necessário averiguar como a criminalização das migrações pode impactar aos imigrantes LGBTI+. A problemática apresenta-se com o seguinte questionamento: quais os impactos da crimigração aos imigrantes LGBTI+?  Conclui-se que a criminalização das migrações pode se apresentar no plano jurídico como a convergência de leis de imigrações para com leis penais, e no plano social com as estigmatizações sociais, cujas trazem inúmeros impactos aos imigrantes LGBTI+ que podem ser mencionados a violação de direitos humanos tais como não-discriminação, igualdade, reconhecimento, livre-circulação e dignidade da pessoa humana. Outrossim, pode trazer como reação o aumento da estigmatização social, os discursos securitizatórios, mortes e, portanto, tornar essa população mais vulnerável diante das múltiplas vulnerabilidades que já possuem. Por fim, destaca-se que a metodologia utilizada é pelo método dedutivo, a pesquisa quantos aos meios é documental e bibliográfica e quanto aos fins exploratória e descritiva. [1] Lésbica, gay, bissexual, travesti, intersexo e demais expressões sexuais e de identidade de gênero;
(De)colonialidade de gênero no mercado laboral: sujeições interseccionais das sujeitas trabalhadoras
Authors: Mello Nathália Alice De Sousa , Bomfim Rainer
Published: July 2023

Objetiva-se, por meio da vertente metodológica jurídico-sociológica, tratar sobre as influências do período colonial no Brasil sobre a divisão racial-sexual do trabalho e as desigualdades a partir das funções desempenhadas pelas mulheres enquanto força de trabalho. Para tanto, busca-se encontrar o nexo entre a colonização e as sujeições interseccionais atuais no mercado de trabalho da cidade enfrentadas pelas mulheres, tendo em vista as discriminações provenientes da colonialidade do poder e de gênero. A discriminação interseccional é uma realidade plenamente perceptível no trabalho feminino, o que gera a necessidade de pesquisar as razões jurídico-sociológicas que levam ao atual contexto de opressão das mulheres no mercado laboral.
AAFNDL - An Accurate Fake Information Recognition Model Using Deep Learning for the Vietnamese Language
Authors: Hung Nguyen , Loi Thang , Huong Nguyen , Hang Tran Thi , Huong Truong
Published: July 2023

On the Internet, "fake news" is a common phenomenon that frequently disturbs society because it contains intentionally false information. The issue has been actively researched using supervised learning for automatic fake news detection. Although accuracy is increasing, it is still limited to identifying fake information through channels on social platforms. This study aims to improve the reliability of fake news detection on social networking platforms by examining news from unknown domains. Especially, information on social networks in Vietnam is difficult to detect and prevent because everyone has equal rights to use the Internet for different purposes. These individuals have access to several social media platforms. Any user can post or spread the news through online platforms. These platforms do not attempt to verify users or the content of their locations. As a result, some users try to spread fake news through these platforms to propagate against an individual, a society, an organization, or a political party. In this paper, we proposed analyzing and designing a model for fake news recognition using Deep learning (called AAFNDL). The method to do the work is: 1) First, we analyze the existing techniques such as Bidirectional Encoder Representation from Transformer (BERT); 2) We proceed to build the model for evaluation; and finally, 3) We approach some Modern techniques to apply to the model, such as the Deep Learning technique, classifier technique and so on to classify fake information. Experiments show that our method can improve by up to 8.72% compared to other methods.
Avaliação do uso de álbum seriado sobre amamentação como estratégia de intervenção educativa no puerpério
Authors:   Universidad Federal de Maranhão, da Silva Lima Iara Angélica , Gomes Candido Paula Gabrielle , de Moura Stabnow Santos Romila Martins , Sousa Siqueira Lais , Hunaldo dos Santos Leonardo , Santos Neto Marcelino , Stabnow Santos Floriacy
Published: July 2023

