bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determinantes sociais da saúde uma reflexão sobre a questão social e a contribuição da estratégia de saúde da família
Authors: Vieira Luiz Cesar Rodrigues , Paula Maria Angela Boccara 
Published: October 2021

Tendo em vista a aproximação da ESF com o social e a preocupação em promover o acesso a saúde voltando-se prioritariamente para os grupos sociais mais vulneráveis pretende-se com este artigo: discorrer sobre a questão social e sua relação com fenômeno da desigualdade social; identificar a contribuição da Estratégia de Saúde da Família no enfrentamento das desigualdades sociais e sua relação com os determinantes sociais da saúde. Trata-se de uma reflexão teórica sobre a questão social e a Estratégia de Saúde da Família como modelo para redução das iniquidades em saúde. Optou-se por uma revisão de literatura, do tipo narrativa em que os artigos selecionados abordaram os temas: determinantes sociais em saúde, questão social e estratégia de saúde da família. Os resultados apontam que a questão social está intimamente relacionada com capital e as relações sociais impostas pelo mesmo e que tal processo é histórico no que diz respeito ao desenvolvimento da sociedade brasileira. Tendo em vista a iniquidade em saúde como uma das faces da questão social, as políticas de saúde apontam a ESF como uma das formas de enfrentar a desigualdade social dado que, nos determinantes sociais encontramos a expressão da questão social, e com uma prática pautada nos princípios da territorialização, do diagnóstico comunitário, da intersetorialidade e da equidade tal modelo pode ser promissor e resolutivo frente as demandas sociais as quais se relacionam com a saúde.

Considering the approximation of the FHS to social issues and the concern with promoting access to health care focusing primarily on the most vulnerable social groups, this article aims to discuss the social issue and its relation to the phenomenon of social inequality; to identify the contribution of the Family Health Strategy in combating social inequalities and its relation to the social determinants of health. This is a theoretical reflection on the social issue and the Family Health Strategy as a model for reducing health inequities. We chose a narrative literature review, in which the selected articles addressed the following themes: social determinants of health, social issue, and family health strategy. The results point out that the social issue is closely related to capital and the social relations imposed by it, and that such a process is historical with respect to the development of Brazilian society. In view of the inequity in health as one of the faces of the social issue, health policies point to the ESF as one of the ways to face social inequality given that, in the social determinants we find the expression of the social issue, and with a practice based on the principles of territorialization, community diagnosis, intersectoriality and equity, such model can be promising and resolutive in the face of social demands which are related to health.
Propuesta multidisciplinar y cooperativa: “energías renovables en secundaria”
Authors: Ávila Nelson Arias , Gómez Verónica Tricio 
Published: October 2021

Es clara la necesidad de modificar el modelo energético existente. En el nuevo esquema por venir las energías renovables desempeñarán un papel fundamental, por lo que es indudable la importancia de enseñar y aprender algunos tópicos referentes a estas energías y temas relacionados. En este trabajo, producto de la cooperación entre las Universidades de Burgos, España y Distrital de Bogotá, Colombia, se presenta una propuesta multidisciplinar y cooperativa para la enseñanza de las Energías Renovables en secundaria. Se pretende así contribuir a la mejora del nivel de la educación científica básica, a través de la cooperación entre educadores de Biología, Física y Química, principalmente.

It is a clear need to modify the existing energy model. In the new scheme for coming renewables will play a key role, so it is undoubtedly important to teach and learn some topics concerning these energies and related topics. Multidisciplinary and cooperative approach to teaching in secondary Renewable Energy is presented as a product of cooperation between the Universities of Burgos, Spain and the District of Bogotá, Colombia. The aim is to contribute to the improvement of basic science education through cooperation between teachers of Biology, Chemistry and Physics, mainly.
Niveles de Ciberacoso durante el período de Aislamiento Social Preventivo y Obligatorio en adultos residentes en Argentina
Authors: Kerman Bernardo , Gaggino Melisa , Calvo Flavio , Mortara Gabriel , Morrongiello Noemí , Kobylanski Rocío 
Published: October 2021

