bluuebunny/crossref_metadata_2025 huggingface dataset:
CHA2DS2-VASc Score as a Predictor of New Onset Atrial Fibrillation in Patients With Non-ST Segment Elevation Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
Authors: karasu mehdi , m erkan , karaca y , kobat mehmet
Published: October 2023

Background: New-onset atrial fibrillation (NOAF) often complicates acute coronary syndromes (ACSs) with adverse short- and long-term consequences. However, the current risk classification model for estimating NOAF during non-ST-segment elevation myocardial infarction (NSTEMI) remains unclear. Some parameters in the CHA2DS2-VASc score are closely related to the development of atrial fibrilation (AF).
Methods: This retrospective study was conducted among 670 consecutive NSTEMI patients who applied to our cardiovascular center between June 2020 and June 2022 and underwent percutaneous coronary intervention (PCI).
Results: NOAF developed during hospitalization in 55 patients (12.5%). NOAF patients were older and had higher high sensitivity C-reactive protein (hs-CRP), left atrial volume index, Post PCI thrombolysis in myocardial infarction (TIMI) grade <3, CHA2DS2-VASc score, peak troponin I (ng/ml), and SYNTAX score (SS). After univariate logistic regression analysis for the predictors of NOAF development, CHA2DS2-VASc score, post PCI TIMI grade <3, hemoglobin, hsCRP, SS alone were predictors of NOAF, but after multivariate analysis, CHA2DS2-VASc score, post PCI TIMI grade <3, hemoglobin had a determining effect.
Conclusions: The CHA2DS2-VASc score can be evaluated as a predictor of NOAF after PCI in NSTEMI. Except for the components of the CHA2DS2-VASc score, post PCI TIMI grade <3 and low hemoglobin levels are independent risk factors for NSTEMI-NOAF.
Hematological Disorders After Renal Transplantation. A Single Center Study /

Post-Kidney Transplantation Anemia and Erythrocytosis
Authors: Erkan Rev , Dan Ramazan
Published: October 2023

Objective:Post-transplantation anemia (PTA) and post-transplantation erythrocytosis (PTE) are the most common hematological problems in patients after renal transplantation. Hematological disorders need to be corrected to improve the mortality and morbidity status of patients and to maintain cardiac and graft functions. The objective of this study is to determine the prevalence of PTA and PTE in kidney transplant (KT) patients in our region in our organ transplant center.
Material and Methods: 212 renal transplant patients who underwent KT in a single center between 2012 and 2020 were included in the study. Demographic, clinical, and laboratory data of renal transplant patients at preoperative and postoperative months 6 and years 1, 2, 3, 4, and 5 were evaluated.
Results: We determined the prevalence of PTA to be 28.16% (Early PTA 25.62%), and the prevalence of PTE to be 4.22%. The PTA group consisted of 40 patients, 33 females and 7 males, with a mean age of 30.5 years, while the PTE group consisted of only 6 male patients with a mean age of 21. Female predominance was observed in the PTA group (33, 82.5%), and male predominance (6, 100%) was observed in the PTE group. While there was no correlation between PTA and graft loss, there was a statistical correlation between PTE and graft loss (p<0.001). There was no relationship between the groups in terms of mortality, tacrolimus, cyclosporin A, and erythropoietin use (p>0.05). We found a negative correlation between hemoglobin levels and urea and a positive correlation between albumin, Ca, and tacrolimus levels.
Conclusion: PTA is a common condition, especially in female patients, and its prevalence increases over the years if the necessary care is not taken in the follow-up, and complications that may occur can be prevented with early diagnosis and treatment. Even if the prevalence of PTE is low, especially young male patients should be followed, and treatment should be started early to prevent a possible complications.
Segmentation of Masticatory Muscles on Ultrasonographic Images Using Artificial Intelligence in Pediatric Population
Authors: rol Firdevs , i Burak
Published: October 2023

Objective: The objective of this study is to utilize artificial intelligence for the segmentation of masticatory muscles in ultrasound images.
Materials and Methods: The study comprised a cohort of 60 pediatric patients with ultrasonographic images of the masseter, anterior temporal, and lateral pterygoid muscles, 120 images for each muscle, right and left, totalling 360 muscle images. Within the context of this research, the YOLOv8-Seg deep learning model was employed to automatically conduct the segmentation of the masseter, anterior temporal, and lateral pterygoid muscles within ultrasonography images. In this study, an artificial intelligence algorithm (Roboflow, Inc., Des Moines, Iowa, USA) was developed to autonomously carry out the segmentation of the masseter, anterior temporal, and lateral pterygoid muscles. A total of 120 images for each muscle group were randomly divided into training, validation and test sets.
Results: For the muscle segmentations on the test data, the true positive (TP), false positive (FP) and false negative (FN) values were 18, 0, 0 for masseter muscle, 18, 0, 0 for temporal muscle and 16, 1, 1 for lateral pterygoid muscle, respectively. The model's F1 score, precision and sensitivity values are 1.0, 1.0 and 1.0 for masseter muscle, 1.0, 1.0 and 1.0 for temporal muscle and 0.92, 0.94 and 0.94 for lateral pterygoid, respectively.
Conclusion: In summary, segmentation techniques based on deep learning for analyzing ultrasonography images of anatomical structures like masticatory muscles have great potential in clinical applications. Precise segmentation of muscles through this technology can play a crucial role in the diagnosis and follow-up of diverse medical conditions and diseases.
Preoperative Hypoalbuminemia as a Predictor of Severe Postoperative Complications in Patients Undergoing Whipple Pancreatoduodenectomy
Authors: Ahmetasevic Emir , Hasukic Sefik , Agic Mirha , Brkic Selmira
Published: October 2023

