bluuebunny/crossref_metadata_2025_split huggingface dataset:
O planejamento de campi universitários como prática participativa e educativa
Authors: Andrade Carlos Roberto Monteiro de , Pavesi Alessandra 
Published: January 2017

Neste trabalho, são discutidas duas experiências de planejamento de campi universitários norte-americanos que tiveram como principal pressuposto a participação ativada comunidade acadêmica: “The Oregon Experiment”, promovido pela Universidade de Oregon na década de 1970, e o projeto do Lewis Center for Environmental Studies no Collegede Oberlin (Ohio), realizado vinte anos depois, em uma década já fortemente marcada pela emergência da questão ambiental. Não obstante as duas experiências tenham se orientado por distintas teorias e princípios de planejamento historicamente situados, no artigo procura-se evidenciar o conteúdo comum a ambas, que remete ao entendimento da participação como práxis e do campus como um laboratório ideal para a sua realização. Palavras-chave: planejamento; campus; participação; educação; sustentabilidade. Abstract: This paper discusses two campus planning experiences carried out in the USA with the active participation of the academic communities: “The Oregon Experiment”, promoted by the University of Oregon in 1970, and the design of the Lewis Center for Environmental Studies at Oberlin College (Ohio), developed twenty years later, in a decade strongly characterized by the rise of environmental concerns. Despite being oriented by different theoretical backgrounds in different moments, the two experiences have common features. The article seeks to highlight these common aspects; the understanding of participation as a praxis and using the campus as an ideal laboratory for its achievement. Keywords: planning; campus; participation; education; sustainability.
Da fragmentação à articulação: a política nacional de saneamento e seu legado histórico
Authors: Britto Ana Lucia Nogueira de Paiva , Lima Sonaly Cristina Rezende Borges de , Heller Léo , Cordeiro Berenice De Souza 
Published: January 2017

O setor de saneamento no Brasil tem sido palco hegemônico de abordagens tecnocêntricas, restringindo visões globalizantes que vislumbrem a multidimensionalidade do tema e a necessidade de articulações intersetoriais. Parte-se da premissa de que essas dificuldades encontram raízes na história do setor, que impõe seu legado por meio da sua inércia e resiliência. Para desenvolver o argumento, é conceituada a multidimensionalidade do saneamento, como área de conhecimento e setor das políticas públicas. Em seguida, analisa-se o processo de construção da política pública de saneamento do período Lula (2003-2010), buscando uma visão histórica de estruturas e instituições, com base nos processos de negociação relacionados a essa política setorial. Analisa-se o Plano Nacional de Saneamento Básico, como oportunidade para um novo patamar da política setorial, a partir da perspectiva da intersetorialidade. O artigo conclui-se com a tentativa de identificar os principais desafios para uma nova política, em que a intersetorialidade seja seu marco referencial. Palavras-chave: saneamento; intersetorialidade; plano nacional; água; esgotos; política pública. Abstract: Hegemonic techno-centric approaches dominate the water and sanitation sector in Brazil, restricting globalizing visions, the understanding of it multidimensionality and the need for intersectoral links. The premise that these difficulties are rooted in the history of the sector, imposing a legacy through inertia and resilience, guides the analysis performed in the article. To develop the argument, we conceptualize the multidimensionality of water and sanitation subject as an area of knowledge and a sector of the public policies. Then, we analyze the policy reform in the Lula period (2003-2010), based on a historical overview of structures and institutions as well as on negotiation processes related to the sector´s policies. We analyze the Plano Nacional de Saneamento Básico (National Plan of Basic Sanitation) as an opportunity for a higher standard of water and sanitation policy, from the perspective of intersectoral articulations. The article concludes with an attempt to identify the main challenges for a new policy, in which intersectoral articulations would be the main framework. Keywords: intersectoral linkages; national plan; water; sanitation; public policy.
Plano de habitação, produção de habitação: as fronteiras de conflito da política pública – considerações a partir do caso da cidade de São Carlos (SP)
Authors: Pulhez Magaly Marques 
Published: January 2017

