bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sodium Status of Collapsed Marathon Runners
Authors: Kratz Alexander , Siegel Arthur J. , Verbalis Joseph G. , Adner Marvin M. , Shirey Terry , Lee-Lewandrowski Elizabeth , Lewandrowski Kent B. 
Published: February 2021

Abstract
Context.—Recommendations for prevention and treatment of medical emergencies in participants in marathon races center on maintenance of adequate hydration status and administration of fluids. Recently, new recommendations for fluid replacement for marathon runners were promulgated by medical and athletic societies. These new guidelines encourage runners to drink ad libitum between 400 and 800 mL/h as opposed to the previous “as much as possible” advice.
Objective.—To assess the sodium and hydration (plasma osmolality) status of collapsed marathon runners after the promulgation of new hydration guidelines.
Design.—Plasma sodium and osmolality values of runners who presented to the medical tent at the finish line of the 2003 Boston Marathon were measured.
Results.—Using reference ranges derived from the general population, of 140 collapsed runners, 35 (25%) were hypernatremic (sodium, &gt;146 mEq/L) and 6 (12%) were hyperosmolar (osmolality, &gt;296 mOsm/kg H2O), whereas 9 (6%) were hyponatremic (sodium, &lt;135 mEq/L) and 8 (16%) were hypo-osmolar (osmolality, &lt;280 mOsm/kg H2O). Compared with a population of marathon runners who had experienced no medical difficulties, 9% of the runners were hypernatremic, 5% were hyponatremic, 8% were hypo-osmolar, and none were hyperosmolar.
Conclusions.—Our findings indicate a significant incidence of hypernatremia with hyperosmolality and hyponatremia with hypo-osmolality among collapsed runners despite the new fluid intake recommendations, suggesting that either further educational measures are required or that the new guidelines are not entirely adequate to prevent abnormalities in fluid balance. Furthermore, the immediate medical management of hypernatremia and hyponatremia is different. Administration of fluids to severely hyponatremic patients may result in fatal cerebral edema. Our findings caution against institution of treatment until laboratory tests determine the patient's sodium status.
Primary Renal Synovial Sarcoma Confirmed by Cytogenetic Analysis: A Lesion Distinct From Sarcomatoid Renal Cell Carcinoma
Authors: Shannon Beverley A. , Murch Ashleigh , Cohen Ronald J. 
Published: February 2021

Abstract
Primary synovial sarcoma rarely originates in the renal parenchyma. When this occurs, origin of this unusual tumor type has been the subject of debate in the literature, with a suggestion that previously reported cases may be more correctly described as renal cell carcinoma with sarcomatoid dedifferentiation. Synovial sarcoma and sarcomatoid renal cell carcinoma may be indistinguishable on pure histologic and immunohistochemical grounds, but these tumors contain distinctly different sets of chromosomal abnormalities. Most previous cases of primary renal synovial sarcoma were confirmed by molecular biology techniques, which detected the SYT-SSX gene fusion transcript typical of this tumor, but no details of the other chromosomal anomalies have been published. We report a case of primary renal synovial sarcoma confirmed by standard cytogenetic analysis, showing the characteristic t(X; 18)(p11.2:q11.2) translocation and other chromosomal aberrations that are typical of synovial sarcoma as opposed to sarcomatoid renal cell carcinoma.
Extensive Aortic Thromboembolism Due to Acquired Hypercoagulable State: An Autopsy Case Report
Authors: Zhang Ling , Hollensead Sandra , Parker Joseph C. 
Published: February 2021