Background: Pancreaticoduodenectomy (PD) known as Whipple procedure is still one of the most complex abdominal surgeries used for treatment of periampullary tumors. PD is often followed with postoperative complications (pancreatic, biliar or intestinal fistula, haemorrhage, intraabdominal abscess, delayed gastric empting. Severe postoperative complications (SPC) can be reason for reoperation and reason of bad outcome of treatment and life treathening condition. Objective: To investigate predicitive value of preoperative hypoalbuminemia for severe postoperative complications (SPC) in patients who have undergone Whipple pancreaticoduodenetomy (PD). However, no similiar study has been ever reported from our country until now. Methods: In this retrospective-prospective study, 100 patients who have had Whipple pancreaticoduodenectomy for malignant periampullary tumors at the Department for Surgery of University Clinic Center Tuzla, Bosnia and Herzegovina were enrolled, from january of 2009 to decembre of 2021. All patients were preoperatively analysed according to serum albumine levels and presensce of hypolabuminemia (serum albumine levels <32g/l). Serum albumine biochemical test were done 1-2 days preoperatively. Clavien Dindo classification was used for determination patients with SPC. Patients who did not have SPC belonged to (I-II) Clavien Dindo group of patients while those who had SPC belonged to( III-V) Clavien Dindo group of patients. Results: Out of 100 patients who have undergone pancreaticoduodenetomy, in 55 (55%) patients postoperative complications were noticed. Mortality rate was 18 (18%) and reoperation has been done in 20 cases (20%). SPC were noticed in 19 patients and most often were: delayed gastric emptying (20%), pancreatic fistula (13%) and intraabdominal collections (9%). Hypoalbuminemic patients had a significantly higher rate of severe postoperative complications ( p<0.05). Using hypoalbuminemia-SPC correlation analaysis, there is confirmed statistically significant correlation between hypoalbuminemia and SPC (ρ= 0.236; p<0.05). Conclusion: Preoperative hypoalbuminemia can be used as predictor and prognostic factor for severe postoperative complications after Whipple pancreaticoduodenectomy. Identification and optimization of serum albumin level prior to Whipple pancreatoduodenectomy may improve surgical outcomes.
Osteogenesis Imperfecta
Authors:   , Storoni Silvia
Published: October 2023

This thesis aims at expanding our understanding of Osteogenesis Imperfecta (OI), a
genetic disorder causing bone fragility and a range of extraskeletal symptoms. The work
examines in particular the epidemiology and the extraskeletal comorbidities of the Dutch OI
population. Additionally, the thesis sheds light on the genotype-phenotype correlation and
the pathophysiology of the respiratory complications associated with OI.

The first part of the thesis discusses the prevalence and hospital admission rates of
the Dutch OI population, the genotype-phenotype relation of OI, and the health care
characteristics of patients with LRP5, PLS3, or WNT1 pathogenic variants. The second part
of the thesis focuses on the pulmonary complications of OI patients. A literature review
provides an overview of the current knowledge and knowledge gaps surrounding the
pathophysiology of respiratory complications in OI. To gain further insight into the cause
of pulmonary complications, the lung pathology in patients with OI type II was analyzed,
suggesting intrinsic alterations in the OI lung parenchyma. The second part of this thesis
concludes by proposing a more patient-friendly lung function assessment and a pulmonary
follow-up plan for OI patients for the prevention of serious respiratory complications. Finally,
the third part of the thesis provides an overview of collagen regulation in the context of
recent gene discoveries and describes two OI patient with new SPARC pathogenic variants.
Ultrasound evaluation of the uterine cesarean section scar
Authors:   , Jordans Inge Petronella Maria
Published: October 2023

Niches have shown to be quite prevalent and can be visualized by transvaginal ultrasound. With this thesis we added the first practical guidelines on niche evaluation in non-pregnant women and in early pregnancy to detect a cesarean scar pregnancy. They can be used in daily clinical practice and will hopefully establish uniformity in future niche studies and increase awareness for the existence of a cesarean scar pregnancy amongst all sonographers performing ultrasound in early pregnancy after cesarean section. During evaluation, it should be considered that niche presence and features change over time after cesarean section. Niche presence disturbs uterine peristalsis, possibly causing niche-related symptoms and subfertility, but this must be further assessed. Its presence does not appear to be affected by uterine closure technique, although the learning curve of uterine closure does seem important. Laparoscopic niche resection increases the residual myometrial thickness, which is favorable during subsequent pregnancy; future research will have to focus on the improvement of obstetric outcomes by laparoscopic niche resection. As a cesarean section cannot be prevented in obstetric policy, proper counseling of women with or without medical indication for a cesarean section should be part of daily practice, including niche-related symptoms. This should be done before but otherwise during follow-up after the cesarean section. Furthermore, recognizing these symptoms in primary care will lead to a sense of understanding in women and not cause an unnecessary delay in therapeutic management.
Sharing the Body of Christ
Authors:   , den Hertog Reinier Gabriël
Published: October 2023

Theology of ministry seems to be in vogue these days. There is a growing awareness that questions about the legitimacy, content and structure of church ministry need to be thought through to enable churches to meet their missional challenges. Moreover, these challenges are certainly not just limited to some churches or denominations. There is a growing awareness that the search for an appropriate and credible ministerial expression of the church's mission in contemporary culture is to be ecumenically informed.
This study concerns an attempt to explore how Reformed churches in the Netherlands can meet the twofold challenge of mission and ecumenism. What is needed for the development of an ecumenically informed theology of ordained ministry that serves the missionary calling of the church? To answer that question, this book offers historical-theological explorations and systematic-theological analyses, culminating in an articulation of presuppositions, principles, and tasks for ordained ministry.
Novel bioparticle vaccines against Chlamydia trachomatis
Authors:   , Huynh Tan Dung
Published: October 2023