Em um cenário em que o planejamento urbano aparece em destaque nos discursos do Ministério das Cidades como parte importante das políticas setoriais de desenvolvimento urbano, incluindo aí a promoção habitacional, o texto toma por base o desenvolvimento dos Planos Locais de Habitação de Interesse Social – PLHIS e a concomitante implementação de uma produção habitacional de peso, via Programa Minha Casa, Minha Vida – PMCMV. Em uma tentativa de iluminar as variadas camadas de conflito aí sobrepostas, problematizando os agenciamentos regulatórios que se tensionam na medida em que as intervenções públicas no campo habitacional os solicitam, analisa-se a experiência de São Carlos, município do interior paulista. Entre 2009 e 2010 o município pôs em curso a elaboração de seu PLHIS, ao mesmo tempo em que aderiu ao PMCMV, desencadeando, nesse caso, um flagrante descompasso entre as duas iniciativas e seus encaminhamentos – ou seja, entre o papel regulador do plano e sua possibilidade de efetivar-se enquanto tal. Palavras-chave: Plano Local de Habitação de Interesse Social; Programa Minha Casa, Minha Vida; São Carlos; produção habitacional; planejamento urbano. Abstract: In a scenario where urban planning is highlighted in the speeches of the Ministry of Cities as an important part of sectorial policies on urban development – here included the promotion of housing – this text discusses the negotiated rules that are tensioned in the process of public housing interventions based on the development of Local Social Housing Plans (Planos Locais de Habitação de Interesse Social – PLHIS) and the implementation of a strong housing production via Program Minha Casa Minha Vida (PMCMV). In an attempt to illuminate the various layers of conflict there overlapped, we analyze the experience of São Carlos, in the state of São Paulo, where the development of its PLHIS and the adhesion to the Program MCMV started simultaneously between 2009 and 2010. The striking gap between the two initiatives and their referrals – that is, between the regulatory role of the plan and its ability to become effective – are analyzed. Keywords: Local Social Housing Plan; Program Minha Casa, Minha Vida; São Carlos; housing production; urban planning.
Políticas de recuperação de rios urbanos na cidade de São Paulo: possibilidades e desafios
Authors: Silva-Sánchez Solange , Jacobi Pedro R. 
Published: January 2017

Este artigo pretende discutir como processos políticos atuantes na cidade de São Paulo criam obstáculos à implantação de políticas de recuperação de rios e córregos urbanos, conferindo especial atenção ao programa de parques lineares. Como uma das diretrizes de seu plano diretor, o município formulou uma política inovadora de recuperação de seus rios e córregos urbanos, com potencial de inaugurar um novo paradigma na gestão dos recursos hídricos na cidade. Entretanto, após quase uma década de sua formulação, essa política ainda parece mais avançada do que a capacidade do poder público para implementá-la. Sua efetividade como política pública urbana e ambiental, visando à construção de uma cidade mais sustentável, depende de um intenso esforço de articulação de ações, desde a promoção e garantia de um debate democrático com os diferentes atores sociais envolvidos, até a implementação de programas intersetoriais, impondo um enorme desafio ao poder público local. Palavras-chave: planejamento urbano; parque linear; município de São Paulo; governança da água; recursos hídricos. Abstract: This paper discusses how political processes taking place in the city of São Paulo become hurdles to the enforcement of public policies designed to restore urban creeks. An innovative policy for restoring urban rivers and creeks, potentially creating a paradigm shift in the management of water resources, originated with the city’s master plan. However, one decade later, the policy remains more advanced than the city’s government implementation capacity. Its effectiveness as an urban and environmental policy towards a more sustainable city depends on joint efforts that represent an enormous challenge to the local political power, requiring promoting and ensuring a democratic debate with participating social actors, as well as the involvement of different municipal departments. Keywords: urban planning; restore urban creeks; city of São Paulo; water resources.
Políticas de renovação urbana no centro histórico de Bogotá, Colômbia (1998-2007)
Authors: Suárez Carlos José 
Published: January 2017