Abstract
Aortic thrombosis rarely occurs without severe atherosclerosis, aneurysm, or cardiosurgical or traumatic state. Arterial thrombosis is commonly related to an inherited and/or acquired hypercoagulable state. A 50-year-old woman presented with diffuse abdominal pain. One day after her admission, she experienced bloody stools. Computed tomography showed multiple extensive thromboses in the aorta and superior mesentery arteries. She underwent a partial jejunoileostomy and colectomy for extensive bowel infarction. Following surgery, her condition deteriorated and she died on the fourth hospital day. At autopsy, gross examination showed 2 large thrombi (7 and 8 cm in length) in the proximal and descending (thoracic) aorta, with mild atherosclerosis. A mesenteric artery thromboembolus with extensive bowel infarction was present. Postmortem laboratory studies revealed an elevated anticardiolipin immunoglobulin G antibody level. The thrombotic state in this patient was considered multifactorial secondary to acquired risk factors, including obesity, mild aortic atherosclerosis with coronary artery disease, and presence of a high titer anticardiolipin antibody.
The Art of Attorney Interaction and Courtroom Testimony
Authors: Davis Gregory G. 
Published: February 2021

Abstract
Context.—In our society it is well for a physician to know something of the workings of court and how to interact with attorneys. One need not go to law school to successfully navigate a legal proceeding as a physician witness.
Objective.—To show that a physician skilled at interacting with colleagues and patients can successfully apply those skills to interacting with attorneys and testifying in court.
Data Sources.—This work is based primarily on the author's experience in interacting with attorneys and testifying in court, with supplemental contributions from textbooks.
Conclusions.—Skillful testifying is simply the transmission of medical information in court in a professional, polite, and compelling manner, an ability within the grasp of any physician who has mastered the art of working with colleagues and patients. Careful, honest assessment of the medical matters in a legal case places a physician in a strong position, which the physician can maintain by remaining polite, even in the face of attempts by an attorney to denigrate the physician's professional abilities. The best witnesses tell the truth in a manner that compels people in the courtroom to listen.
A Recapping System for Automatic, Semiautomatic, and Manual Use
Authors: Nauck Matthias , Nauck Markus , Koetting Jochem 
Published: February 2021

Abstract
Context.—Closed sample tubes are needed for stored as well as in-process samples because evaporation significantly changes analyte concentrations. In modern laboratories, it is essential that the procedures for ordering tests on stored serum samples be simple and time-efficient. Therefore, recapping and reopening of tubes should be readily possible in laboratories to save resources and time.
Objective.—To evaluate the recapping system MagCap, in comparison to established snap caps and unsealed tubes.
Design.—Specific balls, with an iron core, fit tightly by their specific weight into openings of primary and secondary tubes as well as microtiter plates. Recapping of the tubes can be performed individually by a single dispenser or rackwise by a multidispenser. Balls can be removed individually by a pencillike magnet or rackwise. Balls can be reused after cleaning in a glassware washer or used as disposables.
Results.—Balls seal the sample tubes as effectively as snap caps and decrease evaporation significantly in comparison to unsealed tubes. Evaporation effects of up to 13% were detected in unsealed tubes (0.5 mL) within 24 hours, whereas resealing of the tubes diminished the concentration effect to less than 1%. Open samples (0.5 mL) showed a concentration effect in the refrigerator within 7 days of up to 25%. The evaporation effect of the sealed tubes was less than 3%. Multiple reopenening and recapping procedures are easily possible using magnetic forces.
Conclusions.—The MagCap recapping system seals primary and secondary containers securely and cost-effectively with the ball cap and thus facilitates a necessary advance in sample quality.
As políticas públicas acessadas pelos agricultores familiares associados à COOESPERANÇA: PRONAF e PNAE
Authors: Pauli Rita Inês Paetzhold , Neves Ednalva Felix das 
Published: February 2021