El ciberacoso o ciberbullying es un fenómeno multidimensional, que tiene el potencial de afectar a cualquier persona que navegue en internet, y que ha traspasado las fronteras de lo físico, lo conocido y lo temporal. La característica permanente y por lo tanto repetitiva del ciberacoso, lo convierte en una problemática que no perece con el paso del tiempo: una vez que una imagen o video está en internet es realmente difícil eliminarla.
Se lo define como una agresión intencional, deliberada y repetitiva de una persona o grupo de personas hacia una víctima. La escasa retroalimentación dificulta las reacciones empáticas por parte de los agresores a la vez que obstaculiza la toma de conciencia de la dimensión que tienen los daños ocasionados. Su incidencia va en aumento y se encuentran, de forma constante, nuevos modos de llevarlo a cabo. Hay factores que agravan la situación como el acceso, en constante aumento, a nuevas tecnologías, el lugar que la virtualidad ocupa en la vida de las personas como espacio de socialización, la disminución de la percepción del daño causado, la sensación de impunidad que brinda el anonimato y la propia dinámica de las redes que propicia la alianza entre hostigadores y la reproducción fácil y rápida de contenidos.
Durante el período de Aislamiento Social Preventivo y Obligatorio en Argentina, se ha visto un incremento exponencial de las horas dedicadas, por parte de la población, a navegar en internet. Las redes sociales ofrecen un ambiente propicio para la aparición y diseminación de situaciones de acoso entre pares, llegando con facilidad a la viralización. En este sentido, cuánto más tiempo pase una persona en dichas redes, más expuesta está a atestiguar, recibir o participar en situaciones de agresión hacia una víctima.
Knowledge and Practices in Viral Hepatitis Management and its Challenges: A Survey Among Ayurveda Physicians of Kerala
Authors: Akhila R Kurup  , Indulekha  
Published: October 2021

Ayurveda physicians provide treatment for viral hepatitis patients in Kerala. A survey was conducted to assess the knowledge and practices in viral hepatitis management among Ayurveda physicians (APs) of Kerala.
Materials & Methods: An in depth telephonic interview and a questionnaire were administered among APs in Kerala for assessing knowledge about viral hepatitis and its treatment.
Results: All the 150 participants were aware about different types of viral hepatitis. Around 90% Aps know about complications of viral hepatitis and mode of transmission. Only 20% screen their patients before performing Panchakarma therapy and para-surgical procedures in their clinic. All physicians depends liver function test for diagnosing and assessing different types of Hepatitis; only 6.6% physicians additionally prescribe Ultrasonogram of abdomen and viral load. Majority physicians reported chronicity for HBV and HCV infections and good outcome/ curable for hepatitis A. Only a few physicians were documenting the cases in their clinics. The lack of structured case proforma for documentation and guidelines for management, research, patient education and time constraints was reported as challenges in the treatment of viral hepatitis by the majority of AP in the current survey.
Conclusion: The majority of doctors had a good knowledge of the different types of viral hepatitis and they depended on laboratory examinations for diagnosis and evaluation. The treatment strategies were based on the treatment principles of Kamala and Panduroga in Ayurveda.
An Experimental Study to Evaluate the Anti-Diarrheal Activity of Bhuvaneshwara Rasa in Wistar Albino Rats
Authors: Simi Jose  , Chaitra L.V  
Published: October 2021

Atisara (Diarrhea) is most commonly encountered disease of the present era, due to unhealthy and irregular habits. Atisara (Diarrhea) finds a place as important disease in individual’s life as everyone suffers from it at least once in life time. Bhuvaneshwara rasa is a unique herbo-mineral formulation explained in Bhaishajya ratnavali indicated for all kinds of diarrhea cases. Bhuvaneshwara rasa is a potent formulation having Saindhava, Triphala, Yamani, Bilva peshika and Gruhadhooma.
Materials and methods: Raw materials were screened and collected and the formulation selected for the present study Bhuvaneshwara rasa was prepared accordingly. Anti-diarrheal activity of Bhuvaneshwara rasa was evaluated experimentally in albino rats. Experimental study was conducted in 3 groups of animals for anti-diarrheal study each. Anti-diarrheal study was done by castor oil induced diarrhoea and castor oil induced enter-pooling method. Bhuvaneshwara rasa (test drug) and Loperamide are effective in controlling diarrheal episodes. Bhuvaneshwara rasa has shown significant Anti-diarrheal activity in both Castor oil -induced diarrhea and castor oil induced enteropooling, test drug effective than control.
Result: Bhuvaneshwara rasa was prepared according to SOP. Test drug group have shown effect experimentally. Conclusion: Bhuvaneshwara rasa is a good anti-diarrheal drug. It can be administered in all types of Atisara.
Melhoria contínua aplicada ao Processo de Abastecimento de Água Potável
Authors: De Lima Byanca Porto , De Mello Sérgio Ricardo Bastos , De Souza Paloma Medeiros , Lencastre Rafaela de Souza 
Published: October 2021