Chlamydia trachomatis, a sexually transmitted obligate intracellular bacterium, presents a significant global public health concern due to its high prevalence. Although C. trachomatis infection often remains undetected, it can lead to serious complications such as pelvic inflammatory disease, infertility, ectopic pregnancy, miscarriage, and even blindness. While antibiotics are effective against acute infection, they are believed to increase the risk of reinfection. Despite advances in understanding C. trachomatis-caused infectious diseases, a prophylactic vaccine against the bacterium is yet to be developed. The challenges lie in the safety risks associated with using weakened live vaccines and the limited efficacy of current alternative vaccination strategies. Protective immunity against C. trachomatis, like other intracellular pathogens, relies on both humoral and cellular immune responses, targeting the extracellular and intracellular stages of the bacterium, respectively. Many studies have focused on inducing protective CD4+ (Th1) T cell-mediated and humoral responses, but efforts to activate CD8+ T cells, responsible for monitoring and eliminating intracellular infections, are still in the early stages. Therefore, the development of innovative C. trachomatis vaccines, capable of inducing potent humoral and cellular (CD4+ and CD8+ T cell) responses, requires a complementary interdisciplinary approach with experts from various fields. The main objective of this thesis was to create and evaluate novel C. trachomatis bioparticle vaccines, using bacterial outer membrane vesicles (OMVs) and protein bodies (PBs) as delivery platforms. Several vaccine candidates based on LPS-detoxified Salmonella OMVs and E. coli PBs have been generated. Preclinical testing in a mouse model has shown that the OMV/PB-based vaccines are safe and immunogenic, inducing specific humoral and cellular immune responses against C. trachomatis antigens in both systemic and mucosal compartments. Currently, the protective efficacy of the most promising vaccine is being evaluated and compared to other vectored vaccines using a genital mouse challenge model.
PÓS-OPERATÓRIO IMEDIATO: REPERCUSSÃO DA ASSISTÊNCIA SEM A SALA DE RECUPERAÇÃO ANESTÉSICA
Authors: Nascimento Tiago de Sousa , Aragão Janaína Alvarenga , Luz Alyne Leal de Alencar , De Sousa Evandro Alberto , Brandão Socorro Adriana de Sousa Meneses , Figueiredo Luciano Silva , Leal Maria da Conceição Portela , Saintrain Maria Vieira de Lima , Lustosa Mariana Santos Batista , Lopes Miriam dos Santos
Published: October 2023

A SRA é o local onde pacientes tratados a procedimentos cirúrgicos com consequente utilização de anestésicos são admitidos para receber cuidados pós-cirúrgicos imediatos. O objetivo do estudo é conhecer os motivos da ausência da sala de recuperação anestésica e as condições dos pacientes em pós-operatório imediato que não passaram pela recuperação anestésica, bem como as dificuldades dos profissionais de saúde em atendê-los em um hospital público no município de Picos-PI. Trata-se de um estudo misto, os dados foram coletados presencialmente com informações colhidas nos prontuários de pacientes em POI por meio de conversação semiestruturada e com os profissionais de saúde das enfermarias. A amostra foi composta por 50 prontuários e 17 profissionais preparados. A maioria dos pacientes que passaram por procedimento cirúrgico no hospital pesquisado tinham a faixa etária acima de 36 anos (38%), eram do sexo masculino (56%), residiam em outras cidades da macrorregião (54%), foram admitidos a cirurgia ortopédica ( 44%) e o tipo de anestesia mais ultilizada foi a raquidiana (80%) e apresentou hipertansão arterial como a observada pós-cirurgia mais comum. Portanto, através dos dados analisados evindenciou-se que a ausência de uma SRA traz efeitos negativos tanto para os pacientes assistidos quanto para os profissionais que executam a assistência.
ASPECTOS DA SAÚDE MENTAL DE MULHERES FRENTE À CONDIÇÃO DE POBREZA DE UM DISTRITO DA MESORREGIÃO CEARENSE
Authors: De Freitas Raimara Amaro , Pereira Leilane Cristina Oliveira , Abreu Hilana Maria Braga Fernandes , Travassos Leilane Menezes Maciel , Suassuna Maria Aparecida Ferreira Menezes , Magalhães Maria Iranilda Silva , Freitas Francisco Yarllison Silva , Paulino Barbara Costa
Published: October 2023

A pobreza, tendo raízes históricas, é um fenômeno multifatorial, de forma que quem a vive está mais exposto aos diversos tipos de vulnerabilidades. Nessa conjuntura, o presente estudo objetivou analisar aspectos de saúde mental de mulheres em situação de pobreza, de um distrito da mesorregião cearense. A coleta dos dados ocorreu através de entrevista semiestruturada, tendo como participantes mulheres em situação de pobreza, recrutadas a partir do banco de dados do cadastro junto ao Programa Bolsa Família, cadastradas, ainda, junto ao Serviço de Atenção Básica do Distrito. Os dados foram analisados, a partir da análise de conteúdo de Bardin. A partir da análise de conteúdo e categorização, perceberam-se aspectos negativos de saúde mental, como sofrimento psíquico, tendo como destaque a angústia, preocupação e sentimentos depreciativos de inferioridade e culpabilização. No entanto, observaram-se, ainda, consequências não negativas, amparadas na espiritualidade. O estudo contribui para evidenciar como a condição social pode afetar à subjetividade.
Analysis of the Causes and Countermeasures of the Involution of Family Education in China
Authors: Wang Hexuan
Published: October 2023