Este artigo tem por objetivo descrever e analisar as políticas públicas direcionadas aos empreendimentos de Economia Solidária, mais especificamente, busca-se mostrar como essas políticas públicas vêm se constituindo como elementos relevantes de desenvolvimento sócio territorial dos empreendimentos da Cooperativa Mista dos Pequenos Produtores Rurais e Urbanos vinculados ao Projeto Esperança (COOESPERANÇA). Os procedimentos partem de uma revisão bibliográfica e perpassam por uma rápida análise de alguns dados secundários da SENAES e de resultados da aplicação direta de questionários aos agricultores familiares vinculados a COOESPERANÇA. A literatura especializada permitiu compreender que vem ocorrendo uma concentração de recursos no segmento mais capitalizado do que compõe o universo da agricultura familiar. Os resultados específicos mostram que uma parcela dos agricultores familiares vinculados à COOESPERANÇA acaba tendo participação mais restrita, e parte deles encontram-se alijados em termos de acesso a essa política pública. Ademais, verificou-se que apesar da importância do Programa Nacional da Agricultura Familiar (PRONAF) e do mercado institucional criado pelo Programa Nacional de Alimentação Escolar (PNAE) ainda persistem outros problemas, em ambos os casos, tal como dificuldades de operacionalização, e fragilidades na assistência técnica de extensão rural.
PODE FALAR “FILHO, VOCÊ É BICHA?”: NARRATIVAS DE SAÍDA DO ARMÁRIO EM VÍDEOS DO YOUTUBE
Authors: Belletti Thais De Freitas Mondini 
Published: February 2021

O presente trabalho tem como objetivo analisar narrativas de saída do armário, ou seja, o momento em que um indivíduo expõe sua identidade homossexual a outra pessoa. O ato de sair do armário apresenta ter um papel fundamental na construção de uma identidade sexual que não a heterossexual, pois esta ação implica declarar uma posição diferente do padrão ditado por uma sociedade heteronormativa. Em tal contexto, assumir-se homossexual significa uma ato de resistência contra a manutenção de práticas discursivas hegemônicas que moldam uma sociedade em que a norma é a heterossexualidade. O foco no estudo da narrativa se dá, pois entendemos que esta é usada para organizar a experiência humana. Seu estudo, assim, contribui para a compreensão que os indivíduos fazem do mundo e de si mesmos. Nesse trabalho, abordaremos três suportes teóricos: narrativas de experiência pessoal (Labov e Waletzky, 1967; Labov, 1972), narrativas de histórias de vida (Linde, 1993), e pequenas narrativas (Bamberg e Georgakopoulou, 2008). Por meio de dois vídeos no Youtube, analisamos duas narrativas que apresentam a temática do ato de sair do armário, com o objetivo de mostrar como essas narrativas são construídas e como as identidades sociais são negociadas no discurso.
Uma proposta de reestruturação dos canais de distribuição como vantagem competitiva no varejo de alimentos
Authors: Livato Marcos , Benedicto Gideon Carvalho de 
Published: February 2021

The new "molds" of competitiveness have suggested that the attentions should be focused on an efficient management of the supply chain in the supermarket departments, starting from the producer until the end user of the products, reducing the operational costs. It's known that the elimination of some of these stages of intermediation of the ways of distribution can represent to the small and mediums retailers an important competitive advantage, with the elimination of the additional costs charged by the intermediaries. The objective of this work is to propose a model of restructuring of the ways of distribution in the brazilian retail of food through of the strategy, inducing the elimination of the intermediaries. The search of the bibliography was used like basement to the definition of the methodology of this search, that was realized through of an observational study realized with nineteen Central Business Supermarket s in the state of São Paulo. To do the collection of the datas was prepared a questionary with specific questions. After the collection of the datas and tab, were used techniques quantitive of analysis of datas through of SAS system. The study intends to discuss the proposal of the cooperation's networks like a strategic alternative, with the possibility of elimination of some phases of intermediation of the distribuition's ways.
Socialização organizacional no setor público: ações e percepções de novatos e experientes
Authors: Reatto Diogo , Brunstein Janette 
Published: February 2021