Introdução: A amamentação é um ato que vai além de nutrir a criança. A implementação de tecnologias educacionais pode favorecer a promoção do aleitamento materno. Objetivo: Avaliar o uso de álbum seriado sobre amamentação com estratégia de intervenção educativa no puerpério imediato entre puérperas de maternidade pública de acordo com o perfil sociodemográfico e obstétrico. Materiais e métodos: Estudo quase-experimental de modelo pré e pós-teste com único grupo, realizado entre novembro de 2019 e março de 2020. Dados coletados através da escala de autoeficácia em aleitamento materno Breastfeeding Self-Efficacy Scale – short form. Avaliou-se a quantidade de mulheres em alta autoeficácia antes e depois da intervenção. Por não apresentarem normalidade e/ou homogeneidade de variância, foram realizados testes não paramétricos de Kruskal-Wallis com post-hoc de Nemenyi. Resultados: Os resultados demonstraram que houve aumento da autoeficácia após a intervenção, sobretudo em puérperas menores de 18 anos, com Ensino Fundamental, donas de casa, com menos de seis consultas, as orientadas sobre amamentação no pré-natal e as que não amamentaram anteriormente. Discussão: O perfil sociodemográfico das genitoras pode representar influência sobre a autoeficácia na amamentação. Conclusão: a tecnologia educativa foi eficaz no aumento da autoeficácia materna em amamentar no puerpério imediato.
PREOPERATIVE CHEMOTHERAPY VERSUS UPFRONT SURGERY FOR ADVANCED GASTRIC CANCER: A PROPENSITY SCORE MATCHING ANALYSIS
Authors: Hong Stefany , Pereira Marina Alessandra , Victor Carolina Ribeiro , Gregório João Vitor Antunes , Zilberstein Bruno , Ribeiro Junior Ulysses , D'albuquerque Luiz Augusto Carneiro , Ramos Marcus Fernando Kodama Pertille
Published: July 2023

ABSTRACT BACKGROUND: Surgical resection remains the main curative therapeutic modality for advanced gastric cancer. Recently, the association of preoperative chemotherapy has allowed the improvement of results without increasing surgical complications. AIMS: To evaluate the surgical and oncological outcomes of preoperative chemotherapy in a real-world setting. METHODS: A retrospective review of gastric cancer patients who underwent gastrectomy was performed. Patients were divided into two groups for analysis: upfront surgery and preoperative chemotherapy. The propensity score matching analysis, including 9 variables, was applied to adjust for potential confounding factors. RESULTS: Of the 536 patients included, 112 (20.9%) were referred for preoperative chemotherapy. Before the propensity score matching analysis, the groups were different in terms of age, hemoglobin level, node metastasis at clinical stage- status, and extent of gastrectomy. After the analysis, 112 patients were stratified for each group. Both were similar for all variables assigned in the score. Patients in the preoperative chemotherapy group had less advanced postoperative p staging (p=0.010), postoperative n staging (p<0.001), and pTNM stage (p<0.001). Postoperative complications, 30- and 90-days mortality were similar between both groups. Before the propensity score matching analysis, there was no difference in survival between the groups. After the analysis, patients in the preoperative chemotherapy group had better overall survival compared to upfront surgery group (p=0.012). Multivariate analyses demonstrated that American Society of Anesthesiologists III/IV category and the presence of lymph node metastasis were factors significantly associated with worse overall survival. CONCLUSIONS: Preoperative chemotherapy was associated with increased survival in gastric cancer. There was no difference in the postoperative complication rate and mortality compared to upfront surgery.
LAPAROSCOPIC ANTIREFLUX SURGERY: WERE OLD QUESTIONS ANSWERED? PARTIAL OR TOTAL FUNDOPLICATION?
Authors: Allaix Marco Ettore , Rebecchi Fabrizio , Bellocchia Alex , Morino Mario , Patti Marco Giuseppe
Published: July 2023