The involution of family education is a significant issue in China’s current basic education and has brought certain heavy burdens and negative impacts to both parents and students. Using the desk research method, this paper describes the manifestations of family capital embeddedness in the process of family education involution, analyzes its causes, and explores countermeasures to address it. The study suggests changing traditional social concepts and regulating the governance of out-of-school educational institutions, balancing the allocation of educational resources among schools, reforming the evaluation mechanism of school education, and enhancing parental cognitive levels and abilities to make rational decisions about education.
Drilling Deeper: Non-Linear, Non-Parametric Natural Gas Price and Volatility Forecasting
Authors: Bajatovic Dusan , Erdemlioglu Deniz , Gradojevic Nikola
Published: October 2023

This paper studies the forecast accuracy and explainability of a battery of dayahead (Henry Hub and Title Transfer Facility (TTF)) natural gas price and volatility models. The results demonstrate the dominance of non-linear, non-parametric models with deep structure relative to various competing model specifications. By employing the explainable artificial intelligence (XAI) approach, we document that the price of natural gas is formed strategically based on crude oil and electricity prices. While the conditional volatility of natural gas returns is driven by long-memory dynamics and crude oil volatility, the informativeness of the electricity predictor has improved over the most recent volatile time period. Although we reveal that predictive non-linear relationships are inherently complex and time-varying, our findings in general support the notion that natural gas, crude oil and electricity are interconnected. Focusing on the periods when markets experienced sharp structural breaks and extreme volatility (e.g., the COVID-19 pandemic and the Russia-Ukraine conflict), we show that deep learning models provide better adaptability and lead to significantly more accurate forecast performance.
Home Monitoring System Based on IoT
Authors: Kaliappan Dr. J. , Aparna U. , Maneesha SK. , Balachand M. , Swami M.Kumara
Published: October 2023

Home intelligent system to monitoring the electrical energy usage basing upon the original tracking of the devices at home. It is the second generation development board, which are may be used in societies. It uses various sensors to not only monitor the original device tracking also maintaining the security of house. It can be controlled remotely from an android app using the Internet. The project outputs are intended to give users with the option of controlling device switching using a simple toggle touch on their smartphone and—most necessarily checking use in order to conserve the earth's natural limited resources by energy consumption low.
IoT-Enhanced Early Warning System for Forest Fire Detection
Authors: Rao N. D. Parameswa , Chennaiah Y. , Kavya P.Sri , Kumar M.Varun , chandra S. Sri venkata yatish
Published: October 2023

Everyone is aware that the forest is regarded as one of the most important and necessary resources, and that forest fires pose a constant threat to biological systems and environmental factors. The necessity to detect forest fires as quickly as possible is urgent because the identification of forest fires has become a crucial issue in the pre-suppression phase. This literary work has made a strong case for the skilled use of wireless sensor networks as a plausible explanation for the cause of forest fires. To complete the solution process, the proposed system relies on a variety of sensors that are attached to it as well as data from wireless communication. A small satellite transmits these sensor data in the system to a ground station where they are examined. The data from wireless sensor reticulation used in the discourse plan is dependent on the earlier detection of forest fire.
Smart Traffic Signal Violation Detection System Based on IOT
Authors: Manogna N. , Meghana CH. , Kumar N.Pavan , Priyanka K.
Published: October 2023

Roads are primary route to transportation in each country, and they are frequently characterized by traffic congestion due to a lack of traffic management. It could be due to the big population, lack of technology, and violations committed by humans, the most serious of which is traffic rule infringement. It is extremely difficult for authorities to determine whether or not there is a traffic rule infringement, resulting in horrible scenarios that endanger not just drivers but pedestrians as well. To apprehend car owners who disregard traffic signal limits, the traffic police need a straightforward strategy. The administrators are currently checking the film that is being recorded near the traffic signal 24 hours a day, 7 days per week to see if anyone has disregarded the traffic light laws. After taking a picture of the license plate, they must report. Technology can play a big part in addressing these violations, which is why our work focuses on IoT and image processing-based methods. The suggested system's camera records a picture of the car, analyzes the video using the right image processing algorithm, and then records the license plate of the vehicle that violated the traffic laws and transmits it to the administrators. As a result, less manual work is required from police managers, and the video analysis takes place directly on the edge device.
The Importance of Lapis Lazuli Corridor for Afghanistan
Authors: Tariq Mohammad Talib
Published: October 2023

Lapis lazuli corridor is one of the most important and new transit routes which Afghanistan connects to central Asia countries and other countries. Lapis Lazuli corridor has a historical background and was part of the Silk Road through which the lapis lazuli of Afghanistan (from Badakhshan) was exported over 2000 years ago to the Caucasus, Russia, the Balkans, Europe, and North Africa, especially to the eastern civilizations along the ancient Silk Road. The lapis lazuli trade route connects Afghanistan and South Asia countries with Europe by roads and rails. It is considered one of the shortest and most reliable transit routes for Afghanistan where it has named a landlocked country, in order to get connected to Europe. The importance of this route is that to emerge as an economic corridor for inclusive development by which Afghanistan will be connected to Europe, Turkmenistan, Azerbaijan, Georgia and Turkey and then to Europe. It will connect Afghanistan through land and sea with developed and economic zones of central Asia and European countries, where it will provide more opportunities for Afghanistan to trade it’s all kind of products to other nations. In addition, it will be discussed the importance of this transit route for Afghanistan as a new economic policy of Afghanistan which conducted by Afghan government to connect this country with Central Asia countries and Europe. The main object of this essay covers the socio-cultural significances of the lapis lazuli route for Afghanistan and other nations which located on this way. Moreover, I will find out the cultural and social importance of lapis lazuli corridor in this essay to know its geographical location and its other important issues from articles and journals which discuss about the lapis lazuli corridor as a new economic way for Afghanistan.
An Intertextual Approach to the Political Poetry of Griselda Alvarez
Authors: Margarito Gaspar Mayra , Quezada Camberos Silvia Magdalena
Published: October 2023