Purpose – This study aims to explain how the process of organizational socialization of newcomers occurs in a public faculty.Design/methodology/approach – This qualitative and interpretativist research was conducted under an interactionist approach. We interviewed 14 newcomers and also experienced government employees from a state public faculty in São Paulo. The content of the interviews was analyzed by a categorization process.Findings – The findings show that socialization of newcomers is self-motivated, informal, non-institutionalized, influenced by the normative nature of work and insufficient support given by the group. Newcomers’ admission into the workplace does not cause serious conflicts or tensions that could lead to changes in the workplace. It is the proactive behavior of the newcomers that allows them to adapt to work and know traditions, beliefs and history of the organization.Research limitations/implications – The limitation of this study is the context of a public university’s workplace. Practical implications – This research allows the organization to get information about the triangular relationship between challenge, support and trust which could have direct effects on the newcomers’ workplace learning.Social implications – We propose that the organization creates a workplace in which the employees can feel strong bonds of solidarity and collectivism, and in which they could have concrete opportunities to realize that their work can contribute to something important, impacting, in the group and in the organization.Originality/value – This study articulates the concepts of organizational socialization, proactive behavior and self-socialization, which may provide future implications for public management in universities.
Desempenho ambiental e viabilidade econômica em uma indústria de pavimentos intertravados
Authors: Souza Adriana Ireno de , Casimiro Leonardo Alves de Oliveira , Sandri Emanuel Campigotto , Johann Jerry Adriani , Bertolini Geysler Rogis Flor 
Published: February 2021

Purpose – This study’s main objective is to verify if there is a relation between proactivity and technological protection in the environmental performance of the ventures in this segment. And check if there is economic feasibility to produce interlocking concrete paving blocks with the addition of rubber, as well as the certification of the product as ecologically friendly.Design/methodology/approach – The study is based on the methodologies shown by Dickel (2017), questionnaire and variables, and Bertolini (2009), economic viability for the manufacture of ecologically friendly products.Findings – As a result, the study confirms the association between technological protection and proactivity in environmental performance, as well as the economic viability for the offer of the interlocking concrete paving product with ecological certification.Originality/value – Civil construction occupies a prominent position, accounting for a significant portion of Brazil's Gross Domestic Product (GDP), as well as being the largest employer industry in the country. It is also recognized as having significant environmental impacts in the conduct of its activities. However, the search for sustainability has been a mobilizing element in the definition of corporate strategies, companies have been seeking more and more actions that are economically viable, respecting environmental and social aspects.
Influência dos fatores comportamentais na propensão ao endividamento dos estudantes universitários
Authors: Oliveira Silvia Franco de 
Published: February 2021

Purpose – The purpose of this paper is to analyze the influence of behavioral factors on the propensity for indebtedness of university students.Design/methodology/approach – The study investigated a random sample of 319 students from a private university in São Paulo. Using the Modeling of Structural Equations, the behavioral factors were measured. For the data analysis, descriptive statistics and median difference tests (Mann-Whitney U test) and independence tests (Chi-square test) were performed.Findings – The findings indicate that: a) the behavior factor presents the strongest effect on the propensity to debt; b) the degree of indebtedness is influenced by sociodemographic variables (gender, race, marital status, occupation and income); c) the levels of risk perception, materialism and propensity for indebtedness are the same for indebted and non-indebted groups; d) the levels of financial behavior and rationality differ between indebted and non-indebted groups. Research limitations/implications – The data collection was carried out in a metropolitan region where the cohort surveyed has specific characteristics that make it difficult to generalize the results.Practical implications – These results may be useful in assisting: a) school leaders in the design of educational programs; b) the financial system in the development of financial strategies and products.Social implications – Educational policy makers can take action to improve the most vulnerable groups.Originality/value – The main theoretical contribution of this work was made by the integrated analysis of four different constructs on the propensity for indebtedness of university students: materialism, rationality, financial behavior and risk perception.
Effectiveness of management of higher public education from the Baldrige excellence program
Authors: Morais Greiciele Macedo , Martins Henrique Cordeiro , Ziviani Fabricio 
Published: February 2021