A renovação urbana está sendo utilizado como instrumento político privilegiado para a transformação do centro histórico de Bogotá. O marco legal da renovação urbana na cidade foram: o Decreto 880 de 1998, que institucionalizou o Programa de Renovação Urbana, o Decreto 619 de 2000, que definiu o Plano de Ordenamento Territorial para a cidade de Bogotá e o Decreto 492 de 2007 que definiu o Plano Zonal Centro. Neste artigo apresentarei junto com estes documentos as formas como os planos estão ligados com a sensação de insegurança e de degradação dentro da cidade, especialmente pela presença de moradores de rua em uma área específica do centro da cidade: La Calle del Cartucho. A destruição deste local e construção do Parque Terceiro Milênio, assim como os outros futuros planos para a cidade, procuram estimular as parcerias público/privadas e a atração do investimento internacional. Palavras-chave: renovação urbana; vazio urbano; El Cartucho; Parque Terceiro Milênio; Calle del Bronx; cidade saúde. Abstract: The urban renewal is in the present day the most privileged political instrument to transform the historical center of Bogotá. The legal frames of urban renewal in this city were: Decree 880 of 1998 that institutionalized the Urban Renewal Program; Decree619 of 2000 that defined the Territorial Arrangement Plan for Bogotá and, the Decree 492of 2007 that defined the Zonal Center Plan. In this article I’ll present the links among these documents and also the links between them, the security & the sensation of degradation in the downtown. This aversion to few degraded places in the city took its “material form” with the presence of homeless people in a specific area in the center: La Calle del Cartucho. The destruction of this place and the construction of Third Millennium Park seek to encourage the public/private enterprises and to attract international investments, along with another future plans for the city. Keywords: urban renewal; urban emptiness; El Cartucho; Third Millennium Park; Calle del Bronx; health city.
Rede urbana regional, cidades médias e centralidades: estudo de Montes Claros e dos centros emergentes de Pirapora, Janaúba e Januária no Norte de Minas Gerais
Authors: França Iara Soares de , Soares Beatriz Ribeiro 
Published: January 2017

Nos últimos anos o Brasil vem passando por profundas transformações em sua configuração urbana. A espacialização e consolidação das atividades desenvolvidas no território nacional materializam-se na rede urbana brasileira. Nesse contexto, deve-se analisar o papel das cidades médias na estrutura urbana, considerando, notadamente, as funções que elas exercem em âmbito regional. Este trabalho investigou os papéis desempenhados pela cidade média de Montes Claros e as interações espaciais e econômicas estabelecidas com os centros emergentes de Janaúba, Januária e Pirapora na rede urbana norte mineira na atualidade. Para a obtenção dos resultados almejados, foram realizados registros iconográficos, confecção de mapas, tabelas e gráficos e entrevistas com a população dos municípios de Januária, Janaúba e Pirapora, no ano de 2010, a fim de compreender as interações espaciais entre as cidades e, com isso, a configuração da rede urbana regional. Palavras-chave: rede urbana; centralidade; fluxos; interações espaciais e econômicas; norte de Minas Gerais. Abstract: In recent years, Brazil has been undergoing profound transformation sin the urban setting. Thus, the Brazilian urban network is materialized through the aspects of consolidation and spatialization of activities developed in the country. The role of medium cities in that urban structure must be considered highlighting the functions they play in national scope. Therefore, this study analyzed the role played by the medium city of Montes Claros and the spatial and economic interactions established with the emerging centers of Janaúba, Januária and Pirapora in the current north of Minas urban network. In order to collect data, Januária, Janaúba and Pirapora populations were interviewed in 2010, in addition to iconographic records, maps, tables and graphs to comprehend the spatial interactions between cities and, thereby, the regional urban network setting. Keywords: urban network; North of Minas; centrality; flow; spatial and economic interactions.
The Role of Hormones in Women’s Stroke Risk
Authors: Bier Dara M. 
Published: January 2017