The political poetry of Griselda Álvarez has played a fundamental role in the history of Mexico by highlighting silenced voices and social struggles through her verses. As the first female governor in Mexico, Álvarez paved the way for women in politics, and her poetry reflects her commitment to social justice and women's rights. Her poems, including Canto a las barbas, address pressing issues such as gender inequality, political oppression, and the fight for freedom, offering a critical and poetic perspective on the political reality of her time. Griselda Álvarez's work reveals the complex nature of art, which allows for connections between the ineffable essence of being and historical social issues. In this study, we use an intertextual analysis to approach her literary creation from a critical perspective, through which we observe that poetry constructs feelings, sensations, and beauty, while also serving as a tool for resistance and denunciation.
BENCHMARKING DATA OF GROMACS: GPU AND GROMACS VERSION
Authors: Poghosyan A.H. , Narsisian W. , Astsatryan H.
Published: October 2023

The parallel scaling of GROMACS package has been studied in detail by estimation the performance of machine in presence of new generation graphical cards. This paper aims to estimate the speedup and performance issues depending on GROMACS network parametrics and as well as the version. The obtained results show that depending on threads/MPI ratio the new version of GROMACS plays rather good than previous one, meanwhile there are cases when the performance values are nearly same. The presence of GPU is significantly increasing the performance scaling up to ten time acceleration. Pinning threads to cores guaranties up to 15-35% increase.
ABOUT HEAVY METAL ACCUMULATION POTENTIAL OF SOME EVERGREEN TREES IN GREEN SPACES OF YEREVAN (ARMENIA)
Authors: Hovhannisyan H.A.
Published: October 2023

This article presents the final research on the study the metal accumulation potential of two evergreen species Thuja occidentalis L. and Juniperus virginiana involved in the green infrastructure of Yerevan-Armenia’s capital city. We studied the condition of both evergreen species, seasonal variations of heavy metal contents in their needle at the end of summer and winter, and the bio concentration factor of plants. The decreased longevity shows that both studied evergreen species are inappropriate for planting in the streets with heavy traffic or close to industrial pollution sources.
Luzes nas trevas: memórias da dor de existir em narradores melancólicos
Authors: Vianna Glaucia Regina , De Farias Francisco Ramos
Published: October 2023

O presente trabalho reflete sobre a ambiguidade dos estados melancólicos que tanto dificultam a evocação de acontecimentos significativos da vida, devido às rupturas nas cadeias representativas forjadas pela memória; quanto são vetores da criação. Em ambas as situações presentifica-se a dor de existir decorrente do luto, das manifestações depressivas e dos estados melancólicos. Nessas circunstâncias, o sujeito mobiliza-se pelo fascínio da pulsão de morte, podendo chegar à destruição de si mesmo ou eleger alternativas criativas, conforme o legado dos narradores melancólicos, dos quais um é paradigmático: a obra Perto das trevas de W. Styron que se esmerou em deixar o registro da oscilação de quem atravessa uma experiência depressiva, na qual há, em um extremo, a miséria e, em outro, o esplendor. Embora ilustremos a saída das trevas mediante um recurso literário, salientamos que produções criativas são possíveis também por outros meios, inclusive a experiência clínica.
Acesso à saúde: problemas enfrentados por gestantes em situação de rua
Authors: Da Rosa Victor Hugo Júlio , Penacci Fernanda Augusta , Andrade Maria Alice , De Freitas Juliana Pierami , Silvestre Mairis Alarcão Duarte de Oliveira
Published: October 2023

Objetivo: O objetivo da pesquisa foi identificar na literatura científica dos últimos cinco anos como tem sido a assistência pré-natal em gestantes em situação de rua. Método: Adotou-se como metodologia o protocolo PRISMA para analisar a assistência pré-natal a gestantes em situação de rua. Utilizando a estratégia PICo, a busca foi feita nas bases de dados LILACS e SciELO, resultando em quatro artigos completos em língua portuguesa. Resultado: O Sistema Único de Saúde (SUS) enfrenta dificuldades em oferecer suporte adequado, e o consumo de drogas, lícitas e ilícitas, é uma preocupação. Os desafios enfrentados pelas gestantes incluem acesso inadequado ao pré-natal, Infecções Sexualmente Transmissíveis devido ao abandono de tratamento, incerteza sobre a idade gestacional, má alimentação, higiene precária e outros riscos. A qualidade das consultas pré-natais e o envolvimento dos profissionais de saúde são cruciais para melhorar a assistência. O estigma e a falta de conhecimento prejudicam o engajamento no pré-natal. Conclusão: Conclui-se que as gestantes em situação de rua enfrentam desafios devido à vulnerabilidade, impactando a qualidade da assistência pré-natal. Apoio adequado e políticas públicas eficazes são essenciais diante desses desafios, melhorando a assistência pré-natal e promovendo políticas mais inclusivas e acessíveis.
As frutas vermelhas como alimento antioxidante e o efeito do seu consumo sobre a prevenção de doenças e do envelhecimento: uma revisão narrativa da literatura
Authors: Zarychta Suzana Marta , Nichele Marta
Published: October 2023