A água é um recurso finito que representa a fonte principal de manutenção de vida. Partilhando desta concepção e reconhecendo a importância da preservação ambiental alinhada ao desenvolvimento econômico e social das organizações, os quais devem ser a cerne na atuação de um profissional de Engenharia de produção, o presente trabalho teve como objetivo analisar as perdas de água no sistema de abastecimento de uma empresa situada na região sul do Estado do Rio de Janeiro, que possui como atividade secundária a distribuição de água potável. O objeto de estudo foi uma das quatro vilas onde os funcionários da empresa residem. Para alcançar os objetivos propostos, a pesquisa utilizou os dados referentes à distribuição de água, e ainda, baseou-se em outros estudos sobre a determinação dos indicadores de perdas. Os resultados evidenciam um alto índice de perdas, relacionado à deficiência operacional, bem como ausência de um setor específico que trabalhe na redução das perdas no sistema de distribuição. Com o objetivo de propor melhorias para os problemas encontrados, este trabalho utilizou o ciclo PDCA em conjunto com algumas ferramentas de qualidade.
Estratégias fisioterapêuticas na prevenção da Pneumonia associada à ventilação mecânica
Authors: Moraes Fernanda Cortez , Pereira Pâmela Camila , Oliveira Luís Henrique Sales 
Published: October 2021

A Pneumonia Associada à Ventilação Mecânica (PAVM) é uma patologia de alta incidência e impacto significativo no tempo de internação, na morbidade e mortalidade dos pacientes e consequentemente nos custos para a instituição, por isso medidas de prevenção se mostram importantes. Este trabalho teve como objetivo revisar as principais estratégias da fisioterapia na prevenção da PAVM. Foram utilizados os estudos publicados que tiveram como referência as bases de dados Medline, Pubmed e Lilacs para selecionar os estudos de evidência científica no período entre 2000 e 2014. O fisioterapeuta pode contribuir com a prevenção da patologia através de técnicas, gerenciamento e implantação de protocolos e programas de educação permanente para a equipe multiprofissional. A maioria dos estudos relatados na literatura considerou o efeito de apenas uma intervenção, o presente estudo propôs uma abordagem multinível, agrupando as medidas. Concluiu-se a fisioterapia tem ampla e ativa participação na adoção e no gerenciamento de medidas não farmacológicas para a prevenção da PAVM, que se destacam pela sua maior viabilidade, eficácia e considerável menor custo, contudo são necessárias mais pesquisas sobre o assunto para incrementar as evidências sobre seus benefícios na literatura. Palavras-chave: Pneumonia, Respiração artificial. Serviço Hospitalar de Fisioterapia. Prevenção e controle.
EFFECT OF COVID 19 ON THE PERFORMANCE OF TOURISM INDUSTRY.A CRITICAL LITERATURE REVIEW
Authors: Githii John 
Published: October 2021

Purpose: Among all segments in the economy, tourism is one of the main sectors which impact the economy as many governments impose travel restrictions, travel bans, shutting down airports, and mass passenger cancellations The pandemic has forced people to use their retirement funds early as they needed to make a living. The general objective of the study was to examine effect of Covid 19 on the performance of tourism industry.
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: The study concluded that the Coronavirus puts a furrow on the tourism industry. Many domestic and international Airlines Companies are forced to cancel their flights from and to other countries due to insufficient tourist as the people are becoming panicked for the spread of this harmful virus. Revenues from the tourist industries has got a bit lowered as no individuals are traveling to visit tourist destinations as all flights are being canceled . It has also showcased the ultimate harm it created on the economy of the country and the globe at the same time. It is being thought that the impact will continue for some more time and that is of much more concern in recent time
Recommendations: The study recommends that tourism industry stakeholders should be ready for post-corona environment. There are different scenarios on when the industry will recover, what new challenges and standards will be imposed, who are more likely to travel which products and services will disappear and transform. Hence the stakeholders should be able to create different action plans for each scenario to be put into action after recovery. Destination image shall also be re-positioned based on safety, health and cleanliness. All stakeholders should also make sure they have a risk and crises management plan and a strong financial structure to improve their resilience in the future.
Effect of Post-Election Violence on the Perfomance of Tourism Industry. A Critical Literature Review
Authors: Muturi Elizabeth 
Published: October 2021