ABSTRACT Laparoscopic total fundoplication is currently considered the gold standard for the surgical treatment of gastroesophageal reflux disease. Short-term outcomes after laparoscopic total fundoplication are excellent, with fast recovery and minimal perioperative morbidity. The symptom relief and reflux control are achieved in about 80 to 90% of patients 10 years after surgery. However, a small but clinically relevant incidence of postoperative dysphagia and gas-related symptoms is reported. Debate still exists about the best antireflux operation; during the last three decades, the surgical outcome of laparoscopic partial fundoplication (anterior or posterior) were compared to those achieved after a laparoscopic total fundoplication. The laparoscopic partial fundoplication, either anterior (180°) or posterior, should be performed only in patients with gastroesophageal reflux disease secondary to scleroderma and impaired esophageal motility, since the laparoscopic total fundoplication would impair esophageal emptying and cause dysphagia.
Percepção de adultos e idosos sobre os seus comportamentos e sua condição de saúde bucal segundo o seu nível de literacia em saúde
Authors: Silva-Junior Manoelito Ferreira , Osis Maria José Duarte , Sousa Maria da Luz Rosário de , Batista Marília Jesus
Published: July 2023

Resumo Introdução O nível da literacia em saúde pode ser um fator que influencia os comportamentos e a saúde dos indivíduos. Objetivo Analisar a percepção de adultos e idosos sobre os seus comportamentos e sua condição de saúde bucal segundo o seu nível de literacia em saúde (LS). Método O presente estudo qualitativo foi realizado com adultos e idosos que que participaram da ‘Coorte de Saúde Bucal de Adultos de Piracicaba’, sendo classificados conforme os três perfis de perda dentária seguintes: 1) nunca ter perdido dentes; 2) incidência de perda dentária ≥ 4 dentes; 3) edêntulo total e com nível de literacia em saúde alta e baixa de acordo com a variável LS dicotomizada a partir da mediana. Para a coleta dos dados, foi feita uma nova entrevista domiciliar gravada com uso de roteiro-guia e após a transcrição foi realizada a análise de conteúdo. Resultados Independente do nível de LS, os indivíduos identificaram fatores de risco e proteção determinantes para o processo saúde-doença bucal. No entanto, os entrevistados com baixa LS apresentaram uma maior propensão aos comportamentos de risco. Os fatores individuais foram preponderantes para o entendimento de sua condição bucal, seja pelo sentimento de descuido ou de responsabilidade pela falta de acesso aos serviços odontológicos, seja pelo aspecto socioeconômico ou geográfico. Conclusão Os indivíduos com alta LS apresentaram uma capacidade argumentativa e um entendimento maiores sobre os comportamentos saudáveis, como higiene bucal e uso regular do serviço odontológico, independente do tipo de serviço utilizado.
Actinomycosis in the maxilla of a young asymptomatic patient: unusual case report
Authors: PEREIRA José Lucas dos Santos Henrique , SILVA Diego Filipe Bezerra , SOUZA Rebeca Cecília Vieira de , SILVA FILHO Tiago João da , DIAS Isabella Jardelino , GOMES Daliana Queiroga de Castro
Published: July 2023

ABSTRACT The aim of this study is to report an unusual case of actinomycosis in the maxilla region of an asymptomatic patient. A 21-year-old white man was referred for the analysis of panoramic radiography and cone beam computed tomography, where it was observed the presence of a hypodense lesion on the left side of the maxilla, which extended from the maxillary left central incisor to the region of the maxillary left second premolar. During intraoral examination, a depression was observed in the hard palate mucosa, as well as a fistula in the alveolar mucosa close to maxillary left central incisor, which had pulp vitality confirmed by thermal tests. A fistulography was performed, with periapical radiography, where it was found that the fistulous path did not originate from the tooth mentioned above. An incisional biopsy was performed for diagnostic purposes. However, given the inconclusive microscopic findings, four months later, a new biopsy was performed. The histopathological examination revealed the presence of a colony of microoganisms with filamentous pattern of radiated rosette, surrounded by polymorphonuclear inflammatory cells. Based on the morphological characteristics, the diagnosis of actinomycosis was established. The treatment was based on antibiotic therapy. Six months after treatment of the infection, no signs of recurrence were observed, and the patient remains in follow-up. Actinomycosis in the maxilla is an uncommon infection with a predilection for males between the ages of 20 and 60, whose treatment is antibiotic therapy associated or not with surgical excision.
Evidence-practice gap in treatment recommendations for proximal caries among Brazilian dentists
Authors: TAGLIAFERRO Elaine Pereira da Silva , RILEY III Joseph L. , GILBERT Gregg H. , SILVA Silvio Rocha Correa da , ROSELL Fernanda Lopez , VALSECKI JUNIOR Aylton , GORDAN Valeria Veiga
Published: July 2023

