bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do retorno dos deuses gregos à metafísica platônica no Fedro
Authors: Delgado Gabriel Ribeiro 
Published: August 2023

O presente artigo investiga as razões do reaparecimento dos deuses da tradição poética à metafísica do Fedro, visando reconhecer as necessidades encontradas por Platão para afirmá-los. As razões concluídas para a afirmação desses deuses são as de (a) sacralizar o amor que, irracional, não pode sacralizar-se idealmente; (b) a existência da automotricidade cósmica; (c) a existência da naturalidade da virtude; (d) fundamentar a inspiração dos amantes.
Uma prática cultural pode ser considerada moralmente indefensável?
Authors: Fragoso Katarina Pitasse 
Published: August 2023

É intuitivo pensar que a alteridade e a diversidade humanas possam ser subsumidas a uma esfera global de valores. Essa é a dimensão presente no mundo conectado pautado por concepções de integração, ilustradas pelos princípios dos direitos humanos. Diante dessa constatação, torna-se necessário compreender os diferentes grupos minoritários existentes, por meio de um olhar atento que dê conta das particularidades e das tradições locais. O artigo atual, dessa maneira, visa a refletir sobre o problema de como defender o conceito de justiça social sem impor uma ordem de valores que destrua edesrespeite o patrimônio intercultural. Para alcançar os objetivos propostos, pretende-se estudar as construções teóricas do conceito de justiça multicultural tracejado por Will Kymlicka. Todavia, há práticas culturais que são invasivas, muitas vezes, lesionam, torturam e matam em prol da tradição. Este é o caso da mutilação genital feminina praticada em algumas regiões da África. Explora-se este caso concreto, visto que ele abarca conflitosespecíficos sobre o reconhecimento cultural e a tolerância radical. Portanto, o trabalho está dividido em duas partes. A primeira dedica-se à discussãoconceitual empreendida pelo multiculturalismo liberal. A segunda, por sua vez, almeja refletir sobre o caso limítrofe da mutilação genital feminina praticada nos países africanos, de modo a expor se o multiculturalismo traça limites para determinadas práticas culturais ou não.
A Psicologia Fenomenológica em Sartre
Authors: Belo (UFLA) Renato Dos Santos 
Published: August 2023

Os primeiros textos filosóficos de Sartre criticaram os fundamentos da psicologia. O filósofo via a necessidade de utilizar as ferramentas da fenomenologia para constituir um novo modelo teórico para a psicologia. O projeto de reconstrução da psicologia ficou inacabado, contudo a articulação dos principais temas da fenomenologia permanecerão como heranças para o posterior desenvolvimento do pensamento sartriano. Nesse artigo abordaremos as principais linhas de força da psicologia fenomenológica em Sartre.
Tindak Tutur Ilokusi dalam Novel Orang-Orang Biasa Karya Andrea Hirata
Authors: Jannah Zahratul , Djumingin Sulastriningsih , Saleh Muhammad 
Published: August 2023

This study aims to describe the form of commissive and declarative illocutionary speech acts contained in the novel Orang Biasa by Andrea Hirata, and describe the relevance of the research results to Indonesian language learning in high school. The research design used is descriptive qualitative. The data in this research are texts (words and sentences containing commissive and declarative illocutionary speech acts). The data collection technique was obtained by using reading method and note-taking technique. Data analysis technique is done by identifying, classifying, and describing. Based on John R. Searle's theory, the result shows that there are commissive and declarative illocutionary speech acts in the novel Orang Biasa by Andrea Hirata. Commissive illocutionary speech acts include representative acts, namely: promise, threaten, swear, offer, plan, obligation. Declarative acts, namely: naming, pointing, deciding, cancelling, prohibiting, allowing, and forgiving. The relevance of the research results to Indonesian language learning in high school can be focused on listening skills.
Pengaruh CAR, LDR Dan NPL Terhadap Profitabilitas (Studi Kasus Pada Bank yang Terdaftar di Bursa Efek Indonesia Periode Tahun 2019-2022)
Authors: Admadja Shelly Agustine , Setyowati Supami Wahyu , Retnasari Ati , Irianto Mochamad Fariz 
Published: August 2023