Introdução: Os antioxidantes são moléculas com cargas positivas que se combinam com os radicais livres, de carga negativa, tornando-os inofensivos. As substâncias antioxidantes são formadas por vitaminas, minerais, pigmentos naturais e outros compostos vegetais. Ajudam a melhorar o sistema imunológico, organismo fica mais resistente às doenças. Metodologia: Esse estudo fez um levantamento bibliográfico caracterizado como revisão narrativa da literatura onde foram utilizados artigos científicos de pesquisa original, completos, teses, dissertações, monografias e trabalhos de conclusão de curso disponíveis online objetivando conhecer as características das frutas vermelhas como fontes de antioxidantes na prevenção do envelhecimento. Foram selecionados cinco artigos para essa revisão que após análise foram comparados e discutidos. Resultados: Os resultados demonstram que os estudos comprovam que os antioxidantes previnem o aparecimento de aterosclerose e doenças cardiovasculares e ajudam na manutenção da saúde. Tem sido muito utilizados para tratamentos estéticos para se perpetuar a beleza da pele, os frutos vermelhos são produtos dos mais usados pelo seu poder antioxidante e por serem ricos em vitamina C. Conclusão: Conclui-se que os benefícios do consumo frequente de frutas vermelhas, fontes de antioxidantes, para a saúde humana estão relacionados à manutenção da saúde e importantes na prevenção de doenças crônicas não transmissíveis.
Contribuições dos pesquisadores do Distrito Federal para o conhecimento da cultura da mentha (período 1985 – 2021)
Authors: Mariani Leandro Magalhães , Vilela Michelle Souza , De Sousa Rosa Maria de Deus , Mattos Jean Kleber de Abreu
Published: October 2023

As mentas são ervas cultivadas de grande importância para uso como flavorizantes, aromatizantes e fitoterápicos. A pesquisa sobre a cultura das mentas é abundante no mundo inteiro. O objetivo do presente trabalho foi levantar e analisar as contribuições dos pesquisadores do Distrito Federal sobre o gênero Mentha, havidas no período 1985-2021. Objetivou-se classificar e quantificar as diversas contribuições da pesquisa por área temática e analisar os resultados conseguidos avaliando a sua relevância. Foi feito o levantamento das referências bibliográficas, a classificação temática analítica das contribuições, determinado o nível de visibilidade e o número de referências encontradas para cada tema. Analisaram-se os avanços no conhecimento do assunto e discutiu-se o impacto das diversas contribuições. Foram encontradas 77 referências de trabalhos de pesquisa sobre a cultura da Mentha envolvendo pesquisadores do Distrito Federal no citado período, mormente da Embrapa e da Universidade de Brasília. Os temas mais pesquisados foram: quimiotipos, fitopatologia, propagação vegetativa e estudos de morfologia externa. Os conhecimentos obtidos apresentam-se como importantes para o conhecimento do potencial das espécies de Mentha cultivadas no Distrito Federal.
Brasilia neighborhood unity: a re-reading of its meaning, limits and possibilities
Authors: Mariani Maria de Fátima Magalhães , Mariani Leandro Magalhães , Carlos Thiago Brazeiro , Freitas Rodrigo Almeida
Published: October 2023

The objective of this article is to analyze the limits and possibilities of the pilot neighborhood unity, anchored in the existing literature on the history and experience of the neighborhood unity in Lúcio Costa's urban project. Among the significant concepts in the debate about Brasília's residential superblocks are “isolation” and “exclusion” in relation to preserving intimacy and tranquility of living. Limitations and possibilities are part of the experience of a neighborhood unity in Brasília in the opinion of people who live in the superblock. Limiters include vacant spaces on holiday days and weekends, violence, lack of parking, great noise, great mobility of cars and pedestrians due to events on the main axis. On the other hand, public schools, subway station, proximity to public and private health units, commerce, transportation and job opportunities stand out as favorable aspects. The article allowed us to understand more clearly the concept of neighborhood unity and its relationship with the city of Brasília, as well as serving as an incentive to continue researching the topic.
Diagnóstico situacional da rede de atenção à violência de crianças e adolescentes com deficiência no munícipio de Pesqueira-PE
Authors: Rodrigues João Victor da Silva , Lélis Ana Luiza Paula de Aguiar , Gonçalves Cláudia Fabiane Gomes , Galindo Danielle Bezerra Calado
Published: October 2023

Estudo descritivo, exploratório, de abordagem qualitativa, que objetivou analisar a configuração da rede de assistência à criança e ao adolescente com deficiência no enfrentamento da violência na visão dos profissionais de saúde e da assistência social, verificar como se dão os vínculos na rede na assistência à criança e ao adolescente com deficiência e investigar o fluxo de atendimento à criança e ao adolescente no âmbito saúde e social, desenvolvido na rede de assistência de saúde e social à crianças e adolescentes com deficiência no Município de Pesqueira, PE. Os sujeitos da pesquisa foram os profissionais atuantes na rede de cuidados de saúde e assistência social do município e os envolvidos na Gestão Municipal, no período de 2018 a 2019. O levantamento dos dados foi realizado segundo etapas pré-estabelecidas e complementares, dentre estas a aplicação de um roteiro de entrevista semiestruturado de PEREIRA (2016) com questões relacionadas a identificação, acompanhamento, encaminhamento para serviços especializados, ótica e desafios enfrentados para a garantia do acesso à rede de atenção para a criança e adolescente com deficiência, que pautaram a construção da caracterização dos sujeitos, dos eixos temáticos e posteriormente foi apresentado o desenho dos mapas Mapa mínimo da Rede Social Institucional Externa de acordo com a visão dos sujeitos. Diante dos resultados obtidos destaca-se que a maioria dos sujeitos não possui capacitação para o atendimento às situações de violência com o público deficiente, o que é representado nos discursos apresentados que denotam fragilidade no cuidado à essas vítimas e a invisibilidade do fenômeno da violência com este público em específico. Dentre os principais serviços acionados para o trabalho em rede os mais presentes nas falas dos entrevistados foram o CRAS e Conselho Tutelar. Diante disso, aponta-se a necessidade de maiores investimentos nos serviços de formação para fomentar a temática da violência no público de crianças e adolescentes com deficiência e instrumentalizar os profissionais dos serviços de referência afim de que se reduza a invisibilidade deste público e garanta a igualdade para todos sem distinção.
O endividamento das empresas durante a pandemia COVID-19 sob perspectiva da emissão de títulos de dívida e o mercado de crédito
Authors: Schiavolin Laura Marchiori , Ambrozini Marcelo Augusto
Published: October 2023