Although often overshadowed by breast cancer and other women’s health issues, stroke is a primary cause of mortality and morbidity among women in the United States today. This article explores three major populations of women: postmenopausal women who are taking hormone-replacement therapy, women ingesting estrogen-containing oralcontraceptive pills, and women who are currently pregnant. It compiles recent research and physiologic information that can aid in assessing these women’s risk for stroke. This review can help healthcare providers evaluate and manage these populations, and assess the health risks and benefits of certain estrogen-containing therapies.
Impact of an Intensive Cardiology Orientation Program on Confidence of New Fellows
Authors: Kaur Priti 
Published: January 2017

Objective: We implemented a four-day intensive clinical orientation program in 2004 for cardiology fellows to compare the change in self-assessed confidence of fellows before versus after the orientation. Background: The transition from an internal medicine residency to a cardiology fellowship can be challenging. There has been limited research on the use of orientation programs to ease this transition. Methods: New fellows in 2006 and 2007 (N = 13) were prospectively queried immediately before, immediately after, and six months after orientation about their confidence and their support for the orientation program. We retrospectively queried fellows who began their fellowships in 2004 and 2005 (N = 12) by asking them to complete the same questionnaire based on what they recalled feeling immediately before, immediately after, and six months after orientation. Responses to each question were based on a Likert scale from 1 to 7, and a total confidence score was calculated. Retrospective and prospective data were pooled, and nonparametric paired analyses were performed.Results: Twenty-five fellows were enrolled. Fellows’ confidence scores increased after the orientation from 20 to 36 (p<0.01). A significant increase was sustained after six months. In addition, at all time points, the fellows supported the orientation program. Conclusion: An intensive clinical orientation program improved new cardiology fellows’ confidence. Support for this program was high, and the findings support con- tinuation and further development of the program.
The Metamorphosis of a Horse into a Zebra: A Case of Primary Eosinophilic Gastroenteritis
Authors: Salamon Jason N. , Sherman Deborah 
Published: January 2017

Chronic diarrhea is a common diagnostic entity faced by many primary care physicians. Primary eosinophilic gastroenteritis (PEG), a relatively rare but not uncommon cause of chronic nonbloody diarrhea, presents with nonspecific symptoms, making clinical consideration and diagnosis extremely challenging. In PEG, eosinophils selectively target the gastrointestinal tract, where they degranulate, causing inflammation and irritation. We report the case of a 46-year-old female with recurrent hospitalizations for nausea, vomiting, and diarrhea over a nine-month period. After an extensive workup ruling out secondary causes of eosinophilia, she was diagnosed with PEG.
Psychiatric Underpinnings of Chronic Diabetic Neuropathic Pain
Authors: Shabbir Syed H. 
Published: January 2017

There is increasing evidence that psychosocial factors may be involved in the pathophysiology of chronic diabetic neuropathic pain. Individuals with diabetic polyneuropathy exhibit significantly higher rates of axis I psychiatric disorders, and worsening neuropathic symptoms correlate with worsened psychiatric illness. This association exists even when social-support and quality-of-life measures are controlled. Aberrant supraspinal structures and neuronal networks in diabetic neuropathy mimic those found in other psychiatric illnesses. Response to standard medications and therapeutic approaches remains unsatisfactory, and antidepressants continue to serve as first-line treatment for diabetic neuropathy. The exact interplay between neuropathic pain and psychiatric illness remains unclear and may have a common pathophysiological focus. This area of study needs to be revisited and psychological interventions must be explored as possible treatment options for diabetic neuropathy.
More Than Skin Deep: Genetics, Clinical Manifestations, and Diagnosis of Albinism
Authors: Gittler Julia Klein , Marion Robert 
Published: January 2017