Penelitian ini bertujuan untuk mengetahui pengaruh dari CAR, LDR, NPL terhadap Profitabilitas Perbankan yang Terdaftar di Bursa Efek Indonesia. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kuantitatif dengan menggunakan jenis data sekunder yang berasal dari laporan keuangan tahunan selama periode 2019 - 2022. Sampel di dalam penelitian ini berjumlah 30 bank yang terdaftar di Bursa Efek Indonesia dengan teknik pengambilan sampel purposive sampling. Teknik analisis data yang digunakan di dalam penelitian ini adalah statistik deskriptif, uji asumsi klasik, analisis linear berganda dan uji hipotesis. Hasil dari penelitian ini secara simultan menunjukkan bahwa CAR, LDR, NPL berpengaruh signifikan terhadap profitabilitas. Secara parsial menunjukkan bahwa CAR tidak berpengaruh signifikan terhadap profitabilitas, LDR berpengaruh signifikan terhadap Profitabilitas dan NPL berpengaruh signifikan terhadap profitabilitas.
Multimodal Opioid-sparing Analgesia for Total Knee Arthroplasty: Results from a Retrospective Case Series of 40 Patients
Authors: Bronstone Amy B. , Leonardi Claudia , Brown Jarrod , Crabb Rocio , Dasa Vinod 
Published: August 2023

Objective The high burden of opioids has prompted orthopedic surgeons to identify effective nonopioid pain management modalities. In this pilot retrospective case series, we describe opioid use and pain during the first 3 months after total knee arthroplasty (TKA) for consecutive patients treated with opioid-free multimodal analgesia. Methods During May and October 2020, 40 consecutive patients who underwent primary unilateral TKA performed by a single surgeon at an academic community hospital received a multimodal analgesia regimen consisting of preoperative cryoneurolysis; perioperative oral and intravenous analgesics, a neuraxial (spinal) and regional adductor canal block, and local infiltration of liposomal bupivacaine (Exparel); intraoperative periarticular infiltration of bupivacaine hydrochloride (Marcaine); and postoperative oral non-opioid analgesics. A Prescription Monitoring Program database was examined to capture opioid prescriptions filled during the 3 months before and after TKA. Self-reported pain was assessed before surgery and at 2 weeks and 3 months after surgery. Results Two thirds (67.5%; 27/40) of patients recovered from TKA without using opioids. Whereas 100% of the experienced opioid users required opioids after TKA, only 15.6% of opioid-naïve patients required postoperative opioids. Opioid-experienced patients had a higher mean number of post-TKA opioid prescriptions (3.1 vs. 1.6) and total morphine milligram equivalent (985 vs. 265) than opioid-naïve patients. Patients who used opioids after TKA reported higher levels of pain at each time point than those who had opioid-free TKA. Conclusions Multimodal analgesia allows for opioid-free TKA for the majority of patients, particularly those without a history of recent opioid use.
Perception Meets Reality – Self-Reported Health on HCAHPS and Press Ganey Surveys Is Correlated with Validated Health Scores (ASA, CCI) in Orthopaedic Trauma Patients
Authors: Ahmed Adil S , Kim Ryan L , Ramsamooj Harry , Roberts Michael , Downes Katheryne , Mir Hassan R 
Published: August 2023

Introduction The American Society of Anesthesiologists score (ASA) and Charlson Comorbidity Index (CCI) are validated tools to predict post-surgical outcome, cost, and health-related quality of life. Prior studies have had mixed results when comparing self-reported health from various survey instruments with ASA and CCI. Surveys such as the government-mandated Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and optional private surveys (Press Ganey) administered following hospital discharge include self-reported health data. No prior study has examined the relationship between patient self-reported health from HCAHPS and Press Ganey surveys with validated health scores (ASA, CCI). We sought to study this possible relationship in orthopaedic trauma patients. Methods All consecutive adult patients >18y surgically treated for isolated fractures at a Level 1 Trauma Center between January 1, 2014-December 31, 2016 were retrospectively analyzed. Hospital charts, HCAHPS, and Press Ganey data were reviewed; patients without available survey responses were excluded. Patient data also included comorbidities (ASA, CCI), psychiatric history (anxiety, depression, others), substance use, type of injury, and type of surgery. Statistical analysis included Spearman’s Rho for correlations, Wilcoxon Rank-Sum and Kruskal-Wallis for continuous variables, Backwards Stepwise Regression and Ordinal Regression with bootstrapped confidence intervals for odds assessment. Results 152 total patients with mean age 57 and median length of stay 3 days were included. No significant differences existed between injury, comorbidities, psychiatric history, substance use, or surgery. Median ASA was 2 (range 2-3), median CCI was 2 (range 0.5-4), and median CCI 10-year estimated survival was 90% (range 53-97). Median self-reported health rating was 1 (range 1-2, with 0 = excellent and 4 = poor). ASA and CCI both had initial strong correlations with patient self-reported overall health. Upon age and sex adjustment, only ASA remained strongly correlated (OR 3.65, 95% CI 2.03-6.57; p<0.001) with overall health rating. Conclusion Orthopaedic trauma patients appear to have a realistic self-perception of health relative to validated scores. This is the first study to compare HCAHPS and Press Ganey self-reported patient health to ASA and CCI scores. Although further study is needed, the high agreement of self-perception of overall health with ASA scores may show that patient self-reporting is reliable in evaluating these and other outcome measurements.
The Wireless Arthroscopic Era Begins: Arthroscopy’s Evolution from the Incandescent Era to the Fiber-Optic Era to the Wireless Era
Authors: Williams James S , Gupta Asheesh 
Published: August 2023