O principal objetivo deste trabalho consiste em analisar, de forma comparativa, as condições de endividamento das empresas no período de dois anos anteriores ao primeiro caso de COVID-19 no Brasil e dois anos após, buscando entender as decisões de financiamento das companhias de capital aberto não financeiras do Brasil. Com isso, buscou-se alcançar a análise da tomada de decisão das empresas em busca do financiamento, seja via mercado de crédito no Brasil e/ou por meio da emissão de títulos de dívida diante o cenário de crise econômica desencadeada pela pandemia do novo Coronavírus. Com base na revisão bibliográfica, foi realizada a construção de uma base de dados, a partir dos demonstrativos financeiros das empresas de capital aberto. Tal base de dados envolveu 465 empresas do setor não financeiro, para o período de 2018-2021. A periodicidade dos dados é trimestral, visando uma análise detalhada e comparativa das variações dos indicadores financeiros das empresas no período analisado.
Aplicação de simulador de tráfego para análise de uma interseção urbana – um estudo de caso na cidade Francisco Beltrão, Brasil
Authors: De Araújo Carolina Tavares , Menin Alice Maria , Molinete Heloisa Balbinotti , Tabalipa Ney Lyzandro , Trombetta Jairo , Bisconsini Danilo Rinaldi
Published: October 2023

A análise de interseções urbanas faz parte da rotina da gestão de tráfego, especialmente por serem pontos críticos de conflitos de trânsito e congestionamentos. Neste trabalho, fez-se um estudo da interseção urbana na cidade de Francisco Beltrão (PR), local de intenso tráfego de veículos motorizados e pedestres. Apresenta-se uma análise de duas alternativas à interseção atual a serem implementadas para a melhoria da mobilidade e segurança de trânsito no local: i) implementação de uma rotatória e ii) a instalação de semáforo. Para a análise, utilizou-se o programa Simulation of Urban MObility (SUMO), que possui código aberto e livre acesso, permitindo a modelagem completa do sistema de tráfego e obtenção de diversos parâmetros de desempenho, como tempo de espera, velocidade média e emissões de poluentes. Os resultados permitiram analisar quantitativamente o comportamento do tráfego para os três cenários avaliados, contribuindo para a tomada de decisões quanto a intervenções na infraestrutura. Os parâmetros de saída do programa indicam a rotatória como a alternativa de melhor desempenho, principalmente em relação ao tempo médio de espera e à emissão de poluentes de CO (monóxido de carbono) e CO2 (dióxido de carbono).
Biomassa, carbono e necromassa em formações savânicas e florestais
Authors: Coelho Maria Cristina Bueno , Limeira Mathaus Messias Coimbra , Erpen Mauro Luiz , Barilli Juliana , Giongo Marcos , De Menezes Michelle Pereira , Rodrigues Wádilla Morais , Pereira José Fernando
Published: October 2023

O presente trabalho objetivou realizar estimativas da quantificação de biomassa e estoque de carbono em áreas savânicas e de formações florestais, avaliar a recuperação e potencial de fixação de carbono em área savânica e floresta tropical realizando a estimação do estoque de carbono orgânico do solo. Os dados foram obtidos em área do Plano de Manejo Florestal Sustentável pertencente a empresa Poiani & Bianchi LTDA, localizada no município de Dueré, sul do estado do Tocantins. As maiores concentrações de biomassa e carbono são encontradas nas folhas presentes na serrapilheira. A quantificação dos valores da matéria lenhosa morta mostrou que, a maior concentração de decomposição se encontra em um nível considerado intermediário com um percentual de 52,99%.
Desenvolvimento e estudo da estabilidade de hamburguer vegetal de ervilha adicionado de ora-pro-nóbis
Authors: Schultz Bárbara Teixeira , Silveira Iná Tharcelle Carvalho , Pires Christiano Vieira , Arruda Aline Cristina , Carlos Lanamar de Almeida
Published: October 2023