Purpose – The objective of this article is to analyze the effectiveness of higher education management, according to the Baldrige Excellence Model in a Public Institution of Higher Education in Minas Gerais, based on the perception of public workers.Design/methodology/approach – A quantitative survey was carried out with the application of questionnaires to university employees. The collected data were submitted to multivariate statistical analysis using the Partial Least Squares - Structural Equation Modeling (PLS-MEE) and Covariance (MEE-CB).Findings – The methods adopted confirmed that Leadership, Strategic Planning, Focus on the Client, Measurement of Knowledge, Analysis and Management, Focus on the Workforce and Focus on the Operation explain more than 75% of the effectiveness of the management of an IPES. This research corroborates with the Baldrige Education Criteria for Performance Excellence (2019), even if applied in Brazil, a different context from the original model.Research limitations/implications – The customer's perception was not collected in this research. For a greater depth of analysis of the construct and model, it appears that it is relevant to include the participation of the client in future research and expand the units of analysis.Originality/value – Know the elements that affect the management effectiveness of public institutions of higher education. With the model, the effectiveness of management is significantly explained, but the simultaneous correlation between all constructs is not proven and there is little leadership contribution. These results demonstrate the need for advances in the specifics of the model for the management of this type of institution.
Desenvolvimento sustentável de comunidades - aplicabilidade e contextualização global dos indicadores urbanos
Authors: Müller Letícia , Silva Thaísa Leal da , Ribeiro Lauro André 
Published: February 2021

Purpose – The need to plan and manage cities is increasingly aligned with the search for sustainable development in all its dimensions. Countless initiatives and tools aim to assist in this process, as is the case of urban indicators, which serve as a basis for measuring, analyzing and understanding the context of cities. In this sense, the main objective of this article is to understand and analyze the context and application of one of these tools, ISO 37120 - Sustainable Development of Communities: Indicators for urban services and quality of life. ISO 37120 is an internationally recognized standard, composed of integrated urban indicators, which balance three dimensions of sustainable development; in addition, the standard allows the implementation of smart city initiatives.Design/methodology/approach – Documentary research was used and, subsequently, a critical analysis was carried out, from which positive and negative points were identified in relation to the application of ISO.Findings – Results demonstrate the increasing use of ISO 37120 as a way of measuring urban indicators; however, there is still difficulty in continuing to validate the methodology after the first certification. In addition, it was found that most of the certified cities are national capitals, cities that have also been looking for alternatives to become more intelligent and sustainable.Originality/value – The operation of ISO 37120 certification was presented, as well as some weaknesses and potentialities of this certification system, which aims to assist in the solution of main urban issues, building smarter, more sustainable and resilient cities.
Q-borderenergetic threshold graphs
Authors: Lazzarin João Roberto , Másquez Sosa Oscar Franscisco , Tura Fernando Colman 
Published: February 2021

A graph G is said to be borderenergetic (L-borderenergetic, respectively) if its energy (Laplacian energy, respectively) equals the energy (Laplacian energy, respectively) of the complete graph. Recently, this concept was extend to signless Laplacian energy (see Tao, Q., Hou, Y. (2018). Q-borderenergetic graphs. AKCE International Journal of Graphs and Combinatorics). A graph G is called Q-borderenergetic if its signless Laplacian energy is the same of the complete graph Kn; i.e., QE(G) = QE(Kn) = 2n - 2: In this paper, we investigate Q-borderenergetic graphs on the class of threshold graphs. For a family of threshold graphs of order n = 100; we find out exactly 13 graphs such that QE(G) = 2n- 2:
Avaliação do nível de satisfação dos moradores da Casa do Estudante Universitário I da Universidade Federal de Santa Maria com relação a aspectos estruturais e sociais
Authors: Facco Maicon , Campos Marcos Antonio de Azevedo de , Horbach Dagma , Gonçalves Marco Antonio Roberto Castagna , Moreira Junior Fernando De Jesus 
Published: February 2021

The university student house, also known as CEU, is a housing developed for Federal University of Santa Maria (UFSM) students. There are two units of the housing in the city: one is located downtown and the other on campus. The present study aims to assess resident’s satisfaction with different structural and social aspects, and propose possible improvements. To this end, a questionnaire designed with 13 questions was applied among students selected through cluster sampling for apartments, with gender (male and female) being the reference variable. The project group members applied all questionnaires at the University Student House I - CEU I, located in downtown of Santa Maria - RS, within three hours of collection, divided into pairs and approaching each apartment sampled and applying the questionnaire to residents of the apartment individually. Inferences were then made in the data collected through multivariate techniques and descriptive analysis. From these analyzes it is suggested that some infrastructure complaints be considered in meetings with PRAE's (Pró-Reitoria de Assuntos Estudantis) senior management to seek solutions to the problems described by the students.