Arthroscopic surgery was invented in 1912, when Dr. Severin Nordentoft used a cystoscope powered by an incandescence light to visualize a knee joint. This form of visualization initiated the paradigm shift from open surgery to minimally invasive surgery. The next major paradigm shift occurred in the mid-1970s with the connection of the arthroscopic camera via a fiber-optic cable, powered by a Xenon or LED light, to a display monitor. This system has helped propel the arthroscopic market to an expected US $16.3 BN by 2027. While there have been numerous incremental advances in arthroscopic camera technology over the last half-century the current arthroscopic camera systems remains largely the same. They remain tethered to the tower by a power cable and, most importantly, a light cable that generates significant heat. ArthroFreeTM, a wireless arthroscopic surgical camera powered by a high-efficiency, low-heat light source, is expected to initiate the next paradigm shift in arthroscopy. The expected benefits of a wireless camera system include ease of use, improved OR efficiency, reduction in costs, and better patient outcomes.
Surgical Repair and Augmentation of a Midsubstance Chronic Achilles Tendon Rupture with a Novel Biocomposite Scaffold: A Case Report
Authors: Redler Michael R. 
Published: August 2023

Case A 31-year-old male presented with a midsubstance chronic ‘cavitation’ tear of his right Achilles tendon, significant retraction of the tendon, and infiltration of dense fibrous tissue into the gap. A 23x30mm BioBrace implant was cut in half length-wise in order to create two strips that were sutured in place to augment the strength and promote healing of the repair. Six months after surgery, the patient demonstrated markedly improved function and MRI showed near complete fill-in of the defect with new tendon-like tissue that was integrated with the underlying native tendon and BioBrace®. Conclusion Repair of a chronic tear of the Achilles tendon with associated cavitation within the body of the tendon can be a true surgical challenge. Augmentation of the repair with BioBrace to increase strength and potential for tissue healing at the time of surgical repair may accelerate recovery and return to function. It may also improve the ultimate quality of the healed tendon tissue.
The Effect of Community Type on Access to Orthopedic Services for Medicaid-Insured Patients
Authors: Ogunfuwa Feyikemi , Zinner Matthew , Lavin Alessia , W. Hansen Austin , Yerke-Hansen Payton , Q. John Devin , Fernandez Carlos A , Fomunung Clyde , Sabesan Vani 
Published: August 2023

Purpose Medicaid-insured patients have less access to specialty care compared to those who are privately insured. Limited and delayed access to orthopaedic services can affect patient outcomes, especially for patients living in rural areas. The purpose of this study was to evaluate the effect of community setting in access to orthopaedic care for Medicaid-insured patients. Methods The study population included board-certified orthopaedic specialists obtained from the American Academy of Orthopaedic Surgeons (AAOS) within five Florida counties, representing urban and rural communities. Investigators used the Secret Shopper methodology to schedule an appointment for a rotator cuff repair. Medicaid acceptance rate, wait time, and average distance to clinics accepting Medicaid were calculated and compared between urban and rural counties. Results Of the 108 clinics identified, 76.9% performed arthroscopic rotator cuff repair. The appointment rate across all counties was 100% (n=83) for privately insured patients and 9.6% (n=8) for Medicaid patients. There was no significant difference in access when comparing access to care with Medicaid in urban and rural counties (p=0.984). Medicaid patients had significantly shorter wait times in rural counties compared to urban counties (p=0.021). Rural counties encountered a significantly greater average travel distance to clinics accepting Medicaid compared to urban counties (p=0.042). Conclusion Medicaid-insured patients have limited access to orthopaedic care, regardless of community setting. Medicaid-insured patients in rural counties were more likely to have shorter wait times to the appointment and travel longer distances to clinics.
Dilemas de la objeción de conciencia en la interrupción voluntaria del embarazo: revisión integrativa de literatura
Authors: Saldías-Fernández Ma. Angélica , Paredes Escobar M. Cristina , Parra-Giordano Denisse 
Published: August 2023