ABSTRACT Little is known about how Brazilian dentists’ treatment decisions for proximal carious lesions are compared to current evidence-based recommendations, so better understanding is needed to close any potential evidence-practice gap. Objectives: This cross-sectional study aimed to quantify the evidence-practice gap about proximal carious lesions treatment and identify dentist factors associated with this evidence-practice gap. Methods: Brazilian dentists (n=214) from Araraquara, São Paulo State, “completed a questionnaire about their dentist and practice characteristics and a translated version of the “Assessment of Caries Diagnosis and Caries Treatment” from the U.S. National Dental Practice-Based Research Network. Five radiographic images of proximal carious lesions in low-risk and high-risk patient scenarios were used. Associations between treatment recommendations and lesion, dentist, and practice characteristics were tested for statistical significance (p<0.05). Results: Lesions confined to the enamel would be restored by 35% and 71% of dentists in the low-risk and high-risk patient scenarios, respectively, suggesting a substantial evidence-practice gap given that surgical intervention of enamel lesions is not consistent with current evidence. The lesion depth threshold to recommend a permanent restoration differed between the low-risk and high-risk patient scenarios (p<0.001). Specific dentist/practice characteristics (dentist gender, graduate of a public dental school, postgraduate training, use of caries risk assessment) were significantly associated with the evidence-practice gap, but the magnitude of these differences was not major Conclusion: A substantial evidence-practice gap in treatment of proximal carious lesions was found for the sample overall, even when clinical scenarios presented low-risk patients. Global strategies are needed to close this substantial evidence-practice gap.
Ethanolic extract of Copaifera, Croton and Lippia on the control of phytopathogenic fungi
Authors: Pires Lorenna Leal , Silva Bruno Arcanjo , Sousa Enayra Silva , Neta Enedina Rodrigues da Silva , Lima Sidney Gonçalo de , Beserra Júnior José Evando Aguiar
Published: July 2023

ABSTRACT The search for vegetable extracts for phytosanitary control has been expanded to find new active ingredients to control plant diseases. This study aimed to evaluate the in vitro effect of the fixed constituents of Copaifera luetzelburgii, Croton zehntneri and Lippia lasiocalycina, at the concentrations of 2, 20, 200 and 2,000 μg mL-1, on the percentage of mycelial growth inhibition of Colletotrichum siamense, C. truncatum, Fusarium sacchari, F. udum, Lasiodiplodia theobromae and Thielaviopsis ethacetica, as well as the conidium concentration of C. siamense, F. sacchari and F. udum produced in culture medium with all the extracts. The tested ethanolic extract, especially at the highest concentration, inhibited the percentage of mycelial growth and/or conidium concentration of the evaluated fungi. The other concentrations showed low inhibitory effects or no activity against the fungi. The average values for percentage of mycelial growth inhibition of the ethanolic extract from L. lasiocalycina, C. zehntneri and C. luetzelburgii against the six fungi were 62.5, 53.4 and 51.0 %, respectively. The ethanolic extract of L. lasiocalycina showed the most significant effect on the percentage of mycelial growth inhibition and conidia concentration. The fixed constituents of C. luetzelburgii, C. zehntneri and L. lasiocalycina at 2,000 μg mL-1 showed to be efficient in inhibiting the mycelial growth of C. siamense, C. truncatum, F. sacchari, F. udum, L. theobromae and T. ethacetica, and inhibit the conidia production of C. siamense, F. sacchari and F. udum.
Permanent education in health: Design Thinking for planning and constructing guidelines
Authors: Silva Poliana Avila , Lourenço Mariana Pissioli , Baldissera Vanessa Denardi Antoniassi
Published: July 2023