As proteínas são responsáveis por várias propriedades físico-químicas e sensoriais dos alimentos, podendo atuar como ingredientes funcionais e benéficos a saúde. As proteínas vegetais além de atender a tendência atual, são apresentadas como funcionais, por proporcionar benefícios à saúde e serem mais disponíveis para a população e  também mais baratas. A Pereskia aculeata Miller (ora-pro-nóbis), é uma planta alimentícia não convencional (PANC) também conhecida popularmente como “carne de pobre” devido ao seu elevado teor de proteina, quando comparada a outras hotaliças folhosas, é uma espécie altamente nutritiva, de fácil cultivo e propagação que tem sido apontada como uma fonte potencial de proteínas e o seu consumo está associado ao aumento do valor nutricional das refeições. A utilização da ora-pro-nóbis como uma fonte natural para desenvolver novos produtos alimentícios, como hambúrgueres, representa uma abordagem promissora para explorar o potencial da rica biodiversidade da flora brasileira. Este estudo teve como objetivos desenvolver, caracterizar e avaliar a estabilidade de hamburguer vegetal de ervilha adicionado de folhas de ora-pro-nóbis ao longo de um período de armazenamento congelado de 90 dias. Para a formulação utilizou-se folhas ora-pro-nóbis in natura, ervilha, beterraba, cebola, alho, ácido ascórbico, farinha de rosca e temperos (sal, pimenta, salsa desidratada). Os hambúrgueres foram moldados (porções de 80 g), identificados, embalados em sacos plásticos, acondicionados em bandejas e foram submetidos ao congelamento por ar estático à -18 ºC em freezer. Foram analisadas características físico-químicas (pH, acidez titulavel, umidade e cor), a capacidade antioxidante e os carotenoides. Foram retiradas amostras para as análises laboratoriais no primeiro dia de armazenamento (T0) e aos 90 dias (TF). Não houve diferença significativa para as variáveis pH, acidez titulável, umidade e carotenoides nos tempos T0 e TF. Observou-se uma redução significativa da atividade antioxidante (de 223,139 µMOL TE/g a 124,274 µMOL TE/g de amostra em base seca) entre T0 e TF respectivamente. O hambúrguer vegetal adicionado de ora-pro-nóbis apresentou estabilidade das características físico-químicas durante 90 dias de armazenamento congelado (18 ºC), exceto para a atividade antioxidante, que apresentou retenção de 55,69 %. Este produto pode ser uma boa alternativa para atender aos consumidores que buscam uma alimentação à base de plantas, além de resgatar a utilização dessa hortaliça, que possui baixo custo com potencial fonte de proteína.
RUSSIAN CONTEXTS OF THE WORKS OF CHARLES
MORICE
Authors: Galtsova E.D.
Published: October 2023

The article is devoted to the influence of ‘Russian fashion’ on the work
of the French symbolist Charles Morice (1860–1919), who in the 1880s participated
in translations of F.M. Dostoevsky’s and N.A. Nekrasov’s writings into French. The
methodological basis of the article is the combination of a historical and literary
approach with the study of the essence of cultural clichés in the field of literary relationships (Russian literature — French literature). The article is built on the littlestudied facts of the life and work of Morice, undeservedly forgotten in modern literary criticism both in Russia and in France. The analysis of the actual connections
of Morice with cultural mediators (translator Ilya Danilovich Halperin-Kaminsky,
diplomat and novelist Eugène Melchior de Vogüé), and the general context of the
perception of Russian culture in France in the last quarter of the 19th century, when
Russian literature for the first time in history began to be perceived as a source of
inspiration for French. Being greatly influenced by the ideas of Vogüé, developed in
the book Russian Novel (1886), Morice sees in Russian literature a reflection of his
mystical and social concepts. Religious searches of Tolstoy and especially religious
and philosophical ideas of Dostoevsky were influential in the conversion of Morice
to Catholicism. The article deals with cases of direct reception of both ideas about
Russian literature and the work of individual writers (mainly Dostoevsky) in the literary books of Morice, as well as in his works, the unfinished novel The Lonely
Spirit (1886) and the play He is Risen! (1911).
Konstytucyjne aspekty ciężaru dowodu w przypadkusankcji dotyczących przychodów nieznajdującychpokrycia w ujawnionych źródłach lub pochodzących zeźródeł nieujawnionych
Authors: Rycielski Radosław
Published: October 2023

Artykuł stanowi próbę odpowiedzi na pytanie o zasadność przeniesienia ciężaru dowodu na podatnika w przypadkupostępowania dotyczącego dochodów nieujawnionych. Uwagę poświęcono zarówno analizie obowiązującychprzepisów prawnych, jak i poglądom doktryny prawa oraz ich implikacjom w orzecznictwie sądów administracyjnych,Trybunału Konstytucyjnego (TK) i Naczelnego Sądu Administracyjnego (NSA). Jedno z zasadniczych pytańbrzmi: czy istnieje możliwość dowiedzenia i poznania prawdy w tym postępowaniu, jeśli weźmie się pod uwagęprzeniesienie ciężaru dowodu na podatnika? Istotnymi zagadnieniami są również implikacje cywilnoprawne (art. 6 ustawy z dnia 23 kwietnia 1964 r. – Kodeks cywilny1) i ich wpływ na postępowanie podatkowe.
O bezpośrednim wpływie na cenę towarów lub usług,czyli kiedy dotacja, subwencja lub dopłata są wliczane dopodstawy opodatkowania w podatku od towarów i usług
Authors: Stankiewicz Patryk , Ołdak Wiktor
Published: October 2023

W artykule autorzy zbadali, kiedy otrzymana przez podatnika kwota będąca dotacją, subwencją bądź dopłatą opodobnym charakterze jest wliczana do podstawy opodatkowania w podatku od towarów i usług. W tym celunajpierw scharakteryzowali pojęcia dotacji, subwencji i dopłaty na gruncie art. 29a ust. 1 ustawy z dnia 11 marca2004 r. o podatku od towarów i usług1. W dalszej kolejności przeanalizowali, jak w orzecznictwie Trybunału SprawiedliwościUnii Europejskiej (TSUE) oraz polskich sądów administracyjnych rozumiane jest pojęcie „bezpośredniegowpływu na cenę”, by określić kryteria, według których należy oceniać, czy taki wpływ wywiera dana dotacja, subwencja lub dopłata otrzymana przez podatnika na cenę dostarczanych przez niego towarów lub usług.