Purpose: A free and transparent electioneering process ideally shuns violence, 21 corruption and other vices encouraging the flourishing of economic activities including tourism leading to a vibrant tourism sector. The general objective of the study was to examine effect of post-election violence on the performance of tourism industry in Kenya.
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: The study concluded that election violence affects movement of people within the country, people movements are restricted during the campaigns, local and international members of the fourth estate give prominence to negative news during this period scaring both domestic and international tourist’s arrivals and that people prefer staying in familiar places and fear travelling when there is election violence.
Recommendations: The study recommends that the Kenyan security infrastructure should regain civilian confidence: by cultivating citizen-police relations to tame the prevailing account of fear and apathy. This can be worked on and transformed into more justifiable national confidence on the security agencies and a platform created for mutual engagement. This relationship is crucial in helping the security agencies in controlling crime and being able to mitigate the security challenges arising during elections. This way the tourism industry will benefit in terms of enjoying a peaceful environment before, during and after general elections in the country. Once this relationship is built on trust, the police will be able to manage effectively all issues
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG NẤM PHỔI XÂM LẤN ĐIỀU TRỊ TẠI TRUNG TÂM HÔ HẤP BỆNH VIỆN BẠCH MAI
Authors: Thị Nhinh Vũ , Văn Giáp Vũ 
Published: October 2021

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng của các bệnh nhân nhiễm nấm phổi xâm lấn điều trị tại trung tâm Hô Hấp bệnh viện Bạch Mai. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu, tiến cứu trên 41 bệnh nhân nhiễm nấm phổi xâm lấn, điều trị tại Trung tâm Hô Hấp bệnh viện Bạch Mai thời gian từ 01/2019 - 06/2021. Kết quả: Khoảng 2/3 bệnh nhân nhiễm nấm xâm lấn là nam giới, nhóm trên 60 tuổi chiếm 53,7%. COPD và Hen phế quản (31,7%), đái tháo đường týp 2 (24,4%) là những bệnh đồng mắc thường gặp. Lý do nhập viện rất đa dạng nhưng phổ biến làho có đờm (63,4%), khó thở (51,2%), mệt (36,6%), sốt (31,7%). Trên xét nghiệm vi sinh chủng nấm thường gặp nhất là Aspergilus fumigatus (65,9%). Kết luận: Các dấu hiệu lâm sàng và cận lâm sàng của nhiễm nấm xâm lấn đa dạng, không đặc hiệu, cần phải nghĩ tới nấm ở những bệnh nhân có yếu tố cơ địa có triệu chứng hô hấp dai dẳng không cải thiện với các biện pháp điều trị thông thường.
THỰC HÀNH VỀ PHÒNG TRÁNH NHIỄM ĐỘC CHÌ CHO TRẺ EM TẠI MỘT LÀNG NGHỀ THUỘC TỈNH BẮC NINH
Authors: Đức Sơn Nguyễn , Thu Hà Nguyễn 
Published: October 2021

Mục tiêu: Đánh giá việc thực hành về phòng tránh nhiễm độc chì cho trẻ em của người dân tại một làng nghề thuộc tỉnh Bắc Ninh. Phương pháp nghiên cứu: 212 đối tượng (165 người chăm sóc trẻ và 47 trẻ em (10-14 tuổi) được quan sát, đánh giá về biện pháp phòng tránh nhiễm chì cho trẻ. Kết quả: 49,1% người có thực hành đạt về phòng tránh nhiễm độc chì cho trẻ em (Nhắc nhở trẻ về phòng tránh nhiễm độc chì của người trong gia đình của trẻ; phòng tránh nhiễm độc chì cho trẻ khi chăm sóc trẻ; thực hành đúng trong việc sử dụng thuốc cam cho trẻ; thực hành đúng của người có tiếp xúc với chì tại nơi làm việc và đang sống cùng trẻ). Kết luận: người dân tại một làng nghề thuộc tỉnh Bắc Ninh đã có một số một số người thực hành đạt về phòng chống nhiễm độc chì cho trẻ nhưng còn hạn chế.
ASPEK SOSIAL EKONOMI AGRIBISNIS PADI DI DESA KERBOKAN, SAWAN KABUPATEN BULELENG BALI
Authors: KURNIAWAN I MADE GEDE ARIESTOVA 
Published: October 2021