Abstract Objective to analyze the course of planning and construction of guidelines for Permanent Education in Health in a health regional. Method participatory research, developed by Design Thinking as a collaborative strategy for the planning and construction of guidelines for Permanent Education in Health in a Health Region in the state of Paraná, Brazil. Municipal managers, health professionals, and representatives of the Health Region participated, totaling 32 participants. Documentary analysis, focus groups and online forms for data collection were carried out, which were analyzed according to the Brazilian National Policy on Permanent Education in Health and the problematizing dialogic conception of collaborative path. Results they pointed out that regional planning describes mostly generalist and quantifiable health education actions, and that raised concerns when collectively reflected. The collaborative activity provided spaces for questioning the planning of Permanent Health Education, dialogical relationships, construction of knowledge anchored in the re-signification of practices and co-participatory elaboration of qualitative Permanent Health Education guidelines based on the reflection of experienced reality. Final considerations and implications for practice Design Thinking promoted leading role and transformation of knowledge and management through emancipatory dialogue. The study significantly corroborates the adoption of co-participatory and regional planning for Permanent Education in Health by redefining practices.
Roteiro de avaliação auditiva e do processamento auditivo central para pré-escolares
Authors: Albuquerque Isabelle Canevari de , Brocchi Beatriz Servilha
Published: July 2023

RESUMO Objetivo Construir um roteiro de avaliação para observação da audição e do processamento auditivo central em pré-escolares. Método Para elaboração do roteiro, primeiramente realizou-se uma busca nas bases de dados Scielo e biblioteca de uma universidade no estado de São Paulo, com as palavras chaves: “processamento auditivo central”, “audição e linguagem”, “distúrbios do processamento auditivo”, “processamento auditivo em pré-escolares”, “avaliação do vocabulário”, selecionando então quatorze artigos e dois livros. Foram estruturadas perguntas relacionadas ao desenvolvimento auditivo e um roteiro de avaliação do processamento auditivo central. Resultados O roteiro constitui-se de oito partes, sendo identificação e anamnese, dados maternos e de gestação, queixas, desenvolvimento auditivo, desenvolvimento de linguagem, desenvolvimento motor, Teste auditivo comportamental para avaliação do processamento auditivo central e avaliação audiológica comportamental. Conclusão O roteiro é de extrema importância visto que não há na literatura instrumentos de triagem de processamento auditivo em pré-escolares que investigue, de forma minuciosa, todo o processo que permeia o desenvolvimento auditivo e de linguagem de crianças de 43 a 47 meses.
PREFACE: CLEARWATER CLEAN ENERGY
Authors: Gupta Ashwani K. , Breault Ronald W.
Published: July 2023

Preface for the Special issue from the Clearwater 2022 Clean energy that has 15 papers
Sosyal Ayrışmanın Kentsel Mekana Yansıması: Amasya’da Üç Kentsel Odak
Authors: ÖZKAYNAK Merve , OLCAR Cumhur
Published: July 2023

Mekân kentlilerin toplumsal ilişkilerine hayat veren yegane buluşma noktasıdır. Toplumlar arasında kurulu görünmez bir sınır olabilecek mekânlar aynı zamanda kentsel ortam içerisinde parçalanmaların oluşmasına neden olabilmektedirler. Bu bağlamda sosyal, ekonomik ve kültürel açıdan alt ve üst topluluklar arasındaki parçalanmanın kentsel mekâna yansımasının araştırılması probleminden yola çıkılarak, farklı grupların kentsel alanda mekânsal kırılma noktaları oluştuğu hipotezi ileri sürülmüştür. Bu hipotez doğrultusunda Amasya’da kırılmanın gözlendiği üç odak tespit edilmiştir. Belirlenen üç odakta sosyal ayrışmanın tespit edilmesi amacıyla kullanıcılara anket çalışması yapılmış ve bulgular mekânsal analizlerle desteklenmiştir. Çalışmada yapılan analizler sonucunda odak I’de karma kullanım olduğu ve mekânsal farklılık olmadığı, odak II’de karma kullanım ve mekânsal farklılığın varlığı ve odak III’de alt grubun kullanımının olduğu ve mekânsal farklılık olmadığı gözlenmiştir. Elde edilen bulgular sonucunda odak II’de sosyal ayrışmanın varlığı ortaya koyulmuş ve öne sürülen hipotezler doğrulanmıştır. Sonuç bölümünde ise; toplumda farklı gruplar arasındaki mekânsal eşitliğin sağlanabilmesi ve parçalanmaya dair çözüm önerileri sunulmuştur.
Modelo Matemático para Otimização de Cardápios e Dietas
Authors: Souza Carmo Carlos Roberto , Melo Guilherme Diniz de
Published: July 2023