Although albinism may be considered a simple diagnosis, its clinical manifestations, which include hypopigmenta- tion of the skin, hair, and eyes and ocular abnormalities such as nystagmus and reduced visual acuity, are often subtle and initially missed. In oculocutaneous albinism, there is wide phenotypic variability, which correlates with specific mutations in genes with roles in melanin biosynthesis. Additionally, syndromic forms of albinism such as Hermansky-Pudlak syndrome, Chediak-Higashi syndrome, and Griscelli syndrome are associated with serious complications such as bleeding abnormalities, lysosomal storage defects, immunodeficient states, and progressive neurologic defects, which all can result in mortality. It is critical to confirm a suspicion of albinism and perform an appropriate workup involving molecular testing in order to establish a diagnosis. Given the various subtypes of oculocutaneous albinism and the life-threatening complications in syndromic forms of albinism, a diagnosis permits proper genetic counseling and timely implementation of necessary screenings and treatments. Recommendations regarding sun exposure and treatment of ocular abnormalities are imperative in oculocutaneous albinism, and preventive therapies should be implemented in syndromic forms. With knowledge of the differential in conjunction with the execution of simple diagnostic tests, many of these complications can be predicted and consequently ameliorated or prevented.
Yellow Fever and the Emotional Consequences of Untreatable Epidemic Disease
Authors: Runge John S. 
Published: January 2017

Yellow fever terrorized communities in tropical and urban settings during its height in the nineteenth-century American south. Carried by Aedes aegypti mosquitoes, which breed in stagnant water, the virus infects humans fervently and is most known for its symptoms of jaundice and vomito negro, a dark vomit of coagulated blood. During the near-annual outbreaks of yellow fever, caregivers struggled to cope with the emotional consequences of failing medicine, sometimes leaving behind clues to their confusion in treating the disease and offering salient reflections on their inadequacies. The disease ravaged the Gulf region for decades. Records of the health workers’ feelings of futility reflect their questions of what to do for others and what to do for themselves, offering a new perspective on yellow-fever scholarship and insight into contemporary clinical practice and research.
An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting
Authors: Casey Scott D. , DiVito Jr. Joseph , Lupow Jason B. , Gulani Reshma 
Published: January 2017

In the emergency setting, the diagnosis of benign causes of acute abdominal pain can prevent unnecessary medical interventions. To illustrate this point, we report the case of a 28-year-old man who presented to the emer- gency department with symptoms suggestive of acute diverticulitis. Abdominal computed tomography (CT) established, instead, a diagnosis of primary epiploic appendagitis (PEA), which was managed expectantly. The patient’s symptoms resolved within one week of hospital discharge and he remained free of pain at a five-month phone follow-up. Increased awareness of PEA and its self-limited course can help the emergency physician avoid unnecessary imaging studies and expectantly manage this cause of acute abdominal pain.
Role of Computed Tomography Scan in Non-Localized Headache in Tertiary Hospital of Mid Western Region of Nepal
Authors: Ghimire Prasanna , Singh B. P. , Chaturvedi S. K. 
Published: January 2017

Objective: To investigate the implication of a computed tomography scan for headache with non-localizing sign.Materials and methods: One hundred and thirty six patients with headache having non-localizing signs were included in this prospective study. Patients with age > 11 years, incomplete radiological or clinical data, recent/new onset headache, any immunosuppressive state, neurological deficits at the time of presentation, history of fever, trauma, any previous surgical intervention and any malignancy were excluded from the study.Results: Among the 136 patients, 73% were females and 27% were males with age range of 11- 76 years. Negative computed tomography scan was present in 91 (66.9 %) cases. Positive findings that significantly influenced the management were present in only 6 (4.4%) cases. Conclusion: Computed tomography in headache with non-localizing signs has a poor yield for a significant intracranial pathology. A careful and detailed assessment curtails the need for inadvertent imaging thus reducing the economic burden and health related hazards.Journal of Nepalgunj Medical College Vol.13(1) 2015: 2-4