Introduction: Conscientious objection (CO) can generate a conflict for health professionals on issues such as voluntary interruption of pregnancy (IVE).Objective: To analyze the arguments in the scientific evidence for CO in IVE.Method: Integrative literary review in six stages, obtained from the MEDLINE/PUBMED, ISI Web of Science, LILACS, and SciELO databases published between 2018-2022 in English, Portuguese, and Spanish, adjusted to PRISMA requirements. Data were summarized using thematic analysis.Results: From 55 texts, 25 were analyzed. 32% of the publications were made in 2020, 36% are critical analyses of the literature, 24% were made in Chile, and 32% were obtained from PUBMED. Three categories of work are accepted: 1. Characteristics of the CO. How does CO affect public health? 2. The advisability of proceeding to a regulation of the exercise of the CO.3. CO challenges.Conclusions: The aspects that support professional attitudes are problematized, insisting that, although the law recognizes the exercise of CO in the health field, it is necessary to articulate bidirectional protection; in this way, CO is legitimized and acquires coherence, ensuring the right to health of women. Thus, his argument resides in the understanding that the main commitment of health teams is the well-being of women's sexual and reproductive health in all contexts.
Introducción: La objeción de conciencia (OC) puede generar un conflicto para los profesionales de la salud en temas como la interrupción voluntaria del embarazo (IVE).Objetivo: Analizar los argumentos contenidos en la evidencia científica para la OC en el contexto de IVE.Método: Revisión integrativa literaria en seis etapas, obtenidos en las bases de datos MEDLINE/PUBMED, ISI Web of Science, LILACS y SciELO publicados entre 2018-2022 en idiomas inglés, portugués y español, ajustada a los requerimientos PRISMA. Los datos fueron resumidos mediante análisis temático.Resultados: A partir de 55 textos, 25 fueron analizados. Un 32% de las publicaciones se realizó en 2020, el 36% son análisis crítico de la literatura, 24% realizadas en Chile y un 32% se obtuvieron de PUBMED. Se obtienen tres categorías de trabajo: 1. Características de la OC. ¿Cómo afecta la OC a la salud pública? 2. La conveniencia de proceder a una regulación del ejercicio de la OC.3. Desafíos en materia de OC.Conclusiones: Se problematiza acerca de los aspectos que sostienen las actitudes profesionales, insistiendo en que, si bien la ley reconoce el ejercicio de OC en el ámbito de la salud, es necesario articular una protección bidireccional, de esta manera la OC se legitima y adquiere coherencia, velando por el derecho a la salud de las mujeres. Así, su argumento reside en el entendiendo que el principal compromiso de los equipos de salud es el bienestar de la salud sexual y reproductiva de las mujeres en todos los contextos.
IMPACTO ESPACIAL DE LAS INUNDACIONES SÚBITAS EN LA RESILIENCIA TURÍSTICA DE MATEHUALA, SAN LUIS POTOSÍ, MÉXICO
Authors: Vázquez Solís Valente 
Published: August 2023

In Matehuala, a regional center of San Luis Potosí located in the northern center of the Mexican Altiplano, landscapes typical of the dry tropics and cultural remains of tourist value are combined with the presence of sporadic and torrential rains, and floods that affect the site.
There are few methodological references to spatially differentiate the way in which sites are recovered after a threat occurs. The work reveals levels of tourism resilience under the physical, economic, human and social capital approach with the probabilistic typing method. It was found that the most impacted areas are more resilient because they have better organizational conditions.
En Matehuala, centro regional de San Luis Potosí ubicado en el centro norte del Altiplano mexicano, se combinan paisajes propios del trópico seco y vestigios culturales de valor turístico con la presencia de lluvias esporádicas y torrenciales e inundaciones que afectan al sitio.
Existen pocos referentes metodológicos para diferenciar espacialmente la forma en que se recuperan los sitios tras ocurrir una amenaza. El trabajo revela niveles de resiliencia turística bajo el enfoque del capital físico, económico, social y humano, con el método de tipificación probabilística. Se detectó que las áreas más impactadas son más resilientes porque tienen mejores condiciones organizativas.
PERCEPCIÓN DE LAS CAMARERAS DE PISO DE LA RIVIERA MAYA Y LA COSTA DEL SOL SOBRE SU PRECARIEDAD LABORAL
Authors: Balbuena Vázquez Antonia , López López Álvaro 
Published: August 2023