Petani agrobisnis khususnya padi yang dalam kesenyataannya ditinjau dari aspek sosial dan ekonomi masih rendah dari pendapatan yang diperolehdari kegiatan yang dilakukan guna pemenuhan kebutuhan hidupnya. Hal ini sangat dipengaruhi oleh intern factor dan extern factor. Dalam upayanya para petani agribisnis khususnya padi menghadapi berbagai kendala dan selalu berusaha untuk mengatasi kendala tersebut. Maka dipandang perlu sekiranya mengkaji masalah utama yang menjadi urgensi masalah dari pendapatan para petani tersebut yakni melihat dari aspek sosial dan ekonomi yang menjadi harapan besar para petani agribisnis khususnya padi untuk selalu berupaya untuk meningkatkannya dikarenakan akan kebutuhan hidup dan tanggungan yang menjadi kewajibannya semakin meningkat. Secara umum antara harapan dan senyatanya sangatlah bertolak belakang, begitu pula dengan teori yang dimiliki para petani dan dari usaha secara langsung di lahan pertanian yang dimilikinya terdapat kesenjangan, terlebih dengan luas lahan yang digarap ataupun dikelola berhubungan erat dan sangat significant dengan pendapatan yang diperoleh dikemudian hari. Begitu pula halnya dari penjualan hasil pertanian tidak sesuai harapan, inilah yang harus disinkronkan oleh para petani yang ternyata tidak mudah seperti membalik telapak tangan.
Climate and ice sheet evolutions from the last glacial maximum to the pre-industrial period with an ice-sheet–climate coupled model
Authors: Quiquet Aurélien , Roche Didier M. , Dumas Christophe , Bouttes Nathaëlle , Lhardy Fanny 
Published: October 2021

Abstract. The last deglaciation offers an unique opportunity to understand the climate–ice-sheet interactions in a global warming context.
In this paper, to tackle this question, we use an Earth system model of intermediate complexity coupled to an ice sheet model covering the Northern Hemisphere to simulate the last deglaciation and the Holocene (26–0 ka).
We use a synchronous coupling every year between the ice sheet and the rest of the climate system and we ensure a closed water cycle considering the release of freshwater flux to the ocean due to ice sheet melting.
Our reference experiment displays a gradual warming in response to the forcings, with no abrupt changes.
In this case, while the amplitude of the freshwater flux to the ocean induced by ice sheet retreat is realistic, it is sufficient to shut down the Atlantic meridional overturning circulation from which the model does not recover within the time period simulated.
However, with reduced freshwater flux we are nonetheless able to obtain different oceanic circulation evolutions, including some abrupt transitions between shut-down and active circulation states in the course of the deglaciation. The inclusion of a parameterisation for the sinking of brines around Antarctica also produces an abrupt recovery of the Atlantic meridional overturning circulation, absent in the reference experiment. The fast oceanic circulation recoveries lead to abrupt warming phases in Greenland.
Our simulated ice sheet geometry evolution is in overall good agreement with available global reconstructions, even though the abrupt sea level rise at 14.6 ka is underestimated, possibly because the climate model underestimates the millennial-scale temperature variability. In the course of the deglaciation, large-scale grounding line instabilities are simulated both for the Eurasian and North American ice sheets. The first instability occurs in the Barents–Kara seas for the Eurasian ice sheet at 14.5 ka. A second grounding line instability occurs ca. 12 ka in the proglacial lake that formed at the southern margin of the North American ice sheet.
With additional asynchronously coupled experiments, we assess the sensitivity of our results to different ice sheet model choices related to surface and sub-shelf mass balance, ice deformation and grounding line representation. While the ice sheet evolutions differ within this ensemble, the global climate trajectory is only weakly affected by these choices. In our experiments, only the abrupt shifts in the oceanic circulation due to freshwater fluxes are able to produce some millennial-scale variability since no self-generating abrupt transitions are simulated without these fluxes.
The genus &lt;i&gt;Allodia&lt;/i&gt; (Diptera: Mycetophilidae) in Miocene Ethiopian amber
Authors: Bouju Valentine , Rosse-Guillevic Simon , Griffon Marion , Bojarski Błażej , Szwedo Jacek , Perrichot Vincent 
Published: October 2021

Abstract. A new, extinct species of Allodia Winnertz is described from early
Miocene amber of Ethiopia. Allodia paleoafricana sp. nov. is mostly characterized by the scutum
with strong anteromarginal, dorsocentral, and lateral setae and the wing
with the stem of the M-fork slightly shorter than the vein r–m and the base of the M4–CuA fork
aligned with the base of r–m. The assignment to any of the two subgenera
Allodia stricto sensu or Brachycampta Winnertz remains equivocal as the fossil intermingles traits found in
both taxa. Allodia is known mostly from the Palearctic region, while only a few
species have been described from Africa. In this regard, the new fossil
species from Ethiopia brings significant new information regarding the
Afrotropical distribution and natural history of the genus.