Esta pesquisa teve por objetivo investigar e propor um modelo matemático de otimização voltado para a identificação de cardápios formados por refeições diárias capazes de atender aos parâmetros nutricionais estabelecidos por profissionais de nutrição, identificando composições saudáveis entre pratos principais e acompanhamentos, gastronomicamente harmonizados e diversificados, e ainda, ao menor custo possível (custo mínimo). Com base em um problema de programação linear binário, no qual assumiu-se o valor 1 (um) para as combinações de receitas de pratos (principal e acompanhamento) a serem utilizados na composição das refeições de dietas nutricionalmente parametrizadas e, consequentemente, na formação do cardápio mensal, ou valor 0 (zero) em caso contrário, a aplicação computacional do modelo proposto, baseada em dados reais, resultou na composição de uma dieta formada por combinações de receitas de pratos saudáveis, segundo os parâmetros nutricionais e gastronômicos estabelecidos, e ainda, que permitissem diversificar o respectivo cardápio e apurar o menor custo total possível para a referida dieta.
Fragmentação espacial e mobilidade urbana: um estudo sobre Montes Claros/MG
Authors: Cruz dos Reis Tyellen Sany , Soares de França Iara
Published: July 2023

No Brasil, a vida nas cidades, o habitar e as diversas formas de se relacionar e de produzir o espaço entre os citadinos vêm adquirindo novas configurações nas últimas décadas. A partir disso, a cidade na contemporaneidade apresenta-se como um importante elemento analítico pela dinâmica histórica, econômica, política, cultural e espacial que lhe é inerente. Como efeito dos processos espaciais, novas paisagens, formas, estruturas e conteúdos eclodem no tecido urbano, transformando e impactando a vida social em suas diversas escalas. Partindo disso, este artigo analisa o processo de fragmentação espacial na cidade de Montes Claros/MG sob a perspectiva da mobilidade urbana.  Para essa finalidade, realizou-se o levantamento, e, posterior análise das recentes obras de mobilidade realizadas pelo poder público na cidade após o ano de 2018, com registro iconográfico. Todavia, esta ação do poder público deve ser compreendida de forma ampla e crítica, pois, evidenciou-se, a partir de aspectos da mobilidade urbana, características gerais de fragmentação espacial nesta cidade média. Tal processo se materializa, entre outros condicionantes, pela segmentação do tecido urbano, em razão, especialmente, dos usos sociais distintos do espaço. A metodologia adotada foi quali-quantitativa, com análise teórica, pesquisa documental e pesquisa de campo.
As Novas Ameaças no Contexto da Nova Ordem Mundial
Authors: Baptista Sheila
Published: July 2023

O pós-guerra fria propiciou a instauração da Nova Ordem Mundial onde o mundo passa a ser multipolar, verificando-se o surgimento de novas ameaças devido ao enfraquecimento das instituições, promovido pelas crescentes desigualdades sociais, dependência dos Países periféricos em relação aos centrais aliada a revolução tecnológica e globalização. Este artigo tem como objectivo abordar o surgimento e causas de novas ameaças e possíveis soluções. O estudo foi baseado nas teorias neorrealista, construtivista e teoria da Escola de Copenhague; e usado os métodos histórico-dedutivo e comparativo, com técnicas de revisão bibliográfica e fontes secundárias. A conclusão indica que a solução para as novas ameaças passa pela cooperação entre os Estados na elaboração de políticas globais para a segurança e paz, criação de serviços de inteligência constituído por vários Países, promoção de Não Proliferação de Armas Nucleares, elaboração de estratégias para combater as possíveis fontes estatais do seu financiamento para evitar uma guerra.
 