In the massive littoral tourist spaces of Ibero-America, the employment of housekeepers is very precarious, with low incomes and predominantly occupied by women and immigrants. The aim of this article is to show empirically, from a comparative study between the chambermaids of two representative coastal regions of littoral tourism in Ibero-America: the Riviera Maya (Mexico) and the Costa del Sol (Spain), the perception of these workers —based on 36 in-depth interviews— about their contractual conditions, interaction with their bosses and tourists, as well as their health.
En los espacios turísticos litorales masificados de Iberoamérica el empleo de las camareras de piso es muy precario, con bajos ingresos y ocupados predominantemente por mujeres e inmigrantes. El objetivo de este artículo es mostrar empíricamente, a partir de un estudio comparativo entre las camaristas de dos regiones costeras representativas del turismo litoral en Iberoamérica: la Riviera Maya (México) y la Costa del Sol (España), la percepción de estas trabajadoras —con base en 36 entrevistas a profundidad— sobre sus condiciones contractuales, la interacción con sus jefas y los turistas, así como su salud.
EL APROVECHAMIENTO TURÍSTICO DEL FERROCARRIL CONVENCIONAL COMO VÍA DE IMPULSO TERRITORIAL: EL CASO DE LA LÍNEA DEL DUERO (PORTUGAL) COMO MODELO PARA EL FFCC ARANJUEZ-CUENCA-UTIEL
Authors: Azuara Grande Alberto 
Published: August 2023

Given the increasing importance of railways in the global context, either as a means of transport or as a tourist product, this paper aims to provide an alternative to the closure of the Aranjuez-Cuenca-Utiel railway in Spain. From the point of view of sustainable tourism, it is intended to highlight the role of this railway as a backbone of territorial socioeconomic development. The recovery and enhancement of the Portuguese Duero line is presented as an example for the future of the Cuenca’s Province railway.
Ante la cada vez mayor importancia del ferrocarril en el contexto global, ya sea como medio de transporte, o bien, como producto turístico, en el presente trabajo se pretende proporcionar una alternativa al cierre al tráfico de la línea férrea Aranjuez-Cuenca-Utiel. Desde la óptica del turismo sostenible, se pretende destacar el papel de este ferrocarril como un elemento vertebrador del territorio capaz de impulsar el desarrollo socioeconómico. La recuperación e impulso de línea del Duero en Portugal es presentada como ejemplo de buenas prácticas para el futuro de la línea conquense.
AVALIAÇÃO DAS ALTERAÇÕES NUTRICIONAIS OCORRIDAS NO BROCOLIS APÓS DIFERENTES TEMPOS E MÉTODOS DE COZIMENTO
Authors: Viroli Sérgio Luis Melo Viroli , Carvalho Nelson Pereira Carvalho , Rodrigues Fernando Morais Rodrigues , Cruz Ronilson Mendes Cruz 
Published: August 2023

Os micronutrientes ais minerais e vitaminas, são disponibilizados em frações exíguas por vários tipos de alimentos e são indispensáveis para manutenção e nutrição dos seres humanos. Por não poder sintetizar quantidades suficientes para a demanda nutricional, o organismo humano supre suas necessidades de sais minerais e vitaminas através do consumo de fontes externas. Alimentos nutritivos previne doenças crônicas, desde que sejam consumidos diariamente. Eles podem ser consumidos crus ou processados termicamente. O processo térmico empregado para o cozimento altera o conteúdo nutricional dos alimentos. O objetivo do estudo foi a investigação das alterações das quantidades de zinco (Zn), ferro (Fe) e vitamina C no brócolis após distintos tratamentos de cozimento. Foi utilizada a metodologia proposta por Fraige, Crespilho e Rezende para determinação do zinco (Zn). O ferro (Fe) foi avaliado utilizando o procedimento metodológico proposto por Freitas. A vitamina C foi determinada através da análise titulométrica de óxido redução iodométrica conforme metodologia estipulada pelo Instituto Adolfo Lutz. Houve diferenças significativas de retenção dos nutrientes avaliados no brócolis. Os métodos de cocção utilizando o vapor d’água e micro-ondas não apresentaram diferenças significativas entre si, sendo o cozimento com vapor o processo mais eficiente na preservação dos micronutrientes analisados. A vitamina C apresentou diferença significativa entre o estado in natura e o cozimento gerando 26,05% de redução da vitamina C. A quantidade de ferro não apresentou diferença significativa entre tratamentos de cozimento utilizados. O zinco apresentou diferença significativa entre os tratamentos de cozimento e a amostra in natura. A utilização do vapor evita perdas por lixiviação dos nutrientes que podem ocorrer durante as etapas de higienização e cocção dos alimentos. As perdas das quantidades de zinco, ferro e vitamina C foram reduzidas com o processamento utilizando vapor, sendo esse método o mais indicado para preservação dos nutrientes.