Palavras-Chaves: Actores; Estados; Globalização; Novas Ameaças e Tratado.
Study of ferroelectric nanocomposites based on P(VDF-TrFE) by scanning probe microscopy
Authors: Terekhova Yu. S. , Kiselev D. A. , Solnyshkin A. V.
Published: July 2023

Ceramic and polymer based nanocomponents combine the properties of their constituents, e.g. flexibility, elasticity, polymer reprocessability, hardness typical of glass, wear resistance and high light refraction index. This helps improving many properties of the materials in comparison with the source components. Since recently researchers have been manifesting interest to the properties of complex composite compounds. This is primarily caused by the unique properties of their structures as compared with conventional materials having homogeneous composition. Secondly, this interest is caused by the fact that these compounds may prove to be much cheaper than homogeneous structures provided the physical properties of the composite in a preset range of parameters (temperature, applied field frequency etc.) are identical to those of the respective homogeneous materials. For example, polyvinyl idenfluoride (PVDF) type ferroelectric polymers and copolymers on its basis have found wide application for functional elements of various electromechanic devices in advanced electronics due to their relatively good piezoelectric and pyroelectric properties. The strong random polarization and the formation of polar non-centrosymmetric crystals provide for the high piezoelectric and pyroelectric activity in these crystals. Scanning probe microscopy has been used for study of ferroelectric nanocomposites having different compositions. The matrix specimen for study of local polarization switching at a nanoscale level was vinyl idenfluoride and trifluoroethylene P(VDF-TrFE) copolymer possessing sufficiently high crystallinity. The composite fillers were barium titanate BaTiO3 and deuterized triglycinsulfate DTGS ferroelectric powders and zirconate-titanate lead barium BPZT ceramic powder. We show these materials to show good promise for use in memory cells.
Simulation of TiN/HfO2/Pt memristor I–V curve for different conductive filament thickness
Authors: Aleshin A. N. , Zenchenko N. V. , Ruban O. A.
Published: July 2023

The operation of the TiN/HfO2/Pt bipolar memristor has been simulated by the finite elements method using the Maxwell steady state equations as a mathematical basis. The simulation provided knowledge of the effect of conductive filament thickness on the shape of the I-V curve. The conductive filament has been considered as the highly conductive Hf ion enriched HfOx phase (x < 2) whose structure is similar to a Magneli phase. In this work a mechanism has been developed describing the formation, growth and dissolution of the HfOx phase in bipolar mode of memristor operation which provides for oxygen vacancy flux control. The conductive filament has a cylindrical shape with the radius varying within 5–10 nm. An increase in the thickness of the conductive filament leads to an increase in the area of the hysteresis loop of the I-V curve due to an increase in the energy output during memristor operation. A model has been developed which allows quantitative calculations and hence can be used for the design of bipolar memristors and assessment of memristor heat loss during operation.
Multiple discrimination experienced by women with disabilities in the workplace in South Africa
Authors: Basson Yvette
Published: July 2023

Persons with disabilities have historically been members of one of the most marginalised groups in society. Access to employment has been a major barrier to the socio-economic empowerment of those with disabilities. The intersection of gender- and disability-based unfair discrimination is not yet widely recognised, and it may not be as familiar as traditional concepts of discrimination. This intersection is important however, because it may affect the participation of women with disabilities in various aspects of society. There is growing recognition that women with disabilities face greater barriers against full participation in society, since they must overcome unfair discrimination related to both their gender and their disabilities. The aim of this article is to examine whether the current South African legislative framework relating to women with disabilities in the workplace recognises multiple discrimination and takes steps to eliminate or counter it. To this end, the compounding effect of gender and disability will be explained, and the impact of this multiple discrimination on women with disabilities seeking or currently in employment will be analysed. In addition, socio-economic factors in South Africa will be considered, along with their impact on employment opportunities for women with disabilities.